MNB PRACTICE TEST QUESTIONS AND ANSWERS
The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies.
Which client statement indicates that teaching has been effective? 1. "A beer once a week will not
damage the fetus." 2. "I can continue to drink alcohol until I am diagnosed as being pregnant." 3. "I can
drink alcohol while breastfeeding since it does not pass into breast milk." 4. "I need to stop drinking
alcohol completely when I start trying to get pregnant." - CORRECT ANSWER✅✅✅4. Because birth
defects that are related to fetal alcohol exposure can occur in the first 3 to 8 weeks' gestation, often
before the woman even knows she is pregnant, women should discontinue drinking alcohol when they
start to attempt pregnancy.
The nurse suspects that a pregnant client is a substance user. Which approach should the nurse take
during the health history? 1. Explaining how harmful drugs can be for her baby. 2. Asking the woman
directly, "Do you use any street drugs?" 3. Asking the woman if she would like to talk to a counselor. 4.
Asking some questions about over-the-counter medications and avoiding the mention of illicit drugs. -
CORRECT ANSWER✅✅✅2. Asking the woman directly, "Do you use any street drugs?"
A client at 9 weeks' gestation learns about being HIV positive. Which client statement indicates teaching
about the effects on the baby has been effective? 1. "The pregnancy will increase the progression of my
disease and will reduce my CD4 counts." 2. "The HIV will not affect my baby, and I will have a low-risk
pregnancy without additional testing." 3. "My baby will probably be born with anti-HIV antibodies, but
that does not mean the baby is infected." 4. "I cannot take the medications that control HIV during my
pregnancy because they will harm the baby." - CORRECT ANSWER✅✅✅3. Babies of HIV-positive
women or women with AIDS are born with maternal anti-HIV antibodies. HIV infection in infants should
be diagnosed using HIV virologic assays as soon as possible, with initiation of infant antiretroviral
prophylaxis immediately if the test is positive.
During the first antepartal visit, a client who is at 10 weeks' gestation learns of being HIV positive. Which
client statement indicates an understanding of the plan of care both during the pregnancy and
postpartally? 1. "I should not breastfeed my baby." 2. "When my baby is 2 months old, he or she will be
tested for HIV." 3. "If I have a cesarean section, there is an increased risk that my HIV will be passed to
my baby." 4. "I am supposed to take highly active antiretroviral therapy (HAART), but only during the
first trimester." - CORRECT ANSWER✅✅✅1. HIV transmission can occur during pregnancy and
through breast milk; however, it is believed that the majority of all infections occur during labor and
birth.
A client who is 32 weeks pregnant is HIV positive, but asymptomatic. What would be important in
managing her pregnancy and delivery? 1. An amniocentesis at 30 and 36 weeks 2. Weekly non-stress
testing beginning at 32 weeks' gestation 3. Administration of intravenous antibiotics during labor and
, delivery 4. Application of a fetal scalp electrode as soon as her membranes rupture in labor - CORRECT
ANSWER✅✅✅2. Clients who are HIV positive are considered high-risk pregnancies. Therefore,
beginning at about 32 weeks, these clients have weekly non-stress tests to assess for placental function
and an ultrasound every 2 to 3 weeks to assess for intrauterine growth retardation (IUGR).
A pregnant woman married to an intravenous drug user had a negative HIV screening test just after
missing her first menstrual period. What would indicate that the client needs to be retested for HIV? 1.
Elevated blood pressure and ankle edema 2. Shortness of breath and frequent urination 3. Hemoglobin
of 11 g/dL and a rapid weight gain 4. Unusual fatigue and recurring Candida vaginitis - CORRECT
ANSWER✅✅✅4. The client who is HIV-positive would have a suppressed immune system and would
experience symptoms of fatigue and opportunistic infections such as Candida vaginitis.
A client at 24 weeks has a history of class II heart disease secondary to rheumatic fever. What should the
nurse expect to see in the medical record? 1. Dyspnea and chest pain with mild exertion 2. Elective
cesarean birth scheduled for 37 weeks 3. Discussed need for labor epidural and vacuum extraction 4.
Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally - CORRECT ANSWER✅✅✅3. Lumbar
epidural analgesia decreases the stress response during labor, while vacuum extraction or forceps
decreases maternal pushing efforts. Both of these decrease stress on the heart during birth.
A pregnant client is diagnosed with a cardiac problem. What should the nurse prepare to instruct this
client to do, to ensure a safe pregnancy? Select all that apply. 1. Restrict activities. 2. Follow a diet high
in iron and protein. 3. Restrict the intake of sodium. 4. Obtain 8 to 10 hours of sleep. 5. Obtain
pneumococcal vaccination - CORRECT ANSWER✅✅✅1. To help preserve her cardiac reserves, the
woman may need to restrict her activities. 2. For the pregnant client with cardiac problems, the client
should be instructed in the importance of a diet high in iron and protein. 3. For the pregnant client with
cardiac problems, the client should be instructed in the importance of a diet low in sodium. 4. For the
pregnant client with cardiac problems, 8 to 10 hours of sleep are essential.
The nurse is planning a group session for parents who are beginning infertility evaluation. Which
statements should be included in this session? Select all that apply. 1. "Infertility can be stressful for a
marriage." 2. "Taking a vacation usually results in pregnancy." 3. "Your insurance will pay for the
infertility treatments." 4. "The doctor will be able to tell why you have not conceived." 5. "Keep
communicating with one another through this process." - CORRECT ANSWER✅✅✅1. Infertility is
often stressful on a marriage, as a result of the need to schedule intercourse and pay for treatments and
the societal expectation to have children.
5. Communication is important to help cope with stress. A nurse should always encourage clients to ask
questions.
The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies.
Which client statement indicates that teaching has been effective? 1. "A beer once a week will not
damage the fetus." 2. "I can continue to drink alcohol until I am diagnosed as being pregnant." 3. "I can
drink alcohol while breastfeeding since it does not pass into breast milk." 4. "I need to stop drinking
alcohol completely when I start trying to get pregnant." - CORRECT ANSWER✅✅✅4. Because birth
defects that are related to fetal alcohol exposure can occur in the first 3 to 8 weeks' gestation, often
before the woman even knows she is pregnant, women should discontinue drinking alcohol when they
start to attempt pregnancy.
The nurse suspects that a pregnant client is a substance user. Which approach should the nurse take
during the health history? 1. Explaining how harmful drugs can be for her baby. 2. Asking the woman
directly, "Do you use any street drugs?" 3. Asking the woman if she would like to talk to a counselor. 4.
Asking some questions about over-the-counter medications and avoiding the mention of illicit drugs. -
CORRECT ANSWER✅✅✅2. Asking the woman directly, "Do you use any street drugs?"
A client at 9 weeks' gestation learns about being HIV positive. Which client statement indicates teaching
about the effects on the baby has been effective? 1. "The pregnancy will increase the progression of my
disease and will reduce my CD4 counts." 2. "The HIV will not affect my baby, and I will have a low-risk
pregnancy without additional testing." 3. "My baby will probably be born with anti-HIV antibodies, but
that does not mean the baby is infected." 4. "I cannot take the medications that control HIV during my
pregnancy because they will harm the baby." - CORRECT ANSWER✅✅✅3. Babies of HIV-positive
women or women with AIDS are born with maternal anti-HIV antibodies. HIV infection in infants should
be diagnosed using HIV virologic assays as soon as possible, with initiation of infant antiretroviral
prophylaxis immediately if the test is positive.
During the first antepartal visit, a client who is at 10 weeks' gestation learns of being HIV positive. Which
client statement indicates an understanding of the plan of care both during the pregnancy and
postpartally? 1. "I should not breastfeed my baby." 2. "When my baby is 2 months old, he or she will be
tested for HIV." 3. "If I have a cesarean section, there is an increased risk that my HIV will be passed to
my baby." 4. "I am supposed to take highly active antiretroviral therapy (HAART), but only during the
first trimester." - CORRECT ANSWER✅✅✅1. HIV transmission can occur during pregnancy and
through breast milk; however, it is believed that the majority of all infections occur during labor and
birth.
A client who is 32 weeks pregnant is HIV positive, but asymptomatic. What would be important in
managing her pregnancy and delivery? 1. An amniocentesis at 30 and 36 weeks 2. Weekly non-stress
testing beginning at 32 weeks' gestation 3. Administration of intravenous antibiotics during labor and
, delivery 4. Application of a fetal scalp electrode as soon as her membranes rupture in labor - CORRECT
ANSWER✅✅✅2. Clients who are HIV positive are considered high-risk pregnancies. Therefore,
beginning at about 32 weeks, these clients have weekly non-stress tests to assess for placental function
and an ultrasound every 2 to 3 weeks to assess for intrauterine growth retardation (IUGR).
A pregnant woman married to an intravenous drug user had a negative HIV screening test just after
missing her first menstrual period. What would indicate that the client needs to be retested for HIV? 1.
Elevated blood pressure and ankle edema 2. Shortness of breath and frequent urination 3. Hemoglobin
of 11 g/dL and a rapid weight gain 4. Unusual fatigue and recurring Candida vaginitis - CORRECT
ANSWER✅✅✅4. The client who is HIV-positive would have a suppressed immune system and would
experience symptoms of fatigue and opportunistic infections such as Candida vaginitis.
A client at 24 weeks has a history of class II heart disease secondary to rheumatic fever. What should the
nurse expect to see in the medical record? 1. Dyspnea and chest pain with mild exertion 2. Elective
cesarean birth scheduled for 37 weeks 3. Discussed need for labor epidural and vacuum extraction 4.
Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally - CORRECT ANSWER✅✅✅3. Lumbar
epidural analgesia decreases the stress response during labor, while vacuum extraction or forceps
decreases maternal pushing efforts. Both of these decrease stress on the heart during birth.
A pregnant client is diagnosed with a cardiac problem. What should the nurse prepare to instruct this
client to do, to ensure a safe pregnancy? Select all that apply. 1. Restrict activities. 2. Follow a diet high
in iron and protein. 3. Restrict the intake of sodium. 4. Obtain 8 to 10 hours of sleep. 5. Obtain
pneumococcal vaccination - CORRECT ANSWER✅✅✅1. To help preserve her cardiac reserves, the
woman may need to restrict her activities. 2. For the pregnant client with cardiac problems, the client
should be instructed in the importance of a diet high in iron and protein. 3. For the pregnant client with
cardiac problems, the client should be instructed in the importance of a diet low in sodium. 4. For the
pregnant client with cardiac problems, 8 to 10 hours of sleep are essential.
The nurse is planning a group session for parents who are beginning infertility evaluation. Which
statements should be included in this session? Select all that apply. 1. "Infertility can be stressful for a
marriage." 2. "Taking a vacation usually results in pregnancy." 3. "Your insurance will pay for the
infertility treatments." 4. "The doctor will be able to tell why you have not conceived." 5. "Keep
communicating with one another through this process." - CORRECT ANSWER✅✅✅1. Infertility is
often stressful on a marriage, as a result of the need to schedule intercourse and pay for treatments and
the societal expectation to have children.
5. Communication is important to help cope with stress. A nurse should always encourage clients to ask
questions.
