100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)
Nursing Practice II – Community Health Nursing and Care of Mother and Child
Community Health Nursing / O.B. (Obstetric)
PART 2 Board Exam test questions 51 - 100
Situation 7: The infant and child mortality rate in the low to middle income countries is ten times higher than industrialized countries. In response to this the WHO and UNICEF launched protocol Integrated Management of Childhood Illness to reduce the morbidity and mortality against childhood illnesses.
51. If a child with diarrhea registers two signs in the yellow row in the IMCCI char, we can classify the patient as:
A. Moderate dehydration
B. Some dehydration
C. Severe dehydration
D. No dehydration
52. Celeste has had diarrhea for 8 days. There is no blood in the stool, he is irritable, his eyes are sunken, the nurse offers fluid to Celeste and he drinks eagerly. When the nurse pinched the abdomen it goes back slowly. How will you classify Celeste’s Illness?
A. Moderate dehydration
B. Some dehydration
C. Severe dehydration
D. No dehydration
53. A child who is 7 weeks has had diarrhea for 14 days but has no sign of dehydration is classified as?
A. Persistent diarrhea
B. Severe dysentery
C. Dysentery
D. Severe Persistent diarrhea
54. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home treatment in this case?
100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)
Nursing Practice II – Community Health Nursing and Care of Mother and Child
Community Health Nursing / O.B. (Obstetric)
PART 1 Board Exam test questions 1 - 50
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 moths. She consults you for guidance in relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual cycle. Her periodic menstrual period is October 22 to 26. Her LMB is November 21. Which of the following number of days will be your correct response?
A. 29
B. 28
C. 30
D. 31
2. You advised her to observe and record the signs of Ovulation. Which of the following signs will she likely note down?
1.A 1 degree Farenheit rise in basal body temperature
2.Cervical mucus becomes copious and clear
3.One pound increase in weight
4.Mitteischmerz
A. 1,2,4 B. 1,2,3 C. 2,3,4 D. 1,3,4
3. You instruct Mariah to keep record of her basal temperature everyday, which of the following instructions is incorrect?
A. If coitus has occured, this should be reflected in the chart
B. It is best to have coitus on the evening following a drop in BBT to become pregnant
C. Temperature should be taken immediately after waking and before getting put of bed
D. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about this change in her BBT?
A. Estrogen
B. Progesterone
C. Gonadootrophine
D. Follicle Stimulating Hormone
5. The following month, Mariah suspects she is pregnant. Her urine is positive for Human Chorionic Gonadotrophin. Which structure produce HCG?
100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)
Nursing Practice 1 – Foundation of Professional Nursing Practice
Fundamentals of Nursing
PART 2 Board Exam test questions 51 - 100
Situation 9: As a nurse, you are aware that proper documentation in the patient chart is your responsibility.
51. Which of the following is NOT a legally binding document but nonetheless very important in the care of all patients in any setting?
A. Bill of rights as provided in the Philippine Constitution
B. Scope of nursing practice as defined in R.A. 9173
C. Board of Nursing resolution adopting the Code of Ethics
D. Patient’s Bill of Rights
52. A nurse gives a wrong medication to the client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication?
A. Incident Report
B. Oral report
C. Nursing kardex
D. Complain report
53. Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges?
A. Fraud
B. Assault and Battery
C. Harassment
D. Breach of confidentiality
54. Which of the following is the essence of informed consent?
A. It should have a durable power of attorney
B. It should have coverage from an insurance company
C. It should respect the client’s freedom from coercion D. It should discloses previous diagnosis, prognosis and alternative treatments available for the client.
55. Delegation is the process of assigning tasks that can be performed by a subordinate. The RN should always be accountable and should not lose his accountability. Which of the following is a role included in delegation?
A. The RN must supervise all delegated tasks
B. After a task has been delegated. It is no longer a responsibility of the RN.
C. The RN is responsible and accountable for the delegated task in a adjunct with the delegate.
D. Follow up with a delegated task necessary only if the assistive personnel is not trustworthy.
100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)
Nursing Practice 1 – Foundation of Professional Nursing Practice
Fundamentals of Nursing
PART 1 Board Exam test questions 1 - 50
Situation 1: Nursing is a profession. The nurse should have a background on the theories and foundation of nursing as it influenced what is nursing today.
1. Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of the individuals, families, communities and population. This is the most accepted definition of nursing as defined by the:
A. PNA
B. ANA
C. Nightingale
D. Henderson
2. Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the following is NOT expanded career role for nurse?
A. Nurse practitioner
B. Clinical Nurse Specialist
C. Nurse Researcher
D. Nurse anaesthesiologist
3. The Board of Nursing regulated the Nursing profession in the Philippines and is responsible for the maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the following EXCEPT:
A. Issue, suspend revoke certificates of registration
B. Issue subpoena duces tecum, ad testificandum
C. Open and close colleges of nursing
D. Supervise and regulate the practice
4. A nursing student or a beginning staff nurse who has not yet experienced enough in a situation to make judgments about them is in what stage of Nursing Expertise?
A. Novice
B. Newbie
C. Advanced Beginner
D. Competent
5. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having:
A. The ability to organize and plan activities
B. Having attained an advanced level of education
C. A holistic understanding and perception of the client
D. Intuitive and analytic ability in new situations
100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)
Nursing Practice II – Community Health Nursing and Care of Mother and Child
Community Health Nursing / O.B. (Obstetric)
PART 1 Board Exam test questions 51 - 100
51. A public health nurse would instruct a pregnant woman to notify the physician immediately if which of the following symptoms occur during pregnancy?
A. Presence of dark color in the neck
B. Increased vaginal discharge
C. Swelling of the face
D. Breast tenderness
52. A woman who is week 9 pregnant comes to the Health center with moderate bright red vaginal bleeding. On physical examination, the physician finds the client’s cervix 2 cm dilated. Which term best describes the client’s condition?
A. missed abortion
B. Incomplete abortions
C. Inevitable abortion
D. Threatened abortion
53. In a big government hospital, Nurse Pura is taking care of a woman with diagnosis of abruption placenta. What complication of this condition is most concerned to Nurse Pura?
A. Urinary tract infection
B. Pulmonary embolism
C. Hypocalcemia
D. Disseminated intravascular coagulation
54. Which of the following findings on a newly delivered woman’s chart would indicate she is at risk for developing postpartum hemorrhage?
A. Post-term delivery
B. Epidural anesthesia
C. Grand multiparity
D. Premature rupture of membrane
55. Mrs. Hacienda Gracia, 35 years old postpartum client is at risk of thrombophlebitis. Which of the following nursing interventions decrease her chances of developing postpartum thrombophlebitis?
A. Breastfeeding the newborn
B. Early ambulation
C. Administration of anticoagulant postpartum
D. Immobilization and elevation of the lower extremities
100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)
Nursing Practice II – Community Health Nursing and Care of Mother and Child
Community Health Nursing / O.B. (Obstetric)
PART 1 Board Exam test questions 1 - 50
June 2008
1. Which statement is correct regarding the use of cervical cap?
A.It may affect the Pap Smear result
B.It does not need to be fitted by the physician
C.It does not require the use of spermicidal
D.It must be removed within 24hours
2. The major components of the communication process are?
A. Verbal, written, and nonverbal
B. Speaker, Listener and reply
C. Facial expression, tone of voice and gestures
D. Message, sender, channel, Receiver and Feedback
3. The extent of burns in children are normally assessed and expressed in terms of:
A. The amount of body surface that is unburned
B. Percentages of total body surface area (TBSA)
C. How deep the deepest burns are
D. The severity of the burns on a 1 to 5 burn scale
4. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry; has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is:
A. Being raised by a parent of low intelligence (IQ)
B. An orphan
C. A victim of child neglect
D. The victim of poverty
5. Which of the following indicates the type(s) of acute renal failure?
A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting
B. One type: Acute
C. Three types: Prerenal, intrarenal, postrenal
D. Two types: Acute and subacute
6. A means of facilitating professional staff development is by building upon skills, abilities and of experience of each practitioner is called:
A. The novice to expert model
B. Situational leadership model
C. Career enhancement
D. Clinical ladder
7. Which of the following questions by the nurse would be best fit the philosophy of the nursing mutual participation model of care (NMPMC)?
A. “Have you brushed your child’s teeth today?”
B. “How does your child look to you today?’
C. “Where have you been all morning?”
D. “Do you think your child’s color is worse?”
8. There are numerous definitions of the word “health”. Which definition below is from Florence Nightingale?
A. A state or a process of being and becoming an integrated and whole person
B. The state of being free from illness or injury
C. Being well and using every power the individual processes to the fullest extent
D. A state of complete physical, social, and mental well-being and not merely the absence of diasease or infirmity.
9. Informal communication takes place when the individual talk and is best described by saying the participants:
A. Are involved in a preexisting informal relationship
B. Talk with slang words
C. Have no particular agenda or protocol
D. Are relaxed
10. Tertiary care by the home health nurse is directed toward children with:
A. Problem is mobility
B. Short-term needs
C. Minor problems
D. Clinically apparent disease
11. The endometrium thickens during which phase of the menstrual cycle?
A. Secretory phase
B. Menstrual phase
C. Proliferative phase
D. Ischemic phase
12. A measurement tool to articulate the nursing workload for a specific patient or groups of patients over a specific period of time is called:
A. Staffing pattern
B. Sill mix
C. Benchmaking
D. Patient classification
13. The mother of a 9 month-old infant is concerned that the head circumference of her baby is greater than the chest circumference. The BEST response by the nurse is:
A. “These circumference normally are the same, but in some babies this just differs”
B. Perhaps your baby was small for gestational age or premature
C. “This is normal until the age of 1 year, when the chest will be greater”
D. “Let me ask you a few questions, and perhaps we can figure out the cause of this difference”
14. Which of the following approaches would work best when the nurse is communicating with an infant?
A. Use an adult voice just as you would for anyone
B. Communicate through the caregivers
C. Allow the child time to warm up to the nurse
D. Respond only after the child cries for a while
15. Evidence-based care started in medicine as a way to:
A. Promote technological advances in medicine
B. Incorporate collaboration within all health care disciplines
C. Integrate individual experience with clinical research
D. Teach medical students the art and science of medicine
16. Martina develops endometritis. What would be the best activity for her?
A. lying in bed with a cold cloth on her forehead
B. reading while resting in a trendelenburg position
C. sitting with her feet elevated while playing cards
D. walking around her room listening to music
17. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins
18. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She is not able to drink and there is no blood in the stool. How will you classify Fely’s illness?
A. persistent diarrhea
B. some dehydration
C. severe dehydration
D. no dehydration
19. The infectious agent that causes pulmonary tuberculosis is:
A. mycobacterium tubercle
B. Hansen’s bacillus
C. Wuchereria bancrofti
D. mycobacterium diphtheria
20. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states: “Why couldn’t I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it was my fault to be abused”. Based on this, which would be your most appropriate nursing diagnosis?
A. social isolation
B. anxiety
C. chronic low self-esteem
D. ineffective family coping
21. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her before this procedure?
A. void immediately before the procedure to reduce your bladder size
B. no more amniotic fluid forms afterward, that is why only a small amount is removed
C. the intravenous fluid infused to dilate your uterus does not hurt the
fetus
D. the x-ray used to reveal your fetus position has no long-term effects
22. When planning teaching strategy for a pregnant woman, the nurse should do which of the following?
A. give information about how the woman can manage the specific problems she identifies as relevant in her life
B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria
C. provide all information to the woman in a group session with other pregnant women so she can have someone to discuss it with
D. during the first prenatal visit, teach a woman the care measures necessary for health promotion throughout the pregnancy
23. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?
A. frequency of urination
B. chills and fever
C. varicosities
D. Braxton Hicks’ Contractions
24. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the following?
A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day
B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism
C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories
D. limit intake of amino acids to prevent development of diabetic ketoacidosis
25. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies should be readily available for the infant immediately after birth?
A. vitamin K to avoid bleeding
B. mild soap without perfume so as not to irritate the skin
C. bulb syringe to suction fluid and mucous from the mouth
D. heating lamp to avoid chilling from water evaporation
26. You were the nurse assigned to work with a child who has had whole brain radiation. You have assessed the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever and dysphasia. Based on this assessment, you are to work with the patients in which of the following areas.
A. Accepting a reoccurrence of the tumor
B. Dealing with the side effects of radiation therapy
C. Caring for the dying child
D. Accepting the imminent death of their child
27. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a nursing diagnosis of “Nutrition: Less than body requirements”. Which of the following interventions will be most helpful in resolving this nursing problem?
A. Two large meals a day instead of several minerals and snacks
B. Special IBD diet (diet that has been proven effective for crating IBD)
C. Salt free diet, high in potassium, vitamins and minerals
D. Diet as tolerated with lactose hydrolyzed milk instead of milk products and omission or highly seasoned foods and reduction of fiber.
28. Emotional intelligence consists of a number of competencies. Some of these are listed below. Which is NOT a characteristic of emotional intelligence?
A. Self-esteem
B. self-awareness
C. Empathy
D. Self-regulation
29. Data Collection for driving and restraining forces, including costs, desirability and feasibility is a:
A. People issue
B. Structural issue
C. Political issue
D. Technology issue
30. One of four factors describing the experience of sexually abused children and the effect it has on their growth and development is stigmatization. Stigma will occur when:
A. A child blames him or himself for the sexual abuse and begins to withdraw and isolate
B. Newspapers and media don’t keep sexual abuse private and accidentally or on purpose reveal the name of the victim.
C. The child as been blamed by the abuser for his or her sexual behaviors, saying that the child asked to be touched or did not make the abuser to stop
D. The child’s agony is shared by other members of the family or friends when the sexual abuse becomes public knowledge
Situation – Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice.
31. Which of the following is the primary focus of community health nursing practice?
A. Cure of illnesses
B. Prevention of illnesses
C. Rehabilitation back to health
D. Promotion of health
32. In community health nursing, which of the following is our unit of service as nurses?
A. The community
B. The extended members of every family
C. The individual members of the Barangay
D. The Family
33. A very important part of the Community Health Nursing Assessment Process includes:
A. the application of professional judgment in estimating importance of
facts to family and community
B. evaluation structures and qualifications of health center team
C. coordination with other sectors in relation to health concerns
D. carrying out nursing procedures as per plan of action
34. In community health nursing it is important to take into account the family health data
coupled with an equally important need to perform ocular inspection of the area as activities
which are powerful elements of:
A. evaluation
B. assessment
C. implementation
D. planning
35. The initial step in PLANNING process in order to engage in any nursing project or
activities at the community level involves
A. goal-setting
B. monitoring
C. evaluation of data
D. provision of data
Situation – Please continue responding as a professional nurse in these other health
situations through the following questions.
36. Transmission of HIV from an infected individual to another person occurs:
A. Most frequently in nurses with needlesticks
B. Only if there is a large viral load in the blood
C. Most commonly as a result of sexual contact
D. In all infants born to women with HIV infection
37. The medical record of a client reveals a condition in which the fetus cannot pass through
the maternal pelvis. The nurse interprets this as:
A. Contracted pelvis
B. Maternal disproportion
C. Cervical insufficiency
D. Fetopelvic disproportion
38. The nurse would anticipate a cesarean birth for a client who has which infection present
at the onset of labor?
A. Herpes-simplex virus
B. Human papilloma virus
C. Hepatitis
D. Toxoplasmosis
39. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput
posterior position. The nurse would anticipate that the client will have:
A. A precipitous birth
B. Intense back pain
C. Frequent leg cramps
D. Nausea and vomiting
40. The rationales for using a prostaglandin gel for a client prior to the induction of labor is
to:
A. Soften and efface the cervix
B. Numb cervical pain receptors
C. Prevent cervical lacerations
D. Stimulate uterine contractions
Situation – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.
41. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm can not enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are
blocked
D. The ovary no longer releases ova as there is no where for them to go.
42. The Dators are a couple undergoing testing for infertility. Infertility is said to exist
when:
A. a woman has no uterus
B. a woman has no children
C. a couple has been trying to conceive for 1 year
D. a couple has wanted a child for 6 months
43. Another client named Lilia is diagnosed as having endometriosis. This condition
interferes with fertility because:
A. endometrial implants can block the fallopian tubes
B. the uterine cervix becomes inflamed and swollen
C. the ovaries stop producing adequate estrogen
D. pressure on the pituitary leads to decreased FSH levels
44. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions
would you give her regarding this procedure?
A. She will not be able to conceive for 3 months after the procedure
B. The sonogram of the uterus will reveal any tumors present
C. Many women experience mild bleeding as an after effect
D. She may feel some cramping when the dye is inserted
45. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks what
artificial insemination by donor entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husband’s sperm is administered intravenously weekly
46. A child suffers a head injury in a tumbling accident in gym class. The nurse’s best course of action is to:
A. Get the child up walking and makes sure he or she stays awake
B. Leave the child and go get help
C. Leave the child in the care of an older child and go get help
D. Stay with the child, keep assessing and have someone call the caregivers
47. The American Academy of Pediatrics suggests that caregivers do which of the following things in regard to physical activities for preschoolers?
A. Push the child to practice sports activities while they are more flexible
B. Encourage a variety of physical activities in a noncompetitive environment
C. Have the child engage in competitive sports to see where they excel
D. Keep physical activities to a minimum until the child is in grade school.
48. Which of the following arrangements is generally considered to be the best for the parents of hospitalized infant or young child?
A. Rooming in
B. Separate caregiver sleeping room on the unit
C. Day visits and sleeping at home
D. Staying at a nearby hotel or motel
49. When one person allows the conflict to be resolved at his or her own expense, this is referred in conflict management as:
A. Losing
B. Winning while losing
C. The win-lose approach
D. The lose-win approach
50. Which of the following statements best describes acquaintance rape?
A. Sexual intercourse when one person engaging in the activity is unsure about wanting to do so.
B. When two people don’t love each and engage in sexual activities
C. When someone on a date tricks the other person into having sexual intercourse
D. Sexual intercourse committed with force of the threat if force of the threat Of force without a person’s contact.
