Pharma/ medsurg
Question 1
Which of these APTT laboratory results
with APTT control of 30 seconds is
indicative of effective heparin therapy?
Answer:64 seconds
30 x 1.5 = 45.0s
30 x 2.5 = 75.0s
More than 75- not effective
Question 2
What medication would the nurse anticipate
to be prescribed to an unconscious patient
suspected to have cerebral edema?
answer: osmotic diuretics
Question 3
Peter is a 5 year old who was recently
diagnose with asthma. Nicolas has
undergone skin testing & is allergic to many
environmental factors such as smoke &
dust. Nicolas father also had asthma as a
child. The doctor prescribed theophylline.
The nurse knows that theophylline belongs
to which drug classification?
Answer: bronchodilators
Question 4
Prior to discharge, a patient was prescribed
with Aspirin 100mg daily as maintenance.
The patient asked the nurse why the
medication was prescribed to her. What is
the most appropriate response of the
nurse?
Answer: This is given to prevent
formation of blood new clots.
(anticoagulant function)
Bleeding precautions (given with beta
blockers ,calcium)
Question 5
Which of the following nursing interventions
is a priority of the nurse for a patient who
has received diphenhydramine (Benadryl)?
Answer: Safety Precautions
Block H1 receptor
Question 6
An endoscopy was ordered for Mr. Lee &
reveals duodenal ulcer. The doctor ordered:
cimetidine (Tagamet) 300mg TID with
meals. The nurse knows that Tagamet is
given for which purpose”
answer: Antagonize the action of
histamine at its H2 receptor sites
H2 receptor Antagonist ends with -dine
Question 7 have readily available in case of heparin

Which of the following situations would overdose?

indicate the prescription of an emetic? answer: Protamine sulfate

answer: Patient who ingested 50 tablets Vit K- warfarin

Digibind- Digoxin

Aminocaproic acid-

Question 10

A client was prescribed with propranolol

(Inderal) for his blood pressure. The nurse
knows that this medication will have which
of the following
effects on the client’s
of aspirin
body?
Question 8
answer: Decrease
Which of the following conditions are rate of cardiac
laxatives contraindicated? contraction

answer: Patient with undiagnosed

abdominal pain

Question 9
Question 11
A post-MI patient is receiving intravenous
How does Alpha 1 Adrenergic Antagonists
heparin therapy. What should the nurse
work in lowering blood pressure?
answer: causes blood vessel to dilate
3 factors that affect blood pressure:
1. Cardiac Rate
2. Stroke Volume
3. Peripheral Vascular Resistance
Question 12
The nurse reviews the laboratory studies of
a client receiving digoxin. Intervention by
the nurse is needed for which laboratory
finding?
answer: serum digoxin level of 2.1 mg/dl
Question 13
Which of the following should the nurse
include in teaching about taking sublingual
nitroglycerin?
answer: do not chew or swallow the
tablet
Question 14
Cardiac Dysrhythmias are abnormalities in
electrical conduction in the heart that may
result in disturbances in heart rate or
rhythm. Understanding cardiac action
potential, the nurse knows that cardiac
repolarization depends on the movement of
which of the following cation?
answer: Potassium
Question 15
A 30 year old female patient in the medical
ward has the following laboratory values:
RBC Count = 5.0 million cells/microliter;
WBC Count = 2,500 cells/ microliter;
Platelet Count = 300,000 cells/ microliter.
Nursing interventions should be aimed at
which of these goals?
answer: Preventing infection
Question 16
A patient with Leukemia underwent bone
marrow transplantation and develops graft
versus host disease (GVHD) after a month.
Which statement best describes GVHD?
answer: a T- lymphocyte mediated
reaction of transplanted organs
Question 17
A client relates that after eating crabs, he
suffered a generalized rash, moderate
dyspnea, and dizziness. The nurse is aware
that the symptoms the client experienced
were caused by release of histamine
resulting to which pathophysiologic
mechanisms?
answer: Peripheral Resistance and
bronchoconstriction
Type 1- allergic reaction- Anaphylaxis
Bronchi- constrict
Blood vessels- Dilate- Hypotension-
SHOCK
Question 18
To prevent spread of HIV infection, While reviewing diagnostic test results of
healthcare workers should implement which the patient, the nurse notes a decreased
Center for Disease Control reticulocyte count. This finding is usually
recommendation? most consistent with which type of anemia?

answer: Universal blood and body fluid answer: Aplastic Anemia

precautions
Question 23

The nurse is preparing a patient for

Schilling’s Test. The nurse knows that this
Question 19 test will help diagnose what condition?

Which of the following organisms would answer: Pernicious Anemia

most likely cause infection if intravenous
collect 24 hours urine sample
line insertion is not done aseptically?
Hereditary Spherocytosis- Osmotic Fragility
answer: Methicillin- resistant
Test
Stapylococus aureus

Question 20

A suspected COVID-19 patient is to be Question 24

subjected to RT-PCR testing. Which of While performing abdominal assessment to
these statements would be appropriate a patient, splenomegaly was noted by the
when preparing the patient for the nurse. This manifestation is most common
diagnostic test? is patients with which type of anemia?

answer: Your throat will be swabbed for answer: Hemolytic Anemia

oropharyngeal sample
Question 25
Question 21
Parenteral Iron is scheduled to be given to
Prior to blood transfusion therapy in a patient in the Rural Health Unit. Which of
management of patients with anemia, which the following actions should the nurse take
of the following is the nurse’s highest in the administration of this medication?
priority?
answer: use the z-track technique
answer: Determining patient's blood type technique to administer the medication
and crossmatching
Question 26
Question 22
Platelet count of the patient is
500,000/cu.mm. of blood. What would be
the nurse’s priority for this patient?
answer:Monitor for signs of thrombosis
Question 27
Aside from pallor due to decreased
circulating blood cells, which of the following
manifestations would the nurse also expect
in patients diagnosed with hemolytic
anemia?
answer: Jaundice
Question 28
The nurse would advise Genetic
Counselling for the family of patients with
which of the following conditions?
answer:Thalassemia
Question 29
Laboratory findings of decreased MCV,
MCH and MCHC is most consistent with
which type of anemia?
answer: Iron deficiency Anemia
Question 30
Which of the following mechanisms in
blood clotting is affected in patients with
Hemophilia?
answer: Intrinsic Coagulation Pathway
Ex: 3,7
In: 12, 11, 9, 8
Question 31
Mrs. Cruz is very anxious about her
upcoming bone marrow aspiration. To help
allay her anxiety, you need to describe the
procedure to her. How is bone marrow
aspiration BEST described?
answer: "A small amount of marrow is
taken from your posterior iliac crest and
analyzed".
Question 32
A child was diagnosed to have G6PD
Deficiency. The nurse knows that this
patient does not have the capacity to
synthesize which substance essential for
metabolic processes in the red blood cells?
answer: Glutathione
G6PD is not curable
Through newborn screening (PKU)
Question 33
Which of the following statements is correct
regarding x-linked inherited diseases like
Hemophilia and G6PD Deficiency?
answer: Male offspring manifest the
disease while females are carriers
Question 34
Which of the following is not a Bleeding
Precaution?
answer Administration of Aspirin
Question 35
Which serum potassium result does not
require immediate nursing intervention?
answer 4.0 mEq/L
Question 36
When teaching a client with hypokalemia,
the nurse should encourage the patient to
increase consumption of which foods?
answer orange juice and banana
Elevated u wave- ecg
Question 37
A nurse is taking the blood pressure of a
client with hypocalcemia and the patient
exhibited carpo-pedal spasm after the cuff
was inflated. The nurse will document this
manifestation as which of the following?
answer: Positive Trousseau's Sign
Question 38
Which electrolyte would the nurse identify
as the major electrolyte responsible for
determining the concentration of
extracellular fluid?
answer: Sodium
Question 39
A patient has a serum potassium level of
6.2 mEq/L. The nurse would expect which
medication to be prescribed?
answer: Kayexalate
Hypokalemia- u wave
Question 40
In planning care for a client receiving
furosemide and digoxin, which serum
electrolyte level would be most important to
monitor?
answer: Potassium level
Potassium sparring- spironolactone
Question 41
Which of the following is a major electrolyte
outside the cells?
answer calcium: Calcium
Question 42
To maintain fluid balance and regulation of
blood pressure in the body, one of the
regulatory mechanisms is the activation of
the Renin-Angiotensin-Aldosterone System.
The nurse understands that aldosterone
release from the adrenal glands will have
which of the following effects?
answer: Retention of Na and water,
increased bp
Question 43
A nurse is assessing a patient with
Diabetes Insipidus. Which of the following
findings is most consistent with Diabetes
Insipidus?
answer: increased urine output, low
specific gravityncreased urine output
with low specific gravity
Question 44
Which of the following IV solutions is most Question 48
preferred when treating burns, diarrhea and Finding a prolonged QT interval or
acute blood loss? “Torsades de Pointes” is most consistent
answer: plain LR with which electrolyte imbalance?

Isotonic - answer hypokalemia

PLR, NSS Question 49
5%
A patient has a serum magnesium level of
Dextrose
1.1 mEq/L. Which of the following
water
manifestations would you expect to assess
in this patient?

answer neuromuscular irritability

Question 45 Question 50

Which of the following in NOT a A patient with a potassium level of 2.5

manifestation of Fluid Volume Excess? mEq/L will exhibit which of the following
symptoms?
answer increased hematocrit
answer muscle weakness,
Question 46
numbness/tingling, flattened T waves, U
In patients with Fluid Volume Excess, which waves
of the following is a corrective mechanism of
Question 51
the body to help restore fluid balance?
Another important nursing intervention for
answer: Release of atrial natriuretic
patients receiving acetylcysteine would
peptide
include:

answer chest tapping (to allow

expectoration)

Question 52

A patient with gouty arthritis is encouraged

Question 47 by the nurse to increase fluid intake for
Which of the following electrolyte which main purpose?
imbalances is most likely to occur in
answer To promote excretion of uric acid
patients with Hyperemesis Gravidarum
Question 53
answer hypochloremia
Which of the following diet will contribute to
the development of gouty arthritis?
answer legumes and meat
Question 54
Which of the following manifestations is
associated with Osteoarthritis?
answer affects weight bearing joints
Question 55
The nurse is providing health education to
a patient diagnosed with Rheumatoid
Arthritis. Which of the following statements
by the client indicates a correct
understanding of disease process?
answer I have to accept that my condition
cannot be cured but can be managed
Question 56
A patient asks the nurse “What is the
difference between Osteoarthritis and
Rheumatoid Arthritis?” Which of the
following would be a correct response of the
nurse?
answer osteoarthritis is non-inflammatory
and rheumatoid is inflammatory in nature.
Question 57
Which statement by an adult with
osteoarthritis indicates to the nurse that she
understands her therapeutic regimen?
answer
it would probably be a good idea for me to
lose 30 pounds my doctor recommended I
lose
Question 58
In assessing a client with osteomyelitis, the
nurse would expect to find which of the
following?
answer Positive wound culture
Question 59
A patient with
fractured left
femur
manifested
dyspnea and
tachypnea with scattered crackles in his
lung fields. He is coughing up large
amounts of thick white sputum. The nurse
would suspect which of these conditions?
answer: Fat embolism
Question 60
Which of the following medication is given
via intra-articular injection for treatment of
Gouty Arthritis?
answer hyaluronate ( if not responsive to
steroids)
Question 61
During bone remodeling, which of the
following will happen if the osteoclastic
activity is greater than osteoblastic activity?
answer decreased bone density
Question 62
The nurse is conducting a health screening
clinic for osteoporosis. The nurse
determines that which client seen in the
clinic would be at the greatest risk of
developing this disorder?
Answer: a sedentary 50 yr old female who
smokes cigarettes
Estrogen inhibit osteoblasts
Question 63
What is the most appropriate intervention
that the nurse can do to prevent muscle
atrophy of the distal extremity to a client
with fracture of the radius three days after
surgery?
Answer: isometric exercise of affected area
Question 64
The nurse is caring for a client who
develops compartment syndrome from a
severely fractured arm. The client asks the
nurse how this can happen. The nurse's
response should be based on which of the
following mechanisms of the condition?
Answer: bleeding and swelling cause
increased pressure in an area that cannot
expand
Question 65
A 10 year old male patient with short leg
cast was discharged and his mother was
instructed how to perform cast care and
neurovascular checks at home. She calls
the Emergency Department 6 hours later
and states that her son’s pain has increased
and especially when the leg is elevated and
that the pain is unrelieved by the prescribed
analgesics. Which of the following is the
most appropriate advice of the nurse?
Answer: tell her to seek medical assistance
immediately
Question 66
To decrease the risk of Compartment
Syndrome in a patient with a fractured
radius in a short arm cast, the patient
should be instructed to do which of the
following?
Answer: Elevate the arm
Question 67
Which of the following findings would alert
the nurse to notify the physician of the
serious complication for a client with a cast
on his left leg?
Answer: Poor capillary refill of the toes:
Question 68
A 72 year old patient sustained a fracture of
the right hip due to a fall at home. The
surgery is delayed until she can be
medically stabilized and was placed on
Buck’s Traction. The nurse would prioritize
which nursing diagnosis when caring for this
patient?
Answer: Risk associated with immobility
Question 69
Mr. Wayne is a 60 year old bank teller with
a 3 year history of hypertension. Recently,
he has complained of dyspnea & a 10 lbs.
weight gain. After seeing his physician, a
diagnosis of congestive heart failure (CHF)
is made and Mr. Wayne is started on
diuretic therapy. Diuretic therapy primarily
helps control blood pressure through which
of the following mechanisms?
Answer: Inhibits reabsorption of water in
kidneys
Question 70
Antihypertensive agents are given to
decrease blood pressure. Which of these
factors lead to increased blood pressure?
Answer: Decreased diameter of blood
vessel
Question 71
A 70 year-old woman with Severe Macular
Degeneration is admitted to the hospital the
day before the scheduled surgery. The
nurse’s preoperative goals for her would
include which of the following?
Answer: Maneuvering safely after
orientation to the room
Question 72
The nurse enters a woman’s room to
administer 10 mg Valium PO, the ordered
pre-OP medication for her hysterectomy.
During the conversation, the client tells the
nurse that she and her husband are
planning to have another child in the coming
year. The best action of the nurse is which
of the following?
Answer: Do not administer pre op
med,notify physician and nsg supervisor
Question 73
An adult is scheduled to undergo an
exploratory laparotomy in 1 hour. The nurse
just received the order to administer his
preoperative medication. What assessment
is essential for the nurse before
administering his medication?
Answer: Any drug hypersensitivity or allergy
Question 74
Which of these statements would be
appropriate for a nurse to give to a client
who is scheduled to have surgery in 15
minutes?
Answer: You need to remove your
underwear now
Question 75
An adult who has Chronic Obstructive
Pulmonary Disease (COPD) is scheduled
for surgery and the physician has
recommended an epidural anesthetic. The
nurse knows that general anesthesia was
not recommended for this client because of
which reason?
Answer: There is less effect in the
respiratory system with epidural anesthesia
Question 76
An adult client has Acute Leukemia and is
scheduled for a Hickman Catheter insertion
under local anesthesia. What is the major
advantage to the client for having regional
anesthesia?
Answer: Remains conscious
Question 77
An adult male is in the Post Anesthesia
Care Unit (PACU) following a
hemicolectomy. Which time schedule is
most appropriate for assessing the vital
signs of the client?
Answer: Every 5.mins x 3, the every 15
mins
Question 78
At 10:00pm, the nurse notes that an adult
male who returned from the Post
Anesthesia Care Unit (PACU) at 2:00pm
has not voided. The client has an out of bed
order but has not been up yet. What is the
best action of the nurse?
Answer: Assist the client to stand at the side
of the bed
Question 79
An adult received droperidol and fentanyl
(Innovar) during surgery. In planning post
operative care, the nurse will need to
monitor which of the following during the
immediate post-op period?
Answer: Respiratory depression
Question 80
An adult client is 4 hours post-op
abdominal hysterectomy. She has an IV at
125 ml per hour, an indwelling catheter that
has drained 100ml since surgery and her
pain is “3 out of 10”. Which would be the
priority nursing diagnosis?
Answer: Fluid volume deficit, actual or risk
for
CTN OB
A woman arrives in the emergency
department with abrupt, sharp right-sided
lower quadrant abdominal pain, and bright
red vaginal spotting. She has missed one
menstrual cycle. She tells the nurse that she
cannot be pregnant because she has been
using an intrauterine device. The nurse
should suspect which of the following?
Answer: Ectopic pregnancy
A client comes to the clinic for sonography
at 36 weeks' gestation. Before the test
begins, the client complains of severe
abdominal pain. Heavy vaginal bleeding is
noted, and the client's BP drops while her
pulse rate increases. The nurse should
suspect that the client has a:
Answer: complete abruptio placenta
A nurse is providing care for a client who is
at 32 weeks of gestation and is diagnosed
with placenta previa. The nurse notes that
the client is actively bleeding. Which of the
following medications should the nurse
anticipate that the primary care provider will
prescribe?
Answer: Betamethasone (Celestone)
A client who is pregnant should promptly
report which of the following symptoms to
the primary care provider?
Answer:

A nurse is caring for a client who is
diagnosed with gonorrhea. Which of the
following medications should the nurse
anticipate, the provider will prescribe?
Answer: Ceftriaxone (Rocephin)
Which of the following is the initial nursing
action the nurse should take when late
deceleration appears on the fetal monitor?
Answer: Reposition the client in to left
lateral position
A nurse at an antepartum clinic is caring for
a client who is at 4 months of gestation. The
client reports continued nausea and
vomiting and scant, prune-colored
discharge. She has experienced no weight
loss and has a fundal height larger than
expected for the duration of pregnancy.
Which of the following complications should
the nurse suspect?
Answer: Hydatidiform mole
A nurse is palpating the client's bladder and
is encouraging her to void every 1 to 2
hours during labor predominantly because
a:
Answer: distended bladder reduces
pelvic space needed for birth
In the fifth month of pregnancy,
ultrasonography is performed on a client.
The results indicate that the fetus is small
for gestational age and there is evidence of
a low-lying placenta. The nurse would use
this information in the last trimester of
pregnancy by assessing the client for signs
of possible:
Answer: placenta previa
A client who is pregnant is diagnosed with
Iron deficiency anemia and has been
prescribed iron supplements. The nurse
should advise the client to take the iron
supplements with which of the following?
Answer: orange juice
A nurse is caring for a client who is in active
labor and becomes nauseous and vomits.
The client is also very irritable and feels that
she needs to have a bowel movement. She
states, "I've had enough, I can't do this
anymore. I want to go home right now." The
nurse knows that these signs indicate the
client is in the:
Answer: Transition phase of labor
A client is being prepared for an emergency
cesarean delivery because of fetal distress.
The most important thing for the nurse to
assess before surgery is that:
Answer: a signed consent is on the chart
A client in the labor and delivery unit has
been in labor for 12 hours. Her membranes
are still intact. The primary care provider
has decided to perform an amniotomy in an
effort to facilitate the progress of labor. The
nurse performs a sterile vaginal examination
to ensure which of the following prior to the
performance of the amniotomy?
Answer: Fetal engagement
A nurse is caring for a postpartum client.
The nurse understands that the earliest
indication of hypovolemia caused by
hemorrhage are which of the following
findings?
Answer: increasing pulse and
decreasing blood pressure
In the immediate postpartum period, the
most critical assessment of a client with
pregnancy- induced hypertension would be:
Answer: obtaining the client's vital signs
The nurse realizes that the abdominal pain
associated with abruptio placentae initially
may be caused by:
Answer: concealed hemorrhage
In the 12th week of gestation a client
completely expels the products of
conception. Because the client Rh negative,
the nurse must.
Answer:
Which of the following positions should a
nurse place a client in prior to a cesarean
birth?
Answer: supine with a wedge under the
right hip
A client who is at 8 weeks of gestation tells
the nurse that she isn't sure she is happy
about being pregnant. The nurse should
respond to the client by stating:
Answer: iit is normal to have feelings during
the first few months of pregnancy
During ambulation to the bathroom, a
postpartum client experiences a gush of
dark red blood that soon stops. On
assessment, a nurse finds the client's uterus
to be firm and midline and at the level of the
umbilicus. The nurse interprets this finding
as:
Answer: a normal postural discharge of
lochia
A nurse is providing discharge instructions
to a postpartum client following a cesarean
birth. The client reports leaking urine every
time she sneezes or coughs. To help
alleviate this problem, the nurse suggests
the client perform which of the following?
Answer: kegel exercise
A nurse is caring for a 16-year-old client
who is gravida 1 para 0. The client is
admitted to the labor unit showing signs of
early labor. She has a blood pressure of
168/102 mmHg, 3+ protein in her urine, and
her face and hands are swollen. Which of
the following medications should the nurse
anticipate the primary care provider will
prescribe for this client?
Answer: Magnesium sulfate
During pregnancy, the uterine musculature
hypertrophies and is greatly stretched as
the fetus grows. This stretching:
Answer:
A prenatal nurse recommends folic acid
supplements to a client who is of
childbearing age. Which of the following
defects can occur in the fetus or neonate as
a result of folic acid deficiency?
Answer: neural tube defect
A nurse is caring for a client who is in active
labor. The client reports lower back pain.
The nurse suspects that this pain is
persistent occiput posterior presentation.
Which of the following non pharmacological
nursing interventions should best alleviate
this pain?
Answer: Sacral counterpressure
A nurse is assessing a postpartum client
who is exhibiting signs of tearfulness,
insomnia, lack of appetite, and a feeling of
letdown. The nurse knows these signs and
symptoms are characteristics of:
Answer: Postpartum Depression
A client who is at the greatest risk for
postpartum infection is the client who:
Answer: Premature ROM and prolonged
labor
The nurse notifies the physician that a client
has been admitted in her thirty-sixth week of
pregnancy. The client is bleeding, has
severe abdominal pain, a hard fundus, and
is demonstrating signs of shock. In addition
to notifying the physician, the nurse also
prepares for:
Answer: An immediate cesarean delivery
Which of the following medications should
the nurse anticipate will be necessary to
administer preceding an external version for
a client who has Rh-negative blood and did
not receive adequate prenatal care?
Answer: Rh (D) immune globulin
(RhoGAM)
The care of a client with placenta previa
includes:
Answer: observation and recording of
the bleeding
A client experiences a large gush of fluid
from her vagina while walking in the hallway
of the birthing unit. The nurse's first nursing
action after establishing that the fluid is
amniotic fluid should be to:
Answer: Monitor FHR distress
The developing cells are called a fetus from
the:
Answer: 8th weeks to the time of birth
A client who is 6 months pregnant comes to
the prenatal clinic complaining of painful
urination, flank tenderness, and hematuria.
A diagnosis of pyelonephritis is made. An
important nursing intervention for this client
during the attack is:
Answer: observing for signs of
premature labor
A nurse is assessing a postpartum client for
fundal height, location and consistency. The
fundus is found to be displaced laterally to
the right and there is uterine atony. Which of
the following is the cause of the uterine
atony?
Answer: Urinary retention
The nurse is aware that the bleeding
following severe abruptio placentae is
usually caused by:
Answer: hypofibrinogenemia
A client with a history of rheumatic fever and
class 1 cardiac disease is admitted to the
labor suite in active labor. Proper positioning
for this client would be.
Answer:
A pregnant client asks the clinic nurse how
smoking will affect the fetus. The nurse's
answer reflects the following knowledge:
Answer: vasoconstriction will affect both
fetus and maternal blood vessels
Anticipatory guidance during the first
trimester of pregnancy is primarily directed
toward increasing the pregnant woman's
knowledge of:
Answer:
A nurse is caring for a client in active labor.
When last examined 2 hours ago, the
client's cervix was 3cm dilated, 100%
effaced, membranes intact, and the fetus
was at a -2 station. The client suddenly
states "my water broke". The monitor
reveals a FHR of 80 to 85/minute and the
nurse performs a vaginal examination,
noticing clear fluid and a pulsing loop of
umbilical cord in the client's vagina. Which
of the following actions should the nurse
perform first?
Answer:
A nurse determines that a client who is
pregnant needs further instructions about an
amniocentesis when the client states:
Answer: "I need to have a full bladder for
the procedure to be done"
Which of the following classifications of
heart disease is the client symptomatic with
marked limitations on physical activity?
Answer:
If contractions are of too long a duration or
do not have complete relaxation or uterine
tone in between contractions, the adverse
effect will be:
Answer: reduced fetal oxygen supply
A client undergoes a cesarean delivery
because of cephalopelvic disproportion. In
addition to the routine care given to all
postpartum clients during the first 24 hours,
the nurse should:
Answer: Maintain IV infusion of oxytocin
A nurse working in a prenatal clinic is
providing education to a client who is
pregnant. The client states that she does
not like milk. What is a good source of
calcium that he nurse can recommend to
the client?
Answer: Dark green, leafy vegetable
Which of the following clients should the
nurse be concerned about regarding weight
gain? A client who has gained:
Answer: 3.6 kg (8lbs) and is in her first
trimester
A nurse is caring for a client who is
breastfeeding and has mastitis. Which of
the following should the nurse teach the
client?
Answer: completely empty each breast at
each feeding with a pump
A client and her partner have not taken
prepared childbirth classes prior to labor.
When should the nurse provide the client
and coaching partner education during the
labor process?
Answer: The first stage, latent phase
While conducting an admission history for a
client who is at 39 weeks of gestation, the
client tells the nurse that she has been
leaking fluid from her vagina for 2 days. The
nurse knows that this client is at risk for:
Answer: infection
Abruptio placentae is most likely to occur in
a woman with:
Answer: Pregnancy induced
hypertension
A nurse is caring for a client in active labor.
When last
Answer: Call for assistance
A client is admitted
Answer: Questionable since the client
has the right to know what treatment is
being given and why.