Review Questions for the NCLEX® Examination

• 1. A 25-year-old woman comes to the clinic and says she thinks she is pregnant. Her last period was July 20. Based on this fact, what is the expected date of delivery (EDD)?
  • 1. April 13
  • 2. April 27
  • 3. May 20
  • 4. March 27
• 2. The patient reports experiencing nausea, vomiting, and breast tenderness along with missing her period. These symptoms are considered to be what type of signs of pregnancy?
  • 1. Probable
  • 2. Positive
  • 3. Presumptive
  • 4. Possible
• 3. A pregnant patient at her third office visit asks the nurse, “What can I do when my leg goes into a cramp?” The patient demonstrates understanding of the nurse’s instruction regarding relief of leg cramps if she:
  • 1. wiggles and points her toes during the cramp.
  • 2. applies cold compresses to the affected leg.
  • 3. extends her leg and dorsiflexes her foot during the cramp.
  • 4. avoids weight bearing on the affected leg during the cramp.
• 4. A woman who is in her first trimester is talking with the nurse. The patient has inquired about the feelings she will have when she first feels her baby move. What information can be provided by the nurse?
  • 1. The movement will feel like cramps.
  • 2. The movement is rhythmic and called Goodell’s sign.
  • 3. The movement is flutter-like and is called quickening.
  • 4. The movement is like a thud and is called Hëgar’s sign.
• 5. While giving a health history to the nurse, the patient reports that she usually has a glass of wine with dinner. What is the safe level of alcohol intake for her during her pregnancy?
  • 1. No alcohol
  • 2. Wine only; one or two glasses daily with meals
  • 3. Up to 4 oz daily
  • 4. Beer or wine only after the first trimester
• 6. The nurse explains to the patient that she should contact her health care provider if she experiences any of the danger signs of pregnancy. Which symptom is a danger sign during pregnancy?
  • 1. Urinary frequency
  • 2. Severe headaches
  • 3. Backache
  • 4. Heartburn
• 7. A test that may be done in late pregnancy to determine fetal well-being is the nonstress test. This test is based on which phenomenon?
  • 1. Fetal heart rate increases in connection with fetal movement.
  • 2. Braxton Hicks contractions cause an increase in fetal heart rate.
  • 3. Fetal heart rate slows in response to contractions.
  • 4. Fetal movement causes an increase in maternal heart rate.
• 8. Constipation is a frequent symptom as a pregnancy progresses. Which measure is best to recommend for relief of constipation?
  • 1. Drink six to eight glasses of water daily.
  • 2. Take an over-the-counter laxative.
  • 3. Take an iron supplement only every other day.
  • 4. Take mineral oil at bedtime.
• 9. At one of her prenatal visits, the patient is scheduled for a sonogram. Sonography can be used to assess: (Select all that apply.)
  • 1. number of fetuses.
  • 2. gestational age of fetus.
  • 3. Down syndrome.
  • 4. congenital anomalies.
  • 5. placement of the placenta.
• 10. Which symptom is considered a first-trimester warning sign and should be reported immediately to the health care provider?
  • 1. Nausea with occasional vomiting
  • 2. Fatigue
  • 3. Urinary frequency
  • 4. Vaginal bleeding
• 11. A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. What information can be provided by the nurse?
  • 1. “You do not need to modify your exercising anytime during your pregnancy.”
  • 2. “Stop exercising because it will harm the fetus.”
  • 3. “You may find that you need to modify your exercising to walking later in your pregnancy, around the 7th month.”
  • 4. “Jogging is too hard on your body; switch to walking now.”
• 12. A woman at 23 weeks of gestation calls to tell the nurse she thinks she is leaking fluid from her vagina. What information should be included in the nurse’s response to the patient?
  • 1. “As long as the baby is still moving around, there is nothing to worry about.”
  • 2. “Come to the office right away.”
  • 3. “Call me back in 2 hours, and tell me if there is any change in the leakage.”
  • 4. “We can wait until your next appointment to check you.”
• 13. A woman admitted in labor has an obstetric history that indicates that she has had three children, all of whom are living. One was born at 39 weeks of gestation, another at 34 of weeks of gestation, and another at 35 weeks of gestation. She had a miscarriage at 16 weeks gestation. What are her gravidity and parity with the TPAL system?
  • 1. 1-2-1-3
  • 2. 1-2-0-3
  • 3. 3-0-3-0
  • 4. 2-2-0-3
• 14. The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. Which are positive signs of pregnancy? (Select all that apply.)
  • 1. A positive pregnancy test.
  • 2. Fetal movement palpated by the primary caregiver.
  • 3. Braxton Hicks contractions.
  • 4. Nausea and vomiting.
  • 5. Presence of fetal heart tones.
• 15. A patient is scheduled for an ultrasound scan. She is at 22 weeks gestation. The patient asks how they will be able to tell the gestational age of her fetus. When planning the response, the nurse correctly recognizes that which measurements will be used in this determination? (Select all that apply.)
  • 1. Abdominal circumference
  • 2. Biparietal diameter
  • 3. Quantity of amniotic fluid
  • 4. Femur length
  • 5. Crown rump length
• 16. An expectant father confides in the nurse that his pregnant wife (10 weeks of gestation) is driving him crazy. “One minute she seems happy, and the next minute she seems unhappy, and the next she is crying over nothing at all. Is there something wrong with her?” What is the most appropriate response by the nurse?
  • 1. “This is normal behavior and should begin to subside by the second trimester.”
  • 2. “She may be having difficulty relating to the pregnancy. I will refer her to a counselor I know.”
  • 3. “This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will subside as she adjusts to being pregnant.”
  • 4. “You seem impatient with her. Perhaps this is precipitating her behavior.”
• 17. When planning a diet with a pregnant woman. What should the nurse’s initial action be?
  • 1. Review the woman’s dietary intake.
  • 2. Teach the woman about the ChooseMyPlate guide.
  • 3. Caution the woman to avoid large doses of vitamins, especially those that are fat soluble.
  • 4. Instruct the woman to limit the intake of fatty foods.
• 18. A pregnant woman at 32 weeks of gestation reports feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. What should the nurse’s initial action be?
  • 1. Assess the woman’s blood pressure and pulse.
  • 2. Have the woman breathe into a paper bag.
  • 3. Raise the woman’s legs.
  • 4. Turn the woman on her side.
• 19. When obtaining a reproductive health history from a female patient. What should the nurse do?
  • 1. Limit the time spent on exploration of intimate topics.
  • 2. Explain the purpose of questions asked and how they will be used.
  • 3. Avoid asking questions that may embarrass the patient.
  • 4. Use only acceptable medical terminology when referring to body parts and functions.
• 20. After admitting a new patient to the maternity unit, the nurse writes a care plan. This process of determining outcomes and interventions is which stage of the nursing process?
  • 1. Assessment
  • 2. Planning
  • 3. Implementation
  • 4. Evaluation

Fill in the Blank

Fill in the blank with the correct medical term.

• 21.______________ Woman who is pregnant
• 22.______________ Woman who is pregnant for the first time
• 23.______________ Woman who has had two or more pregnancies
• 24.______________ Capacity to live outside the uterus