RN ATI COMMUNITY HEALTH
PROCTORED EXAM 2023/2026 WITH
NGN – 200 PRACTICE QUESTIONS &
ANSWERS
SECTION 1: ANTEPARTUM CARE (Questions 1-30)
Question 1: A nurse is reviewing laboratory results for a client at 12
weeks gestation. Which finding requires immediate intervention?
A) White blood cell count 15,000/mm³
B) Hemoglobin 10.2 g/dL
C) Rubella titer < 1:8
D) Fasting glucose 85 mg/dL
Correct ,,,,answer,,,: C
Rationale: A rubella titer of <1:8 indicates non-immunity to rubella.
The MMR vaccine is a live vaccine and is contraindicated during
pregnancy due to potential teratogenic effects. The client should receive
the vaccine immediately postpartum. Elevated WBCs up to 16,000/mm³
and mild anemia (Hgb 10-13 g/dL) are expected physiological changes
in pregnancy due to hemodilution.
,Question 2: A nurse is teaching a client about physiological changes
during pregnancy. Which statement indicates understanding?
A) "My heart rate will slow down because the baby is using my blood."
B) "I may feel short of breath because the baby pushes up on my lungs."
C) "My blood pressure will drop significantly in the third trimester."
D) "I will have increased urine output in the third trimester."
Correct ,,,,answer,,,: B
Rationale: As the uterus expands upward, it pushes against the
diaphragm, causing dyspnea (shortness of breath), especially in the third
trimester. Heart rate actually increases by 10-15 beats per minute to
support increased blood volume. Blood pressure slightly decreases in the
second trimester but returns to baseline in the third. Urinary frequency
(not increased output) occurs due to pressure on the bladder from the
growing fetus.
Question 3: A nurse is calculating the estimated date of birth using
Naegele's rule for a client whose last menstrual period began on
September 10, 2025. What is the EDB?
A) June 3, 2026
B) June 10, 2026
C) June 17, 2026
D) June 24, 2026
Correct ,,,,answer,,,: C
Rationale: Naegele's rule formula: Subtract 3 months from the first day
of the LMP, then add 7 days. September (month 9) minus 3 months =
June (month 6). September 10 + 7 days = September 17. Therefore, the
estimated date of birth is June 17, 2026.
,Question 4: A nurse is assessing a client at 36 weeks gestation. Which
finding should the nurse report to the provider immediately?
A) Swelling of the feet and ankles in the evening
B) Persistent headache unrelieved by acetaminophen
C) Occasional Braxton-Hicks contractions
D) Heartburn after eating spicy foods
Correct ,,,,answer,,,: B
Rationale: A persistent headache unrelieved by acetaminophen,
especially in the third trimester, is a classic sign of preeclampsia until
proven otherwise. This finding requires immediate assessment of blood
pressure and urine protein. Mild foot and ankle edema, occasional
Braxton-Hicks contractions, and heartburn are common discomforts of
pregnancy.
Question 5: A nurse is assessing a client at 31 weeks gestation. Which
finding should the nurse identify as an indication of a potential prenatal
complication?
A) Mild ankle edema
B) Blurred vision
C) Backache
D) Frequent urination
Correct ,,,,answer,,,: B
Rationale: Blurred vision is a sign of preeclampsia and indicates
cerebral irritation/edema. This finding requires immediate assessment
and reporting. Mild ankle edema, backache, and frequent urination are
, common physiological changes of pregnancy that are not typically
concerning.
Question 6: A nurse is reviewing a laboratory report for a client at 33
weeks gestation with preeclampsia. Which laboratory result should the
nurse report to the provider?
A) Platelets 250,000/mm³
B) BUN 35 mg/dL
C) Hematocrit 36%
D) Glucose 90 mg/dL
Correct ,,,,answer,,,: B
Rationale: A BUN of 35 mg/dL is elevated (normal in pregnancy is
decreased, typically 8-12 mg/dL). This indicates renal impairment, a
complication of severe preeclampsia. Preeclampsia causes reduced renal
perfusion. Platelets at 250,000 are normal, hematocrit 36% is within
expected range for pregnancy, and glucose 90 mg/dL is normal.
Question 7: A nurse is providing education to a client at 10 weeks of
gestation. Which supplement should the nurse emphasize to help prevent
neural tube defects?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
Correct ,,,,answer,,,: C
PROCTORED EXAM 2023/2026 WITH
NGN – 200 PRACTICE QUESTIONS &
ANSWERS
SECTION 1: ANTEPARTUM CARE (Questions 1-30)
Question 1: A nurse is reviewing laboratory results for a client at 12
weeks gestation. Which finding requires immediate intervention?
A) White blood cell count 15,000/mm³
B) Hemoglobin 10.2 g/dL
C) Rubella titer < 1:8
D) Fasting glucose 85 mg/dL
Correct ,,,,answer,,,: C
Rationale: A rubella titer of <1:8 indicates non-immunity to rubella.
The MMR vaccine is a live vaccine and is contraindicated during
pregnancy due to potential teratogenic effects. The client should receive
the vaccine immediately postpartum. Elevated WBCs up to 16,000/mm³
and mild anemia (Hgb 10-13 g/dL) are expected physiological changes
in pregnancy due to hemodilution.
,Question 2: A nurse is teaching a client about physiological changes
during pregnancy. Which statement indicates understanding?
A) "My heart rate will slow down because the baby is using my blood."
B) "I may feel short of breath because the baby pushes up on my lungs."
C) "My blood pressure will drop significantly in the third trimester."
D) "I will have increased urine output in the third trimester."
Correct ,,,,answer,,,: B
Rationale: As the uterus expands upward, it pushes against the
diaphragm, causing dyspnea (shortness of breath), especially in the third
trimester. Heart rate actually increases by 10-15 beats per minute to
support increased blood volume. Blood pressure slightly decreases in the
second trimester but returns to baseline in the third. Urinary frequency
(not increased output) occurs due to pressure on the bladder from the
growing fetus.
Question 3: A nurse is calculating the estimated date of birth using
Naegele's rule for a client whose last menstrual period began on
September 10, 2025. What is the EDB?
A) June 3, 2026
B) June 10, 2026
C) June 17, 2026
D) June 24, 2026
Correct ,,,,answer,,,: C
Rationale: Naegele's rule formula: Subtract 3 months from the first day
of the LMP, then add 7 days. September (month 9) minus 3 months =
June (month 6). September 10 + 7 days = September 17. Therefore, the
estimated date of birth is June 17, 2026.
,Question 4: A nurse is assessing a client at 36 weeks gestation. Which
finding should the nurse report to the provider immediately?
A) Swelling of the feet and ankles in the evening
B) Persistent headache unrelieved by acetaminophen
C) Occasional Braxton-Hicks contractions
D) Heartburn after eating spicy foods
Correct ,,,,answer,,,: B
Rationale: A persistent headache unrelieved by acetaminophen,
especially in the third trimester, is a classic sign of preeclampsia until
proven otherwise. This finding requires immediate assessment of blood
pressure and urine protein. Mild foot and ankle edema, occasional
Braxton-Hicks contractions, and heartburn are common discomforts of
pregnancy.
Question 5: A nurse is assessing a client at 31 weeks gestation. Which
finding should the nurse identify as an indication of a potential prenatal
complication?
A) Mild ankle edema
B) Blurred vision
C) Backache
D) Frequent urination
Correct ,,,,answer,,,: B
Rationale: Blurred vision is a sign of preeclampsia and indicates
cerebral irritation/edema. This finding requires immediate assessment
and reporting. Mild ankle edema, backache, and frequent urination are
, common physiological changes of pregnancy that are not typically
concerning.
Question 6: A nurse is reviewing a laboratory report for a client at 33
weeks gestation with preeclampsia. Which laboratory result should the
nurse report to the provider?
A) Platelets 250,000/mm³
B) BUN 35 mg/dL
C) Hematocrit 36%
D) Glucose 90 mg/dL
Correct ,,,,answer,,,: B
Rationale: A BUN of 35 mg/dL is elevated (normal in pregnancy is
decreased, typically 8-12 mg/dL). This indicates renal impairment, a
complication of severe preeclampsia. Preeclampsia causes reduced renal
perfusion. Platelets at 250,000 are normal, hematocrit 36% is within
expected range for pregnancy, and glucose 90 mg/dL is normal.
Question 7: A nurse is providing education to a client at 10 weeks of
gestation. Which supplement should the nurse emphasize to help prevent
neural tube defects?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
Correct ,,,,answer,,,: C
