Nursing Comprehensive Exam | Questions
And Answers Plus Rationales Latest 2026/27
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1. A pregnant client asks when the first prenatal visit
should occur. The nurse explains that prenatal care should
ideally begin:
A. After the first trimester
B. As soon as pregnancy is confirmed
C. During the third trimester
D. Only if complications occur
Answer: B. As soon as pregnancy is confirmed
Rationale: Early prenatal care allows assessment of
maternal and fetal health, identification of risks, and
timely interventions.
,2. Which finding is considered a positive sign of
pregnancy?
A. Amenorrhea
B. Nausea and vomiting
C. Positive ultrasound visualization of the fetus
D. Breast tenderness
Answer: C. Positive ultrasound visualization of the fetus
Rationale: Positive signs of pregnancy are findings that
can only occur with pregnancy, such as visualization of the
fetus or fetal heart activity.
3. The nurse teaches a pregnant client that folic acid helps
prevent:
A. Gestational diabetes
B. Neural tube defects
C. Hypertension
D. Preterm contractions
Answer: B. Neural tube defects
,Rationale: Folic acid supplementation before and during
pregnancy decreases the risk of neural tube defects.
4. Which nutrient requirement increases significantly
during pregnancy?
A. Iron
B. Sodium only
C. Caffeine
D. Saturated fat
Answer: A. Iron
Rationale: Iron requirements increase during pregnancy
to support increased maternal blood volume and fetal
development.
5. A pregnant client reports morning nausea. Which
instruction is appropriate?
A. Eat small frequent meals
B. Skip breakfast
, C. Drink large amounts with meals
D. Remain lying down after eating
Answer: A. Eat small frequent meals
Rationale: Small frequent meals and avoiding an empty
stomach can reduce nausea during pregnancy.
6. Which vaccine is generally recommended during
pregnancy?
A. Influenza vaccine
B. Live varicella vaccine
C. MMR vaccine
D. Live intranasal vaccines
Answer: A. Influenza vaccine
Rationale: Inactivated influenza vaccination is
recommended during pregnancy to protect the mother
and fetus.