Med Surge HESI Real Exam
NUR 230 Exam 1 – Galen OB/Peds (2026)
Actual Questions & Correct Answers |
Guarantee Pass Test Bank Exam 2026/2027 –
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
A medication is administered to a client in her third trimester of pregnancy. Which statement
regarding the medication administration is correct?
A. The dose of medication should be increased for pregnant clients
B. No medication should be administered to the pregnant client
C. Medication dosages should not be altered for a pregnant client
D. Medication dosage may need to be decreased for pregnant clients –
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, Med Surge HESI Real Exam
Correct Answer :The dose of medication should be increased for pregnant clients
During pregnancy, a client's hepatic metabolism and glomerular filtration are increased. As a
result, the excretion rate is faster. The dose of a medication should be increased for the
medication action to be optimal. It is true that some medications should not be given to the
pregnant client, because of potential teratogenic effects on the fetus. The client should see
her health care provider if in doubt. The dose of a medication should be altered for a pregnant
client depending on the trimester she is in. How a medication affects the fetus depends on
the stage of development of the fetus and the dosage and strength of the medication
administered. During the first 3 to 8 weeks after fertilization, the major organs are developing,
and the dose of a medication should be decreased or withdrawn for pregnant clients.
The nurse understands which medication taken by a pregnant woman may show a delayed
teratogenic effect in the offspring?
A. Aspirin
B. Heparin
C. Ethyl alcohol
D. Diethylstilbestrol –
Correct Answer :Diethylstilbestrol
Diethylstilbestrol may cause vaginal cancer in a female child 18 or more years after birth.
Aspirin suppresses contractions during labor and may cause bleeding in the mother. Heparin
does not cause fetal harm but may cause osteoporosis in the mother. Ethyl alcohol causes
drug dependence or alcohol withdrawal syndrome in neonates.
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, Med Surge HESI Real Exam
A client is taking fertility medications for the first time. Which adverse effect of the medication
would the nurse inform the client about?
A. Vaginitis
B. Constipation
C. Joint swelling
D. Deep vein thrombosis –
Correct Answer :Constipation
Constipation is seen in the clients who are treated with fertility medications for the first time.
Fertility medications do not cause vaginitis or swelling of joints. Deep vein thrombosis is an
adverse effect of prolonged use of fertility medications.
The nurse instills an antibiotic ophthalmic ointment into a newborn's eyes. The nurse would
explain to the mother that the medication prevents which condition?
A. Ophthalmia neonatorum
B. Herpetic ophthalmia
C. Retinopathy of prematurity
D. Hemorrhagic conjunctivitis –
Correct Answer :Ophthalmia neonatorum
Ophthalmia neonatorum is caused by gonorrheal and/or chlamydial infections present in the
vaginal tract. It is preventable with the prophylactic use of an antibiotic ophthalmic ointment
applied to the neonate's eyes. Herpes affects the neonate systemically. Retinopathy of
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, Med Surge HESI Real Exam
prematurity (formerly retrolental fibroplasia) occurs as a result of prolonged exposure to a
too-high oxygen concentration. Hemorrhagic conjunctivitis is usually caused by rapid
expulsion of the fetus's head from the vagina.
Which medication may cause photophobia as an adverse effect?
A. Nifedipine
B. Alendronate
C. Clomiphene
D. Indomethacin –
Correct Answer :Clomiphene
Clomiphene is a fertility medication that may cause photophobia. Nifedipine may cause
maternal fetal problems. Alendronate may cause dysphagia. Indomethacin may cause birth
defects.
Which medication is derived from a natural source and may be prescribed for the treatment
of osteoporosis?
A. Calcitonin
B. Raloxifene
C. Clomiphene
D. Bisphosphonates - Correct Answer :Calcitonin
P a g e 4 | 153
NUR 230 Exam 1 – Galen OB/Peds (2026)
Actual Questions & Correct Answers |
Guarantee Pass Test Bank Exam 2026/2027 –
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
A medication is administered to a client in her third trimester of pregnancy. Which statement
regarding the medication administration is correct?
A. The dose of medication should be increased for pregnant clients
B. No medication should be administered to the pregnant client
C. Medication dosages should not be altered for a pregnant client
D. Medication dosage may need to be decreased for pregnant clients –
P a g e 1 | 153
, Med Surge HESI Real Exam
Correct Answer :The dose of medication should be increased for pregnant clients
During pregnancy, a client's hepatic metabolism and glomerular filtration are increased. As a
result, the excretion rate is faster. The dose of a medication should be increased for the
medication action to be optimal. It is true that some medications should not be given to the
pregnant client, because of potential teratogenic effects on the fetus. The client should see
her health care provider if in doubt. The dose of a medication should be altered for a pregnant
client depending on the trimester she is in. How a medication affects the fetus depends on
the stage of development of the fetus and the dosage and strength of the medication
administered. During the first 3 to 8 weeks after fertilization, the major organs are developing,
and the dose of a medication should be decreased or withdrawn for pregnant clients.
The nurse understands which medication taken by a pregnant woman may show a delayed
teratogenic effect in the offspring?
A. Aspirin
B. Heparin
C. Ethyl alcohol
D. Diethylstilbestrol –
Correct Answer :Diethylstilbestrol
Diethylstilbestrol may cause vaginal cancer in a female child 18 or more years after birth.
Aspirin suppresses contractions during labor and may cause bleeding in the mother. Heparin
does not cause fetal harm but may cause osteoporosis in the mother. Ethyl alcohol causes
drug dependence or alcohol withdrawal syndrome in neonates.
P a g e 2 | 153
, Med Surge HESI Real Exam
A client is taking fertility medications for the first time. Which adverse effect of the medication
would the nurse inform the client about?
A. Vaginitis
B. Constipation
C. Joint swelling
D. Deep vein thrombosis –
Correct Answer :Constipation
Constipation is seen in the clients who are treated with fertility medications for the first time.
Fertility medications do not cause vaginitis or swelling of joints. Deep vein thrombosis is an
adverse effect of prolonged use of fertility medications.
The nurse instills an antibiotic ophthalmic ointment into a newborn's eyes. The nurse would
explain to the mother that the medication prevents which condition?
A. Ophthalmia neonatorum
B. Herpetic ophthalmia
C. Retinopathy of prematurity
D. Hemorrhagic conjunctivitis –
Correct Answer :Ophthalmia neonatorum
Ophthalmia neonatorum is caused by gonorrheal and/or chlamydial infections present in the
vaginal tract. It is preventable with the prophylactic use of an antibiotic ophthalmic ointment
applied to the neonate's eyes. Herpes affects the neonate systemically. Retinopathy of
P a g e 3 | 153
, Med Surge HESI Real Exam
prematurity (formerly retrolental fibroplasia) occurs as a result of prolonged exposure to a
too-high oxygen concentration. Hemorrhagic conjunctivitis is usually caused by rapid
expulsion of the fetus's head from the vagina.
Which medication may cause photophobia as an adverse effect?
A. Nifedipine
B. Alendronate
C. Clomiphene
D. Indomethacin –
Correct Answer :Clomiphene
Clomiphene is a fertility medication that may cause photophobia. Nifedipine may cause
maternal fetal problems. Alendronate may cause dysphagia. Indomethacin may cause birth
defects.
Which medication is derived from a natural source and may be prescribed for the treatment
of osteoporosis?
A. Calcitonin
B. Raloxifene
C. Clomiphene
D. Bisphosphonates - Correct Answer :Calcitonin
P a g e 4 | 153
