Title PRE INTENSIVE - NP2.pdf ✅

Prepared by: Mr. Jules Arceo Ms. Juliane Lupisan 1 | Page PRE- INTENSIVE EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & CHILD MAY 2024 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE II” on the box provided Situation: A nurse must be knowledgeable about a child’s normal growth pattern to be able to determine and assist parents towards facilitating a child’s proper growth. 1. A nurse who recognizes that all infants, regardless of nationality and sex will undergo the same stage of development uses which principle as their basis? A. Sequential development B. Proximodistal development C. Secular development D. Cephalocaudal development 2. The parent of an infant born at 4 kg asks the nurse what is their expected weight at 6 months old. What is the correct answer of the nurse? A. 6 kg B. 8 kg C. 10 kg D. 12 kg 3. Which developmental milestone should a nurse expect in a nine-month old infant during check-up? A. Propelling forward with belly on the floor B. Moving by using hands and knees or the feet with the belly off the floor C. Walking while holding onto objects D. Walking while holding a parent’s hand 4. Which behavior of a child at 3 months of age indicate further investigation? A. The child can turn from front to back B. When given an object, the child can grasp it on their own C. The child does not produce any sound aside from crying D. The child is achieving normal developmental milestones 5. A child who is 4 years old is at what stage of development? A. Infancy B. Toddlerhood C. Preschool age D. School-aged child Situation: In dealing with pediatric patients, it is vital for a nurse to have proper and complete knowledge about the theories around a child’s developmental stages so that they can plan and individualize their interventions properly and appropriately. 6. How can a nurse promote the psychosexual development of an infant? A. Allow masturbation B. Facilitate a child’s desire to be active in school or outside play C. Do not force a child to use the toilet D. Promote exclusive breastfeeding 7. Which of the following statements of a parent of a toddler indicate that they have adequate knowledge on the psychosocial development of a toddler? A. Praise the child when not having tantrums B. Ask the toddler yes-or-no questions to decrease difficulty in answering questions C. Punish the child by chastising them during tantrums D. Feed the child as they cannot yet eat on their own by this stage 8. What behavior of a parent who is taking care of a 4-year old child would necessitate a nurse’s intervention? A. Allowing the child to initiate and choose play B. Distracting the child from playing with their imaginary friends by redirecting them to other playmates C. Answering all the child’s questions realistically D. Praising the child for what they did correctly 9. What behavior of a school-aged child indicate that they are achieving normal cognitive development? A. The child talks to inanimate objects as if they are alive and they play with imaginary friends B. The child cannot adjust to new situations and performs ritualistic behaviors C. The child perceives that their own thoughts and needs are more important than others D. The child recognizes that a change in shape of an object does not necessarily mean a change in size 10. Which of the following indicates the expected moral development of a 15-year old adolescent? A. What is right or wrong for this child is based on their own morals and their set of values B. At this stage, the child is not aware of what is right or what is wrong C. What is right for this child is when they are rewarded D. What is right for this child is when their parent is satisfied with their actions Situation: A child who is hospitalized have different sets of needs that a nurse must recognize and act upon. 11. A hospitalized infant who cries, screams, physically fights stranger, and searches for their parent is at what stage of separation anxiety? A. Despair B. Recovery C. Detachment D. Protest 12. What is the most effective intervention that a nurse can do to comfort a toddler who is hospitalized? A. Provide a pacifier B. Talk about parents or others in their lives C. Leaving a favorite toy with the child D. Allow the child to accomplish school works * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
Prepared by: Mr. Jules Arceo Ms. Juliane Lupisan 2 | Page 13. The nurse knows that the most effective therapy for a preschooler is play. What is the expected play behavior for this child? A. The child plays competitively with other children of the same age B. The child plays on their own C. The child shares their toys with other children of the same age D. The child plays in the presence of other children of the same age without interacting with them 14. A nurse who is taking care of 10-year old child who is hospitalized knows that they should be more considerate when performing which of the following procedures? A. Talking about topics regarding the child’s personality B. Administering intravenous medications C. Performing interventions without a parent D. Assessing the genitourinary system 15. What is the most effective intervention that a nurse can plan to promote socialization of an adolescent who is hospitalized? A. Always ensure that a parent is at the bedside of an adolescent B. Introduce adolescents to other adolescents in the nursing unit C. Recommend ways on how an adolescent dresses and grooms themselves D. Ensure that the permission of a parent is granted in the adolescent’s self-care activities Situation: Nurse Hans is planning a discharge teaching session for a diverse group of parents regarding proper care for children, regardless of age. 16. What statement of a parent indicate that they have adequate understanding of promoting an infant’s nutrition? A. Introduce different types of food simultaneously after breastfeeding to ensure complete nutrition B. It is better to give circular-shaped food than square- shaped food C. Egg whites should be introduced in small quantities D. Microwaving food should only be done on a low heat setting 17. In teaching home adjustments for an infant’s safety, the nurse knows that which intervention should he include in the slides he will use? A. Put large, colorful toys on the child’s crib B. The safest level of water that an infant can be left alone with is ankle height C. Teach the infant to avoid hot objects such as the stove D. Place cribs away from windows or curtains 18. What is the appropriate toy to be given to a toddler? A. Puzzles B. Crib mobiles with contrasting colors C. Finger paints and bubbles D. Computer games 19. Which of the following information should a parent teach to a preschooler who likes to play in a playground for their safety? I.The preschooler’s full name II.The full address of the preschooler III.The name of the preschooler’s teacher IV.The telephone number of the preschooler’s house or parents A. I, II, III, IV B. I and IV C. I, III, IV D. I, II, IV 20. What is the main consideration in ensuring the safety of adolescents? A. Adolescents have a natural urge to experiment and have a desire to be independent. B. Adolescents engage in sex frequently and are more at risk for STDs C. Adolescents are mostly at risk to engaging in activities due to pressure from their friends D. Adolescents are influenced by social media easily compared to adults Situation: While preparing for the Philippine Nursing Licensure Examination, Eric is reading up on the Philippines’ Nursing Act of 2002. 21. Which of the following is not a requirement to be a member of the board of nursing in the Philippines? A. To be a holder of an RN and MAN degree B. At least 10 years of nursing practice with the past 2 years of such in the Philippines C. Natural born citizen and resident of the Philippines D. Member of a professionally-credited organization of nursing in the Philippines 22. Which of the following is not a function of the board of nursing in the Philippines A. Administering oaths in accordance with the provisions of the republic act of nursing in the Philippines B. Investigate any violation of the act C. Issue, investigate, suspend, or revoke certificates of registration for the practice of nursing D. Enforcing the provisions of RA 7164 23. Should a taker of the PNLE be unable to pass the exam, which of the following are the provisions for them to pass? A. Someone who is unable to pass the exam is one who may have not been able to reach a general average of 75% B. Someone who is unable to pass the exam is one who may have not been able to reach an average of 60% in one or more subjects C. They must take the removal or renewal exam with the unpassed subject and obtain a general average of 60% on that subject D. They must take the removal or renewal exam with the unpassed subject and obtain a general average of 75% on that subject 24. Who among the following can administer an oath of professional nurses to passers of the PNLE? A. The president of the Association of Nursing Administrators in the Philippines B. The president of the Philippine Nurses’ Association C. Any local government official D. The president of the Board of Nursing 25. Which of the following is not a provision to be admitted to taking the Philippine Nurses Licensure Examination? A. A graduate of Bachelor of Science in Nursing with at least units of intensive hospital and community health nursing B. A citizen of the Philippines C. A person of good moral character D. A copy of related learning experience Situation: You are performing an admission assessment on Kento, a 6-year-old, who has been diagnosed with nephrotic syndrome. 26. What sign will BEST support the medical diagnosis of nephrosis? A. Gross hematuria, tea-colored, scanty urine B. History of a streptococcal infection C. Painful urination D. Anasarca 27. You give health teaching to Kento’s mother about the signs of the nephrotic syndrome. She carefully listens, and tries to repeat the instructions you have taught her. Which signs and symptoms verbalized by the mother require you to re- educate her about this topic? Select-all-that-apply: i. Slight proteinuria ii. Hypoalbuminemia iii. Edema iv. Hyperlipidemia v. Tea-colored urine vi. Hypertension A. i, ii, iii B. ii, v, vi C. i, v, vi D. i, iv, v
Prepared by: Mr. Jules Arceo Ms. Juliane Lupisan 3 | Page 28. You’re collecting a urine sample on a patient who is experiencing proteinuria due to nephrotic syndrome. As the nurse, you know the urine will appear: A. Tea-colored B. Orange and frothy C. Dark and foamy D. Straw-colored 29. With Kento’s case, what will you includeas a nursing diagnosis for this patient? A. Risk for infection B. Deficient fluid volume C. Constipation D. Overflow urinary incontinence 30. Kento receives prednisone as the major treatment for his nephrosis. Which of the following actions should be observed by the nurse in the administration of prednisone? A. Monitor Kento’s temperature. B. Protect Kento’s from infection. C. Administer the drug on a full stomach. D. All of the options. Situation: Nurse Angie cares for children with different cardiovascular conditions. 31. She is currently assessing a 3-month old baby girl, when she documented elevated upper body blood pressure compared to her lower extremities. There is also a bounding radial pulse, and an absent femoral pulse. What condition does the child have? A. Coarctation of aorta B. Patent ductus arteriosus C. Hirschsprung’s disease D. Intussuception 32. The patient will have a surgery to correct her condition. What is the treatment for the patient’s condition in the previous number? A. Balloon angioplasty with coronary stenting B. Sengstaken-blakemore tube C. Cheiloplasty D. Open repair with cardiopulmonary bypass before school age 33. What is the pathognomonic sign for patent ductus arteriosus? A. Low blood pressure in the upper body extremities B. Bulging mass in the stomach C. Loud machine-like murmur D. Narrow pulse pressure 34. These drugs are usually administered to the patient with patent ductus arteriosus to close patent ductus in premature infants and some newborns. A. Aspirin B. Indomethacin C. Streptomycin D. Captopril 35. Acyanotic heart defects can lead to complications if not managed early. Ome common symptoms in all patients are easy fatigability, hepatomegaly and audible murmurs. What is a common complication of these defects? A. Heart failure B. Pulmonary Stenosis C. Buerger’s disease D. Tetralogy of Fallot Situation: In comparison with acyanotic heart defects, cyanotic heart defects can be detected immediately since there is central cyanosis, clubbing of fingers, and retarted physical growth in children. These have to be properly diagnosed and managed. 36.Infants who are cyanotic at birth or may have mild cyanosis over the first year of life is a common assessment for tetralogy of fallot. It is a combination of 4 defining features. Which among the following is not one of its features? A. Pulmonary stenosis B. Right ventricular hypertrophy C. Ventricular septal defect D. Narrowed aorta 37. The mother of a patient with TOF mentioned that she obserevd ger child to be squatting most of the time, especially when they are out of breath. She asks if this is a normal occurrence and if this should be continued by her child? A. “Yes, squatting helps increase the blood flow into the lungs, and can improve cyanosis.” B. “No, the heart will be overloaded with the blood flow going into the heart.” C. “No, the increased pressure will prevent the heart to pump blood into the body.” D. “Yes, squatting can increase the blood flow into the vital organs of the body such as the brain to help promote breathing.” 38. Tricuspid atresia is an extremely serious disorder because the tricuspid valve is completely closed, allowing no blood to flow from the right atrium to the right ventricle. As long as these two shunts remain open, the child can still obtain adequate oxygenation. A. Foramen ovale & ductus venosus B. Foramen ovale & ductus arteriosus C. Ductus venosus & ventriculoatrial shunt D. Ductus arteriosus & ventriculoatrial shunt 39. The baby is observed to be cyanotic at birth, and is rushed to be operated on as will fail to thrive if not managed soon. What is the condition in which the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle? A. Transposition of great arteries B. Tetralogy of Fallot C. Choanal Atresia D. Tricuspid atresia 40. What infusion is started immediately after birth to maintain the patency of the ductus arterious and encourage mixing of blood? A. Prostaglandin E B. Vitamin K C. Immunoglobulin G D. Potassium Situation: Jenny, a head nurse in the National Children’s Hospital, manages multiple cases of pediatric disorders. She is also supervising the newly registered and reassigned nurses during their duty. 41. Kennedy, an 18-month old baby girl, recently had her cleft palate repaired through palatoplasty. Which nursing intervention when done by the newly registered nurse would need nurse Jenny’s interference? A. Placing the patient in supine position B. Application of soft elbow restraints C. Removing small and sharp objects nearby the bed D. Securing oral packing to the palate 42. Nurse Jenny observes another patient to be having projectile vomiting after feeding. Further assessments show an olive shaped mass in the stomach. What condition does the patient have? A. Hirschsprung’s disease B. Intussusception C. Lactose Intolerance D. Pyloric Stenosis 43. Considering the patient’s condition in the previous number, what nursing actions should she perform to care for this patient? A. Do not provide pacifier as it does not need to meet its sucking needs B. Monitor for signs of fluid excess C. Withhold oral feedings D. Withhold IV fluids 44.Intolerance to some food is also common among the pediatric population.Celiac disease is known to be the intolerance to gluten. Which food is allowed to be given to the patient? A. Barley B. Rice C. Oats D. Wheat
Prepared by: Mr. Jules Arceo Ms. Juliane Lupisan 4 | Page 45. Lactose intolerance is the inability to tolerate lactose as a result of an absence or deficiency of lactase, an enzyme found in the secretions of the small intestine that is required for the digestion of lactose. Which nursing interventions can nurse Jenny advise to a parent of a child with lactose intolerance? A. Substitute soy-based formulas for cow’s milk formula or human milk B. Provide calcium and vitamin D supplements to prevent deficiency C. Discourage daily consumption of small amounts of dairy foods D. Encourage consumption of hard cheese, cottage cheese, or yogurt Situation: Conducting research involves numerous ethical tasks and responsibilities to observe. 46. The team leader approached Nurse Ligaya to inquire about the meaning of informed consent. Once Nurse Ligaya defined the term, she was then questioned about the reasons for its use. Nurse Ligaya's response should be which of the following? i.To comprehend fully the nature of the research and what participants can expect if they choose to partake in the study. ii.To ensure that participants have the right to withdraw from the research at any point. iii.To acquire comprehensive information regarding the study's objectives, procedures, data collection, potential benefits and risks, and choices in treatment methods. iv.To ensure clarity on how anonymity and confidentiality will be upheld. A. i , ii & iii B. ii, iv C. All of the above D. iii, iv 47. As to observance of respecting privacy, Nurse Ligaya explained about___ A. Breach of contract B. Anonymity C. Ethical dilemma D. Confidentiality 48.In nursing, Nurse Ligaya explained that the MAIN purpose of conducting a research is to: A. Justify is the role of nurses as health care provider B. Establish a credible body of evidence to support and improve the delivery of care C. Determine research priorities to justify the excess of nurses D. Develop a body of knowledge to address non-nursing problem 49. While conducting a study on music therapy, Nurse Ligaya was questioned about the type of research that would be employed when collecting numerical data, often characterized by significant control. Her response should be: A. Ethnographic B. Phenomenological C. Qualitative D. Quantitative 50. Nurse Ligaya want to know whether the variables are associated or related through thorough description and analysis of its relationship, and comparison of its similarities and differences. What study will she employ? A. Phenomenological B. Descriptive C. Ethnological D. Exploratory Situation: A nurse who takes care of prenatal, antenatal, and postpartum mothers uses their knowledge on a fetus’s development in-utero. The following questions tackle such topic. 51. When the sperm fertilizes the egg cell, the nurse knows that it is then called what? A. Morulla B. Embryo C. Ovum D. Zygote 52. Which of the following is false regarding the functions of fetal circulation? A. There are two placental arteries which carry oxygenated blood to the fetus and there is one placental vein which carry deoxygenated blood from the fetus B. The ductus arteriosus connects the pulmonary artery to the aorta, bypassing the lungs C. The ductus venosus connects the umbilical vein and the inferior vena cava, bypassing the liver D. The foramen ovale is the opening between the right and left atria, bypassing the lungs 53. A newborn who cries strongly, has blue extremities, actively moves their extremities, has a heartbeat of 120 beats per minute, and extremities that have weak flexion upon birth have which APGAR score? A. APGAR = 6 B. APGAR = 7 C. APGAR = 8 D. APGAR = 9 54. At what age will the nurse expect that the diamond-shaped depression at the frontal surface of an infant’s cranium to close? A. This is the anterior fontanel which should close between 2 to 3 months of age B. This is the anterior fontanel which should close between 12 to 18 months of age C. This is the posterior fontanel which should close between 2 to 3 months of age D. This is the posterior fontanel which should close between 12 to 18 months of age 55. In order to maintain the effectiveness of the newborn’s circulatory system and prevent metabolic acidosis, the nurse knows that they should perform which intervention? A. Feed the infant early B. Administer phytonadione C. Weigh the diaper of the infant D. Dry the infant immediately after birth Situation: In the barangay where nurse Harris is working, there seems to be a rise of unwanted pregnancy. Because of this, nurse Harris is planning to focus their health program in terms of proper family planning methods. 56. Which of the following are characteristics of a cervial mucus that is fertile? A. Non-stretchable B. Opaque C. Water-like consistency D. Thin 57. In using the basal body temperature method as a natural family planning method, what statement among the following is correct? A. A woman is fertile once their basal body temperature slightly increases and then drops up until 3 days after B. A woman is fertile once their basal body temperature slightly drops and then increases up until 3 days after C. A woman can take their basal body temperature any time of the day D. A woman needs at least 8 hours of sleep for accurate results 58. Which statement of a midwife regarding combined oral contraceptives necessitate intervention of a nurse who is supervising them? A. COCs are contraindicated for people who are smoking and those with history of clotting disorders B. Common side effects of COCs include abdominal and chest pain, severe headaches, and jaundice C. COCs should be taken at the same time each day D. COCs are not effective for the first 7 days which is why a woman should use a back-up method during such
Prepared by: Mr. Jules Arceo Ms. Juliane Lupisan 5 | Page 59. Which of the following is the rationale why an intrauterine device disrupts ovum implantation to the uterus? A. The effects of the string of the IUD B. The effects of the prongs of the IUD C. The effects of the presence of the IUD D. The effects of the copper of the IUD 60. Which of the following statements of an adolescent after sex education regarding condoms indicate that they need further education regarding the use of condoms during sex? A. I must condoms on cool, dry places B. Condoms should be worn during vaginal or anal sex only C. Condoms must be worn one at a time and must not be reused D. I must use water-based lubricants and not oil-based lubricants to keep the condom’s integrity Situation: Every Wednesday in the barangay is deemed as “araw ng mga buntis.” As a student nurse, Angel is reviewing the proper assessment and interventions for pregnant patients. 61. When the nurse is able to palpate the fundus of the mother on the lower end of their breastbone, the nurse knows that the estimated age of gestation of the fetus is at? A. 30 weeks B. 32 weeks C. 34 weeks D. 36 weeks 62. The pregnant mother at 8 weeks AOG asks the nurse why is she getting morning sickness. Which of the following is the appropriate response of the nurse? A. This is because of the rise of estrogen in your body B. This is because of calcium changes in your body C. This is because of iron changes in your body D. This is because of the rise of progesterone in your body 63. Which statement of a pregnant woman regarding the expected changes in their breasts and the appropriate care for it requires clarification? A. It is normal for my breasts to look bigger B. It is normal for my breasts to have blue veins and my areolas to darken C. I should wear bras that are clean and larger than my size to anticipate the enlargement of my breasts D. When cleaning my breasts, I should not use soaps and alcohol. Only warm water. 64. If the last menstrual period of the pregnant woman is on February 13, 2024, what is their estimated date of delivery? A. October 25, 2024 B. November 20, 2024 C. November 25, 2024 D. December 20, 2024 65. Which probable sign of pregnancy is the softening and bluing of the cervix during pregnancy? A. Chadwick’s sign B. Hegar’s sign C. Goodle’s sign D. McDonald’s sign Situation: Nurse Kenny works in their hospital’s labor and delivery room. Her head nurse quizzes her regarding the normal care for a woman who is undergoing labor and delivery. 66. A nurse who observes which of the following in a woman under labor will they document as under the latent stage of labor? A. Cervix: 2 cm dilation B. Cervix: 5 cm dilation C. Cervix: 8 cm dilation D. Contractions every 5 minutes 67. Which intervention written in the care plan of a nurse taking care of a woman in the active stage of labor should the head nurse consult with them? A. Allow significant other to stay with the woman B. Allow patient to walk C. Bring patient to labor room if verbalizes need to defecate D. Patient is under NPO until after delivery 68. What cardinal movement during delivery is when the fetal head is delivered? A. Engagement B. Descent C. Extension D. Expulsion 69. What is the expected vaginal discharge if the woman is at 10 days postpartum? A. Whitish vaginal discharge B. Bloody vaginal discharge C. Pinkish vaginal discharge D. Brownish vaginal discharge 70. What is the expected behavior of a postpartum mother 2 days after giving birth? A. The woman gives up the fantasized image of what a mother should be B. The woman is passive and is very demanding C. The woman defines their own role as a mother D. The woman starts to express interest in learning how to take care of their baby Situation: As in all nursing care, even those for pregnant and postpartum patients, a nurse must always keep in mind that everything that they do has a legal prerogative. The following questions talk about nursing jurisprudence. 71. When the nurse does not force a pregnant woman to participate in their research and allows them to choose whether or not they want to join, the nurse is following the ethical principle of? A. Justice B. Beneficence C. Non-maleficence D. Autonomy 72. A nurse spends more time taking care of a pregnant mother with severe pre-eclampsia as compared to their postpartum patient who is awaiting for discharge. What ethical principle is the nurse utilizing? A. Beneficence B. Fidelity C. Justice D. The nurse is not being ethical in her care 73. A nurse who gives the information asked by the patient in a complete and truthful manner is using what ethical principle? A. Autonomy B. Beneficence C. Veracity D. Fidelity 74. When a nurse threatens a pregnant woman that they will restrain the woman if she continues to scream during labor, what can they be liable for? A. Malpractice B. Intentional tort C. Negligence D. Unintentional tort 75. When the nurse proceeded to restrain the pregnant woman as per their threat, what are they liable to? A. Assault B. Battery C. Slander D. Libel 76. A nurse in a prenatal clinic is evaluating a 16-year-old woman at 24 weeks of pregnancy. What observations would prompt the nurse to suspect mild preeclampsia in this client? A. Glycosuria, hypertension, seizure B. Hypertension, edema, proteinuria C. Hematuria, blurry vision, reduced urine output D. Burning on urination, hypotension, abdominal pain 77. When caring for a client with preeclampsia, which action is a priority? A. Carefully monitoring the client's labor and readying for a rapid delivery B. Minimizing visual and auditory stimuli C. Consistently evaluating the fetal tracing for indications of fetal distress