EXAM LATEST 2025 VERSION REAL
EXAM QUESTIONS WITH CORRECT
ANSWERS
client who has gestational diabetes and a fasting blood glucose level of
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120 mg/dL
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B. A client who is at 34 weeks of gestation and reports epigastric pain
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C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL
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D. A client who is at 39 weeks of gestation and reports urinary
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frequency and dysuria
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Answer: A client who is at 34 weeks of gestation and reports epigastric
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pain
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A. A client who has gestational diabetes and a fasting blood glucose
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level of 120 mg/dL
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A fasting blood glucose of 120 mg/dL is above the expected reference
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range for a client who has gestational diabetes, which is a nonurgent
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finding. Therefore, another client is the nurse's priority.
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B. A client who is at 34 weeks of gestation and reports epigastric pain
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When using the urgent vs nonurgent approach to client care, the
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nurse should assess the client who reports epigastric pain. Epigastric
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pain is a
manifestation
| of preeclampsia and indicates hepatic involvement,
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which is an urgent finding. There
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,A nurse is providing dietary teaching to a client who has hyperemesis
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gravidarum. Which of the following statements by the client indicated
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an understanding of the teaching? - ANS-A. "I will eat foods that
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taste good instead of balancing my meals."
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B. "I will avoid having a snack before I go to bed each night."
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C. "I will have a cup of hot tea with each meal."
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D. "I will eliminate products that contain dairy from my diet."
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Answer: "I will eat foods that taste good instead of balancing my
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meals. A nurse is developing a plan of care for a newborn who is to
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undergo phototherapy for hyperbillirubinemia. Which of the following
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actions should the nurse include in the plan? - ANS-Remove all
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clothing form the newborn except the diaper
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A nurse is caring for a client who is at 15 weeks gestation, is Rh-
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negative, and has just had an amniocentesis. Which of the following
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interventions is the nurse's priority following the procedure? - ANS-
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Monitor the FHR
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A nurse in an antepartum clinic is assessing a client who is at 32
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weeks of gestation. Which of the following findings should the nurse
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report to the provider? - ANS-Reports of decreased fetal movement
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A nurse is admitting a client to the labor and delivery unit when the
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client states, "My water just broke". Which of the following
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interventions is the nurse's priority? - ANS-Begin FHR monitoring
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A nurse is caring for a client who is at 36 weeks of gestation and has a
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positive contraction stress test. The nurse should plan to prepare the
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client for which of the following diagnostic test? - ANS-Biophysicial
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profile
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,A nurse is preparing to administer magnesium sulfate 2g/hr IV to a
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client who is in preterm labor. Available is 20 g magnesium sulfate
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in 500 mL of dextrose 5% in water (D5W). The nurse should set
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the IV infusion pump to administer how many mL/hr? - ANS-50
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ml/hr
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A nurse is caring for a client who has hyperemesis gravidarum and is
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receiving IV fluid replacement. Which of the following findings should
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the nurse report to the provider? - ANS-BUN 25 mg/dL
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A nurse is assessing a late preterm newborn. Which of the following
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manifestations is an indication of hypoglycemia? - ANS-Respiratory
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distress
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A nurse in a provider's office is reviewing the medical record of a client
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who is in the first trimester of pregnancy. Which of the following
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should the nurse identify as a risk factor for the development of
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ANS-Pregestational
preeclampsia -
| Diabetes Mellitus | | |
A nurse in an antepartum clinic is providing care for a client who is at
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26 weeks of gestation. Upon reviewing the client's medical record,
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which of the following findings should the nurse report to the
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provider? -
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ANS-Fundal Height Measurement | |
A nurse is assessing a newborn who is 16 hr old. Which of the
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following findings should the nurse report to the provider? - ANS-
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Substernal Retractions |
A nurse is caring for a client who is at 26 weeks of gestation and has
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epilepsy. The nurse enters the room and observes the client having a
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seizure. After turning the client head to the side, which of the
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following actions should the nurse take immediately after the seizure?
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- ANS- Administer oxygen via a nonrebreather mask
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, A nurse is providing teaching about nonpharmological pain
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management to a client who is breastfeeding and has engorgement.
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The nurse should recommend the application of which of the
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following items? - ANS-Cold cabbage leaves
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A nurse is assessing a client who is 1 day postpartum and has a vaginal
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hematoma. Which of the following manifestations should the nurse
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expect? - ANS-Vaginal pressure
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A nurse is assessing a newborn who was born at 26 weeks of
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gestation using the New Ballard Score. Which of the following findings
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should the nurse expect? - ANS-Minimal arm recoil
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A nurse is providing teaching for a client who have birth 2 hr ago
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about the facility policy for newborn safety. Which of the following
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client statements indicates an understanding of the teaching? - ANS-
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the person who comes to take my baby's pictures will be wearing a
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photo identification badge
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A nurse is assessing a client who is at 36 weeks of gestation. Which
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of the following findings should the nurse report to the provider? -
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Report
ANS- of visual disturbances
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A nurse is providing teaching to a client about the physiological
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changes that occur during pregnancy. The client is at 10 weeks of
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gestation and has a BMI within the expected reference range. Which
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of the following client statements indicates an understanding of the
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teaching? - ANS-"I will likely need to use alternative positions for
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sexual intercourse".
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A nurse is caring for a client who is anemic at 32 weeks of gestation
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and is in preterm labor. The provider prescribed bethamethasone 12
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mg IM. Which of the following outcomes should the nurse expect? -
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ANS-A reduction in respiratory distress in the newborn
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