NUR 114
EXAM 1
NCLEX Style Questions w/
Rationales & Test Taking Strategies
Jefferson State Community College
This Document Description:
❖ This document contains NCLEX-style Exam
questions tailored to the NUR 114 course at
Jefferson State Community College.
❖ It covers core topics assessed in the course
and reflects the actual exam format and question style.
❖ Each question is followed by a correct answer, rationale, and
test-taking strategy to support exam preparation.
,The nurse is preparing to teach a prenatal class about fetal
circulation. Which statements would be included in the teaching
plan?
Select all that apply.
1. "The ductus arteriosus allows blood to bypass the fetal lungs."
2. "One vein carries oxygenated blood from the placenta to the
fetus."
3. "The normal fetal heartbeat range is 160 to 180 beats per minute in
pregnancy."
4. "Two arteries carry deoxygenated blood and waste products away
from the fetus to the placenta."
5. "Two veins carry blood that is high in carbon dioxide and other
waste products away from the fetus to the placenta."
Correct Answer: 1, 2, 4
Rationale: The ductus arteriosus is a unique fetal circulation structure
that allows blood to bypass the nonfunctioning fetal lungs.
Oxygenated blood is transported to the fetus by one umbilical vein.
The normal fetal heartbeat range is considered to be 110 to 160 beats
per minute. Two arteries carry deoxygenated blood and waste products
from the fetus, and one umbilical vein carries oxygenated blood and
provides oxygen and nutrients to the fetus. Blood pumped by the
embryo’s heart leaves the embryo through two umbilical arteries.
,Test-Taking Strategy: Focus on the subject, fetal circulation. Recall that
three umbilical vessels are within the umbilical cord (two arteries and
one vein) and that the vein carries oxygenated blood and the arteries
carry deoxygenated blood. Also recalling the normal fetal heartbeat will
assist in answering correctly.
The nursing instructor teaches a group of students about fetal
circulation and then asks a student to describe fetal circulation,
specifically the ductus venosus. Which statement by the student
indicates an understanding of the ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior
vena cava."
4. "It connects the umbilical artery to the inferior
vena cava."
Correct Answer: 3
Rationale: The ductus venosus connects the umbilical vein to the
inferior vena cava. The foramen ovale is a temporary opening between
the right and left atria. The ductus arteriosus joins the aorta and the
pulmonary artery.
Test-Taking Strategy: Focus on the subject, an understanding of the
description of the ductus venosus. Use knowledge of fetal circulation to
, assist in answering. Also note the relationship of the word venosus in
the question and vein in the correct option.
A pregnant client tells the clinic nurse that they want to know the sex
of the baby as soon as it can be determined. The nurse plans to
inform the client that they will be able to find out the sex at 16 weeks'
gestation because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac.
4. The internal differences in different genders become apparent.
Correct Answer: 1
Rationale: Between weeks 16 and 20, the external genitalia of the fetus
have developed to such a degree that the sex of the fetus can be
determined visually. Differentiation of the external genitalia occurs at
the end of the ninth week. Testes begin to descend into the scrotal sac
at the end of the 38th week Internal differences in the genders occur at
the end of the seventh week.
Test-Taking Strategy: Focus on the subject, when the sex of the fetus
can be determined. Use knowledge about fetal growth and
development. Remember that the sex of the fetus can be recognizable
visually on ultrasound by the appearance of the external genitalia
between gestational weeks 16 and 20.
EXAM 1
NCLEX Style Questions w/
Rationales & Test Taking Strategies
Jefferson State Community College
This Document Description:
❖ This document contains NCLEX-style Exam
questions tailored to the NUR 114 course at
Jefferson State Community College.
❖ It covers core topics assessed in the course
and reflects the actual exam format and question style.
❖ Each question is followed by a correct answer, rationale, and
test-taking strategy to support exam preparation.
,The nurse is preparing to teach a prenatal class about fetal
circulation. Which statements would be included in the teaching
plan?
Select all that apply.
1. "The ductus arteriosus allows blood to bypass the fetal lungs."
2. "One vein carries oxygenated blood from the placenta to the
fetus."
3. "The normal fetal heartbeat range is 160 to 180 beats per minute in
pregnancy."
4. "Two arteries carry deoxygenated blood and waste products away
from the fetus to the placenta."
5. "Two veins carry blood that is high in carbon dioxide and other
waste products away from the fetus to the placenta."
Correct Answer: 1, 2, 4
Rationale: The ductus arteriosus is a unique fetal circulation structure
that allows blood to bypass the nonfunctioning fetal lungs.
Oxygenated blood is transported to the fetus by one umbilical vein.
The normal fetal heartbeat range is considered to be 110 to 160 beats
per minute. Two arteries carry deoxygenated blood and waste products
from the fetus, and one umbilical vein carries oxygenated blood and
provides oxygen and nutrients to the fetus. Blood pumped by the
embryo’s heart leaves the embryo through two umbilical arteries.
,Test-Taking Strategy: Focus on the subject, fetal circulation. Recall that
three umbilical vessels are within the umbilical cord (two arteries and
one vein) and that the vein carries oxygenated blood and the arteries
carry deoxygenated blood. Also recalling the normal fetal heartbeat will
assist in answering correctly.
The nursing instructor teaches a group of students about fetal
circulation and then asks a student to describe fetal circulation,
specifically the ductus venosus. Which statement by the student
indicates an understanding of the ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior
vena cava."
4. "It connects the umbilical artery to the inferior
vena cava."
Correct Answer: 3
Rationale: The ductus venosus connects the umbilical vein to the
inferior vena cava. The foramen ovale is a temporary opening between
the right and left atria. The ductus arteriosus joins the aorta and the
pulmonary artery.
Test-Taking Strategy: Focus on the subject, an understanding of the
description of the ductus venosus. Use knowledge of fetal circulation to
, assist in answering. Also note the relationship of the word venosus in
the question and vein in the correct option.
A pregnant client tells the clinic nurse that they want to know the sex
of the baby as soon as it can be determined. The nurse plans to
inform the client that they will be able to find out the sex at 16 weeks'
gestation because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac.
4. The internal differences in different genders become apparent.
Correct Answer: 1
Rationale: Between weeks 16 and 20, the external genitalia of the fetus
have developed to such a degree that the sex of the fetus can be
determined visually. Differentiation of the external genitalia occurs at
the end of the ninth week. Testes begin to descend into the scrotal sac
at the end of the 38th week Internal differences in the genders occur at
the end of the seventh week.
Test-Taking Strategy: Focus on the subject, when the sex of the fetus
can be determined. Use knowledge about fetal growth and
development. Remember that the sex of the fetus can be recognizable
visually on ultrasound by the appearance of the external genitalia
between gestational weeks 16 and 20.
