Actual NUR 114 Final Exam Actual Questions And Correct Detailed Answers New Version
Graded A+
The nurse is providing instructions about measures to prevent postpartum mastitis to
a client who is breast-feeding/chest-feeding the newborn.Which client statement
would indicate a need for further instruction?
1. "I need to breast-feed/chest-feed every 2 to 3 hours."
2."I need to change the breast/chest pads frequently."
3. "I need to wash my hands well before breast-feeding/chest-feeding."
4. "I need to wash my nipples daily with soap and water."-CORRECT
ANSWERAnswer:4
Rationale:Mastitis is inflammation of the breast/chest as a result of infection.lt generally is
caused by an organism that enters through an injured area of the nipples, such as a crack or
blister. Measures to prevent the development of mastitis include changing nursing pads
when they are wet and avoiding continuous pressure on the breasts/chest. Soap is drying
and could lead to cracking of the nipples, and the client needs to be instructed to avoid
using soap on the nipples. The client is taught about the importance of handwashing and
the need to breast/chest-feed every 2 to 3 hours.
Test-Taking Strategy: Note the strategic words, need for further instruction.These words
indicate a negative event query and the need to select the option that identifies the
incorrect client statement. Recalling that the use of soap is drying to the skin and could
cause cracking and provide an entry point for organisms wiIl direct you easily to the
correct option.
The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction would the nurse provide?
pects20
NurseEx
1.Strict bed rest is required after the procedure.
, 2.Hospitalization is necessary for 24 hours after the procedure.
3. An informed consent needs to be signed before the procedure.
4. A fever is expected after the procedure because of the trauma to the
abdomen.-CORRECT ANSWER-Answer:3
Rationale:Because amniocentesis is an invasive procedure, informed consent needs to be
obtained before the procedure. After the procedure, the client is instructed to rest, but
may resume light activity after the cramping subsides. The client is instructed to keep the
puncture site clean and to report any complications, such as chills, fever, bleeding, leakage
of fluid at the needle insertion site, decreased fetal movement, uterine contractions, or
cramping.Amniocentesis is an outpatient procedure and may be done in the obstetrician's
office or in a special prenatal testing unit. Hospitalization is not necessary after the
procedure.
Test-Taking Strategy: Focus on the subject, nursing implications related to
amniocentesis. Recalling that this procedure is invasive will direct you to the correct
option.
The nurse is providing instructions to a pregnant client with a history of cardiac disease
regarding appropriate dietary measures. Which statement, if made by the client, indicates
an understanding of the information provided by the nurse?
1. "I need to increase my sodium intake during pregnancy."
2. "I need to lower my blood volume by limiting my fluids."
3. "I need to maintain a low-calorie diet to prevent any weight gain."
4. "I need to drink adequate fluids and increase my intake of high-fiber foods." -
CORRECT ANSWER-Answer:4
ects2026
NurseExp
, Rationale: Constipation can cause the client to use the Valsalva maneuver. The
Valsalva maneuver needs to be avoided in clients with cardiac disease because it can cause
blood to rush to the heart and overload the cardiac system.Constipation can be prevented by
the addition of fluids and a high-fiber diet.A low-calorie diet is not recommended during
pregnancy and could be harmful to the fetus. Sodium needs to be restricted as prescribed by
the primary health care provider, because excess sodium would cause an overload to the
circulating blood volume and contribute to cardiac complications. Diets low in fluid can
cause a decrease in blood volume, which could deprive the fetus of nutrients.
Test-Taking Strategy: Focus on the subject, the pregnant client with heart disease. Think about
the physiology of the cardiac system, client and fetal needs,and the factors that increase the
workload on the heart. This will direct you to the correct option.
The nurse is providing instructions to a pregnant client with human immunodeficiency virus
(HIV) infection regarding care of the newborn after delivery. The client asks the nurse about
the feeding options that are available.Which response would the nurse make to the client?
1. "You will need to bottle-feed your newborn."
2."You will need to feed your newborn by nasogastric tube feeding."
3."You will be able to breast/chest-feed for 6 months and then will need to switch to
bottle-feeding."
4. "You will be able to breast/chest-feed for 9 months and then will need to switch to
bottle-feeding."- CORRECT ANSWER-Answer:1
Graded A+
The nurse is providing instructions about measures to prevent postpartum mastitis to
a client who is breast-feeding/chest-feeding the newborn.Which client statement
would indicate a need for further instruction?
1. "I need to breast-feed/chest-feed every 2 to 3 hours."
2."I need to change the breast/chest pads frequently."
3. "I need to wash my hands well before breast-feeding/chest-feeding."
4. "I need to wash my nipples daily with soap and water."-CORRECT
ANSWERAnswer:4
Rationale:Mastitis is inflammation of the breast/chest as a result of infection.lt generally is
caused by an organism that enters through an injured area of the nipples, such as a crack or
blister. Measures to prevent the development of mastitis include changing nursing pads
when they are wet and avoiding continuous pressure on the breasts/chest. Soap is drying
and could lead to cracking of the nipples, and the client needs to be instructed to avoid
using soap on the nipples. The client is taught about the importance of handwashing and
the need to breast/chest-feed every 2 to 3 hours.
Test-Taking Strategy: Note the strategic words, need for further instruction.These words
indicate a negative event query and the need to select the option that identifies the
incorrect client statement. Recalling that the use of soap is drying to the skin and could
cause cracking and provide an entry point for organisms wiIl direct you easily to the
correct option.
The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction would the nurse provide?
pects20
NurseEx
1.Strict bed rest is required after the procedure.
, 2.Hospitalization is necessary for 24 hours after the procedure.
3. An informed consent needs to be signed before the procedure.
4. A fever is expected after the procedure because of the trauma to the
abdomen.-CORRECT ANSWER-Answer:3
Rationale:Because amniocentesis is an invasive procedure, informed consent needs to be
obtained before the procedure. After the procedure, the client is instructed to rest, but
may resume light activity after the cramping subsides. The client is instructed to keep the
puncture site clean and to report any complications, such as chills, fever, bleeding, leakage
of fluid at the needle insertion site, decreased fetal movement, uterine contractions, or
cramping.Amniocentesis is an outpatient procedure and may be done in the obstetrician's
office or in a special prenatal testing unit. Hospitalization is not necessary after the
procedure.
Test-Taking Strategy: Focus on the subject, nursing implications related to
amniocentesis. Recalling that this procedure is invasive will direct you to the correct
option.
The nurse is providing instructions to a pregnant client with a history of cardiac disease
regarding appropriate dietary measures. Which statement, if made by the client, indicates
an understanding of the information provided by the nurse?
1. "I need to increase my sodium intake during pregnancy."
2. "I need to lower my blood volume by limiting my fluids."
3. "I need to maintain a low-calorie diet to prevent any weight gain."
4. "I need to drink adequate fluids and increase my intake of high-fiber foods." -
CORRECT ANSWER-Answer:4
ects2026
NurseExp
, Rationale: Constipation can cause the client to use the Valsalva maneuver. The
Valsalva maneuver needs to be avoided in clients with cardiac disease because it can cause
blood to rush to the heart and overload the cardiac system.Constipation can be prevented by
the addition of fluids and a high-fiber diet.A low-calorie diet is not recommended during
pregnancy and could be harmful to the fetus. Sodium needs to be restricted as prescribed by
the primary health care provider, because excess sodium would cause an overload to the
circulating blood volume and contribute to cardiac complications. Diets low in fluid can
cause a decrease in blood volume, which could deprive the fetus of nutrients.
Test-Taking Strategy: Focus on the subject, the pregnant client with heart disease. Think about
the physiology of the cardiac system, client and fetal needs,and the factors that increase the
workload on the heart. This will direct you to the correct option.
The nurse is providing instructions to a pregnant client with human immunodeficiency virus
(HIV) infection regarding care of the newborn after delivery. The client asks the nurse about
the feeding options that are available.Which response would the nurse make to the client?
1. "You will need to bottle-feed your newborn."
2."You will need to feed your newborn by nasogastric tube feeding."
3."You will be able to breast/chest-feed for 6 months and then will need to switch to
bottle-feeding."
4. "You will be able to breast/chest-feed for 9 months and then will need to switch to
bottle-feeding."- CORRECT ANSWER-Answer:1
