VIRTUAL ATI PREDICTOR GREEN LIGHT EXAM PREP:
COMPLETE NCLEX-STYLE PRACTICE QUESTIONS WITH
DETAILED RATIONALES – MATERNAL NEWBORN, MED-SURG,
MENTAL HEALTH, PHARMACOLOGY, PEDIATRICS &
GERONTOLOGY
SECTION 1: MATERNAL NEWBORN NURSING
1. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
• A. Vomiting
• B. Hypertension
• C. Epigastric pain
• D. Contractions
• Rationale: Amniocentesis can trigger uterine irritability, preterm labor, or
rupture of membranes. Contractions indicate possible preterm labor.
2. 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 of the
following screening tests at 16 weeks of gestation?
• A. Chorionic villus sampling
• B. Cervical cultures for chlamydia
• C. Nonstress test
• D. Maternal serum alpha-fetoprotein
, • Rationale: MSAFP is performed at 16–18 weeks to screen for neural tube
defects and chromosomal abnormalities.
3. A nurse is caring for a client who is at 11 weeks of gestation. Which of the
following immunizations should the nurse give?
• A. Influenza
• B. Measles, mumps and rubella
• C. Human papilloma virus
• D. Varicella
• Rationale: Inactivated flu vaccine is safe in any trimester. MMR, HPV, and
varicella are live vaccines and contraindicated during pregnancy.
4. A nurse is providing teaching to a client who is at 14 weeks of gestation about
findings to report to the provider. Which of the following findings should the
nurse include in the teaching?
• A. Bleeding gums
• B. Faintness upon rising
• C. Swelling of the face
• D. Urinary frequency
• Rationale: Facial swelling can indicate preeclampsia or gestational
hypertension and should be reported immediately.
5. A nurse is teaching a prenatal class about infection prevention at a
community center. Which of the following statements by a client indicates an
understanding of the teaching?
• A. "I can visit my nephew who has chickenpox 5 days after the sores have
crusted"
• B. "I can clean my cat's litter box during my pregnancy"
• C. "I should take antibiotics when I have a virus"
, • D. "I should wash my hands for 10 seconds with hot water after working in
the garden"
• Rationale: Chickenpox is contagious until lesions are crusted. Pregnant
women should avoid exposure to toxoplasmosis (cat litter), unnecessary
antibiotics, and practice proper hand hygiene.
6. A nurse is teaching about exercise to a client who is at 28 weeks of gestation.
Which of the following statements by the client indicates an understanding of
the teaching?
• A. "I can continue to do exercises that require the supine position"
• B. "I should check my pulse rate once every hour while exercising"
• C. "I should increase my exercise level to prepare for labor"
• D. "I should drink 16 to 24 ounces of water after I exercise"
• Rationale: Hydration prevents overheating and dehydration. Supine position
can cause supine hypotensive syndrome.
7. A nurse is caring for a client who is in active labor and notes the FHR baseline
has been 100/min for the past 15 min. The nurse should identify which of the
following conditions as a possible cause for fetal bradycardia?
• A. Maternal fever
• B. Fetal anemia
• C. Maternal hypotension
• D. Chorioamnionitis
• Rationale: Maternal hypotension (e.g., from epidural or supine position)
reduces placental perfusion, causing fetal bradycardia.
8. A nurse is providing teaching to a client who is receiving misoprostol for
induction of labor. Which of the following information should the nurse include
in the teaching?
, • A. "You will have intermittent fetal monitoring while you receive the
medication"
• B. "You will lie on your side for 30 minutes after the medication is inserted"
• C. "You will have a urinary catheter inserted prior to the placement of the
medication"
• D. "You will have oxytocin initiated within 3 hours of administration of the
medication"
• Rationale: Oxytocin is typically started 3–4 hours after the last misoprostol
dose to avoid uterine hyperstimulation.
9. A nurse in a maternal newborn unit is admitting a client who is in labor and at
38 weeks of gestation. The client has a history of herpes simplex virus 2. Which
of the following questions is the most important for the nurse to ask the client?
• A. "Do you have an active lesion?"
• B. "Are you currently taking acyclovir?"
• C. "When did your labor begin?"
• D. "How long ago were you first diagnosed?"
• Rationale: Active genital herpes lesions are an indication for cesarean
section to prevent neonatal transmission.
10. A nurse is caring for a client who is at 41 weeks of gestation about a
nonstress test. Which of the following information should the nurse include in
the teaching?
• A. "You will need blood work before and after the test"
• B. "You should avoid eating or drinking for 4 hours before the test"
• C. "You will have a Doppler transducer applied to your abdomen during
the test"
COMPLETE NCLEX-STYLE PRACTICE QUESTIONS WITH
DETAILED RATIONALES – MATERNAL NEWBORN, MED-SURG,
MENTAL HEALTH, PHARMACOLOGY, PEDIATRICS &
GERONTOLOGY
SECTION 1: MATERNAL NEWBORN NURSING
1. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
• A. Vomiting
• B. Hypertension
• C. Epigastric pain
• D. Contractions
• Rationale: Amniocentesis can trigger uterine irritability, preterm labor, or
rupture of membranes. Contractions indicate possible preterm labor.
2. 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 of the
following screening tests at 16 weeks of gestation?
• A. Chorionic villus sampling
• B. Cervical cultures for chlamydia
• C. Nonstress test
• D. Maternal serum alpha-fetoprotein
, • Rationale: MSAFP is performed at 16–18 weeks to screen for neural tube
defects and chromosomal abnormalities.
3. A nurse is caring for a client who is at 11 weeks of gestation. Which of the
following immunizations should the nurse give?
• A. Influenza
• B. Measles, mumps and rubella
• C. Human papilloma virus
• D. Varicella
• Rationale: Inactivated flu vaccine is safe in any trimester. MMR, HPV, and
varicella are live vaccines and contraindicated during pregnancy.
4. A nurse is providing teaching to a client who is at 14 weeks of gestation about
findings to report to the provider. Which of the following findings should the
nurse include in the teaching?
• A. Bleeding gums
• B. Faintness upon rising
• C. Swelling of the face
• D. Urinary frequency
• Rationale: Facial swelling can indicate preeclampsia or gestational
hypertension and should be reported immediately.
5. A nurse is teaching a prenatal class about infection prevention at a
community center. Which of the following statements by a client indicates an
understanding of the teaching?
• A. "I can visit my nephew who has chickenpox 5 days after the sores have
crusted"
• B. "I can clean my cat's litter box during my pregnancy"
• C. "I should take antibiotics when I have a virus"
, • D. "I should wash my hands for 10 seconds with hot water after working in
the garden"
• Rationale: Chickenpox is contagious until lesions are crusted. Pregnant
women should avoid exposure to toxoplasmosis (cat litter), unnecessary
antibiotics, and practice proper hand hygiene.
6. A nurse is teaching about exercise to a client who is at 28 weeks of gestation.
Which of the following statements by the client indicates an understanding of
the teaching?
• A. "I can continue to do exercises that require the supine position"
• B. "I should check my pulse rate once every hour while exercising"
• C. "I should increase my exercise level to prepare for labor"
• D. "I should drink 16 to 24 ounces of water after I exercise"
• Rationale: Hydration prevents overheating and dehydration. Supine position
can cause supine hypotensive syndrome.
7. A nurse is caring for a client who is in active labor and notes the FHR baseline
has been 100/min for the past 15 min. The nurse should identify which of the
following conditions as a possible cause for fetal bradycardia?
• A. Maternal fever
• B. Fetal anemia
• C. Maternal hypotension
• D. Chorioamnionitis
• Rationale: Maternal hypotension (e.g., from epidural or supine position)
reduces placental perfusion, causing fetal bradycardia.
8. A nurse is providing teaching to a client who is receiving misoprostol for
induction of labor. Which of the following information should the nurse include
in the teaching?
, • A. "You will have intermittent fetal monitoring while you receive the
medication"
• B. "You will lie on your side for 30 minutes after the medication is inserted"
• C. "You will have a urinary catheter inserted prior to the placement of the
medication"
• D. "You will have oxytocin initiated within 3 hours of administration of the
medication"
• Rationale: Oxytocin is typically started 3–4 hours after the last misoprostol
dose to avoid uterine hyperstimulation.
9. A nurse in a maternal newborn unit is admitting a client who is in labor and at
38 weeks of gestation. The client has a history of herpes simplex virus 2. Which
of the following questions is the most important for the nurse to ask the client?
• A. "Do you have an active lesion?"
• B. "Are you currently taking acyclovir?"
• C. "When did your labor begin?"
• D. "How long ago were you first diagnosed?"
• Rationale: Active genital herpes lesions are an indication for cesarean
section to prevent neonatal transmission.
10. A nurse is caring for a client who is at 41 weeks of gestation about a
nonstress test. Which of the following information should the nurse include in
the teaching?
• A. "You will need blood work before and after the test"
• B. "You should avoid eating or drinking for 4 hours before the test"
• C. "You will have a Doppler transducer applied to your abdomen during
the test"
