NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS
QUESTION 1
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric
examination with the nurse practitioner to determine the status of her possible pregnancy. Her last
menstrual period began May 20, and her estimated date of confinement using Nägele's rule
is:
A. March 27
B. February 1
C. February 27
D. January 3
Correct Answer: C Section: (none) Explanation
Explanation/Reference:
Explanation:
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct
answer. To calculate the estimated date of confinement using
Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7
days to the result. (D) January 3 is a miscalculation.
QUESTION 2
The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the
practitioner informs the client about symptoms of physical changes that she will experience during her
first trimester, such as:
A. Nausea and vomiting
B. Quickening
C. A 68 lb weight gain
D. Abdominal enlargement
Correct Answer: A Section: (none) Explanation
Explanation/Reference:
Explanation:
(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3
months of pregnancy as a result of elevated human chorionic gonadotropin levels and changed
carbohydrate metabolism. (B) Quickening is the mother's perception of fetal movement and generally
does not occur until 1820