PRACTICE SET 2026 FULL SOLUTION
◉ A nurse is collecting data from a client who is at 37 weeks of
gestation, Which of the following findings should the nurse report to
the provider? Answer: Blurred vision
◉ A nurse is contributing to the plan of care for a client who is at 18
weeks gestation and has just learned that the fetus has trisomy 21.
Which of the
following resources should the nurse recommend for the client?
Answer: genetic counseling
◉ A nurse is assisting with the admission of a newborn who has
respiratory distress. While collecting data, which of the following
should the nurse
report to the provider? (Select all that apply.) Answer: Nasal flaring
Intercostal retractions
Grunting
◉ A nurse is caring for a client who is in preterm labor and is
receiving betamethasone, Which of the following actions should the
nurse take? Answer: Inject the medication into the client's vastus
lateralis muscles.
, ◉ A marse is collecting data from the parent of a newborn
immediately following birth. The parent states, "She is so tiny. We
don't know how to pick
her up without hurting her." Which of the following actions should
the nurse take first to promote parent-newborn attachment?
Answer: Demonstrate to the parent how to hold the newborn
◉ A nurse is assisting with the neuromuscular assessment of a
newborn by eliciting primitive reflexes. Which of the following
images indicates a
characteristic response of the tonic neck reflex? Answer: The nurse
should identify this as the tonic neck reflex. When the newborn's
head is quickly turned to one side, the arm and leg on the same side
extend, while the arm and leg on the opposite side flex.
◉ A nurse is reinforcing teaching with a client who has a new
prescription for medroxyprogesterone acetate injection for
contraception. Which
the following statements by the client indicates understanding of the
teaching? Answer: "I am likely to gain weight while taking this
medication." ( inject every 11 to 13 weeks )
◉ A nurse is caring for a client who delivered vaginally 6 hr ago.
Which of the following findings should the nurse report to the
provider? Answer: Perineal pad soaked in 15 min