Excelsior University
Foundations in Nursing Practice
NURS209 & NUR109 Comprehensive Nursing Practice Exam
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement.
Section 1/5 40 total marks
Multiple Choice
Select the best possible answer for each question.
generated on 26.04.2026
,Question 1 2 marks
A nurse is teaching a group of sexually active adolescents about safe sex practices. Which statement by a
participant indicates that the teaching was successful?
A I can have a sexually transmitted disease even if I have no symptoms.
B As long as I get the Gardasil injection, I do not need other protection.
C Spermicides are the most effective way to prevent STI transmission.
D I only need to worry about STIs if my partner has visible sores.
Question 2 2 marks
A menopausal client reports vaginal itching and increased infections over the past 3 years. Which physiological
change should the nurse consider when addressing these symptoms?
A Vaginal pH increases during menopause.
B Vaginal pH decreases during menopause.
C Estrogen levels increase, causing tissue thickening.
D Vaginal infections are a direct precursor to cervical cancer.
Question 3 2 marks
A patient at 32 weeks gestation is admitted with premature rupture of membranes (PROM) but no signs of labor.
What is the priority nursing intervention?
A Assess for cervical dilation every 6 hours.
B Administer parenteral antibiotics.
C Provide emotional support for the family.
D Prepare the patient for immediate Cesarean delivery.
Question 4
A client's obstetric history includes: a spontaneous abortion at 9 weeks (4 years ago), a first-trimester abortion (10
years ago), a vaginal delivery at 39 weeks (3 years ago), and a vaginal delivery at 40 weeks (5 years ago). She is
currently pregnant. How should the nurse document Gravida (G) and Para (P)?
A G4 P2
B G5 P2
C G5 P3
D G4 P3
generated on 26.04.2026
, 2 marks
Question 5 2 marks
A nurse is preparing to administer Magnesium Sulfate to a client with preeclampsia. Which explanation should the
nurse provide regarding the purpose of this medication?
A To reduce maternal blood pressure.
B To prevent maternal seizure activity.
C To lower maternal blood glucose levels.
D To stop preterm uterine contractions.
Question 6 2 marks
A 24-week gestation client admits to eating laundry starch daily. The nurse should recognize this behavior as being
associated with which complication?
A Anemia
B Polycythemia
C Hypocalcemia
D Hypernatremia
generated on 26.04.2026
Foundations in Nursing Practice
NURS209 & NUR109 Comprehensive Nursing Practice Exam
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers with detailed
explanations.
3 Review your mistakes carefully and note down areas that need improvement.
Section 1/5 40 total marks
Multiple Choice
Select the best possible answer for each question.
generated on 26.04.2026
,Question 1 2 marks
A nurse is teaching a group of sexually active adolescents about safe sex practices. Which statement by a
participant indicates that the teaching was successful?
A I can have a sexually transmitted disease even if I have no symptoms.
B As long as I get the Gardasil injection, I do not need other protection.
C Spermicides are the most effective way to prevent STI transmission.
D I only need to worry about STIs if my partner has visible sores.
Question 2 2 marks
A menopausal client reports vaginal itching and increased infections over the past 3 years. Which physiological
change should the nurse consider when addressing these symptoms?
A Vaginal pH increases during menopause.
B Vaginal pH decreases during menopause.
C Estrogen levels increase, causing tissue thickening.
D Vaginal infections are a direct precursor to cervical cancer.
Question 3 2 marks
A patient at 32 weeks gestation is admitted with premature rupture of membranes (PROM) but no signs of labor.
What is the priority nursing intervention?
A Assess for cervical dilation every 6 hours.
B Administer parenteral antibiotics.
C Provide emotional support for the family.
D Prepare the patient for immediate Cesarean delivery.
Question 4
A client's obstetric history includes: a spontaneous abortion at 9 weeks (4 years ago), a first-trimester abortion (10
years ago), a vaginal delivery at 39 weeks (3 years ago), and a vaginal delivery at 40 weeks (5 years ago). She is
currently pregnant. How should the nurse document Gravida (G) and Para (P)?
A G4 P2
B G5 P2
C G5 P3
D G4 P3
generated on 26.04.2026
, 2 marks
Question 5 2 marks
A nurse is preparing to administer Magnesium Sulfate to a client with preeclampsia. Which explanation should the
nurse provide regarding the purpose of this medication?
A To reduce maternal blood pressure.
B To prevent maternal seizure activity.
C To lower maternal blood glucose levels.
D To stop preterm uterine contractions.
Question 6 2 marks
A 24-week gestation client admits to eating laundry starch daily. The nurse should recognize this behavior as being
associated with which complication?
A Anemia
B Polycythemia
C Hypocalcemia
D Hypernatremia
generated on 26.04.2026
