NCLEX PN Practice Test with NGN
Question 1 of 5.
For each client finding, click to specify if the finding is consistent with presumptive, probable, or positive signs of pregnancy. Note: Each row must have one response option selected
| Description | Options |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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Explanation: Presumptive signs are subjective and may have other causes (e.g., amenorrhea, nausea/vomiting, breast tenderness). Probable signs are objective but not definitive (e.g., Chadwick sign, positive home pregnancy test). Positive signs confirm pregnancy (e.g., fetal heart rate, fetus visible on ultrasound).
Question 2 of 5.
The client's last menstrual period was March 10-17. Unprotected intercourse occurred on March 24. The client's menstrual cycles are regular and occur every 28 days. Based on the Naegele rule, what is the estimated date of birth?
A. 3-Dec
B. 17-Dec
C. 24-Dec
D. 31-Dec
Explanation: Using Naegele's rule (first day of LMP + 1 year - 3 months + 7 days), March 10, 2025 + 1 year = March 10, 2026 - 3 months = December 10, 2025 + 7 days = December 17, 2025.
Question 3 of 5.
Which of the following topics should the nurse reinforce during the initial prenatal visit? Select all that apply.
A. Commitment to pain management preferences during labor
B. Expected discomforts of pregnancy
C. Foods to avoid
D. Herbal supplements and over-the-counter medications to avoid
E. Method of delivery
F. Symptoms of potential pregnancy complications
Explanation: The initial prenatal visit should focus on educating about expected discomforts (e.g., nausea), foods to avoid (e.g., raw fish), medications/supplements to avoid, and symptoms of complications. Pain management and delivery method are discussed later.
Question 4 of 5.
Which of the following laboratory tests should the nurse anticipate during the first prenatal visit? Select all that apply.
A. 1-hour glucose tolerance test
B. Group B Streptococcus rectovaginal culture
C. Maternal blood type and screen
D. Sexually transmitted infection screen
E. Urinalysis
Explanation: First prenatal visit tests include maternal blood type and screen, STI screen, and urinalysis. Glucose tolerance and Group B Streptococcus tests are performed later in pregnancy.
Question 5 of 5.
The nurse has reviewed the information from the Progress Notes. Which of the following statements by the nurse is appropriate? Select all that apply.
A. Avoid carbohydrates as much as possible during pregnancy.
B. Begin a sodium-restricted diet to prevent gestational hypertension.
C. Consume nutrient-dense foods with each meal.
D. Engage in moderate exercise such as walking or yoga for 30 minutes daily.
E. Increase consumption of iron-rich foods such as meat.
Explanation: Nutrient-dense foods, moderate exercise, and iron-rich foods are appropriate. Avoiding carbohydrates or sodium restriction is not recommended without specific indications.
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