WELL DETAILED
ANSWERS|LATEST!!!!2025/2026|GUARANTEED
A female who thinks she could be pregnant calls her neighbor, a practical nurse (PN), to ask
when she should use a home pregnancy test to diagnose pregnancy. Which response is best?
a. "A home pregnancy test can be used right after your first missed period."
b. "These tests are most accurate after you have missed your second period."
c. "Home pregnancy tests often give false-positives and should not be trusted."
d. "The test can provide accurate information when used right after ovulation." -
ANSWER "A home pregnancy test can be used right after your first missed period."
Home urine tests are based on the chemical detection of human chorionic gonadotrophin,
which begins to increase 6 to 8 days after conception and is best detected at 2 weeks'
gestation or immediately after the first missed period.
A client in active labor begins to experience cramps in her leg. What intervention should the
practical nurse (PN) implement?
a. Massage the calf and foot.
b. Extend the leg and dorsiflex the foot.
c. Lower the leg off the side of the bed.
d. Elevate the leg above the heart. - ANSWER b. Extend the leg and dorsiflex the foot.
Rationale:
Dorsiflexing the foot by pushing the foot upward or by standing and putting the heel of the
foot on the floor is the best means of relieving leg cramps, because it creates an opposing
action to relax the gastrocnemius.
1
,The nurse has reinforced education for a client who is 11 weeks pregnant and has had no
pregnancy complications. Which client comment indicates adequate understanding of the
instructions?
a. "I can exercise as long as I do not start sweating."
b. "I will reduce my fluid intake if I take a trip by airplane."
c. "I can expect my nausea to be reduced in the next few weeks."
d. "As long as I do not have more than 1 drink a day, I can continue to take alcohol." -
ANSWER c. "I can expect my nausea to be reduced in the next few weeks."
Rationale:
Pregnancy-related nausea usually resolves by the 13th week. If the client travels via airplane,
the client should take additional fluids to prevent deep vein thrombosis. The healthy client
can exercise as long as she is able to converse easily while exercising. No level of alcohol is
considered safe while pregnant.
A 25-year-old client has a positive pregnancy test. One year earlier she had a spontaneous
abortion at 3 months' gestation. What is the description that the practical nurse (PN) should
use to document gravida and parity in this client's medical record?
a. Gravida 1, para 0
b. Gravida 1, para 1
c. Gravida 2, para 0
d. Gravida 2, para 1 - ANSWER c. Gravida 2, para 0
Rationale:
This is the client's second pregnancy or second "gravid" event, the spontaneous abortion
occurred at 3 months' gestation (12 weeks), so she is a para 0. Parity when delivery occurs at
20 weeks' gestation or beyond.
A client is in active labor with her first child. She has expressed a firm desire to not receive
pain medications. Her pulse is 92 beats/min and her respirations are 28 breaths/min. She
tells the nurse "My fingers are tingling, and I'm beginning to feel dizzy. What's wrong with
me?" Which nursing intervention should the nurse provide?
a. Explain to the client that she is experiencing respiratory acidosis.
b. Inform the client she should reconsider her option regarding pain management.
2
,c. Apply a snug oxygen mask to the client to provide additional oxygen to the fetus.
d. Ask the client to breathe into her cupped hands, and assist her with relaxation
techniques.Correct Answer - ANSWER d. Ask the client to breathe into her cupped
hands, and assist her with relaxation techniques.
Rationale:
The client is hyperventilating and experiencing respiratory alkalosis. She can be helped by
cupping her hands and breathing into them at a slow, relaxed rate. The nurse can also assist
her with relaxation techniques. It is inappropriate for the nurse to suggest she reconsider
pain medication if she does not want it. An oxygen mask will not benefit the client, since the
client is not experiencing a low oxygen level, she has a low carbon dioxide level.
What nursing intervention does the nurse expect to see in the plan of care to aid in
preventing postpartum thrombophlebitis for a client who has had a Caesarean delivery?
a. Apply supportive stockings bilaterally.
b. Place moist heat to varicose veins.
c. Complete a focused cardiac assessment.
d. Encourage early ambulation after delivery. - ANSWER d. Encourage early ambulation
after delivery.
Rationale:
Early ambulation increases venous return and prevents thrombophlebitis. Clotting factors
are normally elevated in the postpartum period to heal the placental site, thereby
predisposing clients to thrombus formation.
The practical nurse (PN) is reviewing characteristics of the newborn and is sharing common
growth and development milestones with new parents when they ask, when will the soft
spots close? The PN should respond that they can expect the infant's fontanels to close
during what age span?
a. The anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
b. The anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
c. The anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
3
, d. The anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month. - ANSWER d. The anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month.
Rationale:
In the normal infant, the anterior fontanel closes at 12 to 18 months of age and the
posterior fontanel by the end of the second month.
A new father asks the practical nurse (PN) why ointment is instilled into the eyes of his
newborn infant. Which infection should the PN identify when describing the purpose of this
treatment?
a. Herpes
b. Staphylococcus
c. GonorrheaCorrect Answer
d. Syphilis - ANSWER c. Gonorrhea
Rationale:
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after
birth to prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion
conjunctivitis, an infection caused by Chlamydia.
The nurse is preparing a 3-day-old, full-term newborn for discharge home. The baby's
mother is HIV-positive. For which procedures should the practical nurse (PN) wear gloves?
(Select all that apply.)
a. Diaper changes
b. Obtaining vital signs
c. Formula feeding
d. Newborn hearing screening
e. Heel stick for metabolic screening
f. Discharge bath - ANSWER a. Diaper changes
e. Heel stick for metabolic screening
Rationale:
4
ANSWERS|LATEST!!!!2025/2026|GUARANTEED
A female who thinks she could be pregnant calls her neighbor, a practical nurse (PN), to ask
when she should use a home pregnancy test to diagnose pregnancy. Which response is best?
a. "A home pregnancy test can be used right after your first missed period."
b. "These tests are most accurate after you have missed your second period."
c. "Home pregnancy tests often give false-positives and should not be trusted."
d. "The test can provide accurate information when used right after ovulation." -
ANSWER "A home pregnancy test can be used right after your first missed period."
Home urine tests are based on the chemical detection of human chorionic gonadotrophin,
which begins to increase 6 to 8 days after conception and is best detected at 2 weeks'
gestation or immediately after the first missed period.
A client in active labor begins to experience cramps in her leg. What intervention should the
practical nurse (PN) implement?
a. Massage the calf and foot.
b. Extend the leg and dorsiflex the foot.
c. Lower the leg off the side of the bed.
d. Elevate the leg above the heart. - ANSWER b. Extend the leg and dorsiflex the foot.
Rationale:
Dorsiflexing the foot by pushing the foot upward or by standing and putting the heel of the
foot on the floor is the best means of relieving leg cramps, because it creates an opposing
action to relax the gastrocnemius.
1
,The nurse has reinforced education for a client who is 11 weeks pregnant and has had no
pregnancy complications. Which client comment indicates adequate understanding of the
instructions?
a. "I can exercise as long as I do not start sweating."
b. "I will reduce my fluid intake if I take a trip by airplane."
c. "I can expect my nausea to be reduced in the next few weeks."
d. "As long as I do not have more than 1 drink a day, I can continue to take alcohol." -
ANSWER c. "I can expect my nausea to be reduced in the next few weeks."
Rationale:
Pregnancy-related nausea usually resolves by the 13th week. If the client travels via airplane,
the client should take additional fluids to prevent deep vein thrombosis. The healthy client
can exercise as long as she is able to converse easily while exercising. No level of alcohol is
considered safe while pregnant.
A 25-year-old client has a positive pregnancy test. One year earlier she had a spontaneous
abortion at 3 months' gestation. What is the description that the practical nurse (PN) should
use to document gravida and parity in this client's medical record?
a. Gravida 1, para 0
b. Gravida 1, para 1
c. Gravida 2, para 0
d. Gravida 2, para 1 - ANSWER c. Gravida 2, para 0
Rationale:
This is the client's second pregnancy or second "gravid" event, the spontaneous abortion
occurred at 3 months' gestation (12 weeks), so she is a para 0. Parity when delivery occurs at
20 weeks' gestation or beyond.
A client is in active labor with her first child. She has expressed a firm desire to not receive
pain medications. Her pulse is 92 beats/min and her respirations are 28 breaths/min. She
tells the nurse "My fingers are tingling, and I'm beginning to feel dizzy. What's wrong with
me?" Which nursing intervention should the nurse provide?
a. Explain to the client that she is experiencing respiratory acidosis.
b. Inform the client she should reconsider her option regarding pain management.
2
,c. Apply a snug oxygen mask to the client to provide additional oxygen to the fetus.
d. Ask the client to breathe into her cupped hands, and assist her with relaxation
techniques.Correct Answer - ANSWER d. Ask the client to breathe into her cupped
hands, and assist her with relaxation techniques.
Rationale:
The client is hyperventilating and experiencing respiratory alkalosis. She can be helped by
cupping her hands and breathing into them at a slow, relaxed rate. The nurse can also assist
her with relaxation techniques. It is inappropriate for the nurse to suggest she reconsider
pain medication if she does not want it. An oxygen mask will not benefit the client, since the
client is not experiencing a low oxygen level, she has a low carbon dioxide level.
What nursing intervention does the nurse expect to see in the plan of care to aid in
preventing postpartum thrombophlebitis for a client who has had a Caesarean delivery?
a. Apply supportive stockings bilaterally.
b. Place moist heat to varicose veins.
c. Complete a focused cardiac assessment.
d. Encourage early ambulation after delivery. - ANSWER d. Encourage early ambulation
after delivery.
Rationale:
Early ambulation increases venous return and prevents thrombophlebitis. Clotting factors
are normally elevated in the postpartum period to heal the placental site, thereby
predisposing clients to thrombus formation.
The practical nurse (PN) is reviewing characteristics of the newborn and is sharing common
growth and development milestones with new parents when they ask, when will the soft
spots close? The PN should respond that they can expect the infant's fontanels to close
during what age span?
a. The anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
b. The anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
c. The anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
3
, d. The anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month. - ANSWER d. The anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month.
Rationale:
In the normal infant, the anterior fontanel closes at 12 to 18 months of age and the
posterior fontanel by the end of the second month.
A new father asks the practical nurse (PN) why ointment is instilled into the eyes of his
newborn infant. Which infection should the PN identify when describing the purpose of this
treatment?
a. Herpes
b. Staphylococcus
c. GonorrheaCorrect Answer
d. Syphilis - ANSWER c. Gonorrhea
Rationale:
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after
birth to prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion
conjunctivitis, an infection caused by Chlamydia.
The nurse is preparing a 3-day-old, full-term newborn for discharge home. The baby's
mother is HIV-positive. For which procedures should the practical nurse (PN) wear gloves?
(Select all that apply.)
a. Diaper changes
b. Obtaining vital signs
c. Formula feeding
d. Newborn hearing screening
e. Heel stick for metabolic screening
f. Discharge bath - ANSWER a. Diaper changes
e. Heel stick for metabolic screening
Rationale:
4
