Nội dung text DIAGNOSTIC EXAM - NP2 (SC)
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 the placental to the fetus” B. “The two arteries carry freshly oxygenated blood and nutrient-rich blood back from * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH