NUR 2960 NCLEX-RN EXAM P a g e | 1
NCLEX-RN EXAM 2 NUR 2960 2026 UPDATED
EXAM BUNDLE PRACTICE QUESTIONS
ANSWERED| 3 VERSIONS|GUARANTEED
SUCCESS| SCORE A QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest
Guidelines | Graded A+
Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?
a. Postdates pregnancy
b. Fetal bradycardia
c. Placenta previa
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d. Uterine rupture –
Correct Answer :ANS: B
PUBS is an invasive test whereby a needle is inserted into the umbilical cord to obtain blood as the
basis for diagnostic testing with the guidance of ultrasound technology. The most common
complication is fetal bradycardia, which is temporary. PUBS has no effect on extending the gestation
of pregnancy, the development of placenta previa, or uterine rupture.
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got
pregnant. Scheduling an ultrasound is a standing prescription for the patient's health care provider.
When is the best time for the nurse to schedule the patient's ultrasound?
a. Immediately
b. In 2 weeks
c. In 4 weeks
d. In 6 weeks –
Correct Answer :ANS: A
An embryo can be seen about 5 to 6 weeks after the last menstrual period. At this time the crown-
rump length (CRL) of the embryo is the most reliable measure of gestational age. Fetal viability is
confirmed by observation of fetal heartbeat, which is visible when the CRL of the embryo is 5 mm.
The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks'
gestation. The nurse determines that the patient understands the teaching when she states that will
be collected for the initial screening process?
a. Urine
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b. Blood
c. Saliva
d. Amniotic fluid –
Correct Answer :ANS: B
Initial screening is completed with blood. AFP can be detected in amniotic fluid; however, that
procedure is more costly and invasive. Procedures progress from least invasive to most invasive
A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal
heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate
reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?
a. NST positive, nonreassuring
b. NST negative, reassuring
c. NST reactive, reassuring
d. NST nonreactive, nonreassuring –
Correct Answer :ANS: C
The presence of at least three accelerations of at least 15 beats, over at least 15 seconds, over a
duration of at least 20 minutes, is considered reactive and reassuring. Nonreactive testing reveals no
or fewer accelerations over the same or longer period. The NST test is not recorded as positive or
negative.
Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all
that apply.)
a. Down syndrome
b. Molar pregnancy
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, NUR 2960 NCLEX-RN EXAM P a g e | 4
c. Twin gestation
d. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
e. Threatened abortion –
Correct Answer :ANS: C, D, E
Elevated APF levels are seen in multiple gestations, underestimation of fetal age, and threatened
abortion. Decreased levels are seen in Down syndrome and a molar pregnancy.
Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all
that apply.)
a. Down syndrome
b. Molar pregnancy
c. Twin gestation
d. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
e. Threatened abortion
- Correct Answer :ANS: C, D, E
Elevated APF levels are seen in multiple gestations, underestimation of fetal age, and threatened
abortion. Decreased levels are seen in Down syndrome and a molar pregnancy.
Transvaginal ultrasonography is often performed during the first trimester. A 6-week-gestation patient
expresses concerns over the necessity for this test. The nurse should explain that this diagnostic test
may be necessary to determine which of the following? (Select all that apply.)
a. Multifetal gestation
b. Bicornuate uterus
P a g e 4 | 96
NCLEX-RN EXAM 2 NUR 2960 2026 UPDATED
EXAM BUNDLE PRACTICE QUESTIONS
ANSWERED| 3 VERSIONS|GUARANTEED
SUCCESS| SCORE A QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest
Guidelines | Graded A+
Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?
a. Postdates pregnancy
b. Fetal bradycardia
c. Placenta previa
P a g e 1 | 96
, NUR 2960 NCLEX-RN EXAM P a g e | 2
d. Uterine rupture –
Correct Answer :ANS: B
PUBS is an invasive test whereby a needle is inserted into the umbilical cord to obtain blood as the
basis for diagnostic testing with the guidance of ultrasound technology. The most common
complication is fetal bradycardia, which is temporary. PUBS has no effect on extending the gestation
of pregnancy, the development of placenta previa, or uterine rupture.
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got
pregnant. Scheduling an ultrasound is a standing prescription for the patient's health care provider.
When is the best time for the nurse to schedule the patient's ultrasound?
a. Immediately
b. In 2 weeks
c. In 4 weeks
d. In 6 weeks –
Correct Answer :ANS: A
An embryo can be seen about 5 to 6 weeks after the last menstrual period. At this time the crown-
rump length (CRL) of the embryo is the most reliable measure of gestational age. Fetal viability is
confirmed by observation of fetal heartbeat, which is visible when the CRL of the embryo is 5 mm.
The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks'
gestation. The nurse determines that the patient understands the teaching when she states that will
be collected for the initial screening process?
a. Urine
P a g e 2 | 96
, NUR 2960 NCLEX-RN EXAM P a g e | 3
b. Blood
c. Saliva
d. Amniotic fluid –
Correct Answer :ANS: B
Initial screening is completed with blood. AFP can be detected in amniotic fluid; however, that
procedure is more costly and invasive. Procedures progress from least invasive to most invasive
A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal
heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate
reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?
a. NST positive, nonreassuring
b. NST negative, reassuring
c. NST reactive, reassuring
d. NST nonreactive, nonreassuring –
Correct Answer :ANS: C
The presence of at least three accelerations of at least 15 beats, over at least 15 seconds, over a
duration of at least 20 minutes, is considered reactive and reassuring. Nonreactive testing reveals no
or fewer accelerations over the same or longer period. The NST test is not recorded as positive or
negative.
Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all
that apply.)
a. Down syndrome
b. Molar pregnancy
P a g e 3 | 96
, NUR 2960 NCLEX-RN EXAM P a g e | 4
c. Twin gestation
d. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
e. Threatened abortion –
Correct Answer :ANS: C, D, E
Elevated APF levels are seen in multiple gestations, underestimation of fetal age, and threatened
abortion. Decreased levels are seen in Down syndrome and a molar pregnancy.
Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all
that apply.)
a. Down syndrome
b. Molar pregnancy
c. Twin gestation
d. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
e. Threatened abortion
- Correct Answer :ANS: C, D, E
Elevated APF levels are seen in multiple gestations, underestimation of fetal age, and threatened
abortion. Decreased levels are seen in Down syndrome and a molar pregnancy.
Transvaginal ultrasonography is often performed during the first trimester. A 6-week-gestation patient
expresses concerns over the necessity for this test. The nurse should explain that this diagnostic test
may be necessary to determine which of the following? (Select all that apply.)
a. Multifetal gestation
b. Bicornuate uterus
P a g e 4 | 96
