Nclex-Rn Real Exam Questions With Answers For A+ Results
Nclex-Rn Real E x a m Questions With
Answers For A + Results
QUESTION 1
A 25-year-old client b e l i e v e s s h e m a y b e pregnant with her first child. S h e s c h e d u l e s a n obstetric
examin ati on with the nurse practitioner to determine the status of her possible p r eg n a n c y . Her last
menstrual period b e g a n May 2 0 , a n d her esti mated d ate of confinement u s i n g Nä gel e' s rule
is:
A. March 2 7
B. February 1
C. February 2 7
D. January 3
Correct
Answer: C
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A)March 2 7 is a miscalcula tion. ( B ) February 1 is a miscalculation. ( C ) February 2 7 is the correct answer. To
calcula te the estima ted date of confinement u s i n g Na gele' s rule, subtract 3 months from the date that the last
menstrual c y c l e b e g a n a n d then a d d 7 d a y s to the result. ( D ) January 3 is a miscalculation.
QUESTION 2
T h e nurse practitioner dete rmine s that a client is approximately 9 week s' gestation. Du ri ng the visit, the
practitioner informs the client about sy mp t o m s of p h y si c a l c h a n g e s that s h e will e x p e ri e n c e during her first
trimester, s u c h a s :
, Nclex-Rn Real Exam Questions With Answers For A+ Results
A. Na u se a a n d vomiting
B. Q uic ke n i ng
C. A 6 8 lb weight g a i n
D. Abdominal enla rg e m ent
Correct
Answer: A
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) Na u s e a a n d vomiting are e x p e ri e n c e d b y almost half of all pregnant women during the first 3 months of
p r e g n a n c y a s a result of ele va te d h u m a n chorionic gonadotropin l e v e l s a n d c h a n g e d carbohydrate
metabolism. ( B) Q uic ken i n g is the mother's perception of fetal m o v e m e n t a n d gen e rall y do es not occur until
1820
we e k s after the last menstrual period in primig rav ida s, but it m a y occur a s early a s 1 6 wee k s in
multigravidas. ( C ) During the first trimester there should b e only a modest weight g a i n of 2 4 lb. It is not
unc o mmo n for women to lose weight during the first trimester owing to n a u s e a and/or vomiting. ( D)
Physical c h a n g e s are not apparent until the s ec o nd trimester, when the uterus rises out of the pelvis.
QUESTION 3
A 38-year-old preg nant woman visits her nurse practitioner for her regular prenatal c h e c k u p . S h e is 3 0
weeks' gestation. T h e nurse should b e alert to which condition related to her a g e ?
A. Iron-deficiency a n e m i a
B. S e x u a l l y transmitted d i s e a s e ( S T D )
C. Intrauterine growth retardation
D. Pregnancy -indu ced hypertension (PIH)
Correct
, Nclex-Rn Real Exam Questions With Answers For A+ Results
Answer: D
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) Iron-deficiency a n e m i a c a n occur throughout p r e g n a n c y a n d is not a g e related. ( B ) S T D s c a n occur prior to
or during p r e g n a n c y a n d are not a g e related. ( C ) Intrauterine growth retardation is a n abno rmal process
where fetal develo pment a n d maturation are d e l a y e d . It is not a g e related. ( D ) Physical risks for the p regnant
client older than 3 5 include inc rea s e d risk for PIH, c e s a r e a n delivery, fetal a n d neonatal mortality, a n d
trisomy.
QUESTION 4
A client returns for her 6-month prenatal c h e c k u p a n d h a s g a i n e d 1 0 lb in 2 months. T h e results of her
p h y si c a l exa mina tion are normal. How d oes the nurse interpret the effectiveness of the instruction about
diet a n d weight control?
A. S h e is compliant with her diet a s previously taught.
B. S h e n e e d s further instruction a n d reinforcement.
C. S h e n e e d s to in crea se her caloric intake.
, Nclex-Rn Real Exam Questions With Answers For A+ Results
C . D e c re a s e IV
f l u id s.
D . She n e e d s to b e p l a c e d on a restrictive diet immed i a te l y .
Correct
Answer: B
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) S h e is probably not compliant with her diet a n d e xerci se program. R e c o m m e n d e d weight g a i n during
sec o nd a n d third trimesters is approximately 1 2 lb. ( B ) B e c a u s e of her e x c e s s i v e weight g a i n of 1 0 lb in 2
months, s h e n e e d s re-evaluation of her eati ng habits a n d reinforcement of proper dietary habits for
p r e g n a n c y . A 2200-calorie diet is re c o m me n d e d for most pregnant women with a weight g a i n of 2 7 3 0 lb over
the 9-month period. With rapid a n d e x c e s s i v e weightgain, PIH should also b e su s p e c t e d . ( C ) S h e does not
n e e d to i nc rea s e her caloric intake, but s h e does n e e d to re-evaluate dietary habits. T e n po unds in 2 months
is e x c e s s i v e weight g a i n during p r e g n a n c y , a n d health t e a c h i n g is warranted. ( D ) Restrictive dieting is not
re c o m me nd e d during p r e g n a n c y .
QUESTION 5
Di a b e t e s during p r e g n a n c y requires tight metabolic control of g l u c o se l e v e l s to prevent perinatal mortality.
When e va l u a t i n g the pregnant client, the nurse knows the re c o m me nd e d s e ru m gl uc o se ra n g e during
p r e g n a n c y is:
A. 70 mg/dL and 120 mg/dL
B. 100 mg/dL and 200 mg/dL
C. 40 mg/dL and 130 mg/dL
D. 90 mg/dL and 200 mg/dL
Correct
Answer: A
Section:
Nclex-Rn Real E x a m Questions With
Answers For A + Results
QUESTION 1
A 25-year-old client b e l i e v e s s h e m a y b e pregnant with her first child. S h e s c h e d u l e s a n obstetric
examin ati on with the nurse practitioner to determine the status of her possible p r eg n a n c y . Her last
menstrual period b e g a n May 2 0 , a n d her esti mated d ate of confinement u s i n g Nä gel e' s rule
is:
A. March 2 7
B. February 1
C. February 2 7
D. January 3
Correct
Answer: C
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A)March 2 7 is a miscalcula tion. ( B ) February 1 is a miscalculation. ( C ) February 2 7 is the correct answer. To
calcula te the estima ted date of confinement u s i n g Na gele' s rule, subtract 3 months from the date that the last
menstrual c y c l e b e g a n a n d then a d d 7 d a y s to the result. ( D ) January 3 is a miscalculation.
QUESTION 2
T h e nurse practitioner dete rmine s that a client is approximately 9 week s' gestation. Du ri ng the visit, the
practitioner informs the client about sy mp t o m s of p h y si c a l c h a n g e s that s h e will e x p e ri e n c e during her first
trimester, s u c h a s :
, Nclex-Rn Real Exam Questions With Answers For A+ Results
A. Na u se a a n d vomiting
B. Q uic ke n i ng
C. A 6 8 lb weight g a i n
D. Abdominal enla rg e m ent
Correct
Answer: A
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) Na u s e a a n d vomiting are e x p e ri e n c e d b y almost half of all pregnant women during the first 3 months of
p r e g n a n c y a s a result of ele va te d h u m a n chorionic gonadotropin l e v e l s a n d c h a n g e d carbohydrate
metabolism. ( B) Q uic ken i n g is the mother's perception of fetal m o v e m e n t a n d gen e rall y do es not occur until
1820
we e k s after the last menstrual period in primig rav ida s, but it m a y occur a s early a s 1 6 wee k s in
multigravidas. ( C ) During the first trimester there should b e only a modest weight g a i n of 2 4 lb. It is not
unc o mmo n for women to lose weight during the first trimester owing to n a u s e a and/or vomiting. ( D)
Physical c h a n g e s are not apparent until the s ec o nd trimester, when the uterus rises out of the pelvis.
QUESTION 3
A 38-year-old preg nant woman visits her nurse practitioner for her regular prenatal c h e c k u p . S h e is 3 0
weeks' gestation. T h e nurse should b e alert to which condition related to her a g e ?
A. Iron-deficiency a n e m i a
B. S e x u a l l y transmitted d i s e a s e ( S T D )
C. Intrauterine growth retardation
D. Pregnancy -indu ced hypertension (PIH)
Correct
, Nclex-Rn Real Exam Questions With Answers For A+ Results
Answer: D
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) Iron-deficiency a n e m i a c a n occur throughout p r e g n a n c y a n d is not a g e related. ( B ) S T D s c a n occur prior to
or during p r e g n a n c y a n d are not a g e related. ( C ) Intrauterine growth retardation is a n abno rmal process
where fetal develo pment a n d maturation are d e l a y e d . It is not a g e related. ( D ) Physical risks for the p regnant
client older than 3 5 include inc rea s e d risk for PIH, c e s a r e a n delivery, fetal a n d neonatal mortality, a n d
trisomy.
QUESTION 4
A client returns for her 6-month prenatal c h e c k u p a n d h a s g a i n e d 1 0 lb in 2 months. T h e results of her
p h y si c a l exa mina tion are normal. How d oes the nurse interpret the effectiveness of the instruction about
diet a n d weight control?
A. S h e is compliant with her diet a s previously taught.
B. S h e n e e d s further instruction a n d reinforcement.
C. S h e n e e d s to in crea se her caloric intake.
, Nclex-Rn Real Exam Questions With Answers For A+ Results
C . D e c re a s e IV
f l u id s.
D . She n e e d s to b e p l a c e d on a restrictive diet immed i a te l y .
Correct
Answer: B
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) S h e is probably not compliant with her diet a n d e xerci se program. R e c o m m e n d e d weight g a i n during
sec o nd a n d third trimesters is approximately 1 2 lb. ( B ) B e c a u s e of her e x c e s s i v e weight g a i n of 1 0 lb in 2
months, s h e n e e d s re-evaluation of her eati ng habits a n d reinforcement of proper dietary habits for
p r e g n a n c y . A 2200-calorie diet is re c o m me n d e d for most pregnant women with a weight g a i n of 2 7 3 0 lb over
the 9-month period. With rapid a n d e x c e s s i v e weightgain, PIH should also b e su s p e c t e d . ( C ) S h e does not
n e e d to i nc rea s e her caloric intake, but s h e does n e e d to re-evaluate dietary habits. T e n po unds in 2 months
is e x c e s s i v e weight g a i n during p r e g n a n c y , a n d health t e a c h i n g is warranted. ( D ) Restrictive dieting is not
re c o m me nd e d during p r e g n a n c y .
QUESTION 5
Di a b e t e s during p r e g n a n c y requires tight metabolic control of g l u c o se l e v e l s to prevent perinatal mortality.
When e va l u a t i n g the pregnant client, the nurse knows the re c o m me nd e d s e ru m gl uc o se ra n g e during
p r e g n a n c y is:
A. 70 mg/dL and 120 mg/dL
B. 100 mg/dL and 200 mg/dL
C. 40 mg/dL and 130 mg/dL
D. 90 mg/dL and 200 mg/dL
Correct
Answer: A
Section:
