Tiêu đề DIAGNOSTIC EXAM - NP2 (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE DIAGNOSTIC EXAMINATION NURSING PRACTICE II FEB 2026 Philippine Nurse Licensure Examination Review SITUATION 1 – You have been doing follow up care for Bendita and she has developed trust in you as her nurse 1. Bendita tells you that she has been feeling contractions, but they stop when she walks around. These contractions are called A. Tetanic B. Braxton Hicks C. Premature Labor D. Dysfunctional 2. Later on in her pregnancy, you notice that Bendita’s blood pressure is lower when she rests on her back than when she is on her side. You explain that this is because: A. There is pressure on her arteries in the side- lying position B. The fetus may compress the major vessels when she is supine C. She is in early labor D. She is having back labor 3. You are planning care for Bendita whose membranes have ruptured; you recognize that the client’s risk is increased for A. Cervical lacerations B. Supine hypotension C. Precipitous labor D. Intrauterine infection 4. When caring for a laboring client with epidural anesthesia, you should be alert for which complication? A. Hypervolemia B. Hypotension C. Hyperemia D. Hyponatremia 5. Bendita receives a narcotic pain medication 45 minutes prior to giving birth. What action by the nurse is appropriate? A. Observe for signs of hypothermia in the newborn B. Evaluate the newborn’s respiratory efforts C. Determine the mother’s level of pain immediately postpartum D. Observe for signs of maternal hypotension SITUATION 2 – You are working as a public health nurse and you had your regular barangay health station visits. The following questions apply. 6. As you were making your community-rounds you noted in one barangay health station that the midwife- on-duty had the following cases at hand and you assisted her. Which of the following medication is indicated for hookworm infections? A. Albendazole B. Benzylpenicillin C. Chloroquine D. Gentamicin 7. You determined that you needed to reinforce the initial health teachings given by the midwife-on-duty regarding the administration of Tetracycline Eye Ointment when the mother stated: A. “I should wear sterile gloves when administering the medications.” B. “I will continue the treatment until redness is gone.” C. “I can use clean cloth to wipe the eye.” D. “I should wash my hands before and after administering the medication.” 8. The treatment of a child for prevention of low blood sugar includes giving breastmilk, breastmilk substitute or sugar water. Prior to administration, you assessed that the child is not able to swallow. What should be your next action? A. Give 5 ml/kg of 10% dextrose solution over a few minutes with doctor’s order B. Administer the sugar water C. Give 50 ml milk or sugar water by a nasogastric tube with doctor’s order D. Ask the mother to breastfeed the child 9. You are giving extra fluids for treatment of diarrhea. If the child is not exclusively breastfed, all of the following can be given, EXCEPT; A. Soup B. Orange juice C. ORS D. Rice water 10. While explaining to the mother the need for extra fluids to treat diarrhea, you are aware that a child up to 2-years old should be given how much fluids after each loose stool? A. 100 to 200 ml B. 1000 ml C. 50 to 100 ml D. 500 ml Situation: The birth process affects the holistic aspects of the mother, to include physiologic changes to both the mother and the fetus. Nursing students are now assigned at the OB Admitting Section of the National Hospital. 11. A nurse is performing an assessment of a pregnant woman who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and expects the finding to be which of the following? The student nurse correctly identifies: A. 22 cm B. 30 cm C. 36 cm D. 40 cm 12. A nursing student is preparing a class on the process of fetal circulation. The instructor asks the student specifically to describe the process through the umbilical cord. Which of the following statements from the student is correct? A. “The one artery caries freshly oxygenated blood and nutrient-rich blood back from * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH


TOP RANK REVIEW ACADEMY, INC. Page 4 | 2. “Nakakasama ang pag-inom ng alak para sa aking gatas-ina” 3. “Ang kape ay maaaring makakapagpababa ng aking gatas-ina” 4. “Sisimulan ko ang pag-inom ng estrogen pills pag karating sa amingbahay” 5. “Alam ko na kung ang aking suso ay panandaliang lumaki, ihihinto ko ang pagpapasuso” 6. “Iinom ako ng maraming tubig upang maparami ang aking gatas-ina” A. 1, 6, 5, 3 B. 1, 2, 3, 6 C. 2, 3, 4, 5 D. 3, 4, 5, 6 40. A prolapsed umbilical cord is when the umbilical cord is displaced between the presenting part and the amnion or protruding through the cervix, causing compression of the cord and compromising fetal circulation. Which of the following assessment findings are not indicative of a prolapsed cord? A. The client has a feeling that something is coming through the vagina. B. Umbilical cord is visible or palpable C. Sweating, cool and damp skin D. Fetal heart monitor shows variable decelerations or bradycardia after rupture of the membranes. Situation: Joshua is a public health nurse assigned in the family planning clinic. Rose, a 19 year old client reported that she has been sexually active for one year and is asking about family planning methods. 41. Nurse Joshua talks to the client regarding Natural Family Planning Methods which are based on scientific facts on fertility. Which of the following are not natural methods of FP? A. Sympto-Hormonal Method (SMH) B. Sympto-Thermal Method (STM) C. Cervical Mucus Method (CMM) D. Modified Pomeroy Method (MPM) 42. BBT is another natural FP method. Which of the following is not true about this method? A. The basal body temperature of a woman is higher before ovulation, until it decreases to a lower level beginning around the time of ovulation. B. After her ovulation, her BBT typically rises slightly and stays in a slightly higher range until her next period begins. This slight increase in BBT from ovulation until menstruation is a sign that she ovulated during this cycle. C. The BBT of a woman is lower before her ovulation, until it rises to a higher level beginning around the time of ovulation. D. Women who are able to have at least 3 hours of continuous sleep every day at almost the same time can use BBT. 43. The Ovulation Method or “OM” entails having to observe the changes in color, consistency and amount of discharge. Which of the following is not true? A. During infertile days, the uterine cervix secretes a discharge which is thick and scanty in which sperm survival is poor. B. On fertile days, discharge is thin and copious. This type of discharge is conducive for sperm penetration and survival and subsequent fertilization. C. During the woman’s fertile period, she feels dry and sees stretchy and clear discharge. D. During the woman’s fertile period, the discharge nourishes and provides a channel for sperm to reach the egg. 44. CycleBeads™ represents the woman’s menstrual cycle. Each bead represents a day of her cycle. Which of the following is true? A. The RED bead marks the first day of menstrual period. B. The WHTE beads represent the days when the woman can have intercourse and not become a. pregnant. C. The BROWN beads are the days when a woman can become pregnant. D. The CHOCOLATE BROWN bead helps you know if your cycle is less than 24 days long. 45. Nurse Josh stated that the Lactational Amenorrhea Method (LAM) was not applicable for Rose. The LAM method: A. Is for non- breastfeeding mothers B. Is for mothers whose menstruation has returned (this does not include the spotting that occurs 56 days post partum) C. Is for mothers whose infant is more than 24 weeks old D. Is considered as a temporary, short- term method. 46. Which of the following is a proper description for Placenta Accreta? A. Premature separation of the placenta of the uterine wall after the twentieth week of gestation and before the fetus is delivered B. The placenta penetrates the uterine muscle itself C. An abnormally adherent placenta D. Placenta goes all the way through the uterus. 47. A nurse in the labor room is preparing to care for a client with hypertonic uterine contractions. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention in caring for the client is to: A. Provide pain relief measures B. Prepare the client for an amniotomy C. Promote ambulation every 30 minutes D. Monitor the oxytocin infusion closely. 48. Jenny, a nurse, is performing an initial assessment on a client who has just been told that a pregnancy test is positive. Which assessment finding would indicate that the client is at risk for preterm labor? A. The client is a 36- year old primigravida B. The client has a history of cardiac disease C. The client’s haemoglobin level is 13.5 g/dL D. The client is a 20year old primigravida of average weight and height. 49. A nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which of the following assessment findings would alert the nurse to a compromise? A. Maternal fatigue B. Coordinated uterine contractions C. Progressive changes in the cervix D. Persistent nonreassuring fetal heart