B.

Electroencephalography
PRE-INTENSIVE C. Magnetic resonance imaging

EXAMINATION - NP5 D. Computed tomography scan

Correct answer
A. Lumbar puncture
Situation:
Student nurse Barbara knows that his weakness is
their topic about nursing care for patients with 4. When assessing the GCS of a patient, they
neurologic disorders. Because of this, he gives more replied: “Ako ay may lobo, lumipad sa hangin”
focus in mastering this topic when he is preparing for when asked what their name is. The nurse knows
the board exams. that she should score the patient with a verbal
score of?
*
1. Which part of the cerebral hemisphere is
responsible for hearing, taste, speech, and 1/1
language?
A. Verbal response: 1
* B. Verbal response: 2
0/1
C. Verbal response: 3

A. Frontal lobe
B. Parietal lobe
5. Which of the following interventions for a
C. Temporal lobe patient with increased ICP is appropriate?
D. Occipital lobe *
Correct answer 1/1
C. Temporal lobe A. Deep breathing and coughing exercises every hour
B. Administer laxatives to soften stools
C. Put the patient in a supine position
2. When the nurse palpates the patient’s jaw to D. Limit fluid intake to 1000 ml/day
determine if they can chew and if they can clench
it, they are assessing which cranial nerve?
*
6. Which of the following manifestations of a
1/1
patient with seizure indicate that their seizure is
A. Cranial nerve IV considered as atonic seizure?
B. Cranial nerve V *

C. Cranial nerve VI 1/1

D. Cranial nerve VII A. Patient suddenly fell upon onset of seizure due to
loss of muscle tone
3. The nurse should clarify with the attending
B. Patient fell from their seat because of a powerful
physician if they read which order for a
arm jerk
procedure to a patient with increased C. Patient stared to the wall as if they were
intracranial pressure? daydreaming
* D. Patient lost consciousness with alternating stiffing
and jerking of the body
0/1
A. Lumbar puncture
7. Which statement by a significant other
indicates that they need further education with
the management of their granddaughter during
seizure?
* *
0/1
A. My most important responsibility is to observe,
monitor, and time the seizure that their
granddaughter is experiencing
B. I will never put anything inside the mouth of a
patient who is seizing whether it is a spoon or a
tongue depressor
C. I must never leave my granddaughter during the
seizure event
D. I should turn the patient to the side during seizure
to prevent aspiration
Correct answer
D. I should turn the patient to the side during seizure
to prevent aspiration
10. What is the correct reply of a staff nurse who
will administer Mannitol to a patient with
subarachnoid hemorrhage when asked by the
head nurse what is the rationale for such?
1/1
A. It potentiates the action of gamma-aminobutyric
acid which reduces neuronal transmission
B. It decreases inflammation by suppression of
polymorphonuclear leukocytes in the brain
C. It elevates blood plasma osmolality, resulting in
enhanced flow of water from tissues, including the
brain and cerebrospinal fluid, into interstitial fluid
and plasma
D. Its action is modulation of synaptic
neurotransmitter release through binding to the
synaptic vesicle protein SV2A in the brain.
Situation:
Nurse Melanie is reviewing the basics of building a
nurse-client relationship.

8. A nurse knows that they should change which 11. Nurse Melanie should first discuss
of the following in a room of a patient who is at terminating the nurse-client relationship with a
risk for seizures? client during the:
* *
0/1
1/1
A. Closed door
A. Orientation phase when a contract is established.
B. Adequate lighting
C. Suctioning equipment at the bedside
B. Working phase when the client brings it up.
C. Termination phase when discharge plans are being
D. Television turned off
made.
Correct answer D. Working phase when the client shows some
progress.
B. Adequate lighting

12. What is considered to be the best tool

9. Which of the following symptoms will support available for the nurse to establish quality nurse-
that the patient is experiencing left-sided stroke? client relationship?
* *
1/1 1/1
A. Left-sided paralysis A. Self
B. Impulsivity
C. Shortened attention span
B. Interview guide
D. Inability to speak when asked a question
C. Handcuffs
D. Candy
13. Which element of therapeutic
communication is the actual response of the 16. In this nurse-client interaction, what
receiver to the message? therapeutic communication technique is being
* employed?
0/1
Client: “When I get angry, I usually smack my
A. Sender wife and punch my kids.”

B. Message Nurse: “I observe that you are smiling as you

C. Receiver discuss this physical violence.”
D. Feedback *
Correct answer 1/1
D. Feedback A. Encouraging comparison
B. Exploring
C. Formulating a plan of action
14. In determining the verbal communication D. Making observations
cues of the client, nurse Melanie has to pay
attention to the smallest of details. When she is
refraining from other mental activities and
concentrating exclusively on what the client says, 17. What therapeutic communication technique
what is she practicing? is evident in this nurse-client interaction?
*
Client: “My father spanked me often.”
1/1
A. Active observation Nurse: “Your father exhibited strict disciplinary
B. Active listening measures.”
*
C. Proxemics
D. Kinetics 1/1
A. Restatement
15. The nurse is preparing a patient for the
termination phase of the nurse-patient B. Offering general leads
C. Focusing
relationship. The nurse prepares to implement
D. Accepting
which nursing task that is MOST APPROPRIATE
for this phase?
* 18. A patient who went through a traumatic
event is admitted to an inpatient psychiatric unit
1/1
for assessment and medication stabilization.
A. Planning short-term goals Which therapeutic communication technique
B. Making appropriate referrals employed exemplifies a broad opening?
*
C. Developing realistic solutions
D. Identifying expected outcomes 1/1

Situation: A. “What transpired before the assault, and when did

Therapeutic communication is essential in building you seek help at the emergency department?”
quality nurse- patient relationships as this aids to B. “What would you like to talk about?”
providing appropriate and individualized nursing
care to the patients. C. “I observe that discussing this makes you uneasy.”
D. “What measures can we take to ensure you feel 22. What period is considered to be the most
secure during your time here?” dangerous as it is the stage where suicidal
thoughts may occur?
19. You are interviewing a newly admitted *
psychiatric client. Which nursing statement is an 1/1
example of offering a “general lead”?
A. Depression
*
1/1 B. Anger
C. Denial
A. “Do you know why you are here?” D. Bargaining
B. “Are you feeling depressed or anxious?”
C. “Yes, I see. Go on.”
23. During an interview, a nurse speaks with an
D. “Can you chronologically order the events that led 96-year-old resident of a hospice facility who
to your admission?” expresses that she has never moved on from the
death of her son three decades ago. She shares
that her life unraveled after the loss, and she has
20. A client diagnosed with dependent
never regained her sense of self or found joy in
personality disorder asks, "Do you think I should
life since. What kind of grief is this woman
leave my parent's house and find employment?"
undergoing?
What is the most suitable nursing response?
*
*
0/1
1/1
A. Abbreviated
A. “It would be best to do that in order to increase
B. Anticipatory
independence.”
B. “Why would you want to leave a secure home?”
C. “Let’s discuss and explore all of your options.” C. Dysfunctional
D. Inhibited
D. “I’m afraid you would feel very guilty leaving your Correct answer
parents.”
C. Dysfunctional
Situation:
Death is an inevitable event that occurs to each one’s
lives. Nurse India wants to provide the best support 24. She observes the family who is looking
she can offer to family members as they go through depressed as the ygrive about their lolo. They
this situation. also talk about fond memories about their
grandparent, saying how much they will miss
him. Although their loved has not yet passed,
21. According to Kubler-Ross's Five Stages of
what kind of grief are they experiencing?
Grief, at which stage does the client seek new or
questionable treatment modalities? *
* 0/1

1/1 A. Abbreviated
A. bargaining
B. Anticipatory
C. Dysfunctional
B. acceptance D. Inhibited
C. depression
D. Anger Correct answer
B. Anticipatory
 0/1
25. Ymir, one of her patients, passed away a year
ago. She was a devoted partner to her wife, A. Maturational
Historia, who loved her deeply. Historia always B. Perceived
visited her grave, and offered flowers as often as
she could. One day, she visited the grave with C. Actual
another man and her daughter. While she D. Situational
grieved for the loss of her previous partner, she Correct answer
moved forward to build a family. What stage is
A. Maturational
Historia in now?
*
1/1 28. The nurse is caring for a client admitted to
the unit with severe depression. The client
A. Depression states, "My husband left me, and I feel lost."
B. Acceptance Based on the client's statement, which type of
crisis is the client experiencing?
C. Denial
*
D. Bargaining
1/1
Situation:
We all go through different crises and losses in our A. Maturational
lives. While each are different, all difficulties are valid B. Situational
and should be given appropriate management.
C. Social
D. Developmental
26. Kelly, a nursing student, is a consistent honor
studentl. However, this semester, she has taken
on work, is in the midst of planning a wedding, 29. The nurse is conducting an initial assessment
and has relocated to a new home. She was not of a client in crisis. When assessing the client's
part of this semester’s honor roll due to the perception of the precipitating event that led to
significant events in her life. Kelly now feels a the crisis, which is the most appropriate
sense of failure. How would you best question?
characterize this loss? *
* 1/1
0/1
A. with whom do you live?
A. Maturational B. who is available to help you?
B. Perceived C. what led you to seek help now?
C. Actual
D. Situational D. what do you usually do to feel better?

Correct answer 30. The nurse is explaining the advantages of

B. Perceived support groups to a client. Which statement from
the client suggests an understanding of the
information?
27. John cries as his daughter moves out to *
another country for college. He reminisces all the
good times he had shared with his daughter. 1/1
How is the loss best described? A. "I can gain insights into the challenges others face."
* B. "I'll feel empowered as the leader guides the
sessions."
C. "A support group might help me gain a broader
perspective on things."
D. "After hearing others' experiences, my own
struggles may not seem as severe."
Situation:
You are a psychiatric nurse working in the Philippine
Mental Health Center. You are already considered a
master in handling nurse-patient relationships, and
managing crisis or aggressive patients.
31. Which is not an elemnt of a contract?
*
1/1
A. Time, duration, and venue of sessions
B. Termination and criteria for termination
C. Nurse’s and patient’s responsibilities
D. Payment for the session
32. Prior to the meeting, the nurse should?
* likely to become physically aggressive.
0/1
A. Formulate a nursing care plan according to the
diagnosis of patient
B. Read the patient’s history and assessment
C. Promote the client’s insight
D. Determine’s client’s feelings about the termination
of relationship
Correct answer
B. Read the patient’s history and assessment
33. Which is an example of assertive
communication?
* 1/1
1/1
A. “I wish you would stop making me angry.”
B. “I feel angry when you walk away when I’m
talking.”
C. “You never listen to me when I’m talking.”
D. “You make me angry when you interrupt me.”
34. A client is pacing in the hallway with
clenched fists and a flushed face. She is yelling
and swearing. In which phase of the aggression
cycle is she?
*
1/1
A. Anger
B. Triggering
C. Escalation
D. Crisis
35. You observe a client muttering to himself and
pounding his fist in his other hand while pacing
in the hallway. Which principle should guide
your action?
*
1/1
A. Only one nurse should approach an upset client to
avoid threatening the client.
B. Clients who can verbalize angry feelings are less
C. Talking to a client with delusions is not helpful,
because the client has no ability to reason.
D. Verbally aggressive clients often calm down on
their own if staff members don’t bother them.
Situation:
With his mother as an inspiration, nurse Pepe decides
to work in a clinic as a nurse who addresses patients
with eyes, ear, nose, and throat disorders.
36. What cranial nerve is being assessed if the
nurse determines how clear a client can see an
object across the ward?
*
A. Oculomotor nerve
B. Abducens nerve
C. Optic nerve
D. Trochlear nerve
37. What is the expected pupillary response C. Betaxolol
when a person‘s body experiences stress and
their fight or flight system is activated? D. Acetazolomide
* Correct answer
1/1 A. Pilocarpine
A. Dilation of pupils
41. Which of the following is not part of the inner
B. Constriction of pupils
ear?
C. Miosis
D. Myopia *
0/1
38. What does a visual acuity score of 20/200 A. The vestibulocochlear nerve
indicate? B. The labyrinths
* C. The malleus, incus, and stapes
D. The endolymphatic fluids
1/1
A. The patient is far-sighted
Correct answer
B. A patient at 20 feet away from an object can clearly
see what a person with normal vision can see clearly C. The malleus, incus, and stapes
at 200 feet away from an object

C. The patient will most likely sit at the back of the 42. Which of the following actions of a nurse who
audience during a lecture is talking to a patient with hearing disorder will
D. A patient at 200 feet away from an object can promote proper communication between them?
clearly see what a person with normal vision can see *
clearly at 20 feet away from an object
1/1
A. The nurse dims the light of the room
39. In the absence of contact lens solution, what B. The nurse stands while talking to a patient who is
should the nurse advise to the patient to use sitting
instead? C. The nurse repeats the same sentence if the patient
* has a hard time hearing it
D. The nurse speaks on a low-pitch tone of voice
1/1
A. Distilled water
B. Saline solution
43. Which of the following will most likely cause
C. Tap water otitis media?
D. Eyedrops
*
0/1
40. A patient with glaucoma asks the nurse
which medication are they taking that causes A. Bacterial infection with staphylococcus aureus
their pupils to go small? The correct answer of
the nurse is that this medication is called: B. Direct trauma
C. Stagnant water in the ear canal after swimming
*
D. Untreated tonsillitis
0/1
Correct answer
A. Pilocarpine
B. Latanoprost D. Untreated tonsillitis
 inflammatory cells and is more than 1 cm. She is
44. A patient comes to the clinic with a hearing correct if she identifies this as a _____.
disorder. What set of symptoms will let the nurse *
suspect that this patient has Meniere’s disease?
0/1
*
A. papule
0/1 B. plaque
A. Hearing loss, headache, and inflammation of the
ear C. pustule
B. Purulent ear drainage, hearing loss, and tinnitus D. vesicle
C. Vertigo, hearing loss, and tinnitus
D. Tinnitus, vertigo, and ear inflammation Correct answer
C. pustule

Correct answer
C. Vertigo, hearing loss, and tinnitus 48. This is known as the visual examination and
involves using the sense of sight to inspect the
patient
45. What is the appropriate intervention of a *
nurse for a patient who has an insect stuck inside
1/1
their ear canal?
* A. Palpation
B. Examination
1/1 C. Inspection
A. Instill a few drops of half-strength hydrogen
peroxide to kill the insect D. Auscultation
B. Use a water stream to irrigate the foreign body
C. Use cotton swabs to clean the ears
D. Instill mineral oil first 49. In obtaining health history, which among the
following constitutes as past health history?
*
Situation:
Nurse NIckoh is reviewing his notes on the proper 0/1
steps of assessment of patients.
A. Patient’s brother previously had lung cancer
B. Patient’s symptoms started 6 months ago
46. When examining the abdomen, she knows
that the correct sequence of examining it would C. Patient used to be a chronic drinker
be ____. D. Patient’s rib was fractured in a car crash

* Correct answer
1/1
A. Inspection, palpation, percussion, auscultation
B. Palpation, percussion, auscultation, inspection
C. Inspection, auscultation, palpation, percussion
D. Inspection, auscultation, percussion, palpation
47. Upon assessing the patient’s back, she found
an elevated skin lesion which contains fluid of
D. Patient’s rib was fractured in a car crash
50. When interviewing a client, Nurse lily opted
to use open-ended questions. She knows that an
advantage of this is ______.
*
1/1
A. Questions and answers can be controlled more
B. It takes less time
C. Provide information the interviewer may not ask B. Blunt affect
for C. Restrictive affect

D. Responses are easily documented D. Labile affect

Situation:
In taking care of patients with psychiatric disorders, a
nurse must be proficient in the symptomatologies
that specifically revolve around psychiatric patients
51. When a patient replied to the nurse that they
feel “kritangtangtang” when asked how they feel,
the nurse documents this response as what?
* B. Illusions cannot be clarified as compared to
1/1
A. Perseveration
B. Clang association
C. Verbigeration
D. Neologism
54. When asked by the head nurse what is the
difference between an illusion and a
hallucination, nurse Jane answers that:
*
1/1
A. Hallucinations are based on reality while illusions
are not
hallucinations
C. Hallucinations are misinterpretations of reality
while illusions are misinterpretations of sensations
D. Hallucinations are misinterpretations of sensory
stimulus while illusions are misrepresentations of
external stimulus

52. A patient comes to the nurse stating that they 55. What delusion can be called to a patient who
believe people are putting thoughts inside their states that they have connections to all people in
head and they do not have any control about it. the Malacanang palace?
This is an example of which thought
*
disturbance?
* 0/1

0/1 A. Erotomanic delusion

B. Somatic delusion
A. Thought withdrawal C. Grandiose delusion
D. Persecutory delusion
B. Thought insertion
C. Thought broadcasting
D. Thought blocking Correct answer

Correct answer
C. Grandiose delusion

B. Thought insertion Situation:

53. Throughout the whole stay of the patient in
the ward, they only ever showed one mood
which is that they are sad even after being
exposed to different situations and contexts.
Nurse Jane knows that what affect will she
expect to be written in the chart of this patient?
*
1/1
A. Flat affect
In a more recent local study by Puyat et al (2021),
data on depression was collected from 19,017 young
adults using the Center for Epidemiological Studies -
Depression scale. The results of this study showed
that almost 1 in every 10 young adult Filipinos suffer
from Major Depressive Disorder. Nurse Karissa is a
psychiatric nurse who specializes in care for patients
with mood disorders.
56. What is the most important diagnostic
criteria for major depressive disorder?
*
0/1
59. Which antidepressant medication is
considered as the first-line medication due to the
A. Overall depressive feeling intensity of its side effects?
*
B. The patient is unable to go to work because of their
symptoms 1/1
C. Symptoms have been lasting for at least 2 weeks A. Monoamine oxidase inhibitors
D. The patient has self-reproach and self-criticism B. Selective serotonin reuptake inhibitors
Correct answer
C. Tricyclic antidepressants
B. The patient is unable to go to work because of their D. Serotonin norepinephrine reuptake inhibitors
symptoms

60. Which statement by the nurse who is

57. After greeting the patient with major
depressive disorder and asking how they are, the
patient proceeds to ignore the nurse and does
not talk to them. What is the most therapeutic
response of the nurse?
*
1/1
A. “I’ll be here with you for 15 minutes. You can talk
to me if you want”
B. “You are regressing again and we have talked
about this”
C. “If you do not talk to me, I am afraid I will have to
end our contract”
D. “I am disappointed in you”
providing health education to a patient
prescribed with Escitalopram indicate that they
have adequate understanding of the medication’s
action?
*
0/1
A. I will avoid eating food such as cheese, kimchi, and
canned goods
B. I must have my ECG checked every 2 weeks due to
the potential adverse effects of the medication
C. If I experience sleepiness as a side effect, I must
take it in the morning
D. The medication will take 1 week before I feel its
effect

Correct answer
58. Which statement by the nurse will most
likely encourage a patient with major depressive D. The medication will take 1 week before I feel its
effect
disorder to participate in an activity?
*
0/1
61. What food is appropriate to be served to a
patient who is manic?
A. “I’ll see you later at the activity room at 1 PM for *
the group session”
B. “You can join us whenever you want. You can take 0/1
your time“
A. Hamburger and french fries
B. Fried chicken and spaghetti
C. “Here is a list of activities. You can pick what suits C. Chopsuey and fruit salad
your mood” D. Carrot sticks and kangkong
D. “I’ll help you clean the whole hospital later, as
scheduled
Correct answer
Correct answer
A. “I’ll see you later at the activity room at 1 PM for A. Hamburger and french fries
the group session”
62. What is the appropriate intervention a nurse
must do to a patient who is shouting at the nurse
and other hospital workers while demanding
that they must be discharged right now?
* B. Diarrhea
0/1
A. Invite 5 to 6 members of the healthcare team to
band together
B. Promote verbalization of the patient’s feelings
C. Restrain the patient’s mouth
D. Administer intramuscular anxiolytic medications
Correct answer
A. Invite 5 to 6 members of the healthcare team to
band together
63. Which neurotransmitters are altered in mood
disorders, including bipolar disorder?
*
1/1
A. Serotonin and dopamine
B. Norepinephrine and dopamine
C. Norepinephrine and serotonin
D. Dopamine and acetylcholine
64. After reading the charts of a patient who is
taking lithium, the nurse knows that they must
withhold the next dose of lithium if they see
what lithium level in the patient’s blood?
* to a patient who is terrified and claims that the
0/1
A. 0.6 mEq/L
B. 1.0 mEq/L
C. 1.2 mEq/L
D. 1.8 mEq/L
Correct answer
D. 1.8 mEq/L
65. Upon going to the patient, what symptom will
the nurse expect that supports the finding that
the patient has too much lithium in their blood?
*
1/1
A. Fine tremors
C. Frequent urination
D. Frequent intake of water
Situation:
Schizophrenia a serious mental condition of a type
involving a breakdown in the relation between
thought, emotion, and behavior. In order to care for
patients with schizophrenia, nurse Lena must strive
to understand how to properly take care of these
patients.
66. What is the therapeutic response of a nurse
to a patient who keeps looking at something in
the wall behind the nurse?
*
0/1
A. “I do not see anything in the wall behind me”
B. “What are you looking at the wall behind me?”
C. “I notice that you keep looking behind me.”
D. “Would you look at this form and help me fill it
up?”
Correct answer
C. “I notice that you keep looking behind me.”
67. What is the therapeutic response of a nurse
people in the TV is talking about them?
*
0/1
A. “Are you scared because you believe that other
people are always talking about you?”
B. “What makes you think they are talking about
you?”
C. “I will turn off the TV for you”
D. “They are not talking about you.”
Correct answer
A. “Are you scared because you believe that other
people are always talking about you?”

68. Which intervention by a nurse who is taking
care of a patient who is paranoid will negatively
affect their therapeutic relationship?
* been taking thorazine necessitate the attention
0/1
A. The nurse talking in a businesslike manner
B. The nurse including the patient during planning of
the care plan
C. The nurse being friendly to the patient
D. The nurse making sure they do not laugh or giggle
in front of the patient
Correct answer
C. The nurse being friendly to the patient
69. Which of the following is not considered as a
soft symptom of schizophrenia?
* 0/1
1/1
A. Not feeling pleasure in activities
B. Having no motivation in everyday activities
C. Talking in a fast-paced manner
D. Showing one to no emotions
70. Which of the patients of nurse Jeng does she
know is the least likely to commit suicide?
* 73. What is the difference between the 1st and
0/1
A. A patient who gives away the only thing that
reminds them of their parents
B. A patient who has thoughts of hurting other people
C. A patient who is sad and cries most of the time
D. A patient who cleared their schedule for the
upcoming week
Correct answer
C. A patient who is sad and cries most of the time
Situation:
As a chronic disorder, schizophrenia is heavily
managed by psychopharmacology. In order to
properly take care of patients with schizophrenia, a
nurse must be able to be an expert in the nursing
considerations revolving around antipsychotics.
71. What manifestations in a patient who has
of the psychiatrist?
*
1/1
A. Tooth decay and dry mouth
B. Weight gain
C. Decreased WBC count
D. Jaundice and BP: 130/80 mmHg
72. Which intervention listed by a nurse in their
care plan for a patient taking chlorpromazine
needs revision?
*
A. Increase fiber and fluid intake
B. Assist patient in changing positions gradually
C. Provide sunscreen for patient to use when going
outside
D. Provide tepid sponge bath in cases of fever
Correct answer
D. Provide tepid sponge bath in cases of fever
2nd generation antipsychotics given to patients
with schizophrenia?
*
0/1
A. 2nd generation antipsychotics decrease dopamine
levels only
B. 1st generation antipsychotics address
positive/hard symptoms only
C. 1st generation antipsychotics decrease dopamine
and serotonin levels
D. 1st generation antipsychotics include olanzapine,
risperidone, and clozapine among others
Correct answer
B. 1st generation antipsychotics address
positive/hard symptoms only
74. Which of the following symptoms will a nurse
expect in a patient who was endorsed to be
having akathisia?
* habits
0/1
A. Uncontrollable muscle spasms including oculogyric
crisis and dysphagia
B. Shuffling gait, masklike facies, and pill-rolling
tremor
C. Tongue twisting, lip smacking, and tongue
protrusion
D. Inability to sit and stand still
Correct answer
D. Inability to sit and stand still
75. What is the initial intervention of a nurse
who will give the next dose of fluphenazine as a
maintenance medication but assesses the
following in the patient: T=41 C, HR=101 bpm,
RR=21 cpm, BP=140/90 mmHg
*
0/1
A. Report the findings to the physician
B. Discontinue the drug
C. Prepare baclofen as an antidote
D. Anticipate orders of diphenhydramine for the
patient
Correct answer
B. Discontinue the drug
Situation:
Every year, 1% to 2% of the population will develop
bulimia. Around 0.3% and 1% of adolescent girls
suffer from anorexia nervosa and bulimia nervosa,
respectively in the Philippines. Hence, nurse Tommy
should be able to take care of a patient with an eating
disorder once that patient is admitted.
76. Which of the following is incorrect regarding
the manifestations of anorexia nervosa?
*
0/1
A. The patient has a perfectionist attitude
B. The patient is aware that they have the disease
C. The patient knows a lot about food preparations
D. The patient is proud of their own food restriction
Correct answer
B. The patient is aware that they have the disease
77. A nurse knows that a patient with anorexia
nervosa may experience the following
complications of their disease, except?
*
0/1
A. Malnutrition
B. Sialadenitis
C. Alopecia
D. Anemia
Correct answer
B. Sialadenitis
78. Which of the following is true about the
differences between anorexia nervosa and
bulimia nervosa?
*
0/1
A. A patient with anorexia nervosa is overweight
while a patient with bulimia nervosa is underweight
B. A patient with anorexia nervosa and a patient with
bulimia nervosa may binge and purge
C. A patient with anorexia nervosa is ashamed of
their behavior while a patient with bulimia nervosa
boasts about their behavior
D. A patient with anorexia nervosa undergoes
hunger-anger cycles while a patient with bulimia
nervosa is known for their ritualistic food behaviors
Correct answer
B. A patient with anorexia nervosa and a patient with
bulimia nervosa may binge and purge
79. Which of the following nursing diagnosis D. Restlessness and GI butterflies
should a nurse prioritize in a patient with
anorexia nervosa?
82. What is the appropriate intervention of a
* nurse for a patient who is experiencing mild
1/1 anxiety?
A. Disturbed body image *
B. Imbalanced nutrition 0/1

C. Hopelessness A. Stay with the client and provide intramuscular

D. Risk for impaired skin integrity anxiolytics
B. Help the patient by redirecting and refocusing
their attention
80. Which of the following interventions for a
patient with bulimia nervosa should change in C. Put the patient in a quiet and non-stimulating room
their care plan? D. Little to no interventions from the nurse is needed
* Correct answer
0/1 D. Little to no interventions from the nurse is needed
A. Encourage the patient to eat meals with other
people such as friends or family 83. Which neurotransmitter is involved in
B. Ensure that food stored at the kitchen, room, and
anxiety and its alterations cause anxiety
their car are all nutritious
C. Identify food eaten during binge episodes and disorders to patients?
avoid buying them *
0/1
Correct answer A. Gamma-aminobutyric acid
B. Ensure that food stored at the kitchen, room, and B. Serotonin
their car are all nutritious
C. Acetylcholine
Situation: D. Dopamine
Mental illness has become the third most common
disability in the Philippines, wherein six million Correct answer
Filipinos live with depression and anxiety. Because of A. Gamma-aminobutyric acid
this, the country has the third highest rate of mental
disorders in the Western Pacific (Martinez et al.,
2020). As anxiety that is not properly address can 84. Benzodiazepines are the drug-of-choice for
result in a disorder, nurse Angela must know how to
anxiety disorders, especially during emergency
guide patients regarding anxiety.
situations. What medication should the nurse
prepare as an antidote for toxicity levels of
81. A nurse that assess which of the following in benzodiazepine?
a patient knows that this patient is experiencing *
moderate anxiety?
1/1
*
A. Glucagon
1/1 B. Acetylcysteine
A. Pallor, chest pain, and nausea, vomiting, & diarrhea C. Calcium gluconate
B. Delusions, hallucinations, and seizures D. Flumazenil
C. Tachycardia, diaphoresis, and upset GI tract
85. Which of the following is the most important D. Paranoid ideation, ideas of reference, and fear of
nursing intervention for a patient who is losing one’s mind
experiencing panic?
Correct answer
*
B. Anxiety, restlessness, diaphoresis, rhinorrhea, and
0/1 vomiting
A. Take control of the patient by using direct and
concise words 88. What medication is used to safely withdraw
B. Restrain the patient if needed
patients from narcotics?
C. Stay with the client
D. Ensure safety of the patient’s environment *
1/1
Correct answer A. Naloxone
B. Lorazepam
C. Stay with the client
C. Disulfiram
Situation: D. Methadone
Mental health problems are associated with later
substance abuse. This link, often referred to as the
self-medication hypothesis, proposes that youth turn
to drugs and alcohol to cope with mental health 89. What is a characteristic symptom of cannabis
symptoms. Substance abuse can trigger mental health abuse?
problems.
*
0/1
86. What is the term used for when a patient’s
use of a substance results in maladaptive A. Bloodshot eyes and weight gain
B. Sleeplessness and weight loss
behavior?
* C. Excoriated nostrils
0/1 D. Pinpoint pupils

A. Intoxication Correct answer

B. Abuse
A. Bloodshot eyes and weight gain

C. Tolerance
D. Dependence 90. Which of the following is a non modifiable
risk factor for substance abuse?
Correct answer
*
A. Intoxication
0/1

87. What is the expected behavior of a patient A. Peer pressure

B. Family history
who is undergoing withdrawal from narcotics?
C. Lack of social support
*
0/1 D. Being prescribed powerful drugs

A. Sleeplessness and stained rotting teeth Correct answer

B. Anxiety, restlessness, diaphoresis, rhinorrhea, and
vomiting
C. Hypotension, bradycardia, bradypnea, and pupil
constriction
B. Family history
Situation:
In 2021, Department of Health survey showed that an
estimated 40 percent of Filipino adults reported
drinking alcohol in the previous month (up from 38
percent in 2019) including 33 percent who engaged
in heavy drinking sessions (up from 12 percent in
2016). Alcoholism will affect not only a person’s
physiological health but also their mental health.
91. What ego defense mechanism is expected to
be used by patients with alcohol abuse?
*
1/1
A. Acting sober even if already intoxicated
B. Lashing out on their spouse because they got fired
from intoxication
C. Using alcohol as an escape from their problems
D. Does not recognize and accept that they are
abusing alcohol use
92. A patient who is manifesting signs and
symptoms of tachycardia, irregular breathing,
and hypertension is at what stage of alcohol
abuse?
*
1/1
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
93. What medication is used to address the signs
and symptoms of alcohol withdrawal?
* *
1/1
A. Naloxone
B. Lorazepam
C. Disulfiram
D. Methadone
94. What intervention should the nurse
anticipate to be done to a patient admitted to the
emergency room presenting with signs and
symptoms of vomiting, unconsciousness, and
respiratory depression due to alcohol overdose?
*
0/1
A. Monitoring of vital signs
B. Administration of oral doses of diazepam
C. Administration of intravenous disulfiram
D. Insertion of nasogastric tube and endotracheal
tube
Correct answer
D. Insertion of nasogastric tube and endotracheal
tube
95. What vitamin should be increased in the diet
of a patient with chronic alcohol abuse to
counteract the effects of Wernicke-Korsakoff
syndrome?
*
1/1
A. Pyridoxine
B. Biotin
C. Thiamine
D. Riboflavin
Situation:
Though given lesser light, a psychiatric nurse also
addresses a person’s personality and the different
facets around it. Nurse Janice (they/them) takes care
of such patients.
96. Which of the following is not included in the
cluster B personality disorders?
0/1
A. Obsessive-compulsive personality disorder
B. Borderline personality disorder
C. Narcissistic personality disorder
D. Antisocial personality disorder
Correct answer
A. Obsessive-compulsive personality disorder
97. Which of the following characterizes a
patient with schizotypal personality disorder?
* Correct answer

1/1 D. Orgasm

A. Social withdrawal and aloof

B. Bizarre behaviors and magical thinking

C. Suicidal tendencies and body multilation

D. Extreme distrust and suspiciousness

98. What therapy will the nurse expect that a

patient with dependent personality disorder to
undergo?
*
0/1
A. Set firm limits
B. Cognitive restructuring
C. Teaching social skills
D. Behavioral therapy

Correct answer
B. Cognitive restructuring

99. Who of the following patients is the most

at=risk for being diagnosed with gender
dysphoria?
*
1/1
A. A patient who identifies as cisgender
B. A patient who expresses themselves
androgynously
C. A patient who identifies as transgender

D. A patient who is a homosexual

100. A patient with premature ejaculation is

experiencing disruption in what stage of the
sexual response cycle?
*
0/1
A. Resolution
B. Excitement
C. Desire

D. Orgasm