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    Exam Review

    1. A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:4 tablets
    2. A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take?
      A)
      Repeat the 1-hr glucose test in 1 week.
      B)
      Have the client perform home glucose monitoring for 1 week.
      C)
      Schedule the client for a routine 1-month appointment.
      D)
      Instruct the client to return for a 3-hr oral glucose tolerance test.
    3. A nurse in a clinic is discussing contraceptive methods with a client. Which of the following methods should the nurse recommend as having the lowest failure rate?
      A)
      Intrauterine device
      B)
      Contraceptive sponge
      C)
      Oral contraceptives
      D)
      Diaphragm
    4. A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?
      A)
      Eat a slice of dry toast before getting out of bed.
      B)
      Drink 240 mL (8 oz) of water with each meal.
      C)
      Limit snacks between meals.
      D)
      Have a high-fat snack before going to bed.
    Page 1 of 12

    Exam Review

    1. A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?
      A)
      Encourage the client to wear a loose-fitting bra.
      B)
      Provide the client with ice packs for her breasts.
      C)
      Have the client apply purified lanolin to her breasts.
      D)
      Advise the client to avoid using a breast pump.
    2. A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?
      A)
      "I will place a heat pack to the area several times a day."
      B)
      "I will use the numbing spray prior to cleansing the area."
      C)
      "I will remain in the sitz bath for 10 minutes."
      D)
      "I will apply witch hazel pads after urination."
    3. A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?
      A)
      I should set my hot water heater to 130 degrees Fahrenheit.
      B)
      I should use baby powder with each diaper change.
      C)
      I should elevate my baby’s head on a cushion when she is sleeping.
      D)
      I should replace the batteries in my smoke detector twice per year.
    4. A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)
      (SATA)
      A)
      Dry, cracked skin
      B)
      Absent vernix
      C)
      Hypotonia
      D)
      Excessive lanugo
      E)
      Long, hard nails
    Page 2 of 12

    Exam Review

    1. A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?
      A)
      My baby will have at least six wet diapers every day.
      B)
      I should be able to feel my baby swallowing during breastfeeding.
      C)
      My baby will have at least one bowel movement every day.
      D)
      1 should expect moderate tenderness during breastfeeding.
    2. A nurse working on a postpartum unit is collecting data from four clients. Which of the following findings should the nurse report to the provider?
      A)
      A client who has a reddened area on their right calf
      B)
      A client who reports painful uterine contractions during breastfeeding
      C)
      A client who has a urinary output of 125 mL in 4 hr
      D)
      A client who reports changing their perineal pad every 2 hr
    3. A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?
      A)
      "My baby will have at least six wet diapers every day."
      B)
      "I should be able to feel my baby swallowing during breastfeeding."
      C)
      "My baby will have at least one bowel movement every day."
      D)
      "I should expect moderate tenderness during breastfeeding."
    4. A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?
      A)
      Uterine fundus 2 finger widths above the umbilicus
      B)
      Frequent urges to urinate
      C)
      Colostrum expressed from the breast
      D)
      Moderate lochia serosa on perineal pads
    Page 3 of 12

    Exam Review

    1. A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?
      A)
      Administer the medication into the dorsal gluteal muscle.
      B)
      Insert the needle at a 45° angle.
      C)
      Obtain parental consent.
      D)
      Give the first dose at 24 hr after birth.
    2. A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
      A)
      Maternal temperature 38.3°C (101°F).
      B)
      Fetal heart tones 98/min.
      C)
      Foul-smelling vaginal discharge.
      D)
      Amniotic fluid with meconium noted.
    3. A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
      A)
      Place the client in knee-chest position.
      B)
      Give a bolus of lactated Ringer's.
      C)
      Administer methylergonovine IM.
      D)
      Assist the client to empty her bladder.
    4. A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which of the following responses should the nurse make?
      A)
      "This test allows for the removal of uterine fibroids."
      B)
      "This test detects the presence of endometriosis."
      C)
      "This test detects the presence of cervical cancer."
      D)
      "This test determines your ovulation status."
    Page 4 of 12

    Exam Review

    1. A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?
      A)
      "You will have a screening for gestational diabetes at 12 weeks of gestation."
      B)
      "You will have a group B strep culture at 36 weeks of gestation."
      C)
      "You will have to produce a clean catch urine specimen every 2 months."
      D)
      "You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation."
    2. A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?
      A)
      BP 105/62 mm Hg.
      B)
      Urinary retention.
      C)
      Respiratory rate 11/min.
      D)
      Blurred vision.
    3. A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?
      A)
      Ensure the crib has soft bumper pads on the inside.
      B)
      Place a small pillow under the newborn's head during naps.
      C)
      Wash the newborn's face with a warm, soapy washcloth.
      D)
      Set the temperature on the water heater to 48.8° C (120° F).
    4. A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
      A)
      Choose a 3-inch needle to administer the vaccine.
      B)
      Administer 0.5 mL of the vaccine.
      C)
      Use a 20-gauge needle to administer the vaccine.
      D)
      Administer the vaccine into the dorsal gluteal muscle
    Page 5 of 12

    Exam Review

    1. A nurse in an antepartum clinic is reinforcing teaching with a client who is pregnant and has a new prescription for oral ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I will take this medication with a glass of milk.
      B)
      I will take this medication with a glass of orange juice.
      C)
      I will take this medication with my midday meal.
      D)
      I will take this medication with breakfast.
    2. A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
      A)
      Suprapubic area
      B)
      Umbilical area
      C)
      Above the left iliac crest
      D)
      Below the liver border on the right abdomen
    3. A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?
      A)
      Amoxicillin
      B)
      Acyclovir
      C)
      Metronidazole
      D)
      Tetracycline
    4. A nurse is assisting a provider with a pelvic examination of a client during her first prenatal visit. Which of the following actions should the nurse take?
      A)
      Ask the client to empty her bladder prior to the procedure.
      B)
      Instruct the client to tighten her pelvic muscles during the procedure.
      C)
      Assist the client into a Sims' position prior to the procedure.
      D)
      Encourage the client to take rapid, shallow breaths during the procedure.
    Page 6 of 12