Nursing Elites

1. A nurse receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?

• A. A client who experienced a cesarean birth 4 hours ago and reports pain
• B. A client who has preeclampsia with a BP of 138/90 mm Hg
• C. A client who experienced a vaginal birth 24 hours ago and reports no bleeding
• D. A client who is scheduled for discharge following a laparoscopic tubal ligation

Correct answer: A

Rationale: The nurse should prioritize seeing the client who experienced a cesarean birth 4 hours ago and reports pain first. Pain assessment and management are crucial post-cesarean birth to ensure the client's comfort and well-being. Immediate attention is needed to address the client's pain and provide appropriate interventions. The other clients may require attention but do not have an immediate postoperative concern like pain following a cesarean birth.

2. A client at 37 weeks of gestation with severe gestational hypertension is being admitted by a nurse. Which of the following actions should the nurse NOT expect to implement?

• A. Administer magnesium sulfate IV.
• B. Provide a dark, quiet environment.
• C. Assess respiratory status every 4 hours.
• D. Ensure that calcium gluconate is readily available.

Correct answer: C

Rationale: Assessing respiratory status every 4 hours is not a priority for a client with severe gestational hypertension. In this scenario, the focus should be on monitoring blood pressure, assessing for signs of preeclampsia, administering medications like magnesium sulfate for seizure prophylaxis, and ensuring that calcium gluconate is readily available in case of magnesium toxicity. Respiratory status assessment is important in other conditions but is not directly related to managing severe gestational hypertension.

3. A client at 22 weeks of gestation with uncontrolled gestational diabetes mellitus may require medication. Which of the following medications would the provider likely prescribe?

• A. Acarbose
• B. Repaglinide
• C. Glyburide
• D. Glipizide

Correct answer: C

Rationale: Glyburide is commonly prescribed for gestational diabetes mellitus when diet and exercise are insufficient to control blood sugar levels. It is considered safe and effective during pregnancy, making it a suitable choice for managing diabetes in pregnant individuals. Acarbose, Repaglinide, and Glipizide are not typically recommended for use in pregnancy due to potential risks to the fetus.

4. When admitting a client at 33 weeks of gestation with a diagnosis of placenta previa, which action should the nurse prioritize?

• A. Monitor vaginal bleeding
• B. Administer glucocorticoids
• C. Insert an IV catheter
• D. Apply an external fetal monitor

Correct answer: D

Rationale: Placenta previa is a condition where the placenta partially or completely covers the cervix, leading to potential bleeding. When admitting a client with placenta previa, the priority is to assess the fetal well-being. Applying an external fetal monitor helps in continuous monitoring of the fetal heart rate and ensures timely detection of any distress or changes in the fetal status, which is crucial in managing this condition. While monitoring vaginal bleeding is important, identifying fetal well-being takes precedence in this situation.

5. A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?

• A. A client who is at 38 weeks of gestation and reports a cough and fever
• B. A client who has missed a period and reports vaginal spotting
• C. A client who is at 14 weeks of gestation and reports nausea and vomiting
• D. A client who is at 28 weeks of gestation and reports of painless vaginal bleeding

Correct answer: D

Rationale:

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