PROCTORED RETAKE 2024 RETAKE
EXAM COMPLETE EXAM 2024 –2025
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,1. A nurse is caring for a client who has eclampsia and just had a
tonic-clonic seizure. After turning the client's head to the side,
which of the following actions should the nurse take next?
A. Administer magnesium sulfate 4 g IV bolus
B. Insert an indwelling urinary catheter
C. Give oxygen at 10 L/min via face mask
D. Keep the environment quiet and the lights dimmed
Answer: C. Give oxygen at 10 L/min via face mask
2. A nurse is caring for a client who is at 39 weeks gestation and in
active labor.
Which of the following actions should the
nurse include in the plan of care?
A. Keep all 4 side rails up while the client is in bed
B. Monitor the fetal heart rate every hour
C. Insert an indwelling urinary catheter
D. Check the cervix prior to analgesic administration
,Answer: D. Check the cervix prior to analgesic administration
3. A nurse is teaching a client during the client's first prenatal visit.
Which of the following instructions should the nurse include?
A. "A fetal stethoscope can first detect your baby's heart rate at 22
weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A Doppler device can detect your baby's heart rate at 12 weeks."
D. "You will first feel the baby move at about 8 weeks."
Answer: C. "A Doppler device can detect your baby's heart rate at 12 weeks."
4. A nurse is providing postpartum discharge teaching about proper
storage of breast milk for a client who is breastfeeding. Which
of the following client statements indicates an understanding of the
teaching?
A. "I can store my pumped milk in the door of the refrigerator."
, B. "I can use the microwave to thaw my frozen breast milk."
C. "I will discard any unused breastmilk that is left in the bottle."
D. "I can refreeze any breastmilk after it has been thawed."
Answer: C. "I will discard any unused breastmilk that is left in the bottle."
5. A nurse is caring for a newborn. The nurse should obtain informed consent
before taking which of the following actions?
A. Administering erythromycin ophthalmic ointment
B. Conducting a newborn hearing screening
C. Giving the hepatitis B vaccine
D. Screening for critical congenital heart disease:
Answer C. Giving the hepatitis B vaccine
6. A nurse is admitting a client who is in post-term labor. Which of the following
statements should the nurse identify as the
priority?