1回のNCLEX-RN（National Council Licensure Examination(NCLEX-RN) ）およびNCLEX-PN（National Council Licensure Examination(NCLEX-PN) ）受験で合格を目指すのであれば、NCLEX-RNおよびNCLEX-PN問題集まで理解しておく必要があると思います。
もし、NCLEX資格NCLEX-RN（National Council Licensure Examination(NCLEX-RN)）勉強資料を購入し、試験を受けましたが落ちて場合、アカウントに返金いたします。
1.A 25-year-old client believes she may be pregnant with her first child. She schedules an
obstetric examination with the nurse practitioner to determine the status of her possible pregnancy.
Her last menstrual period began May 20, and her estimated date of confinement using N.gele’s rule is:
A. March 27
B. February 1
C. February 27
D. January 3
(A)March 27 is a miscalculation.
(B) February 1 is a miscalculation.
(C) February 27 is the correct answer. To calculate the estimated date of confinement using Nagele’s
rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the
(D) January 3 is a miscalculation.
2.The nurse practitioner determines that a client is approximately 9 weeks’ gestation.
During the visit, the practitioner informs the client about symptoms of physical changes that she will
experience during her first trimester, such as:
A. Nausea and vomiting
C. A 6–8 lb weight gain
D. Abdominal enlargement
(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months
of pregnancy as a result of elevated human chorionic gonadotropin levels and changed
(B) Quickening is the mother’s perception of fetal movement and generally does not occur until
18–20 weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks
(C) During the first trimester there should be only a modest weight gain of 2–4 lb. It is not uncommon
for women to lose weight during the first trimester owing to nausea and/or vomiting.
(D) Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis.
3.A client is 6 weeks pregnant. During her first prenatal visit, she asks, “How much alcohol is safe to
drink during pregnancy?”
The nurse’s response is:
A. Up to 1 oz daily
B. Up to 2 oz daily
C. Up to 4 oz weekly
D. No alcohol
4.A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is
30 weeks’ gestation.
The nurse should be alert to which condition related to her age?
A. Iron-deficiency anemia
B. Sexually transmitted disease (STD)
C. Intrauterine growth retardation
D. Pregnancy-induced hypertension (PIH)
(A) Iron-deficiency anemia can occur throughout pregnancy and is not age related.
(B) STDs can occur prior to or during pregnancy and are not age related.
(C) Intrauterine growth retardation is an abnormal process where fetal development and maturation
are delayed. It is not age related.
(D) Physical risks for the pregnant client older than 35 include increased risk for PIH, cesarean
delivery, fetal and neonatal mortality, and trisomy.
5.A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The results of
her physical examination are normal.
How does the nurse interpret the effectiveness of the instruction about diet and weight control?
A. She is compliant with her diet as previously taught.
B. She needs further instruction and reinforcement.
C. She needs to increase her caloric intake.
D. She needs to be placed on a restrictive diet immediately.
(A) She is probably not compliant with her diet and exercise program. Recommended weight gain
during second and third trimesters is approximately 12 lb.
(B) Because of her excessive weight gain of 10 lb in 2 months, she needs re-evaluation of her
eating habits and reinforcement of proper dietary habits for pregnancy. A 2200-calorie diet is
recommended for most pregnant women with a weight gain of 27–30 lb over the 9-month period. With
rapid and excessive weightgain, PIH should also be suspected.
(C) She does not need to increase her caloric intake, but she does need to re-evaluate dietary habits.
Ten pounds in 2 months is excessive weight gain during pregnancy, and health teaching is warranted.
(D) Restrictive dieting is not recommended during pregnancy.