1
NMC ACTUAL EXAM LICENSURE SPECIFIC
TO REAL EXAM QUESTIONS AND
ANSWERS
1. When assessing the adequacy of sperm for conception to occur,
which of the following is the most useful criterion?
A. Sperm count
B. Sperm motility
C. Sperm maturity
D. Semen volume
2. A couple who wants to conceive but has been unsuccessful during the
last 2 years has undergone many diagnostic procedures. When discussing
the situation with the nurse, one partner states, “We know several friends
in our age group and all of them have their own child already, Why can’t
we have one?”. Which of the following would be the most pertinent
nursing diagnosis for this couple?
A. Fear related to the unknown
B. Pain related to numerous procedures.
C. Ineffective family coping related to infertility.
D. Self-esteem disturbance related to infertility.
3. Which of the following urinary symptoms does the pregnant woman
most frequently experience during the first trimester?
A. Dysuria
B. Frequency
C. Incontinence
D. Burning
,2
4. Heartburn and flatulence, common in the second trimester, are most
likely the result of which of the following?
A. Increased plasma HCG levels
B. Decreased intestinal motility
C. Decreased gastric acidity
D. Elevated estrogen levels
5. On which of the following areas would the nurse expect to observe
chloasma?
A. Breast, areola, and nipples
B. Chest, neck, arms, and legs
C. Abdomen, breast, and thighs
D. Cheeks, forehead, and nose
6. A pregnant client states that she “waddles” when she walks. The
nurse’s explanation is based on which of the following as the cause?
A. The large size of the newborn
B. Pressure on the pelvic muscles
C. Relaxation of the pelvic joints
D. Excessive weight gain
7. Which of the following represents the average amount of weight
gained during pregnancy?
A. 12 to 22 lb
B 15 to 25 lb
C. 24 to 30 lb
D. 25 to 40 lb
8. When talking with a pregnant client who is experiencing aching swollen,
leg veins, the nurse would explain that this is most probably the result of
,3
which of the following?
, 4
A. Thrombophlebitis
B. Pregnancy-induced hypertension
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
9. Cervical softening and uterine souffle are classified as which of the
following?
A. Diagnostic signs
B. Presumptive signs
C. Probable signs
D. Positive signs
10. Which of the following would the nurse identify as a presumptive
sign of pregnancy?
A. Hegar sign
B. Nausea and vomiting
C. Skin pigmentation changes
D. Positive serum pregnancy test
11. Which of the following common emotional reactions to pregnancy
would the nurse expect to occur during the first trimester?
A. Introversion, egocentrism, narcissism
B. Awkwardness, clumsiness, and unattractiveness
C. Anxiety, passivity, extroversion
D. Ambivalence, fear, fantasies
12. During which of the following would the focus of classes be mainly on
physiologic changes, fetal development, sexuality, during pregnancy, and
nutrition?
A. Prepregnant period
NMC ACTUAL EXAM LICENSURE SPECIFIC
TO REAL EXAM QUESTIONS AND
ANSWERS
1. When assessing the adequacy of sperm for conception to occur,
which of the following is the most useful criterion?
A. Sperm count
B. Sperm motility
C. Sperm maturity
D. Semen volume
2. A couple who wants to conceive but has been unsuccessful during the
last 2 years has undergone many diagnostic procedures. When discussing
the situation with the nurse, one partner states, “We know several friends
in our age group and all of them have their own child already, Why can’t
we have one?”. Which of the following would be the most pertinent
nursing diagnosis for this couple?
A. Fear related to the unknown
B. Pain related to numerous procedures.
C. Ineffective family coping related to infertility.
D. Self-esteem disturbance related to infertility.
3. Which of the following urinary symptoms does the pregnant woman
most frequently experience during the first trimester?
A. Dysuria
B. Frequency
C. Incontinence
D. Burning
,2
4. Heartburn and flatulence, common in the second trimester, are most
likely the result of which of the following?
A. Increased plasma HCG levels
B. Decreased intestinal motility
C. Decreased gastric acidity
D. Elevated estrogen levels
5. On which of the following areas would the nurse expect to observe
chloasma?
A. Breast, areola, and nipples
B. Chest, neck, arms, and legs
C. Abdomen, breast, and thighs
D. Cheeks, forehead, and nose
6. A pregnant client states that she “waddles” when she walks. The
nurse’s explanation is based on which of the following as the cause?
A. The large size of the newborn
B. Pressure on the pelvic muscles
C. Relaxation of the pelvic joints
D. Excessive weight gain
7. Which of the following represents the average amount of weight
gained during pregnancy?
A. 12 to 22 lb
B 15 to 25 lb
C. 24 to 30 lb
D. 25 to 40 lb
8. When talking with a pregnant client who is experiencing aching swollen,
leg veins, the nurse would explain that this is most probably the result of
,3
which of the following?
, 4
A. Thrombophlebitis
B. Pregnancy-induced hypertension
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
9. Cervical softening and uterine souffle are classified as which of the
following?
A. Diagnostic signs
B. Presumptive signs
C. Probable signs
D. Positive signs
10. Which of the following would the nurse identify as a presumptive
sign of pregnancy?
A. Hegar sign
B. Nausea and vomiting
C. Skin pigmentation changes
D. Positive serum pregnancy test
11. Which of the following common emotional reactions to pregnancy
would the nurse expect to occur during the first trimester?
A. Introversion, egocentrism, narcissism
B. Awkwardness, clumsiness, and unattractiveness
C. Anxiety, passivity, extroversion
D. Ambivalence, fear, fantasies
12. During which of the following would the focus of classes be mainly on
physiologic changes, fetal development, sexuality, during pregnancy, and
nutrition?
A. Prepregnant period
