CRNE Exam Prep - Question List

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6. Rachel, a G1P0 female at 30 weeks’ gestation, was admitted to the facility due to persistent headaches. On physical assessment, a blood pressure of 180/130 mm Hg was noted. Laboratory tests were conducted, revealing proteinuria of more than 5 grams in a 24-hour collection. History reveals that Rachel was diagnosed with pre-eclampsia. Her physician orders the administration of magnesium sulfate IV to prevent convulsions. The nurse who is tasked with preparing and administering the drug ensures that which of the following medications is readily available as an antidote for magnesium sulfate toxicity?
  1. Naloxone
  2. Calcium gluconate
  3. Protamine sulfate
  4. N-acetylcysteine
7. Which of the following should alert the labour nurse that her client has begun the second stage of labour?
  1. The cervix is thin and fully dilated.
  2. The amniotic membranes have ruptured.
  3. The presenting part is below the ischial spines
  4. The woman tells you she needs to push.
8. Andrea, a 23-year-old female, comes to the clinic for her second pre-natal examination. On physical assessment, bluish discoloration of the mucus membranes of the cervix, vagina, and vulva is noted. This probable sign of pregnancy is called:
  1. Goodell’s sign
  2. Hegar’s sign
  3. Chadwick’s sign
  4. Ballotement
9. Kelly, a nullipara at 34 weeks’ gestation, comes to the emergency department saying, “I think I’m about to go into labor.” After assessing the client, the nurse alerts the physician for a possible case of pre-term labor. The nurse then initiates nursing interventions that aim to manage pre-term labor. Which of the following findings would be most likely to lead the nurse to suspect pre-term labor?
  1. Irregular uterine contractions; cervical dilatation is absent.
  2. Painful uterine contractions occurring every 10 minutes with cervical dilatation.
  3. Painful uterine contractions occurring every 10 minutes without cervical dilatation.
  4. Irregular contractions every 10 minutes with cervical dilation; effacement has not started.
10. A nurse auscultates the heart of Anne, a 21-year-old female. Anne seeks a consultation for dizziness and easy fatigability. During assessment, the nurse identifies a mid-to-late systolic click followed with mid-to-late systolic murmur at the cardiac apex. The murmur gets louder when Anne stands up. Based on these findings, Anne is most likely considered for which of the following cardiac problems?
  1. Aortic stenosis
  2. Mitral valve prolapse
  3. Pulmonic stenosis
  4. Mitral regurgitation

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