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CNM Certification Domain 1: Antepartum Care (21%) 1. A 28-year-old G1P0 at 10 weeks gestation presents with vaginal bleeding and mild, crampy lower abdominal pain. On speculum exam, the cervical os is closed. What is the most likely diagnosis? a) Threatened abortion b) Inevitable abortion c) Incomplete abortion d) Ectopic pregnancy Answer: a) Threatened abortion Rationale: Threatened abortion is defined by vaginal bleeding and a closed cervical os before 20 weeks gestation...

5. A client with heart failure has an order for furosemide (Lasix) 40 mg orally. Which assessment finding is most important for the LPN to report to the RN before administering this medication? 1. The client's potassium level is 3.1 mEq/L. 2. The client's blood pressure is 130/78 mm Hg. 3. The client's weight is unchanged from yesterday. 4. The cli

NCLEX-RN 1. A young adult involved in a motorcycle accident is brought to the emergency department with a closed head injury and a suspected subdural hematoma. The client is alert but complains of a severe headache. Which of the following physician orders should the nurse question? 1. Promethazine (Phenergan) 25 mg IM q3-4h prn nausea 2. Morphine sulfate 10 mg IM q3-4h prn pain 3. Docusate sodium (Colace) 50 mg PO twice daily 4. Ranitidine (Zantac) 50 mg IVPB q12h *Correct Ans...

NCLEX-PN 1. A licensed practical nurse (LPN) is assisting a registered nurse (RN) with the admission of a client who complains of shortness of breath. Which of the following actions is within the LPN's scope of practice? 1. Performing the initial nursing assessment. 2. Formulating the nursing care plan. 3. Administering prescribed oxygen via nasal cannula. 4. Evaluating the client's response to oxygen therapy. Correct Answer: 3. Administering prescribed oxygen via nasal ca...

Next Generation NCLEX (NGN) Instructions:  Each "Client" scenario represents a stand-alone or unfolding case study with multiple questions.  Questions are designed to mimic NGN formats such as multiple response (select all that apply), cloze (drop-down), matrix/grid, highlight text, bow-tie (drag-and drop), and trend items.  Take your time to read through each case carefully. Pay close attention to the details in the chart exhibits and nurses' notes, as these ar...

ATI Comprehensive Predictor 1. A nurse is assessing a client who is 2 hours post-operative following a thyroidectomy. The client reports tingling in the fingers and around the mouth. Which of the following findings should the nurse expect? a) Hypokalemia b) Hyponatremia c) Hypocalcemia d) Hypermagnesemia Rationale: Tingling and numbness in the fingers and circumoral region are classic signs of hypocalcemia, which can occur after a thyroidectomy due to accidental removal or d...

ATI RN Comprehensive Predictor 2023 1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? a) Administer the feeding over 30 min. b) Place the child in a supine position after the feeding. c) Change the feeding bag and tubing every 24 hours. d) Warm the formula in the microwave prior to administration. Rationale: Feeding bags and tubing should be changed every 24 hours ...

ATI Comprehensive Exit Exam 1. A nurse in an emergency department is assessing an adolescent client with conduct disorder who threatened suicide to a teacher at school. Which statement should the nurse include in the assessment? a) "Tell me about your siblings." b) "Tell me what kind of music you like." c) "Tell me how often do you drink alcohol." d) "Tell me about your school schedule." Rationale: In assessing a client with conduct disorder and suicidal ...

HESI Exit Exam (E2) 1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? a) Instruct the client to request assistance when feeling faint b) Premedicate the client with an analgesic before ambulating c) Ambulate the client immediately upon arising to prevent fatigue d) Limit ambulation to the bedside only for the first 24 hours Rationale: Premedicating with an analge...

1. The nurse is caring for a client with heart failure who suddenly develops extreme dyspnea, tachycardia, and lung crackles. The nurse suspects pulmonary edema. After notifying the healthcare provider, which intervention should the nurse implement first? a) Insert a Foley catheter b) Administer IV morphine sulfate c) Administer oxygen via face mask d) Obtain a portable chest x-ray Rationale: In pulmonary edema, the priority intervention is administering oxygen to correct hypox...