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NR324.NR329 Exam 1 Assessment

RN Nursing Exam(s) 53 Questions 🔒 Premium Content

This exam tests your knowledge of adult medical-surgical nursing care for patients with complex health conditions.

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53 Questions
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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1:  A nurse is caring for a client with type O blood who delivers a newborn with type B blood. Which finding should the nurse anticipate?

A. Newborn bradycardia
B. Newborn hyperbilirubinemia
C. Maternal thrombocytopenia
D. Maternal hypertension
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Q2: A nurse is caring for a client diagnosed with hyperemesis gravidarum. Which clinical finding is most concerning?

A. Urine output of 40 mL/hour
B. Trace ketones in the urine
C. No weight gain over one week
D. Serum potassium of 2.8 mEq/L
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Q3: The nurse is caring for a pregnant client diagnosed with gestational diabetes. Which finding is consistent with this diagnosis?

A. Diagnosis was made during the third trimester
B. Continuous glucose monitoring initiated before pregnancy
C. History of type 1 diabetes since adolescence
D. Elevated hemoglobin A1C noted at 8 weeks of gestation
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Q4: A nurse is caring for a client with an order for a blood transfusion. The client does not wish to receive the blood transfusion due to religious beliefs. What action should the nurse take?

A. Reinforce education about the risks of refusal
B. Inform the client that their decision is wrong
C. Administer the transfusion if the client becomes unstable
D. Avoid further discussion of the blood transfusion
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Q5:  The nurse is caring for a client who just received a diagnosis of gestational diabetes. The client states, "I don't understand why this happened. Why did I develop this?" How should the nurse respond? (Select all that apply.)

A. "Clients who have a first-degree relative with diabetes are at greater risk."
B. "Clients who have a history of cardiac disease are at greater risk."
C. "Clients who have a history of gestational diabetes are at greater risk."
D. "Clients with a body mass index (BMI) equal to or greater than 20 are at greater risk."
E. "Clients who have a history of polycystic ovary syndrome are at greater risk."
F. "Clients who are older than 20 years of age at the time of pregnancy are at greater risk."
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Exam Details
Total Questions: 53 practice questions
Category: RN Nursing Exam(s)
Subcategory: Examplify Exam(s)
Domain: Medical-Surgical
Last Updated: Dec 09, 2025
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