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Medical-Surgical Nursing Exam 22: NLE Style (80 Items) : Answers & Rationale
Medical-Surgical Nursing Exam 22: NLE Style (80 Items) : Answers & Rationale
Medical-Surgical Nursing Exam 22: NLE Style (80 Items) : Answers & Rationale
1. In the delivery room, Mrs. Oro Is 10 cm. Dilated- and the head is fast emerging. Her
attending physician has not yet arrived. The initial action the nurse must take after the
head emerges is:
a. Support the head while the rest of the body is spontaneously delivered.
b. Push down on the fundus to help expel the infant.
c. Call the doctor STAT
d. Deliver the shoulder by turning the presenting part to internal rotation.
a. 4 cm.
b. 3 cm.
c. 5 cm.
d. 7 cm.
3. Mrs. Oro is kept informed of the, progress of her delivery, the nurse anticipates the
placenta to be delivered within what period of time following delivery
a. 10-15 minutes
b. 3-10 minutes
c. 15-20 minutes
d. 1-3 minutes
4. Several minutes after the delivery, the placenta is still intact. The nurse will do which
of these actions?
5. The placenta has been delivered and the nurse now adds the medication ordered to
the i.V. solution which is:
a. Methergin
b. Oxytocin
c. Penicellin
d. Atropine
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a. Back pain
b. Leg cramps
c. Constipation
d. Heartburn
7. The nurse was Instructed to watch out for the occurrence of norma! physiologic
changes of pregnancy. Which of the following is usually observed during pregnancy?
a. Increased BP
b. Palpitation
c. Anemia
d. Blurred vision
a. self-focused
b. effacemant 100%
c. dilatation for 2 hours
d. 3 cm cervical dilatation
a. cessation of menstruation
b. onset of’menstruation
c. excessive menstruation
d. intermittent menstruation
a. hypothalamus
b. thymus
c. kidney
d. anterior pituitary gland
11. A primigravida asks the nurse, “When will I fee! the baby move?” The correct
response of the nurse is:
a. 3 mos
b. 5 mos.
c. 4 mos
d. 6rnos.
12. Mrs. Cadacia observed on Rico’s buttocks, a gray color, What do you call this
pigmentation in the skin?
a. milia
b. telangiectatic nevi
c. erythema toxicum
d. mongolian spots
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14. How can you assess a child who is mentally retarded?
a. epididymis
b. Vas deferens
c. prostate gland
d. testes
a. phallic
b. oral
c. anal
d. latency
17. The baby cries and the mother notices tiny, shiny and white specks on the mouth
and hard palate- The mother understood If she states:
18. The nurse is giving Instruction about neonatal care. Which of the following
instruction is most critical?
a. proper feeding
b. provide bathing
c. provide warm clothing
d. prevent infection
19. The mother notices a cheese-like substances in a neonate forehead. She asked the
nurse if it can be removed. The appropriate response is:
a. a soft towel and a baby oil can be used to remove the subslance
b. an alcohol and gauzed can removed it
c. it is a protected substance, leave It alone there
d. baby lotion can be used to remove it .
20. A 12-month old boy weighs 9 kgs. His birth weight was 3 kgms. “The mother asks if
her baby’s weight Is appropriate to his age. The nurse’s therapeutic response is:
21. At the age of 2 years, which of the following teeth have not been erupted?
a. canine
b. pre-molar
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c. molar
d. incisor
22. The mother asks the nurse when will the soft bone at the head be closed? The
nurse response would be:
a. 12-18wks
b. 2-3 mos.
c. 12-18 mos.
d. 14-18 wks
a. age of child
b. developmental readiness of the child
c. available time
d. maternal flexibility
24. In what area of the body will be affected by bed sore if the patient maintains supine
position?
a. heels
b. ilium
c. sacrum
d. malleolus
25. Which of the following can you visualize in intravenous pyelogram (IVP )?
a. bladder
b. bladder and kidney
c. bladder, kidney , ureter
d. bladder and ureter
26. An anesthetic agent which has side effects of confusion and suicidal tendencies;
a. ether
b. ketalar
c. halothane
d. sodium pentothal
a. retractor
b. tissue forcep
c. smooth forcep
d. towel forcep
Situation: The adolescent years have the potential to be very exciting as well as a different
time for both the child and his parents.
28. As stated by Erikson, the major concern of the adolescent years is the:
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29. Parental actions which can help achieve the goal of adolescent years are all of the
following, EXCEPT;
30. Here are teenagers today who engage In sex without realizing the repercussions of
their actions. Witch of the parental response would be appropriate for this problem?
31. Some of the task of adolescent years include the following, except:
32. Which of the following statements best describe the nutritional profiie of the
adolescent?
Situation: You are assigned a Rural Health Unit which is a training area for student nurse, in a
conference with the students, questions on the DOH programs such as:
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36. A logical approach used by the nurse in providing community health and
communicable nursing is:
a. problem solving
b. nursing process
c. logical nursing intervention
d. nursing assessment
38. Debbie is experiencing dystocia, a painful, difficult and prolonged delivery. The
nurse is aware that the primary cause related to problems with all of these is, EXCEPT:
a. Power
b. Prognosis
c. Passenger
d. Passageway
a. 1,2 and 3
b. 1,2,3 and 4
c. 2,3 and 4
d. 1,3, and 4
Situation: A clinical instructor, Mrs. Romero is giving a pre-test on Psychiatric Nursing to third
year nursing students.
41. The fundamental concepts in Psychiatric nursing is seeing the patient as a whole
organism with distinct personality. The nurse should:
42. On crisis intervention, one of the important personal qualities that can enhance the
nurse’s effectiveness is:
a. Friendliness
b. Flexibility
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c. Patience
d. Consistency
43. A technique In crisis intervention which ‘involves using the clients emotion and
values to his own benefit in the therapeutic regmen Is known as:
a. clarification
b. reinforcement of behavior
c manipulation
d. Support defense
44. Family therapy is the treatment of choice in one of the following situatlons:
46. The nurse performs vaginal exams on a laboring woman and records this data is
correctiy Interpreted as:
47.Monitoring the progress of labor in’the delivery room is a standard activity. The.
nurse prioritizes her work load by recognizing that a nulliparous mother in the first
stage of labor would expect these;
48- Based on Erikson’s theory, the primary developmental task of the middle years is:
a. to attain independence
b. to achieve generativity
c. to establish heterosexual relationship
d. to develop a sense of personal identity
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50. These are characteristics of a mature person, except;
Situation -At the health center, the nurse conducts a, nutrition class, very lively question and
answer prevailed in this group meeting-
a. Vit.C
b. Vit B12
c. Vit D
d. Vit. A
53. For point of clarification a patient asks for the importance of Folic Acid in
pregnancy. The nurse explains that vitamin is especially needed during pregnancy as
it:
54. In this mother’s class, the nurse discusses about: specific needs during pregnancy
and lactation, She states that the daily servings required for the carbohydrates group
are:
a. 4 servings
b. 6 servings
c. 2 servings
d. 3 servings
Situation – Charito de Lapaz, a PHN, is discussing with the mothers the different herbal
medicines used In the community.
a. Yerba Buena
b. Lagundi
c. Sambong
d. Tsaang-gubat
a. Sambong
b. Tsaang-gubat
c. Niyug-niyogan
d. Akapulko
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57. Its seeds are taken 2 hours after supper to expel round worms, which can cause
ascariasis;
a. Akapulko
b. Bayabas
c. Niyug-niyogan
d. Bawang
a. bawang
b. Bayabas
c. Ulasimang Bato
d. ampalaya
59. The following are true in the preparation of herbal medicines, EXCEPT:
Situation – Leo Leon, a carpenter has been complaining of headache for 2 days. his wife, a
trained BHW used the acupressure technique on Leo to relieve Mm of his discomfort.
a. Germans
b. Filipinos
c. Chinese
d. Americans
61. According to the goals of Reproductive health, all are true, EXCEPT:
a. Prenatal record
b. Home Based mother’s record
c. Pink Card
d. Mother’s book
a. Chloroquine
b. Iron
c. iodized oil capsule
d. All of the above
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a. Clean hands
b. Clean sheets
c. Clean cord
d. Clean surface
a. Infection
b. Hemorrhage
c. Prolonged labor
d. Retained placenta
a. After 48 hours
b. After 24 hours
c. After 3 days
d. Within 24 hours .
67. It provides for compulsory basic immunization for infants and children below 8
years of age;
a. 1 month
b. 6 months
c. 3 months
d. 9 months
69. How much Vit A should be given to 6-11 months old Infants who is experiencing
Vit. A deficiency?
a. 200,000 IU
b. 400.000 IU
c. 100,000 IU
d. 50,000 IU
Situation – Communicabie Diseases are most prevalent in Brgy, Problemado, a group of PHN
went to the area to disseminate necessary information regarding early detection, control and
cure of the different communicable diseases.
71. It is the name for a comprehensive strategy which primary health services around
the world is using to detect and cure TB patients.
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a. National TB program
b. Direct Observe Treatment Short Course (DOTS)
c. center for Communicable diseases
d. international TB control Organization
a. Madarosis
b. Nasal obstruction or bleeding
c. Change In skin color
d. Ulcers that do not heal
a. Blood
b. Sex
c. Semen
d. Prolonged skin to skin contact
74. The best method of prevention of TB and leprosy esp. among children is:
a. Mosquitoes
b. Rats
c. Snails
d. Dogs
a. Metrifonate
b. Praziquante
c. Hetrazan
d. Quinidine Suifale
Situation – Ella Caidic Is pregnant with her first baby. She went to the clinic for check-up
77. According to Mrs. Caidic, her LMP is November 15, 2002. Using the Naegele’s rule
what is her EDC
78. She Is so concerd about the development of varicose veins, which of the statement
below indicates a need for further education?
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79. She complained of leg cramps, winch usually occurs at night. To provide relief, the
nurse must telI Mrs. Caidic to:
a. dorsiftex the foot white extending the knee when the cramps occur
b. dorsiflex the foot whiie flexing the knee when the cramps occur.
c. Plantar flex the foot while flexing the knee when cramps occur
d. plantar flex the foot while extending the knee when the cramps occur.
80. A nurse has just been told by a physician that an order has been written to
administer an iron injection to an adult client. The nurse plans to administer the
medication In which of the following locations?
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