NUR 114
EXAM 1
NCLEX Style Questions w/
Rationales & Test Taking Strategies
Jefferson State Community College
This Document Description:
❖ This document contains NCLEX-style Exam
questions tailored to the NUR 114 course at
Jefferson State Community College.
❖ It covers core topics assessed in the course
and reflects the actual exam format and question style.
❖ Each question is followed by a correct answer, rationale, and
test-taking strategy to support exam preparation.
,The nurse is preparing to teach a prenatal class about fetal circulation.
Which statements would be included in the teaching plan?
Select all that apply.
1. "The ductus arteriosus allows blood to bypass the fetal lungs."
2. "One vein carries oxygenated blood from the placenta to the fetus."
3. "The normal fetal heartbeat range is 160 to 180 beats per minute in
pregnancy."
4. "Two arteries carry deoxygenated blood and waste products away
from the fetus to the placenta."
5. "Two veins carry blood that is high in carbon dioxide and other waste
products away from the fetus to the placenta."
Correct Answer: 1, 2, 4
Rationale: The ductus arteriosus is a unique fetal circulation structure that
allows blood to bypass the nonfunctioning fetal lungs. Oxygenated blood is
transported to the fetus by one umbilical vein. The normal fetal heartbeat
range is considered to be 110 to 160 beats per minute. Two arteries carry
deoxygenated blood and waste products from the fetus, and one umbilical vein
carries oxygenated blood and provides oxygen and nutrients to the fetus.
Blood pumped by the embryo’s heart leaves the embryo through two umbilical
arteries.
Test-Taking Strategy: Focus on the subject, fetal circulation. Recall that three
umbilical vessels are within the umbilical cord (two arteries and one vein) and
that the vein carries oxygenated blood and the arteries carry deoxygenated
blood. Also recalling the normal fetal heartbeat will assist in answering
correctly.
The nursing instructor teaches a group of students about fetal
circulation and then asks a student to describe fetal circulation,
specifically the ductus venosus. Which statement by the student
indicates an understanding of the ductus venosus?
,1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior
vena cava."
4. "It connects the umbilical artery to the inferior
vena cava."
Correct Answer: 3
Rationale: The ductus venosus connects the umbilical vein to the inferior
vena cava. The foramen ovale is a temporary opening between the right and
left atria. The ductus arteriosus joins the aorta and the pulmonary artery.
Test-Taking Strategy: Focus on the subject, an understanding of the
description of the ductus venosus. Use knowledge of fetal circulation to assist
in answering. Also note the relationship of the word venosus in the question
and vein in the correct option.
A pregnant client tells the clinic nurse that they want to know the sex of
the baby as soon as it can be determined. The nurse plans to inform the
client that they will be able to find out the sex at 16 weeks' gestation
because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac.
4. The internal differences in different genders become apparent.
Correct Answer: 1
Rationale: Between weeks 16 and 20, the external genitalia of the fetus have
developed to such a degree that the sex of the fetus can be determined visually.
Differentiation of the external genitalia occurs at the end of the ninth week.
Testes begin to descend into the scrotal sac at the end of the 38th week
Internal differences in the genders occur at the end of the seventh week.
Test-Taking Strategy: Focus on the subject, when the sex of the fetus can be
determined. Use knowledge about fetal growth and development. Remember
, that the sex of the fetus can be recognizable visually on ultrasound by the
appearance of the external genitalia between gestational weeks 16 and 20.
The nurse is performing an assessment on a client who is at 38 weeks'
gestation and notes that the fetal heart rate (FHR) is 174 beats per
minute. On the basis of this finding, what is the priority nursing action?
1. Document the finding.
2. Notify the obstetrician (OB).
3. Check the mother's heart rate.
4. Tell the client that the fetal heart rate is normal.
Correct Answer: 2
Rationale: The FHR depends on gestational age and ranges from 160 to 170
beats per minute in the first trimester but slows with fetal growth to 110 to
160 beats per minute. If the FHR is less than 110 beats per minute or more
than 160 beats per minute with the uterus at rest, the fetus may be in distress.
Because the FHR is increased from the reference range, the nurse would notify
the OB. Options 3 and 4 are inappropriate actions based on the information in
the question. Although the nurse documents the findings, based on the
information in the question, the OB needs to be notified.
Test-Taking Strategy: Focus on the data in the question and note the strategic
word, priority. Then, note if an abnormality exists. Also note the FHR and that
the client is at 38 weeks of gestation. Remember that the normal FHR is 110 to
160 beats per minute.
The nurse is conducting a prenatal class on the reproductive system.
When a client in the class asks why the fertilized ovum stays in the
fallopian tube for 3 days, what is the nurse's best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and
progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top
portion of the uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone
and follicle-stimulating hormone."
EXAM 1
NCLEX Style Questions w/
Rationales & Test Taking Strategies
Jefferson State Community College
This Document Description:
❖ This document contains NCLEX-style Exam
questions tailored to the NUR 114 course at
Jefferson State Community College.
❖ It covers core topics assessed in the course
and reflects the actual exam format and question style.
❖ Each question is followed by a correct answer, rationale, and
test-taking strategy to support exam preparation.
,The nurse is preparing to teach a prenatal class about fetal circulation.
Which statements would be included in the teaching plan?
Select all that apply.
1. "The ductus arteriosus allows blood to bypass the fetal lungs."
2. "One vein carries oxygenated blood from the placenta to the fetus."
3. "The normal fetal heartbeat range is 160 to 180 beats per minute in
pregnancy."
4. "Two arteries carry deoxygenated blood and waste products away
from the fetus to the placenta."
5. "Two veins carry blood that is high in carbon dioxide and other waste
products away from the fetus to the placenta."
Correct Answer: 1, 2, 4
Rationale: The ductus arteriosus is a unique fetal circulation structure that
allows blood to bypass the nonfunctioning fetal lungs. Oxygenated blood is
transported to the fetus by one umbilical vein. The normal fetal heartbeat
range is considered to be 110 to 160 beats per minute. Two arteries carry
deoxygenated blood and waste products from the fetus, and one umbilical vein
carries oxygenated blood and provides oxygen and nutrients to the fetus.
Blood pumped by the embryo’s heart leaves the embryo through two umbilical
arteries.
Test-Taking Strategy: Focus on the subject, fetal circulation. Recall that three
umbilical vessels are within the umbilical cord (two arteries and one vein) and
that the vein carries oxygenated blood and the arteries carry deoxygenated
blood. Also recalling the normal fetal heartbeat will assist in answering
correctly.
The nursing instructor teaches a group of students about fetal
circulation and then asks a student to describe fetal circulation,
specifically the ductus venosus. Which statement by the student
indicates an understanding of the ductus venosus?
,1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior
vena cava."
4. "It connects the umbilical artery to the inferior
vena cava."
Correct Answer: 3
Rationale: The ductus venosus connects the umbilical vein to the inferior
vena cava. The foramen ovale is a temporary opening between the right and
left atria. The ductus arteriosus joins the aorta and the pulmonary artery.
Test-Taking Strategy: Focus on the subject, an understanding of the
description of the ductus venosus. Use knowledge of fetal circulation to assist
in answering. Also note the relationship of the word venosus in the question
and vein in the correct option.
A pregnant client tells the clinic nurse that they want to know the sex of
the baby as soon as it can be determined. The nurse plans to inform the
client that they will be able to find out the sex at 16 weeks' gestation
because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac.
4. The internal differences in different genders become apparent.
Correct Answer: 1
Rationale: Between weeks 16 and 20, the external genitalia of the fetus have
developed to such a degree that the sex of the fetus can be determined visually.
Differentiation of the external genitalia occurs at the end of the ninth week.
Testes begin to descend into the scrotal sac at the end of the 38th week
Internal differences in the genders occur at the end of the seventh week.
Test-Taking Strategy: Focus on the subject, when the sex of the fetus can be
determined. Use knowledge about fetal growth and development. Remember
, that the sex of the fetus can be recognizable visually on ultrasound by the
appearance of the external genitalia between gestational weeks 16 and 20.
The nurse is performing an assessment on a client who is at 38 weeks'
gestation and notes that the fetal heart rate (FHR) is 174 beats per
minute. On the basis of this finding, what is the priority nursing action?
1. Document the finding.
2. Notify the obstetrician (OB).
3. Check the mother's heart rate.
4. Tell the client that the fetal heart rate is normal.
Correct Answer: 2
Rationale: The FHR depends on gestational age and ranges from 160 to 170
beats per minute in the first trimester but slows with fetal growth to 110 to
160 beats per minute. If the FHR is less than 110 beats per minute or more
than 160 beats per minute with the uterus at rest, the fetus may be in distress.
Because the FHR is increased from the reference range, the nurse would notify
the OB. Options 3 and 4 are inappropriate actions based on the information in
the question. Although the nurse documents the findings, based on the
information in the question, the OB needs to be notified.
Test-Taking Strategy: Focus on the data in the question and note the strategic
word, priority. Then, note if an abnormality exists. Also note the FHR and that
the client is at 38 weeks of gestation. Remember that the normal FHR is 110 to
160 beats per minute.
The nurse is conducting a prenatal class on the reproductive system.
When a client in the class asks why the fertilized ovum stays in the
fallopian tube for 3 days, what is the nurse's best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and
progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top
portion of the uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone
and follicle-stimulating hormone."
