A nurse conducts a physical exam of a client who reports feeling well.
Findings include:

General: No acute distress.

Cardiovascular: No murmur or rub.

Respiratory: Bilateral breath sounds clear.

Abdomen: Fundal height 38 cm.

Genitourinary: Purulent cervical discharge.

Answer and Explanation

The Correct Answer is E

Choice A rationale

No acute distress indicates the client's physiological stability. It reflects an absence of acute systemic responses like tachycardia or labored breathing, suggesting normal homeostasis during examination.

Choice B rationale

No cardiovascular murmurs or rubs imply normal valve function and an absence of pericardial inflammation. This finding indicates no pathological blood flow changes or cardiac friction sounds.

Choice C rationale

Clear bilateral breath sounds suggest open airways and proper ventilation, excluding lower respiratory tract issues like pneumonia. Normal respiratory examination confirms adequate pulmonary function.

Choice D rationale

Fundal height at 38 cm corresponds to late-third trimester pregnancy. It reflects uterine enlargement due to fetal growth, indicating gestational progression but unrelated to cervical discharge.

Choice E rationale

Purulent cervical discharge suggests an ongoing infection, likely bacterial cervicitis. It reflects leukocyte accumulation due to pathogenic invasion, requiring clinical intervention to prevent complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Polyuria is not typically linked to epidural anesthesia but may indicate unrelated issues like diabetes or diuresis. Its absence or presence does not reflect epidural complications.

Choice B rationale

Hypertension is not common with epidural anesthesia, as this procedure often induces hypotension by vasodilation from sympathetic blockade, requiring blood pressure monitoring.

Choice C rationale

Pruritus is a frequent side effect of epidural anesthesia, particularly when using opioids like fentanyl, due to histamine release or opioid receptors activation in the spinal cord.

Choice D rationale

Dry mouth is not a primary effect of epidural anesthesia but could result from dehydration or systemic medication effects unrelated to epidural administration.

A. "You will receive a medication through an IV for this test.”. B. "You should expect the test to take about 30 minutes.”. C. "You should not eat or drink for 4 hours prior to the test.”. D. "This test will help determine if your baby's lungs are mature.”.

Correct Answer is B

Explanation

Choice A rationale

Intravenous medications are not administered for a nonstress test, which evaluates fetal heart rate response to movement using external monitoring. No pharmacological intervention is needed.

Choice B rationale

Nonstress tests typically last about 20–40 minutes, depending on fetal activity and reactivity. This duration allows sufficient time to observe fetal heart rate accelerations.

Choice C rationale

There are no dietary restrictions for a nonstress test, as the procedure involves non-invasive external monitoring and does not affect digestion or metabolic processes.

Choice D rationale

A nonstress test does not assess fetal lung maturity but evaluates fetal heart rate accelerations in response to fetal movement to ensure fetal well-being.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse conducts a physical exam of a client who reports feeling well.Findings include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in labor and has an epidural for pain control.Which of the following clinical manifestations is an adverse effect of epidural anesthesia?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test.Which of the following statements should the nurse plan to make?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding.The client has a history of cocaine use.The nurse should identify that the client is likely experiencing which of the following complications?

A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia.Which of the following laboratory results should the nurse expect?

A nurse is teaching the parent of a newborn about car seat safety.Which of the following statements should the nurse make?

A nurse is assessing a client who gave birth 1 week ago.The client states, "I don't know what's wrong.I love my baby, but I feel so let down and I seem to cry for no reason.”. The nurse should identify that the client is experiencing which of the following emotional responses to birth?

A nurse is assessing a client who is at 31 weeks of gestation.Which of the following findings should the nurse identify as an indication of a potential prenatal complication?

A client reports an intermittent dark brown vaginal discharge for the past three days.

A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus B-hemolytic infection.Which of the following medications should the nurse plan to administer?

For each body system below, specify the potential complications that can occur. Match the body system with the potential complications.

A nurse conducts a physical exam of a client who reports feeling well.
Findings include: