A client has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, you discover that she has not had any immunizations. Which of the following immunizations should the client receive at this point in her pregnancy? Select all that apply

A 32-year-old female presents to the emergency department with acute onset of lower abdominal pain with associated vaginal bleeding. The patient states her last menstrual period was 6 weeks ago. She took a home pregnancy test that was positive. She has not yet followed up with her OBGYN. Her vital signs are normal and there is no abdominal tenderness. Her pelvic examination showed a closed cervix, mild vaginal bleeding with no abdominal fullness or tenderness. The patient had a transvaginal ultrasound performed and it showed a fetus with a fetal heart rate of 150. What is the correct diagnosis of this patient?

Question 31 When moving the client from the bed to the chair, the client complains of “feeling dizzy”.  Before notifying the primary healthcare provider, which assessment should the  nurse perform first?

 Question 49 The registered nurse is teaching a nursing student about caring for a client who experiences postural (orthostatic) hypotension. Which statement by the nursing student indicates an understanding of the teaching?    

Question 43 A nurse administers medication to a client and realizes 30 minutes later that the dose was double what was ordered. The client shows no adverse effects. The nurse is worried about disciplinary action and considers not reporting the error since no harm occurred. What is the most appropriate action based on a culture of safety?

A 33-year-old G2P1 woman presents at 36 weeks gestation for a scheduled amniocentesis. Her prenatal labs include negative Hepatitis B surface antigen, and negative HIV . She is blood type O negative, rubella equivocal, and varicella immune. She received Tdap immunization at 28 weeks gestation. Her pregnancy is uncomplicated, and obstetrical history includes a previous vaginal delivery. The patient undergoes the amniocentesis with no complications. Before discharge, which of the following should be administered?

Question 32 A nurse is preparing to assess a client’s blood pressure using a manual sphygmomanometer. The nurse palpates the pulse in the antecubital area before applying the cuff. Which peripheral pulse is the nurse assessing?

Question 56  A nurse is caring for a client who has a prescription for restraints. Which nursing actions are appropriate? Select all that apply.

Question 19 A nurse is caring for four clients on a medical-surgical unit. Which situations requires the nurse to complete an incident/occurrence report? Select all that apply  

Question 29 Before administering digoxin, a nurse needs to assess the client’s heart rate. Which assessment site will provide the most accurate heart rate measurement?