FREE Registered Nurse Questions and Answers

Question 1

A client who is 25 years old thinks she might be expecting her first kid. To find out the state of her potential pregnancy, she makes an appointment with the nurse practitioner for an obstetric examination. Her last period started on May 20, and based on the Naegele’s rule, her anticipated date of confinement is

Accepted Answer

February 27

Answer

Naegele's rule calculates the Estimated Date of Confinement (EDC) by adding 7 days to the first day of the last menstrual period (LMP), subtracting 3 months, and adding 1 year. For an LMP of May 20: May 20 + 7 days = May 27. Subtracting 3 months from May yields February. Adding 1 year (as February is in the next calendar year) results in an EDC of February 27.

Question 2

A client's gestational age is determined by the nurse practitioner to be around 9 weeks. The healthcare provider gives the client information on the bodily changes that will occur during the first trimester, such as:

Accepted Answer

Nausea and vomiting

Answer

Nausea and vomiting, commonly known as 'morning sickness,' are very typical symptoms experienced by pregnant individuals during the first trimester (approximately weeks 6-12). These symptoms are primarily caused by significant hormonal changes, particularly rising levels of human chorionic gonadotropin (hCG). Other options like abdominal enlargement and quickening occur later in pregnancy.

Question 3

A customer is six weeks pregnant. She queries the nurse during her first prenatal appointment, "How much alcohol is safe to drink during pregnancy?" and receives the following response:

Accepted Answer

No alcohol

Answer

There is no known safe amount of alcohol, no safe time to drink, and no safe type of alcohol during pregnancy. Alcohol consumption during pregnancy can lead to Fetal Alcohol Spectrum Disorders (FASDs), which are a range of lifelong physical, behavioral, and intellectual disabilities. Therefore, complete abstinence from alcohol is recommended throughout pregnancy to prevent these irreversible effects on the fetus.

Question 4

An expectant woman in her 38s meets her nurse practitioner for her routine prenatal appointment. She is thirty weeks pregnant. Which condition connected to her age should the nurse be on the lookout for?

Accepted Answer

Pregnancy-induced hypertension (PIH)

Answer

Advanced maternal age, typically defined as 35 years or older at the time of delivery, is a significant risk factor for several pregnancy complications. Women in their late 30s are at an increased risk for developing conditions like gestational hypertension and preeclampsia (Pregnancy-Induced Hypertension). The nurse should closely monitor for signs and symptoms of PIH, such as elevated blood pressure, proteinuria, and edema, in this age group.

Question 5

Preeclampsia has been identified in one of the clients. The doctor prescribes magnesium sulfate. Preeclampsia is treated with magnesium sulfate (MgSO4) for:

Accepted Answer

Prevention of seizures

Answer

Magnesium sulfate is the drug of choice for the prevention and treatment of seizures (eclampsia) in women with severe preeclampsia. It acts as a central nervous system depressant, reducing neuromuscular irritability and vasospasm. While it has other effects, its primary therapeutic goal in preeclampsia is to prevent the life-threatening complication of seizures.

Registered Nurse (RN) Practice Test

Registered Nurse (RN) Practice Test

FREE Registered Nurse Questions and Answers