NCLEX-RN actual test with questions and well
detailed answers. Already graded A. Latest
update 2024
NCLEX-RN
QUESTION 1
A 25-year-old client
... [Show More] believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to
determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule
is:
A. March 27
B. February 1
C. February 27
D. January 3
Correct Answer:
CSection: (none)
Explanation
Explanation/Reference:
Explanation:
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated date of
confinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 is
a miscalculation. QUESTION 2
The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client about symptoms
of physical changes that she will experience during her first trimester, such as:
A. Nausea and vomiting
B. Quickening
C. A 68 lb weight gain
D. Abdominal enlargement
Correct Answer:
ASection: (none)
Explanation
Explanation/Reference:
Explanation:
(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of elevated human
chorionic gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mother's perception of fetal movement and generally does
not occur until 1820
weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. (C) During the first trimester there
should be only a modest weight gain of 24 lb. It is not uncommon for women to lose weight during the first trimester owing to nausea and/or
vomiting. (D) Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis. QUESTION 3
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse should be alert to
which condition related to her age?
A. Iron-deficiency anemia
B. Sexually transmitted disease (STD)
C. Intrauterine growth retardation
D. Pregnancy-induced hypertension (PIH)
Correct Answer:
DSection: (none)
Explanation
Explanation/Reference:
Explanation:
(A) Iron-deficiency anemia can occur throughout pregnancy and is not age related. (B) STDs can occur prior to or during pregnancy and are not age
related. (C) Intrauterine growth retardation is an abnormal process where fetal development and maturation are delayed. It is not age related. (D)
Physical risks for the pregnant client older than 35 include increased risk for PIH, cesarean delivery, fetal and neonatal mortality, and trisomy [Show Less]