Tiêu đề ENHANCEMENT -PB EXAM - NP 2- STUDENT COPY.docx.pdf ✅

a. Grapefruit juice b. Tomato juice c. Cranberry juice d. Strawberry juice 14. A pregnant woman came to the clinic for her first prenatal check-up. She asked you when her EDD would be if her LMP was December 21, 2023. You are correct if you responded: a. October 28, 2024 b. October 21, 2024 c. September 21, 2024 d. September 28, 2024 15. You are delivery room nurse and you are currently taking care of a pregnant client who is currently on the transition phase of the first stage of labor. As a knowledgeable nurse, which of the following would you expect to occur? a. Feeling the urge to push b. Irregular short contractions c. Cervical dilatation of 4 to 7 cm d. Onset of the first contractions 16. Which of the following is the antidote for magnesium sulfate toxicity? a. Acetylcysteine b. Calcium gluconate c. Atropine d. Flumazenil 17. Ella, a 26-year-old pregnant client, is on the first trimester of pregnancy and was newly diagnosed. She tells you, "With all these discomforts that come with pregnancy, I'm not sure if I still want to continue this!". As a registered nurse, you are aware that Ella is currently experiencing: a. Inability to care for self b. Rejection of pregnancy c. Normal ambivalence d. Rejection of pregnancy 18. After a tubal rupture, the referred pain that radiates to the neck and right shoulder caused by the stimulation of the phrenic nerve is called: a. Obturators sign b. Homan's sign c. Levine's sign d. Kehr's sign 19. Which of the following findings would lead you to suspect that your client has mild preeclampsia? Select all that apply. 1. Seizures 2. Blurry vision 3. Hypertension 4. Proteinuria 5. Abdominal pain 6. Low urine output 7. Edema a. 1, 3, 7 b. 3, 4, 7 c. 2, 3, 4 d. 1, 2, 3 20. You are an RN currently assigned to the OB ward of NCT Medical Center. Your charge nurse assigned a postpartum client with thrombophlebitis to you. Your charge nurse will need to intervene if you do which of the following: a. Elevate the legs of the client b. Apply support hose to the client c. Massage the client's leg d. Apply moist heat on the client's legs. Situation 2: Pauline gave birth to her first baby, named Angela, 6 months ago. She brought her baby to WISH Medical Center for a check-up. 21. If Angela weighed 2,500 grams upon birth, how much should she weigh now? a. 5,000 grams b. 7,500 grams c. 3,000 grams d. 3,500 grams 22. Angela was measured to be 48 centimeters in length. How much is she expected to grow in her first year? a. 25% b. 50% c. 75% d. 100% 23. Pauline asked, "What solid food should I introduce to my baby first?". You are correct if you responded: a. Fruits b. Vegetables c. Egg yolk d. Rice/Cereal 24. Angela has turned two years old. When assessing Angela, who was brought by Pauline to the clinic for a routine check-up, which of the following would you expect Angela to be able to do? a. Use blunt scissors b. Ride a tricycle c. Kick a ball forward d. Tie her shoelaces 25. You are teaching Pauline about temper tantrums. You would know that your teaching has been effective if Pauline states which of the following? a. "I will ignore her temper tantrums" b. "I will put her in time out" c. "I should pick her up during a tantrum" d. "I will talk to her during the tantrum" 26. A mother of a school-aged child with cystic fibrosis asks the nurse what sports can her child be involved in when they become older. Which of the following activities would be the most appropriate to suggest? a. Javelin throwing b. Swimming c. Baseball d. Track 27. You are caring for a child with iron deficiency anemia. The mother asks you about what type of food can she offer to her child. Which of the following foods is the most appropriate to suggest? a. Rice cereal, whole milk, and yellow vegetables b. Pudding, green vegetables, and rice c. Macaroni, cheese, and ham d. Potatoes, peas, and chicken 28. A child who is 18 months old was diagnosed with Kawasaki disease. She is irritable, refuses to eat and drink, and has peeling skin on her hands and feet. Which will you do first? a. Offer food that the toddler likes b. Encouraging the parents to rest c. Placing the toddler in a quiet environment d. Apply lotions to her hands and feet 29. As a nurse, you are providing teachings to a group of parents whose children are diagnosed with cystic fibrosis. When talking about the diet, what should you suggest? a. Low-protein diet b. High fat diet c. Low carbohydrate diet d. High-calorie diet 30. A 5-year-old child is admitted to the emergency room with a history of ingesting a large dose of acetaminophen. What would you assess for? a. Headache b. RUQ pain c. Hypertension d. Oliguria 31. Which among the following require droplet precautions: a. Diphtheria b. Measles c. Rotavirus d. Varicella Situation 3. You are a nurse assigned to the general medicine ward. 32. A client with hypertension came in and is to be admitted to a semi-private room. To whom will this client be roomed in? a. Client with MRSA b. Client with seizures c. Client with acute pancreatitis d. All of the above 33. You are planning for the client assignment for the day. Among the clients, who is the most appropriate to be assigned to the nursing assistant? a. A client who needs tap water enemas b. A client with difficulty of swallowing c. A client needing colostomy irrigation d. A client requiring continuous tube feedings. 2 | Page
34. You received the assignment for the day shift. After doing the initial rounds and checking all the assigned clients, who will you prioritize to care for first? a. The ambulatory client in room 301 b. The postoperative client in room 312 c. The client who has a fever and is diaphoretic and restless in room 305 d. The client who is scheduled for physical therapy at 3pm in room 300 35. A conflict arises between the GenMed ward and the NICU. As the head nurse of Gen Med, you have the knowledge and strategies of conflict management. What strategy will you implement? a. Accommodating b. Compromising c. Competing d. Collaborating 36. While doing rounds, you noticed that one of your patients who is receiving IV fluid infusion is experiencing dyspnea, tachycardia, hypotension, and decreased sensorium. You suspect an air embolism. After clamping the tube, you position the client: a. Right side, head of bed lowered b. Left side, head of bed lowered c. Right side, head of bed elevated d. Left side, head of bed elevated 37. Which among the following has the highest concentration of caffeine? a. Decaffeinated coffee b. Instant coffee c. Brewed coffee d. None of the above 38. You have a patient with renal failure and was prescribed to take sodium polysterene sulfonate. Which of the following results indicate the need for medication? a. Potassium 6.8 mEq/L b. Sodium 110 mEq/L c. Calcium 12.5 mEq/L d. Magnesium 3 mEq/L 39. During a renal biopsy, the patient is placed in what position? a. Lithotomy b. Supine c. Semi- fowler's d. Prone 40. When teaching a client with hypertension about a low-sodium diet, which of the following would you instruct them to avoid? a. Green salad b. Mangoes c. Steamed cauliflower d. Hotdogs 41. Fetal sex can be determined by what week? a. 16 b. 20 c. 24 d. 28 42. The VDRL test for syphilis is obtained at the first prenatal visit and is repeated by: a. 12th week b. 24th week c. 36th week d. Only one test is obtained. Answer: C. VDRL is obtained at the first prenatal visit then repeated at the 36th week of gestation. (Comprehensive Licensure Exam Review Book – Udan). 43. The definitive diagnosis for aganglionic megacolon is: a. Fecalysis for parasites b. Barium enema c. Rectal biopsy d. Lower GI series 44. Your patient is receiving factor VIII concentrate. Knowing the risks associated with the administration, which of the following should you report? a. Jaundice b. Periorbital edema c. Constipation d. Abdominal distention 45. To achieve the closure of the patent ductus arteriosus, which of the following drug is administered? a. Furosemide b. Indomethacin c. Digoxin d. Prednisone 46. You learned that restraints are used as a last resort. Among the clients, who would require restraint application? a. The client who was told to stay in their room but keeps going to the nurse's station. b. The restless client who keeps pulling out their IV fluids, urinary catheter, and NGT and keeps getting out of bed putting them at high risk for falls. c. The client who is verbally abusing the nurses d. The confused client who keeps getting out of bed. 47. The nurse is preparing to administer the client's 1 PM medications. The client, however, is away from his room for an ultrasound of the whole abdomen. What should the nurse do? a. Leave the medication on the bedside table. b. Ask the client's relatives to keep the medication. c. Have the client skip the last dose of medication. d. Lock the medications in the medicine preparation area until the client returns. 48. Which of the following statements made by the mother of an 18-month-old would indicate that the child needs to have their lead levels checked? a. "She does not always wash her hands after playing outside." b. "She drinks 3 glasses of milk per day" c. "She is smaller than kids her age" d. "She has more tantrums than other kids" 49. What is the appropriate position for a neonate with unrepaired myelomeningocele? a. Semi-fowler's position with chest and abdomen elevated b. Right side-lying position with knees flexed c. Prone with hips in abduction d. Supine the hip at 90 degrees flexion 50. An 8-year-old client was admitted to the hospital because of decreased urine output and periorbital edema. the child was diagnosed with glomerulonephritis. Which of the following interventions should you do first? a. Obtaining serum electrolyte levels daily b. Obtaining daily weight measurements c. Assessing vital signs every 4 hours d. Monitoring intake and output every 12 hours 51. The structure left after the ovum has been discharged is known as a. Chorion b. Corpus luteum c. Graafian follicle d. Blastocyst 52. A pregnant client is complaining of feeling faint. How should you position her? a. Left side-lying b. Modified trendelenberg c. Supine d. Right side-lying 53. A pregnant client is in active labor. Fetal heart rate monitoring was done and showed that there is fetal bradycardia when the uterus contracts. The client asked you why that happens and you are correct if your answered that fetal bradycardia occurs during contraction because of: a. False labor b. Uteroplacental insufficiency c. Prolapsed cord d. Head compression 54. After a client's membrane ruptured, you noticed that the umbilical cord has prolapsed. Which of the following is an inappropriate nursing action? a. Prepare for emergency cesarean section. b. Place the mother on knee-chest position c. Elevate the presenting part by finger pressure with sterile gloved hand d. Push the cord into the uterus 55. As the nurse on duty in the delivery room, how should you time the frequency of uterine contractions? 3 | Page