RN Comprehensive Predictor 2024 Exam: Complete Practice Questions with Detailed Ans, Exams of Nursing

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A nurse is providing teaching about nutrition therapy to a client who is experiencing anorexia due to chemotherapy treatment. Which of the following statements should the nurse make? A. "Snack frequently on fresh fruit." B. "Add water to soups to increase volume." C. "Avoid adding butter to foods." D. "Add grated cheese to vegetable dishes." - - correct ans- - D. "Add grated cheese to vegetable dishes." A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus about administering NPH and regular insulin together in one injection. Which of the following instructions should the nurse include? A. Inject into the vastus lateralis. B. Draw up the regular insulin prior to NPH. C. Use a 15-degree angle for the injection. D. Roll the syringe gently to ensure mixture of the insulins - - correct ans- - B. Draw up the regular insulin prior to NPH. A nurse is caring for a client who has a calcium level of 8 mg/dL. Which of the following actions should the nurse take? A. Request a prescription for magnesium citrate. B. Request a prescription for furosemide. C. Place the client on a low-calcium diet.

D. Place the client on seizure precautions. - - correct ans- - D. Place the client on seizure precautions. A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? A. Encourage the client to rest quietly in bed twice per day. B. Direct long conversations about the delusions toward reality-based topics. C. Allow the client unlimited time to discuss the delusions when they occur. D. Avoid assessing the client's delusions. - - correct ans- - A. Encourage the client to rest quietly in bed twice per day. A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use? A. Asthma B. Fibromyalgia C. Hypertension D. Fibrocystic breast condition - - correct ans- - C. Hypertension A nurse in the emergency department is triaging victims of a house fire. Which of the following clients should the nurse prioritize as emergent? A. Client who has a compound fracture of the femur B. Client who has hypertension and reports chest pain C. Client who has severe abdominal pain D. Client who has a deep laceration on both thighs - - correct ans- - B. Client who has hypertension and reports chest pain A nurse is planning care for a group of clients. Which of the following methods should the nurse use to manage time effectively?

A. Gather supplies prior to completing a dressing change. B. Complete partial assessments on all clients before planning the day. C. Prioritize activities based on the nurse's needs. D. Use break time to perform documentation. - - correct ans- - A. Gather supplies prior to completing a dressing change. A nurse on a mental health unit is planning room assignments for four clients. Which of the following clients should the nurse assign to room near the nurse's station? A. A client who has a somatic symptom disorder and reports chronic pain. B. A client who has an anxiety disorder and is experiencing moderate anxiety. C. A client who has bipolar disorder and impaired social interactions. D. A client who has a depressive disorder and reports feeling hopeless. - - correct ans- - D. A client who has a depressive disorder and reports feeling hopeless. A nurse is assessing coping strategies of a client whose partner has alcohol use disorder. Which of the following findings indicates that the client is coping effectively? A. The client utilizes strategies to enhance codependent behaviors. B. The client attends regular counseling sessions. C. The client exhibits sympathy to the partner. D. The client ignores the partner when they are using alcohol. - - correct ans- - B. The client attends regular counseling sessions. A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority? A. Obtain the client's blood glucose. B. Administer 0.9% sodium chloride IV. C. Provide a cooling blanket.

D. Monitor the client's cardiac rhythm. This has more priority - - correct ans- - C. Provide a cooling blanket. D. Monitor the client's cardiac rhythm. This has more priority Don't know A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include? A. "Remain on bed rest for 24 hours following the procedure." B. "Use an incentive spirometer every 4 hours." C. "Participate in range-of-motion exercises." D. "Place a pillow under your knees while in bed." - - correct ans- - C. "Participate in range- of-motion exercises." A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse when pouring the sterile solution? A. Hold the bottle in the center of the sterile field when pouring the solution. B. Hold the irrigation solution bottle with the label facing away from the palm of the hand. C. Place the sterile gauze over areas of spilled solution within the sterile field. D. Remove the cap and place it sterile-side up on a clean surface - - correct ans- - D. Remove the cap and place it sterile-side up on a clean surface A nurse is conducting a home visit for a family who has two young children. The nurse notes several welts across the back of the legs of one of the children. Which of the following actions should the nurse take first? A. Contact child protective services. B. Refer the parents to a self-help group. C. Instruct the parents about methods of discipline. D. Document clinical findings. - - correct ans- - A. Contact child protective services.

A nurse is teaching a client who is to undergo placement of a non-tunneled percutaneous central venous access device. Which of the following statements should the nurse include in the teaching? A. "The provider will wear a mask while performing the procedure." B. "You should not eat or drink for 4 hours prior to the procedure." C. "Your head will be elevated as high as possible while the catheter is inserted." D. "The provider will give you pain medication before inserting the catheter." - - correct ans- - A. "The provider will wear a mask while performing the procedure." A nurse in a clinic is reviewing the health history of a client during her first prenatal visit. Which of the following findings indicates a risk for gestational diabetes mellitus? A. 1-hr glucose tolerance test if 128 mg/dL B. Previous miscarriage C. Delivery of a low birth-weight infant D. BMI of 31 - - correct ans- - D. BMI of 31 A nurse is caring for a client who is incontinent and has a stage II pressure injury on their coccyx. Which of the following interventions should the nurse implement? A. Apply lotion to the skin every 4 hr. B. Reposition the client every 3 hr. C. Position the client laterally at 30 degrees. D. Have two facility personnel help to slide the client up in bed. - - correct ans- - D. Have two facility personnel help to slide the client up in bed. A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as the clinic staff. Which of the following instructions should the nurse include?

A. Offer clients translation services for a nominal fee. B. Use clients' children to provide interpretation. C. Evaluate clients' understanding at regular intervals. D. Direct questions to a medical interpreter. - - correct ans- - C. Evaluate clients' understanding at regular intervals. A nurse is caring for an infant who is in contact isolation and received a blood transfusion. Which of the following actions is appropriate for the nurse to provide cost-effective care? A. Leave the unused infusion pump in the room until discharge. B. Bring in formula as needed. C. Return unopened equipment to the supply center. D. Stock the room with a 2-day supply of disposable diapers. - - correct ans- - B. Bring in formula as needed. A nurse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescriptions should the nurse expect the provider to prescribe? A. Interferon beta-1a B. Enoxaparin C. Atorvastatin D. Amoxicillin - - correct ans- - A. Interferon beta-1a A nurse is speaking with the partner of a client who is in the early stage of Alzheimer's disease. The partner tells the nurse that she is able to manage the client's physical care, but she doesn't want toleave him home alone while she travels for work. Which of the following referrals should the nurse make? A. Respite care B. Restorative care C. Hospice

D. Rehabilitation facility - - correct ans- - A. Respite care A nurse is assessing a school-age child who has moderate dehydration due to diarrhea and vomiting. Which of the following manifestations should the nurse expect? A. Orthostatic hypotension B. Decreased respirations C. Polyuria D. Bradycardia - - correct ans- - A. Orthostatic hypotension A nurse is caring for a client who is at 14 weeks of gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? A. "When did you start having these feelings?" B. "Have you discussed these feelings with your partner?" C. "You should discuss your feelings about being pregnant with your provider." D. "Describe your feelings to me about being pregnant." - - correct ans- - D. "Describe your feelings to me about being pregnant." A nurse manager is planning to promote client advocacy among staff on a medical unit. Which of the following actions should the nurse plan to take? A. Instruct unit staff to share personal experiences to help clients make decisions. B. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. C. Develop a system for staff members to report safety concerns in the client care environment. D. Tell staff to explain procedures to clients before obtaining informed consent. - - correct ans- - C. Develop a system for staff members to report safety concerns in the client care environment.

A nurse received a telephone call from a parent reporting that their school-age child has a nosebleed and that they cannot stop the bleeding. Which of the following instructions should the nurse provide for the parent? A. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose." B. "Tell your child to blow their nose gently, and then sit down and tilt their head backward." C. "Use your thumb and forefinger to apply pressure to the sides of your child's nose." D. "Have your child lie down and turn their head to the side for 10 minutes." - - correct ans- - C. "Use your thumb and forefinger to apply pressure to the sides of your child's nose." A nurse is assessing a client who has a stage IV pressure ulcer and is undergoing treatment prescribed by a wound care consultant. For which of the following findings should the nurse contact the consultant to revise the plan of care? A. Hgb 15 g/dL. B. Appearance of pink tissue under eschar. C. Albumin level 4.0 g/dL D. Weight loss of 5% in 10 days. - - correct ans- - D. Weight loss of 5% in 10 days. A nurse is performing an abdominal assessment as part of a client's comprehensive physical examination. Which of the following is the final step the nurse should perform? A. Inspection B. Palpation C. Auscultation D. Percussion - - correct ans- - B. Palpation A nurse is caring for a client who has an NG tube in place for gastric decompression and notes that the tube is not draining. Which of the following steps should the nurse take first? A. Check the functioning of the suction equipment. B. Reposition the NG tube.

C. Instill an irrigation solution slowly. D. Inject 20 mL of air and aspirate in the NG tube - - correct ans- - A. Check the functioning of the suction equipment. A nurse is caring for a client who has major depressive disorder. Which of the following findings should indicate to the nurse that the client's condition is improving? A. The client avoids eye contact with others. B. The client exhibits a flat affect. C. The client participates in self-care. D. The client experiences self-doubt when making decisions. - - correct ans- - C. The client participates in self-care. A nurse is supervising an assistive personnel (AP) who is feeding a client. The nurse observes that the client coughs after each bite. After asking the AP to stop feeding the client, which of the following actions should the nurse take next? A. Provide the client with an instructional handout about swallowing exercises. B. Ask a speech therapist to evaluate the client's ability to swallow. C. Discuss the manifestations of impaired swallowing with the AP. D. Listen to the client's lung sounds. - - correct ans- - D. Listen to the client's lung sounds. A nurse in an acute mental health facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first? A. A client who has obsessive-compulsive disorder and is upset about change in daily routine B. A client who has depressive disorder and requires assistance with ADLs C. A client who has narcissistic personality disorder and is mocking others during group therapy D. A client who is taking clozapine to treat schizophrenia and reports a sore throat - - correct ans- - D. A client who is taking clozapine to treat schizophrenia and reports a sore throat

A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel (AP). Which of the following statements should the nurse include in the teaching? A. "The RN evaluates client needs to determine tasks to delegate." B. "An AP can perform tasks outside of his range of function if he has been trained." C. "An experienced AP can delegate tasks to another AP." D. "The RN is legally responsible for the actions of the AP." - - correct ans- - A. "The RN evaluates client needs to determine tasks to delegate." A nurse in an emergency department is caring for a client who reports cocaine use 1 hr ago. Which of the following findings should the nurse expect? A. Memory loss B. Hypotension C. Elevated temperature D. Slurred speech - - correct ans- - C. Elevated temperature A nurse administered 400mg of ibuprofen to a client 2 hr ago to treat pain following a biopsy. The client is crying and states, "It really still hurts a lot." Which of the following actions should the nurse take? A. Administer an additional dose of ibuprofen to the client. B. Request a prescription for an opioid pain medication for the client. C. Report this client finding to the provider. D. Ask the client to rate their pain on a scale of 0 to 10. - - correct ans- - D. Ask the client to rate their pain on a scale of 0 to 10. A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (SATA) A. Allow the client to choose among a variety of activities each day

B. Refute the client's delusions using logic. C. Establish eye contact when communicating with the client. D. Reinforce orientation to time, place, and person. E. Give the client one simple direction at a time. - - correct ans- - C. Establish eye contact when communicating with the client. D. Reinforce orientation to time, place, and person. E. Give the client one simple direction at a time. A nurse is providing nutritional teaching to a client who is experiencing severe nausea. Which of the following responses by the client indicates an understanding of the teaching? A. "I should increase my intake of liquids with meals." B. "I should focus on eating complex carbohydrates." C. "I should lie down after my meals." D. "I should sip on clear carbonated beverages that have gone flat." - - correct ans- - B. "I should focus on eating complex carbohydrates." A nurse is providing teaching about disulfiram to a client who has alcohol use disorder. Which of the following statements should the nurse make? A. "Wait at least 12 hr after your last drink to take this medication." B. "Alcohol should not be consumed for 3 days following your last dose." C. "This medication will decrease your risk for delirium during your withdrawal from alcohol." D. "This medication will prevent seizures during your withdrawal from alcohol." - - correct ans- - B. "Alcohol should not be consumed for 3 days following your last dose." A nurse is assessing a client following an ischemic stroke. Which of the following findings is the priority for the nurse to report to the provider? A. The client reports a metallic taste in his mouth.

B. The client has poor-fitting dentures. C. The client reports a decreased appetite. D. The client coughs after swallowing. - - correct ans- - D. The client coughs after swallowing. A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan? A. Limit the client's opportunities to socialize with others. B. Mix the medication with the client's food items. C. Rotate staff members caring for the client. D. Speak in a neutral tone when addressing the client - - correct ans- - D. Speak in a neutral tone when addressing the client A nurse is assessing a client immediately following a cardiac catheterization. The nurse should notify the provider for which of the following findings? A. Report of discomfort at the insertion site. B. Hematoma over the insertion site. C. D. Bounding pulses in the affected extremity. E. Heart rate 90/min - - correct ans- - B. Hematoma over the insertion site. A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take? A. Have the client store smaller tanks under his bed. B. Place the oxygen tank away from curtains or drapes. C. Ensure that the client checks the gauge weekly.

D. Store the oxygen tank wrench in a locked cabinet. - - correct ans- - B. Place the oxygen tank away from curtains or drapes. A nurse is providing discharge teaching to a client following a total hip arthroplasty. Which of the following statements by the client indicates an understanding of the teaching. A. "I don't need to use a walker when walking around my house." B. "I will start my leg exercises 3 days after returning home." C. "I won't cross my legs when sitting in a chair." D. "I will bend at the hips when tying my shoes." - - correct ans- - C. "I won't cross my legs when sitting in a chair." A nurse is teaching a client about the oral administration of chlorpromazine. Which of the following information should the nurse include? A. Move slowly when standing from a sitting position. B. Expect loose stools as an adverse effect. C. Anticipate an increase in saliva production. D. Monitor for an increase in the occurrence of hiccups - - correct ans- - A. Move slowly when standing from a sitting position. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. The client reports that she is experiencing difficulty breathing. Which of the following actions should the nurse take first? A. Assess the fetal heart rate. B. Discontinue the infusion. C. Administer calcium gluconate. D. Obtain the client's magnesium level. - - correct ans- - B. Discontinue the infusion.

A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report to the provider? A. BUN mg/dL B. Urine specific gravity 1. C. Serum creatinine 1.6 mg/dL D. Urine pH 6.2 - - correct ans- - C. Serum creatinine 1.6 mg/dL A nurse is caring for a client who is on fall precautions. Which of the following actions should the nurse take? A. Allow the client to walk unassisted near the nursing station. B. Establish an elimination schedule for the client. C. Silence the bed alarm when visitors are at the client's bedside. D. Raise all four bed rails on the client's bed. - - correct ans- - B. Establish an elimination schedule for the client. A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the facility against medical advice. For which of the following actions by the nurse should the charge nurse intervene? A. Asks security to detain the client until the provider is notified. B. Asks the client what her plans are for follow-up care. C. Shows the client her abnormal laboratory results. D. Asks the client to sign a form releasing the hospital from legal responsibility. - - correct ans- - A. Asks security to detain the client until the provider is notified. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following nursing interventions should the nurse include in the plan of care for this client? A. Flush IV tubing with hypotonic solution.

B. Encourage oral hydration of 1,800mL daily C. Perform neurologic checks. D. Weigh the client weekly - - correct ans- - C. Perform neurologic checks. A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take? A. Check the cords of the IV pump for fraying. B. Grasp the IV pump cord when unplugging it from the electrical outlet. C. Remove the safety inspection sticker before plugging in the IV pump. D. Ensure that the electric outlet has two prongs for the IV pump. - - correct ans- - A. Check the cords of the IV pump for fraying. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include? A. Nurses should discontinue the critical pathway if variances occur. B. Nurses' notes are used to create the critical pathway. C. Critical pathways should reduce health care costs. D. Critical pathways have an unlimited timeframe for completion. - - correct ans- - C. Critical pathways should reduce health care costs. A nurse is providing teaching to a client who has otitis media and is 1 hr postoperative following a myringotomy. Which of the following statements should the nurse include in the teaching? A. "You should not drink through a straw for 2 weeks." B. "You can wash your hair 3 days after the procedure." C. "You should blow your nose with your mouth closed." D. "You should expect excessive ear drainage for about 48 hours." - - correct ans- - A. "You should not drink through a straw for 2 weeks."

A nurse is teaching a newly licensed nurse about incidents reports. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "They assist with unit quality improvement." B. "They are used as a disciplinary tool for nurse evaluations." C. "They assist the facility to achieve benchmark goals." D. "They are mandatory government documentation." - - correct ans- - A. "They assist with unit quality improvement." A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles? A. Decrease socialization with extended relatives until roles are identified. B. Encourage authoritative communication from the adult child. C. Minimize open discussion regarding the changes to avoid embarrassment. D. Implement firm but flexible boundaries in their relationship. - - correct ans- - D. Implement firm but flexible boundaries in their relationship. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? A. Ask the client to shift his weight every 20 min while sitting in a chair. B. Massage reddened areas over bony prominences. C. Maintain the head of the bed at a 45-degree angle. D. Provide a high-fiber diet for the client. - - correct ans- - A. Ask the client to shift his weight every 20 min while sitting in a chair. A nurse in a provider's office is reviewing the laboratory results of group clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?

A. Chlamydia B. Candidiasis C. Herpes simplex virus D. Human papillomavirus. - - correct ans- - A. Chlamydia A nurse is caring for a client who is postpartum and requests information about contraception. Which of the following instructions should the nurse include? A=. "You should avoid vaginal spermicides while breastfeeding." B. "The lactation amenorrhea method is effective for your first year postpartum." C. "Place the transdermal birth control patch on your upper outer arm." D. "You can continue to use the diaphragm you used before your pregnancy." - - correct ans-

• C. "Place the transdermal birth control patch on your upper outer arm." A nurse is caring for a client who is 12 hr postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? A. Burgundy-colored urine B. Report of pain level 5 on a scale of 0 to 10. C. Passage of small clots. D. Urgency to void - - correct ans- - C. Passage of small clots. A nurse is caring for a client who is receiving enteral feedings through a nasoenteric tube and has aspirated fluid prior to feeding. Which of the following findings should indicate to the nurse that the tube is positioned in the client's lung? A. Residual fluid with a pH of 1 B. Residual fluid with a pH of 8 C. Residual fluid with a pH of 6 D. Residual fluid with a pH of 3 - - correct ans- - B. Residual fluid with a pH of 8

A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure? A. Trendelenburg B. Prone C. Right lateral D. High-fowler's - - correct ans- - C. Right lateral A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take? A. Keep visitors at least 6 feet (1.8 m) away from the client. B. Place the client's soiled bed linens in a biohazard bag outside the client's room. C. Wear an isolation gown when caring for the client. D. Discard the radioactive source in the client's trash can. - - correct ans- - A. Keep visitors at least 6 feet (1.8 m) away from the client. A nurse is updating the plan of care for a client who has amyotrophic lateral sclerosis with dysphagia. Which of the following interprofessional team members should the nurse identify as the priority consult? A. Speech-language pathologist B. Dietitian C. Occupational therapist D. Physical therapist - - correct ans- - A. Speech-language pathologist A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the entries should the nurse make in the medical record? A. "Morphine 3 mg SC q 4 hr PRN for pain."

B. "Morphine 3 mg SQ every 4 hr PRN for pain." C. "Morphine 3 mg subcutaneous every 4 hr PRN for pain." D. "Morphine 3.0 mg sub q every 4 hr PRN for pain." - - correct ans- - C. "Morphine 3 mg subcutaneous every 4 hr PRN for pain." A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take? A. Wear sterile gloves to collect the specimen from the client. B. Obtain the specimen immediately upon the client waking up. C. Wait 1 day to collect the specimen if the client cannot provide sputum. D. Ask the client to provide 15 to 20 mL of sputum into the container - - correct ans- - B. Obtain the specimen immediately upon the client waking up. A home health nurse is teaching a new parent about caring for his 1-week-old infant. Which of the following statements by the client indicates an understanding of the teaching? A. "I will place a ticking clock nearby to soothe my baby throughout the day." B. "I can use a firm pillow to prop up the bottle when feeding my baby." C. "I will avoid picking up my baby too often to keep from spoiling him." D. "I will hang a pastel-colored mobile 24 inches above my baby's crib." - - correct ans- - A. "I will place a ticking clock nearby to soothe my baby throughout the day." A nurse is planning care for a client who has COPD and weight loss. Which of the following interventions should the nurse include in the plan? A. Schedule a large meal in the evening. B. Provide high-protein nutritional supplements. C. Offer hot fluids along with meals. D. Encourage the client to eat toast for breakfast - - correct ans- - B. Provide high-protein nutritional supplements.

A nurse is providing teaching to an older client who has a seizure disorder and a new prescription for phenytoin. Which of the following instructions should the nurse include? A. "Limit foods that contain vitamin D while taking this medication." B. "Plan to take this medication with food." C. "Limit foods that contain folic acid while taking this medication." D. "Plan to take this medication with antacids." - - correct ans- - B. "Plan to take this medication with food." A nurse is reviewing the facility's safety protocols concerning newborn abduction with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching?" A. "I will not publish a public announcement about my baby's birth." B. "Staff will apply identification bands to my baby after her first bath." C. "I can leave my baby in my room while I walk in the hallway." D. "I can remove my baby's identification band as long as she is in my room." - - correct ans-

• A. "I will not publish a public announcement about my baby's birth." A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The nurse should tell the client that she will undergo which the following screening tests at 16 weeks of gestation? A. Cervical cultures for chlamydia B. Chorionic villus sampling C. Maternal serum alpha-fetoprotein D. Nonstress test - - correct ans- - C. Maternal serum alpha-fetoprotein