NCLEX NGN Pre-Test
Questions Exam 2025
Updated
A client who is 8 weeks pregnant reads her electronic medical record via a patient
portal. She contacts the clinic and asks the nurse to explain a "positive Hegar sign."
Which is the best answer for the nurse to provide?
"You are able to feel fetal movement."
"A soft blowing sound can be heard with a stethoscope."
"The lower part of your uterus is softer than when you are not pregnant."
"You are experiencing irregular painless contractions during the pregnancy." -
✔✔✔ANSWER-C
Softening and compressibility of the lower uterine segment, occurring around the
sixth week of pregnancy, is called the Hegar sign.
,A nurse has provided dietary instructions to a pregnant client with diabetes
mellitus. Which patient statement indicates the patient understands the teaching?
"I should increase my fat intake to ensure that the baby gains weight."
"I'll need to start a high-protein, high-fat diet to help control the blood glucose
level."
"I should add extra glucose to the diet because additional calories are needed
during pregnancy."
"I will need to increase fiber in the diet to help control the blood glucose level and
prevent constipation." - ✔✔✔ANSWER-D
A nurse is performing an initial assessment of a pregnant adolescent client with
diabetes mellitus. The client says to the nurse, "I've stopped my insulin and cut
back on my food." Which client concern does the nurse recognize as the priority?
Concern about nutritional deficiency
Concern about getting stretch marks
Concern about being able to care for the infant
Concern about what her friends might think about her wearing maternity clothes -
✔✔✔ANSWER-A
A nurse is monitoring a client in precipitous labor. The nurse would contact the
primary health care provider on noting which concern?
Fetal descent of 1 cm/hr
A reassuring fetal monitoring pattern
Cervical dilation of 2 to 4 cm/hr during the active phase
Shortening periods of uterine relaxation between contractions - ✔✔✔ANSWER-D
, A pregnant client complains of heartburn, and the nurse provides instruction
regarding measures to alleviate the problem. The nurse tells the client to take
which action?
Lie down right after meals
Take antacids as often as necessary
Eat three meals a day and avoid eating between meals
Sleep with an extra pillow under the head and shoulders - ✔✔✔ANSWER-D
A nurse provides instructions to a pregnant woman about foods that contain
calcium. The nurse realizes the client understands instructions if the client selects
which products? Select all that apply.
Cheese
Yogurt
Spinach
Sardines
Shellfish - ✔✔✔ANSWER-A, B, D
A nurse is assigned to care for a client with chronic renal failure who is undergoing
hemodialysis through an internal AV fistula in the RA. Which intervention should
the nurse implement in caring for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three each shift
e. Placing a pressure dressing over the site after each dialysis treatment
f. Administering IV fluids through the venous site of the AV fistula as needed -
✔✔✔ANSWER-A, B, C, D
Questions Exam 2025
Updated
A client who is 8 weeks pregnant reads her electronic medical record via a patient
portal. She contacts the clinic and asks the nurse to explain a "positive Hegar sign."
Which is the best answer for the nurse to provide?
"You are able to feel fetal movement."
"A soft blowing sound can be heard with a stethoscope."
"The lower part of your uterus is softer than when you are not pregnant."
"You are experiencing irregular painless contractions during the pregnancy." -
✔✔✔ANSWER-C
Softening and compressibility of the lower uterine segment, occurring around the
sixth week of pregnancy, is called the Hegar sign.
,A nurse has provided dietary instructions to a pregnant client with diabetes
mellitus. Which patient statement indicates the patient understands the teaching?
"I should increase my fat intake to ensure that the baby gains weight."
"I'll need to start a high-protein, high-fat diet to help control the blood glucose
level."
"I should add extra glucose to the diet because additional calories are needed
during pregnancy."
"I will need to increase fiber in the diet to help control the blood glucose level and
prevent constipation." - ✔✔✔ANSWER-D
A nurse is performing an initial assessment of a pregnant adolescent client with
diabetes mellitus. The client says to the nurse, "I've stopped my insulin and cut
back on my food." Which client concern does the nurse recognize as the priority?
Concern about nutritional deficiency
Concern about getting stretch marks
Concern about being able to care for the infant
Concern about what her friends might think about her wearing maternity clothes -
✔✔✔ANSWER-A
A nurse is monitoring a client in precipitous labor. The nurse would contact the
primary health care provider on noting which concern?
Fetal descent of 1 cm/hr
A reassuring fetal monitoring pattern
Cervical dilation of 2 to 4 cm/hr during the active phase
Shortening periods of uterine relaxation between contractions - ✔✔✔ANSWER-D
, A pregnant client complains of heartburn, and the nurse provides instruction
regarding measures to alleviate the problem. The nurse tells the client to take
which action?
Lie down right after meals
Take antacids as often as necessary
Eat three meals a day and avoid eating between meals
Sleep with an extra pillow under the head and shoulders - ✔✔✔ANSWER-D
A nurse provides instructions to a pregnant woman about foods that contain
calcium. The nurse realizes the client understands instructions if the client selects
which products? Select all that apply.
Cheese
Yogurt
Spinach
Sardines
Shellfish - ✔✔✔ANSWER-A, B, D
A nurse is assigned to care for a client with chronic renal failure who is undergoing
hemodialysis through an internal AV fistula in the RA. Which intervention should
the nurse implement in caring for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three each shift
e. Placing a pressure dressing over the site after each dialysis treatment
f. Administering IV fluids through the venous site of the AV fistula as needed -
✔✔✔ANSWER-A, B, C, D
