NUR 509 FINAL EXAM TEST BANK SOLVED
QUESTIONS AND VERIFIED RESPONSES
GRADED A+
⩥ The client is being treated with hydralazine hydrochloride
(Apresoline). What would be a positive outcome for the client as a result
of treatment with this medication?
a. Diastolic BP is maintained between 90 and 110 mm Hg.
b. Diastolic BP is maintained between 70 and 90 mm Hg.
c. Systolic BP is maintained between 100 and 120 mm Hg.
d. Systolic BP is maintained between 90 and 110 mm Hg..
Answer: a. Diastolic BP is maintained between 90 and 110 mm Hg
⩥ A client diagnosed with pregnancy-induced hypertension (PIH) is
treated with magnesium sulfate. The nurse tells the client that the
purpose of this treatment is to:
a. prolong labor.
b. prevent seizures.
c. increase blood pressure.
d. stimulate urination..
Answer: b. prevent seizures.
,⩥ A prenatal client discloses that she takes high doses of vitamins.
Which is the most accurate instruction that the nurse can provide in
response to the client's statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy.
Answer: a. "High levels of vitamins may cause harm to the fetus."
⩥ A client, 10 weeks pregnant, complains of severe nausea of pregnancy.
Meclizine (Bonine) is prescribed. The client reports to the nurse that she
has begun to experience dizziness. What is the highest priority nursing
intervention?
a. Contact the pharmacist; this indicates an overdosage of the
medication.
b. Contact the physician; this is an expected side effect of the
medication.
c. Contact the pharmacist; this indicates incorrect preparation of the
medication.
d. Contact the physician; this is an adverse reaction to the medication..
Answer: b. Contact the physician; this is an expected side effect of the
medication.
⩥ The nurse is teaching a group of pregnant women the importance of
adequate nutrition for the fetus. The nurse instructs the clients that folic
,acid deficiency during preconception and early in pregnancy can result
in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants..
Answer: b. neural tube defects.
⩥ A client is ordered to receive iron and antacids. The nurse teaches the
client that iron and antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first..
Answer: b. 2 hours apart.
⩥ A client, 10 weeks pregnant, complains of severe nausea of pregnancy.
Meclizine (Bonine) is prescribed. The client reports to the nurse that she
has begun to experience dizziness. What is the highest priority nursing
intervention?
a. Contact the pharmacist; this indicates an overdosage of the
medication.
b. Contact the physician; this is an expected side effect of the
medication.
, c. Contact the pharmacist; this indicates incorrect preparation of the
medication.
d. Contact the physician; this is an adverse reaction to the medication..
Answer: b. Contact the physician; this is an expected side effect of the
medication.
⩥ A client complains of severe pregnancy-related nausea and is placed
on Meclizine (Bonine). The nurse notes in the client history that the
client is undergoing treatment for glaucoma. What is the highest priority
nursing intervention?
a. Recognize that one of the off-label uses for the drug is treatment of
glaucoma.
b. Contact the pharmacist; the dosage of the drug should be decreased
when glaucoma is present.
c. Recognize that use of the drug when glaucoma is present may result in
a fatal reaction.
d. Contact the physician; the drug should be used with caution when
glaucoma is present..
Answer: d. Contact the physician; the drug should be used with caution
when glaucoma is present.
⩥ Betamethasone (Celestone) is ordered for a client in preterm labor.
The client asks the nurse what the medication will do to help her. The
nurse explains to the client that the medication will:
a. help her to breathe more effectively during the labor process.
QUESTIONS AND VERIFIED RESPONSES
GRADED A+
⩥ The client is being treated with hydralazine hydrochloride
(Apresoline). What would be a positive outcome for the client as a result
of treatment with this medication?
a. Diastolic BP is maintained between 90 and 110 mm Hg.
b. Diastolic BP is maintained between 70 and 90 mm Hg.
c. Systolic BP is maintained between 100 and 120 mm Hg.
d. Systolic BP is maintained between 90 and 110 mm Hg..
Answer: a. Diastolic BP is maintained between 90 and 110 mm Hg
⩥ A client diagnosed with pregnancy-induced hypertension (PIH) is
treated with magnesium sulfate. The nurse tells the client that the
purpose of this treatment is to:
a. prolong labor.
b. prevent seizures.
c. increase blood pressure.
d. stimulate urination..
Answer: b. prevent seizures.
,⩥ A prenatal client discloses that she takes high doses of vitamins.
Which is the most accurate instruction that the nurse can provide in
response to the client's statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy.
Answer: a. "High levels of vitamins may cause harm to the fetus."
⩥ A client, 10 weeks pregnant, complains of severe nausea of pregnancy.
Meclizine (Bonine) is prescribed. The client reports to the nurse that she
has begun to experience dizziness. What is the highest priority nursing
intervention?
a. Contact the pharmacist; this indicates an overdosage of the
medication.
b. Contact the physician; this is an expected side effect of the
medication.
c. Contact the pharmacist; this indicates incorrect preparation of the
medication.
d. Contact the physician; this is an adverse reaction to the medication..
Answer: b. Contact the physician; this is an expected side effect of the
medication.
⩥ The nurse is teaching a group of pregnant women the importance of
adequate nutrition for the fetus. The nurse instructs the clients that folic
,acid deficiency during preconception and early in pregnancy can result
in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants..
Answer: b. neural tube defects.
⩥ A client is ordered to receive iron and antacids. The nurse teaches the
client that iron and antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first..
Answer: b. 2 hours apart.
⩥ A client, 10 weeks pregnant, complains of severe nausea of pregnancy.
Meclizine (Bonine) is prescribed. The client reports to the nurse that she
has begun to experience dizziness. What is the highest priority nursing
intervention?
a. Contact the pharmacist; this indicates an overdosage of the
medication.
b. Contact the physician; this is an expected side effect of the
medication.
, c. Contact the pharmacist; this indicates incorrect preparation of the
medication.
d. Contact the physician; this is an adverse reaction to the medication..
Answer: b. Contact the physician; this is an expected side effect of the
medication.
⩥ A client complains of severe pregnancy-related nausea and is placed
on Meclizine (Bonine). The nurse notes in the client history that the
client is undergoing treatment for glaucoma. What is the highest priority
nursing intervention?
a. Recognize that one of the off-label uses for the drug is treatment of
glaucoma.
b. Contact the pharmacist; the dosage of the drug should be decreased
when glaucoma is present.
c. Recognize that use of the drug when glaucoma is present may result in
a fatal reaction.
d. Contact the physician; the drug should be used with caution when
glaucoma is present..
Answer: d. Contact the physician; the drug should be used with caution
when glaucoma is present.
⩥ Betamethasone (Celestone) is ordered for a client in preterm labor.
The client asks the nurse what the medication will do to help her. The
nurse explains to the client that the medication will:
a. help her to breathe more effectively during the labor process.
