Title EVAL EXAM - FUNDA 2 (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE EVALUATIVE EXAM FUNDAMENTALS OF NURSING II FEB 2026 Philippine Nurse Licensure Examination Review 1. (15)Dora teaches an elderly client on sleep promotion. Which among these statements would indicate that the client needs further teaching? a. “I will lessen my coffee intake after noon.” b. “I will try to establish and maintain a consistent bedtime routine.” c. “I will increase my daytime naps to prevent exhaustion.” d. “I will not eat or perform other activities in bed besides sleeping.” 2. (36) Presbyopia is a decrease in the ability of the older client for accommodation. This involves which of the following cranial nerves? a. CN II b. CN VII c. CN III d. CN X 3. (45) Nurse Linda is assessing a patient with hypertension. She noted a pulsating mass over the patient’s abdomen. What is the BEST nursing action Nurse Linda should take? a. Palpate the mass to estimate size. b. Document the finding and report to the physician. c. Document the finding and continue monitoring. d. Inquire about last food intake. 4. (42) While doing a physical examination of a patient’s abdomen, she suddenly giggles and says she is feeling ticklish. What will be your best action? a. Tell the client to stop giggling. b. Instruct the client to do the palpation on her own and report back to you for results. c. Place her hand on the abdomen with your hand on top. d. Dismiss the physical examination since the client does complain any tenderness. 5. (38) How should a nurse position a client in assessing for the jugular vein pressure? a. Flat on bed c. High Fowler’s b. Semi Fowler’s d. Orthopneic position 6. (28) You are instructing a client about testicular self- examination. What will be an inappropriate statement to include in your instructions? a. The examination shall be done preferably after baths or shower. b. Use both hands in rolling the testicles and feeling for lumps. c. Report any unusual lumps even if they do not cause pain. d. Perform the examination at least twice a day. 7. (16)A patient with liver failure is expected to have which of the following skin assessments? a. Jaundice c. Erythematous b. Cyanosis d. Pallor 8. (44) The nurse is having a hard time reading the written medication order of a physician. What is her BEST nursing action? a. Call the physician who ordered the medication. b. Ask the head nurse to read it. c. Ask the client the medications he regularly takes. d. Obtain all the medications from the client’s table and compare names. 9. (37) Nurse Alice recognizes the differences on expression of pain among patients of different cultural backgrounds. Her action is supported and explained by whose theory? a. Callista Roy c. Florence Nightingale b. Madeleine Leininger d. Albert Lehninger 10. (17) Parenteral medications are administered through the following, except: a. Intramuscular c. Subcutaneous b. Intradermal d. Transdermal 11. (32) Person, environment, health, and nursing constitute the metaparadigm for nursing because they do which of the following? a. Highlight the needs of a group of clients b. Establish a framework for implementation of the nursing process c. Determine the applicability of researches concerning nursing care d. May be used in any setting in caring for clients 12. (46) Patients with heart failure were taught how medications, diet, and exercise improved their activity tolerance. These were all part of their cardiac rehabilitation. Being able to use different adaptive resources, which theory did these patients apply? a. Judith Wrubel c. Callista Roy b. Jean Watson d. Virginia Henderson 13. (9) As part of their immersion, the community health nurse performs screening on the residents to identify the * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH

TOP RANK REVIEW ACADEMY, INC. Page 3 | d. Cover the pulse oximeter with a cloth to protect it from sunlight. 28. (10) After endorsements, you receive the following four patients. Which among them should you assess FIRST? a. 54-year-old woman who had surgery for a fractured arm, BP 160/86, HR 72bpm b. 750year-old woman who had mastectomy of the left breast, with RR 22 and BP 148/62 c. 63-year-old man with ulcers from diabetes, temperature of 37.3C, HR 84 d. 89-year-old man who has pneumonia, RR 28, SpO2 89% 29. (34) A patient presents in the clinic with dizziness and fatigue. Thenursing assistant reports a very slow radial pulse of 44. What would be your FIRST intervention? a. Call for an electrocardiogram STAT. b. Assess for apical pulse and any evidence of pulse deficit c. Request the nursing assistant to repeat assessment of radial pulse. d. Prepare to institute cardiac-life support interventions. 30. (19) When talking a client’s apical pulse, where should the nurse place the stethoscope? a. Just to the left of the median point of the sternum b. In the fifth intercostal space at the left midclavicular line c. Between the sixth and seventh ribs at the left medaxillary line d. Between the third and fourth ribs and to the left of the sternum 31. (30) During an interview, the nurse discovered that the spouse of a debilitated client’s regularly digitally removes stool from the client’s rectum. The nurse explores other strategies to regulate the client’s bowel movement because impaction could stimulate the vagus nerve and result in: a. Tachycardia b. Slowing of the Heart c. Dilation of the Bronchioles d. Coronary Artery Vasodilation 32. (13) A client with episodes of a Cardiac Dysrhythmias is to wear a Holter monitor for 24 hours. When planning a teaching session for this client, what information should the Nurse include about the monitor? The monitor: a. Can be taken off while bathing b. Can record activities and manifestation of response c. will assist in determining the size and counter of the hearth d. will record tracing of abnormal cardiac rhythms during activities of daily living 33. (27) The nurse document that a client’s Pulse pressure is decreasing. To determine the accuracy of this statement, what must the Nurse calculate? a. Force exerted against an Arterial wall b. Different between the Apical and Radial rates c. Difference between Systolic and Diastolic readings d. May be a forerunner of Hemorrhage 34. (14) Another client has undergone an Open-Heart surgery and he develops a temperature of 102°F (38.8°C). The Nurse notifies the Physician because elevated temperature: a. Increases the cardiac output b. May be indicate cerebral edema c. Are likely to lead to diaphoresis d. May be a forerunner of hemorrhage 35. (48) You observe a nursing student taking a blood pressure (BP) ona patient. The patient’s BP range over the past 24 hours is135/65 to 125/70 mm Hg. The student used a BP cuff that wastoo narrow for the patient. Which of the following BP readingsmade by the student is most likely caused by the incorrectchoice of BP cuff? a. 90/40 mmHg c. 120/60 mmHg b. 130/70 mmHg d. 160/80 mmHg 36. (49) A client comes to the emergency room with manifestations of difficulty of breathing. Upon assessing, the client is hyperventilating, with an RR of 25 cycles/min. Which of these imbalances would likely occur with the patient’s status? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis 37. (50) Which of these ABG results would be consistent with the imbalance in the previous number? a. pH 7.48, PaCO2 46mmHg, HCO3 29mEq/L b. pH 7.26, PaCO2 32mHg, HCO3 21mEq/L c. pH 7.47, PaCO2 34mmHg, HCO3 21mEq/L d. pH 7.30, PaCO2 47mmHg, HCO3 29mEq/L 38. (29) Mr. Antonio Sanchez, 47 y.o., was diagnosed with chronic renal failure. Which of the following ABG findings would be expected? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic d. Metabolic alkalosis 39. (22) A 60-year-old client is admitted to the hospital presenting shortness of breath, fever, and productive cough. Which ABG finding is most related to the diagnosis of COPD? a. pH 7.33, PaCO2: 48mmHg; HCO3: 24mEq/L b. pH 7.48; PaCO2: 30mmHg; HCO3: 23mEq/L c. pH 7.30; PaCO2: 40mmHg; HCO3: 20mEq/L d. pH 7.49; PaCO2: 38mmHg; HCO3: 29mEq/L 40. (12) A patient is taking furosemide, a potassium-wasting diuretic. Which among these ABG findings would you expect in his long-term use of the diuretic? a. pH 7.48, PaCO2: 46mmHg; HCO3: 28mEq/L b. pH 7.26; PaCO2: 32mmHg; HCO3: 21mEq/L c. pH 7.35; PaCO2: 40mmHg; HCO3: 25mEq/L