Practice Mode Assessment

End

No.

1 :
A nurse is caring for a newborn immediately following birth.

Erythromycin ophthalmic ointment once 1 to 2 hr after birth

Hepatitis B vaccine 10 mcg/0.5 mL IM once within 24 hr after birth

Phytonadione 1 mg IM once 1 to 2 hr after birth.

WBC count 15,000/mm3 (9,000 to 30,000/mm3)

Hgb 19 g/dL (15 to 24 g/dL)

Hct 57% (44% to 70%)

Blood glucose 44 mg/dL (40 to 60 mg/dL)

Apgar

Heart rate 96/min

Weak cry

Muscle tone: some flexion

Reflex: grimace

Color: acrocyanosis

Axillary temperature 36.9° C (98.5° F)

Vacuum-assisted vaginal birth

Maternal history of positive group B streptococcus ß-hemolytic

Mother received two doses of ampicillin IV bolus during labor

The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.

Findings	Unrelated to Diagnosis	Indication of Improvement	Indication of Worsening Condition
Color: Consistent with genetic background
Reflex irritability: cry
Axillary temperature 36.3 °C (97.4 °F)
Muscle tone: flaccid
Respiration effort: good cry
Heart rate 140/min

Hint : 🧠Pick improvement for findings showing strong respiratory effort, normal heart rate, and responsive reflexes, and pick worsening for signs of temperature instability or poor tone.

Correct Answers

Color: Consistent with genetic background [ Indication of Improvement ]
Reflex irritability: cry [ Indication of Improvement ]
Axillary temperature 36.3 °C (97.4 °F) [ Indication of Worsening Condition ]
Muscle tone: flaccid [ Indication of Worsening Condition ]
Respiration effort: good cry [ Indication of Improvement ]
Heart rate 140/min [ Indication of Improvement ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse is preparing to administer medications to a client who is 72 hr postpartum following a cesarean birth.

Mastitis

Blood pressure 130/70 mm Hg

Temperature 38.6° C (101.5° F)

Respiratory rate 18/min

Heart rate 102/min

Oxygen saturation 98% on room air.

Penicillin

Shellfish

Delivered at 37 weeks of gestation

Routine prenatal care

Iron-deficiency anemia

Rubella immune

Blood type O+

Creatinine 0.8 mg/dL (0.5 to 1.0 mg/dL)

WBC count 9,500/mm3 (5,000 to 10,000/mm3)

Ibuprofen 800 mg PO every 6 hr PRN pain

Doxycycline 100 mg PO every 12 hr

Ferrous sulfate 325 mg PO twice daily

Folic acid 0.5 mg PO once daily

Bisacodyl 10 mg PO once daily

Rh2(D) immune globulin 300 mcg IM x1.

Complete the following sentences by using the list of options. The nurse should clarify the prescription forbecause

Hint : 🧷Check which medication is only used when the mother is Rh-negative and the newborn could expose her to Rh-positive blood.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.

Gravida 1 with a multifetal pregnancy

Admitted with excessive vomiting for the past 48 hr and weight loss of 2.3 kg (5 lb) over 2 days

Blood pressure 96/50 mm Hg

Heart rate 128/min

Respiratory rate 20/min

Temperature 37.8° C (100° F)

Urinalysis

Urine specific gravity 1.040 (1.005 to 1.030)

2+ ketones (none)

pH 4.4 (4.6 to 8)

Leukocytes negative

CBC

WBC count 7,500/mm3 (5,000 to 10,000/mm3)

Hgb 15 g/dL (greater than 11 g/dL)

Hct 48% (greater than 33%)

Oral mucous membranes are dry.

Client's skin turgor is poor.

Large emesis of greenish yellow vomitus noted. Oral care provided.

Collected clean-catch urine specimen for urinalysis. Voided specimen is amber colored with strong odor.

Client's urinary output is 20 mL/hr.

The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.

Findings 24 Hr Later	Unrelated to Diagnosis	Sign of Potential Improvement	Sign of Potential Worsening Condition
Heart rate 100/min
Urine specific gravity 1.050
WBC count 10,000/mm³
Urinary output 40 mL/hr
3+ ketones
Urine pH 5

Hint : 🧭In hyperemesis, improvement shows better urine output and lower heart rate, while worsening shows more concentrated urine and rising ketones.

Correct Answers

Heart rate 100/min [ Sign of Potential Improvement ]
Urine specific gravity 1.050 [ Sign of Potential Worsening Condition ]
WBC count 10,000/mm³ [ Unrelated to Diagnosis ]
Urinary output 40 mL/hr [ Sign of Potential Improvement ]
3+ ketones [ Sign of Potential Worsening Condition ]
Urine pH 5 [ Unrelated to Diagnosis ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

4 :
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.

Temperature 36.8° C (98.3° F)

Heart rate 110/min

Respiratory rate 18/min

Blood pressure 150/95 mm Hg

Preeclampsia

Cesarean birth of viable twin male newborns

Misoprostol 800 mcg rectally x 1 dose now

Nifedipine 20 mg PO twice daily

Ketorolac 30 mg IV every 6 hr.

Fundus boggy and deviated to the right of midline.

Fundal height 3 cm above umbilicus.

Excessive vaginal bleeding, saturated perineal pad in 15 min, and passed a baseball-size clot.

The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.

Findings 30 min later	Unrelated to diagnosis	Potential improvement	Worsening condition
Moderate lochia rubra
Thready pulse
Fundus at level of umbilicus
Blood pressure 80/50 mm Hg
Cloudy urine
Fundus firm to palpation

Hint : 🧠Improvement looks like a firm, lower uterus with less bleeding, while worsening looks like shock signs such as low BP and a weak pulse.

Correct Answers

Moderate lochia rubra [ Potential improvement ]
Thready pulse [ Worsening condition ]
Fundus at level of umbilicus [ Potential improvement ]
Blood pressure 80/50 mm Hg [ Worsening condition ]
Cloudy urine [ Unrelated to diagnosis ]
Fundus firm to palpation [ Potential improvement ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

5 :
A nurse is caring for a client who is at 15 weeks of gestation during a routine prenatal visit.

The client reports frequent nausea and vomiting each day. They also report persistent fatigue and having difficulty with productivity at work due to these manifestations. The client states, "I am even vomiting when I drink tea or water."

Blood pressure 102/62 mm Hg

Heart rate 106/min

Respiratory rate 20/min

Temperature 36.6° C (97.9° F)

Dry oral mucus membranes

Poor skin turgor

Urine dark yellow

Weight loss of 2 kg (4.4 lb) in 1 month.

Hgb 15 g/dL (11 to 16 g/dL)

Hct 49% (33% to 47%)

Sodium 132 mEq/L (136 to 145 mEq/L)

Potassium 3.3 mEq/L (3.5 to 5 mEq/L)

BUN 18 mg/dL (10 to 20 mg/dL)

Urine specific gravity 1.035 (1.005 to 1.030)

Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Select all that apply.

Answer Options

Potassium

BUNN

Hct

Sodium

Hgb

Weight

Urine specific gravity

Heart rate

Hint : 🚰Pick findings that show dehydration and electrolyte loss from severe vomiting rather than normal pregnancy changes.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

6 :
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?

Varicella

Tetanus

Human papillomavirus

Rubella

Hint : 🧠Choose the vaccine that is inactivated and routinely recommended in every pregnancy.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

7 :
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?

Obtain a prescription for misoprostol.

Administer an IV bolus of lactated Ringer's.

Assess for edema.

Restrict daily oral fluid intake.

Hint : 👀Pick the action that supports ongoing assessment for progression rather than adding unnecessary interventions.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

8 :
A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

The client puts their personal needs aside.

The client takes charge of all mothering tasks.

The client reviews their birth experience with others.

The client desires privacy with their newborn.

Hint : 📖Think of the early postpartum phase where the client wants to talk through the labor and delivery repeatedly.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

9 :
A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?

Inform the client about the possible need for reduction of multiple fetuses.

Instruct the client not to use donor oocytes.

Instruct the client to avoid freezing embryos for possible use in the future.

Inform the client that sperm will be introduced to the uterus during ovulation.

Hint : 👯Focus on the IVF risk most linked to implanting multiple embryos.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

10 :
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

Apply an ice pack to the incision site.

Administer 500 mL lactated Ringer's IV bolus.

Evaluate urinary output.

Replace the surgical dressing.

Hint : 💧Choose the action that best reflects circulation/perfusion monitoring during ongoing bleeding.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

Total Questions: 10

Choose Different Exam !

RN Proctored Maternal Newborn 2023 (2026 Feb)

No.

1 : A nurse is caring for a newborn immediately following birth.

Correct Answers

2 : A nurse is preparing to administer medications to a client who is 72 hr postpartum following a cesarean birth.

3 : A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.

Correct Answers

4 : A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.

Correct Answers

5 : A nurse is caring for a client who is at 15 weeks of gestation during a routine prenatal visit.

Answer Options

6 : A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?

7 : A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?

8 : A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

9 : A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?

10 : A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

1 :
A nurse is caring for a newborn immediately following birth.

2 :
A nurse is preparing to administer medications to a client who is 72 hr postpartum following a cesarean birth.

3 :
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.

4 :
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.

5 :
A nurse is caring for a client who is at 15 weeks of gestation during a routine prenatal visit.

6 :
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?

7 :
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?

8 :
A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

9 :
A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?

10 :
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?