NSG 222 Final Practice Exam 1 & 2 New Latest 2025
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A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no
contractions are noted on the external monitor. Which intervention should the nurse implement?
A. Weight perineal pads
B. Weight daily
C. Measure intake and output
D. Ambulate 15 minutes QID ---------- Correct Answer ------------ A. Weight perineal pads
A woman who delivered a normal newborn 24 hours ago complains. "I seem to be urinating
every hour or so. Is that okay? Which action should the nurse implement.?
A. Cathererize the client for residual urine volume
B. Measure the next voiding, then palpate the clients bladder
C. Evaluate for normal involution, then massage the fundus
D. Obtain a specimen for urine culture and sensitivity ---------- Correct Answer ------------ B.
Measure the next voiding, then palpate the clients bladder
A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural
for pain control. Findings f the last vaginal exam, performed 1 hour ago, were 3 cm cervical
dilation, 60% effacement, and a -2 station. What action should the nurse implement first?
A. Determine current cervical dilation
B. Request placement of the epidural
C. Give bolus of intravenous fluids
D. Decrease the oxytocin infusion rate ---------- Correct Answer ------------ A. Determine current
cervical dilation
A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts
(human papillomavirus). What information should the nurse provide this client?
A. Treatment options, while limited due to the pregnancy, are available
B. The client should be treated with Penicillin G
C. This client should be treat with acyclovir (Zovirax)
D. Termination of the pregnancy should be considered ---------- Correct Answer ------------ A.
Treatment options, while limited due to the pregnancy, are available
One week after missing her menstrual period, a woman performs an OTC pregnancy test and it is
positive. Which hormone is responsible for producing the positive result?
A. Human placental lactogen
B. Gonadotrophin-releasing hormone
C. Human chorionic gonadotrophin
D. Prostaglandin E2 Aplha ---------- Correct Answer ------------ C. Human chorionic
gonadotrophin
,A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What information
should the nurse provide prior to discharge?
A. Avoid using lanolin-based nipple cream or ointment
B. Continue prenatal vitamins with B12 while breast feeding
C. Offer iron- fortified supplemental formula daily
D. Weigh the baby weekly to evaluate the newborns growth ---------- Correct Answer ------------
B. Continue prenatal vitamins with B12 while breast feeding
A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal trauma in a
motor vehicle collision. Which assessment finding is most important for the nurse to report to the
health care provider?
A. Fetal heart rate of 162 beats/minute
B. Trace of protein in the urine
C. Positive fetal hemoglobin test
D. Mild contractions every 10 minutes ---------- Correct Answer ------------ C. Positive fetal
hemoglobin test
The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24
hours following delivery of a normal newborn. Prior to anesthesiologists's arrival on the unit,
which action should the nurse perform?
A. Place procedure equipment at bedside
B. Apply an abdominal binder
C. Cleanse the spinal injection site
D. Insert an indwelling foley catheter ---------- Correct Answer ------------ A. Place procedure
equipment at bedside
The nurse is counseling a client who is at 6 weeks gestation and is experiencing morning
sickness, but does not want to take any drugs for this discomfort. Which herbal supplement is
likely to help this client with the nausea she is experiencing?
A. Ginko
B. Chamomile
C. Peppermint
D. Ginger ---------- Correct Answer ------------ D. Ginger
The nurse is assessing a postpartum client who delivered a 10 pound infant vaginally two hours
ago. The clients fundus is 2 fingerbreadths above the umbilicus, deviated to the right side, and
boggy. After the client voids 250 ml of urine using a bedpan, what action should the nurse
implement?
A. Re-evaluate the client in 15 minutes
B. Assist the client to the bathroom to void
C. Palpate the suprapubic region for distention
D. Encourage the client to breastfeed ---------- Correct Answer ------------ C. Palpate the
suprapubic region for distention
At 0600 while admitting a woman for a scheduled repeat c section, the client tells the nurse that
she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action
,should the nurse take first?
A. Ensure preoperative lab results are available
B. Start prescribed IV with Lactated Ringers
C. Inform the anesthesia care provider
D. Contact the clients obstetrician ---------- Correct Answer ------------ C. Inform the anesthesia
care provider
A client who is in active labor is receiving magnesium sulfate and begin to experience slurred
speech and decreased reflexes. Which action should the nurse implement first?
A. Obtain a serum magnesium level
B. Measure the clients hourly urinary output
C. Provide an emesis basin for vomiting
D. Turn off the magnesium sulfate infusion ---------- Correct Answer ------------ D. Turn off the
magnesium sulfate infusion
A 3 hour old male infant's hands are feet are cyanotic, and he has an axillary temperature of 96.5
F, a respiratory rate of 40 breaths/min, and a heart rate of 165 beats/min. Which nursing
intervention is best for the nurse to implement?
A. Perform a heel- stick to monitor blood glucose level
B. Gradually warm the infant under a radiant heart source
C. Administer oxygen by mask at 2L/minute
D. Notify the pediatrician of the infants unstable vital signs ---------- Correct Answer ------------
B. Gradually warm the infant under a radiant heart source
Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation. She is moderately
obese and carrying twins and the nurse measures her fundal height at 27 cm. During the previous
visit 3 weeks ago, the fundal height measured at 28 cm. Based on these findings, what should the
nurse conclude?
A. Fundal height measurement may indicate intrauterine growth retardation
B. The healthcare provider needs to be notified immediately since this fundal height
measurement is greater than expected
C. Confirm the fundal height measurement with another nurse
D. Recognize this as a reasonable fundal height measurement for this client ---------- Correct
Answer ------------ A. Fundal height measurement may indicate intrauterine growth retardation
Following the vaginal delivery of a large for gestation age (LGA) infant, a woman is admitted to
the ICU due to post partum hemorrhaging. The client's medical record describes Jehovah's
Witness notes as her religion. What action should the nurse take next?
A. Inform the client of the critical need for a blood transfusion
B. Obtain consent from the family to infuse packed red blood cells
C. Clarify the clients wishes about receiving blood products
D. Prepare to infuse multiple units of fresh frozen plasma ---------- Correct Answer ------------ A.
Inform the client of the critical need for a blood transfusion
The nurse is assessing a 35 week primigravida with a breech presentation who is expericing
moderate uterine contraction every 3-5 minutes. During the examination the client tells the nurse,
, "I think my water just broke". Inspection of the perineal area reveals the umbilical cord
protruding from the vagina. After activating the call bell system for assistance, what intervention
should the nurse implement?
A. Administer oxygen at 10 liters via face mask
B. Don gloves and push the cord back into the vagina
C. Wrap the umbilical cord with sterile gauze
D. Position the client into a knee-chest position ---------- Correct Answer ------------ D. Position
the client into a knee-chest position
One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an
epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the
umbilicus and obtains current vital signs. Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate ---------- Correct Answer ------------ C. Palpate
the suprapubic area for bladder distention
After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum
room to help change the newborns diaper. As the mother begins the diaper change, the newborn
spits up the breast milk. What action should the nurse implement first?
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet ---------- Correct Answer ----
-------- B. Turn the newborn to the side and bulb suction the mouth and nares
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after
the IV Pitocin is infused. When notifying the hcp of the clients condition, what information is
most important for the nurse to provide?
A. Total amount of Pitocin infused
B. Maternal Blood pressure
C. Maternal Apical Pulse rate
D. Time Pitocin infusion completed ---------- Correct Answer ------------ B. Maternal Blood
pressure
The nurse is caring for a newborn infant who was recently diagnosed with congenital heart
defect. Which assessment finding warrants immediate intervention by the nurse?
A. Sweating during feedings
B. Weak peripheral pulse
C. Bluish tinge to the tongue
D. Increased respiratory rate ---------- Correct Answer ------------ C. Bluish tinge to the tongue
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