NCLEX PN Practice Test with NGN
Question 1 of 5.
Extract:The nurse is caring for a 6-hour-old newborn. Nurses' Notes Emergency Department A newborn is brought to the emergency department due to coughing and difficulty feeding. The client was born at home 6 hours ago via spontaneous vaginal birth. With each attempt to breastfeed, the client coughs, vomits, and "turns blue." The mother did not receive prenatal care. She reports a history of opioid use disorder but reports no opioid use during pregnancy. Vital signs: T 98.6 F (37 C), P 120, RR 50, and SpOz 95% on room air. Abdominal distension is present. Ballard scoring estimates the client at 37 weeks gestation. Weight and length are consistent with the 25th and 50th percentiles for estimated age, respectively.
Select 2 findings that require immediate feedback?
A. A newborn is brought to the emergency department due to coughing and difficulty feeding.
B. The client was born at home 6 hours ago via spontaneous vaginal birth.
C. With each attempt to breastfeed, the client coughs, vomits, and 'turns blue.'
D. She reports a history of opioid use disorder but reports no opioid use during pregnancy.
E. Vital signs: T 98.6 F (37 C), P 120, RR 50, and SpO2 95% on room air.
F. Ballard scoring estimates the client at 37 weeks gestation.
G. Weight and length are consistent with the 25th and 50th percentiles for estimated age, respectively.
Explanation: Coughing, vomiting, and cyanosis during feeding indicate potential airway or gastrointestinal issues, such as tracheoesophageal fistula. The elevated respiratory rate (RR 50) suggests respiratory distress, requiring immediate attention.
Question 2 of 5.
Extract:The nurse is caring for a client at a women's health clinic. History & Physical Labor and delivery unit 0800: A 28-year-old nulliparous female comes to the clinic for confirmation of suspected pregnancy due to amenorrhea and a positive home pregnancy test. The client's current exercise regimen includes indoor cycling and outdoor running. The client reports nausea, vomiting, and breast tenderness. She has a 28-day menstrual cycle, and her last menstrual period was March 10- 17. The health care provider notes a bluish-purple vaginal mucosa and cervix during pelvic examination and confirms a 12-week intrauterine pregnancy by sonography. A fetal heart rate of 155/min is detected with handheld Doppler.
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
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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 3 of 5.
Extract:The nurse is caring for a client at a women's health clinic. History & Physical Labor and delivery unit 0800: A 28-year-old nulliparous female comes to the clinic for confirmation of suspected pregnancy due to amenorrhea and a positive home pregnancy test. The client's current exercise regimen includes indoor cycling and outdoor running. The client reports nausea, vomiting, and breast tenderness. She has a 28-day menstrual cycle, and her last menstrual period was March 10- 17. The health care provider notes a bluish-purple vaginal mucosa and cervix during pelvic examination and confirms a 12-week intrauterine pregnancy by sonography. A fetal heart rate of 155/min is detected with handheld Doppler.
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 4 of 5.
Extract:The nurse is caring for a client at a women's health clinic. History & Physical Labor and delivery unit 0800: A 28-year-old nulliparous female comes to the clinic for confirmation of suspected pregnancy due to amenorrhea and a positive home pregnancy test. The client's current exercise regimen includes indoor cycling and outdoor running. The client reports nausea, vomiting, and breast tenderness. She has a 28-day menstrual cycle, and her last menstrual period was March 10- 17. The health care provider notes a bluish-purple vaginal mucosa and cervix during pelvic examination and confirms a 12-week intrauterine pregnancy by sonography. A fetal heart rate of 155/min is detected with handheld Doppler.
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 5 of 5.
Extract:The nurse is caring for a client at a women's health clinic. History & Physical Labor and delivery unit 0800: A 28-year-old nulliparous female comes to the clinic for confirmation of suspected pregnancy due to amenorrhea and a positive home pregnancy test. The client's current exercise regimen includes indoor cycling and outdoor running. The client reports nausea, vomiting, and breast tenderness. She has a 28-day menstrual cycle, and her last menstrual period was March 10- 17. The health care provider notes a bluish-purple vaginal mucosa and cervix during pelvic examination and confirms a 12-week intrauterine pregnancy by sonography. A fetal heart rate of 155/min is detected with handheld Doppler.
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.