PN 131 Comprehensive Final NCLEX Practice Exam
PN 131 COMPREHENSIVE FINAL NCLEX PRACTICE EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
A newly married couple plans to use natural family planning. It is important for
them to know how long an ovum can live after ovulation. The nurse knows that
teaching is effective when the couple responds that an ovum is considered fertile
for:
a. 6 to 8 hours
b. 24 hours
c. 2 to 3 days
d. 1 week
ANS: B
Ova are considered fertile for about 24 hours after ovulation.
Ova are considered fertile for much longer than 6 to 8 hours. Most remain fertile
for 24 hours.
Ova do not remain fertile for 2 to 3 days. If unfertilized by a sperm, the ovum
degenerates and is reabsorbed.
Ova do not remain viable for 1 week. After 24 hours the ovum degenerates and is
reabsorbed.
The volume of amniotic fluid is an important factor in assessing fetal well-being.
Oligohydramnios (an amniotic fluid volume of less than 300 ml) is associated with
what kind of fetal anomalies?
a. Renal
b. Cardiac
c. Gastrointestinal
d. Neurologic
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, PN 131 Comprehensive Final NCLEX Practice Exam
ANS: A
An amniotic fluid volume of less than 300 ml (oligohydramnios) is associated with
fetal renal anomalies.
The amniotic fluid volume has no bearing on the fetal cardiovascular system.
Gastrointestinal anomalies are associated with hydramnios, or an amniotic fluid
volume greater than 2 L.
The amniotic fluid volume has no bearing on the fetal neurologic system.
The most basic information a maternity nurse should have concerning conception
is:
a. Ova are considered fertile 48 to 72 hours after ovulation
b. Sperm remain viable in the woman's reproductive system for an average of 12
to 24 hours
c. Conception is achieved when a sperm successfully penetrates the membrane
surrounding the ovum
d. Implantation in the endometrium occurs 6 to 10 days after conception
ANS: D
After implantation, the endometrium is called the decidua.
Ova are considered fertile for about 24 hours after ovulation.
Sperm remain viable in the woman's reproductive system for an average of 2 to 3
days.
Penetration of the ovum by the sperm is called fertilization. Conception occurs
when the zygote, the first cell of the new individual, is formed.
The musculoskeletal system adapts to the changes that occur during pregnancy. A
woman can expect to experience what change?
a. Her center of gravity will shift backward.
b. She will have increased lordosis.
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, PN 131 Comprehensive Final NCLEX Practice Exam
c. She will have increased abdominal muscle tone.
d. She will notice decreased mobility of her pelvic joints.
ANS: B
An increase in the normal lumbosacral curve (lordosis) develops, and a
compensatory curvature in the cervicodorsal region develops to help her maintain
her balance.
The center of gravity shifts forward.
She will have decreased muscle tone.
She will notice increased mobility of her pelvic joints.
A nurse providing care to a pregnant woman should know that all are normal
gastrointestinal changes in pregnancy except:
a. Ptyalism
b. Pyrosis
c. Pica
d. Decreased peristalsis
ANS: C
Pica (a desire to eat nonfood substances) is an indication of iron deficiency and
should be evaluated.
Ptyalism (excessive salivation) is a normal finding.
Pyrosis (heartburn) is a normal finding.
Decreased peristalsis is a normal finding.
Probable signs of pregnancy are:
a. Determined by ultrasound
b. Observed by the health care provider
c. Reported by the client
d. Diagnostic tests
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, PN 131 Comprehensive Final NCLEX Practice Exam
ANS: B
Probable signs are those detected through trained examination.
Fetal visualization is a positive sign of pregnancy.
Presumptive signs are those reported by the client.
The term diagnostic tests is open for interpretation. To actually diagnose
pregnancy, one would have to see positive signs of pregnancy.
Human chorionic gonadotropin (hCG) is an important biochemical marker for
pregnancy and therefore the basis for many tests. A maternity nurse should be
aware that:
a. hCG can be detected as early as 2½ weeks after conception
b. The hCG level increases gradually and uniformly throughout pregnancy
c. Much lower than normal increases in the level of hCG may indicate a postdate
pregnancy
d. A higher than normal level of hCG may indicate an ectopic pregnancy or Down
syndrome
ANS: D
Higher levels also could be a sign of multiple gestation.
hCG can be detected as early as 7 to 10 days after conception.
The hCG level fluctuates during pregnancy, peaking, declining, stabilizing, and
then increasing again.
Abnormally slow increases may indicate impending miscarriage.
Some pregnant clients may complain of changes in their voice and impaired
hearing. The nurse can tell these clients that these are common reactions to:
a. A decreased estrogen level
b. Displacement of the diaphragm, resulting in thoracic breathing
c. Congestion and swelling, which occur because the upper respiratory tract has
4|Page
PN 131 COMPREHENSIVE FINAL NCLEX PRACTICE EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
A newly married couple plans to use natural family planning. It is important for
them to know how long an ovum can live after ovulation. The nurse knows that
teaching is effective when the couple responds that an ovum is considered fertile
for:
a. 6 to 8 hours
b. 24 hours
c. 2 to 3 days
d. 1 week
ANS: B
Ova are considered fertile for about 24 hours after ovulation.
Ova are considered fertile for much longer than 6 to 8 hours. Most remain fertile
for 24 hours.
Ova do not remain fertile for 2 to 3 days. If unfertilized by a sperm, the ovum
degenerates and is reabsorbed.
Ova do not remain viable for 1 week. After 24 hours the ovum degenerates and is
reabsorbed.
The volume of amniotic fluid is an important factor in assessing fetal well-being.
Oligohydramnios (an amniotic fluid volume of less than 300 ml) is associated with
what kind of fetal anomalies?
a. Renal
b. Cardiac
c. Gastrointestinal
d. Neurologic
1|Page
, PN 131 Comprehensive Final NCLEX Practice Exam
ANS: A
An amniotic fluid volume of less than 300 ml (oligohydramnios) is associated with
fetal renal anomalies.
The amniotic fluid volume has no bearing on the fetal cardiovascular system.
Gastrointestinal anomalies are associated with hydramnios, or an amniotic fluid
volume greater than 2 L.
The amniotic fluid volume has no bearing on the fetal neurologic system.
The most basic information a maternity nurse should have concerning conception
is:
a. Ova are considered fertile 48 to 72 hours after ovulation
b. Sperm remain viable in the woman's reproductive system for an average of 12
to 24 hours
c. Conception is achieved when a sperm successfully penetrates the membrane
surrounding the ovum
d. Implantation in the endometrium occurs 6 to 10 days after conception
ANS: D
After implantation, the endometrium is called the decidua.
Ova are considered fertile for about 24 hours after ovulation.
Sperm remain viable in the woman's reproductive system for an average of 2 to 3
days.
Penetration of the ovum by the sperm is called fertilization. Conception occurs
when the zygote, the first cell of the new individual, is formed.
The musculoskeletal system adapts to the changes that occur during pregnancy. A
woman can expect to experience what change?
a. Her center of gravity will shift backward.
b. She will have increased lordosis.
2|Page
, PN 131 Comprehensive Final NCLEX Practice Exam
c. She will have increased abdominal muscle tone.
d. She will notice decreased mobility of her pelvic joints.
ANS: B
An increase in the normal lumbosacral curve (lordosis) develops, and a
compensatory curvature in the cervicodorsal region develops to help her maintain
her balance.
The center of gravity shifts forward.
She will have decreased muscle tone.
She will notice increased mobility of her pelvic joints.
A nurse providing care to a pregnant woman should know that all are normal
gastrointestinal changes in pregnancy except:
a. Ptyalism
b. Pyrosis
c. Pica
d. Decreased peristalsis
ANS: C
Pica (a desire to eat nonfood substances) is an indication of iron deficiency and
should be evaluated.
Ptyalism (excessive salivation) is a normal finding.
Pyrosis (heartburn) is a normal finding.
Decreased peristalsis is a normal finding.
Probable signs of pregnancy are:
a. Determined by ultrasound
b. Observed by the health care provider
c. Reported by the client
d. Diagnostic tests
3|Page
, PN 131 Comprehensive Final NCLEX Practice Exam
ANS: B
Probable signs are those detected through trained examination.
Fetal visualization is a positive sign of pregnancy.
Presumptive signs are those reported by the client.
The term diagnostic tests is open for interpretation. To actually diagnose
pregnancy, one would have to see positive signs of pregnancy.
Human chorionic gonadotropin (hCG) is an important biochemical marker for
pregnancy and therefore the basis for many tests. A maternity nurse should be
aware that:
a. hCG can be detected as early as 2½ weeks after conception
b. The hCG level increases gradually and uniformly throughout pregnancy
c. Much lower than normal increases in the level of hCG may indicate a postdate
pregnancy
d. A higher than normal level of hCG may indicate an ectopic pregnancy or Down
syndrome
ANS: D
Higher levels also could be a sign of multiple gestation.
hCG can be detected as early as 7 to 10 days after conception.
The hCG level fluctuates during pregnancy, peaking, declining, stabilizing, and
then increasing again.
Abnormally slow increases may indicate impending miscarriage.
Some pregnant clients may complain of changes in their voice and impaired
hearing. The nurse can tell these clients that these are common reactions to:
a. A decreased estrogen level
b. Displacement of the diaphragm, resulting in thoracic breathing
c. Congestion and swelling, which occur because the upper respiratory tract has
4|Page
