NR 327 ACTUAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉During a routine visit to the prenatal clinic, a client listens to the
fetal heartbeat for the first time. The client, commenting on how
rapid it is, appears frightened and asks whether this is normal. How
should the nurse respond?
a. "The heart rate is usually rapid and is in the expected range."
b. "The heart rate is usually rapid and twice the mother's pulse rate."
c. "The heart rate is rapid, but I'd be more concerned if it were slow."
d. "The heart rate is rapid, but it accommodates the fetus's
nutritional needs.". Answer: a. "The heart rate is usually rapid and is
in the expected range."
◉A couple who recently emigrated from Israel tells a nurse in the
prenatal clinic that they are concerned about a genetic disease that
is prevalent among Jewish people. Which genetic test should the
nurse recommend to determine the possibility of their child
inheriting the disease?
a. Cystic fibrosis
b. Phenylketonuria
c. Turner syndrome
,d. Tay-Sachs disease. Answer: d. Tay-Sachs disease
◉A client is scheduled for a nonstress test in the 37th week of
gestation. A nurse explains the procedure. Which statement
demonstrates that the client understands the teaching?
a. "An IV will be needed to inject the medication."
b. "My baby may get very restless after the procedure."
c. "I hope this test does not cause my labor to begin early."
d. "If the heart reacts well, my baby should do okay when I give
birth.". Answer: d. "If the heart reacts well, my baby should do okay
when I give birth."
◉A client in the 18th week of pregnancy is scheduled for
ultrasonography. What instruction should the nurse give the client?
a. "Don't eat for 4 hours after the test."
b. "Give yourself an enema the night before."
c. "Don't urinate for at least 3 hour before the test."
d. "You will be monitored closely afterward for signs of labor.".
Answer: c. "Don't urinate for at least 3 hour before the test."
◉A patient is scheduled for a sonogram at 36 weeks' gestation.
Shortly before the test she tells the nurse that she has severe
abdominal pain. Assessment reveals heavy vaginal bleeding, a drop
, in blood pressure, and an increased pulse rate. What complication
does the nurse suspect?
a. Hydatidiform mole
b. Vena caval syndrome
c. Marginal placenta previa
d. Complete abruptio placentae. Answer: d. Complete abruptio
placentae
◉A patient at 37 weeks' gestation arrives at the emergency
department stating that she has abdominal pain but no vaginal
bleeding. The health care provider diagnosis abruptio placentae. The
patient asks the nurse why it is so painful. What should the nurse
consider is the initial cause of the abdominal pain before responding
in language the patient will understand?
a. Hemorrhagic shock
b. Concealed hemorrhage
c. Blood in the myometrium
d. Disseminated intravascular coagulation. Answer: b. Concealed
hemorrhage
◉A nurse suspects that there is cephalopelvic disproportion in a
client who is having a difficult labor. For which test should the nurse
prepare the client?
a. Ultrasound
WITH SOLUTIONS GRADED A+
◉During a routine visit to the prenatal clinic, a client listens to the
fetal heartbeat for the first time. The client, commenting on how
rapid it is, appears frightened and asks whether this is normal. How
should the nurse respond?
a. "The heart rate is usually rapid and is in the expected range."
b. "The heart rate is usually rapid and twice the mother's pulse rate."
c. "The heart rate is rapid, but I'd be more concerned if it were slow."
d. "The heart rate is rapid, but it accommodates the fetus's
nutritional needs.". Answer: a. "The heart rate is usually rapid and is
in the expected range."
◉A couple who recently emigrated from Israel tells a nurse in the
prenatal clinic that they are concerned about a genetic disease that
is prevalent among Jewish people. Which genetic test should the
nurse recommend to determine the possibility of their child
inheriting the disease?
a. Cystic fibrosis
b. Phenylketonuria
c. Turner syndrome
,d. Tay-Sachs disease. Answer: d. Tay-Sachs disease
◉A client is scheduled for a nonstress test in the 37th week of
gestation. A nurse explains the procedure. Which statement
demonstrates that the client understands the teaching?
a. "An IV will be needed to inject the medication."
b. "My baby may get very restless after the procedure."
c. "I hope this test does not cause my labor to begin early."
d. "If the heart reacts well, my baby should do okay when I give
birth.". Answer: d. "If the heart reacts well, my baby should do okay
when I give birth."
◉A client in the 18th week of pregnancy is scheduled for
ultrasonography. What instruction should the nurse give the client?
a. "Don't eat for 4 hours after the test."
b. "Give yourself an enema the night before."
c. "Don't urinate for at least 3 hour before the test."
d. "You will be monitored closely afterward for signs of labor.".
Answer: c. "Don't urinate for at least 3 hour before the test."
◉A patient is scheduled for a sonogram at 36 weeks' gestation.
Shortly before the test she tells the nurse that she has severe
abdominal pain. Assessment reveals heavy vaginal bleeding, a drop
, in blood pressure, and an increased pulse rate. What complication
does the nurse suspect?
a. Hydatidiform mole
b. Vena caval syndrome
c. Marginal placenta previa
d. Complete abruptio placentae. Answer: d. Complete abruptio
placentae
◉A patient at 37 weeks' gestation arrives at the emergency
department stating that she has abdominal pain but no vaginal
bleeding. The health care provider diagnosis abruptio placentae. The
patient asks the nurse why it is so painful. What should the nurse
consider is the initial cause of the abdominal pain before responding
in language the patient will understand?
a. Hemorrhagic shock
b. Concealed hemorrhage
c. Blood in the myometrium
d. Disseminated intravascular coagulation. Answer: b. Concealed
hemorrhage
◉A nurse suspects that there is cephalopelvic disproportion in a
client who is having a difficult labor. For which test should the nurse
prepare the client?
a. Ultrasound
