AS Associate Of Science In Nursing 4

Question 1

A laboring patient's fetal heart rate monitor shows late decelerations with each contraction. Which intervention should the nurse perform first?

Accepted Answer

Reposition the patient to the left lateral position

Answer

Repositioning to the left lateral position relieves aortocaval compression and is the first-line response to late decelerations.

Question 2

Which finding is a normal expected change during pregnancy?

Accepted Answer

Increased cardiac output by 30–50%

Answer

Cardiac output increases by 30–50% during pregnancy to meet the metabolic demands of the mother and fetus.

Question 3

A nurse is caring for a newborn at 10 minutes of age. Which APGAR component is being assessed when the nurse checks the infant's response to a catheter in the nostril?

Accepted Answer

Grimace (reflex irritability)

Answer

Reflex irritability (grimace) is assessed by observing the newborn's response to a stimulus such as a catheter in the nostril.

Question 4

Which instruction is most important when teaching a patient about warfarin therapy?

Accepted Answer

Avoid foods high in vitamin K such as leafy green vegetables

Answer

Vitamin K antagonizes warfarin's anticoagulant effect, so consistent intake of vitamin K–rich foods is critical to maintaining stable INR levels.

Question 5

A patient with chronic renal failure is most likely to experience which acid-base imbalance?

Accepted Answer

Metabolic acidosis

Answer

Failed kidneys cannot excrete hydrogen ions or reabsorb bicarbonate, leading to metabolic acidosis.

AS - Associate In Science Degrees Practice Test

AS - Associate In Science Degrees Practice Test

AS Associate Of Science In Nursing 4