This type of examination is a multiple choice type of examination. Any similarity of the questions on the previous or present board examination is not an intention of the writer since the resources were purely for book references as well as from clinical experience that requires good critical skills and application of nursing process. The examination is composed of five (5) Major Subtopics:
- Foundation of Professional Nursing Practice
- Community Health Nursing and Care of the Mother and Child
- Care of the Clients with Physiologic and Psychosocial Alterations (Part A)
- Care of the Clients with Physiologic and Psychosocial Alterations (Part B),
- Care of the Clients with Physiologic and Psychosocial Alterations (Part C).
Pre-Board Examination for June & July 2012 NLE
This is a 60-item comprehensive examination. Read the questions properly and choose the best answer.
Nursing Practice 1. Foundation of Professional Nursing Practice
- According to the Philhealth standards, a hospital must have Wellness clinics and health education activities such as the Diabetes Clinic. With a goal of health promotion, which of the following activities is the LEAST concern?
A. Diagnose Illness
B. Maintain optimal function of the patient
C. Minimize health care costs
D. Offer layman forums
- With regards to illness prevention activities, which of the following activities help clients MOST?
A. Maintain maximum functions
B. Reduce risk factors
C. Promote habits related to health care
D. Manage stress
- Which of the following nursing goals MOST of the time taken for granted when at the hospital?
A. Illness prevention
B. Health promotion
C. Health maintenance
- Health maintenance involves four characteristics in order to attain its goals. Which of the following does not belong to the group?
A. Perception of health
B. Motivation to change behaviour or status
C. Compliance to the set goals
- Which of the following completes the four characteristics of normal health maintenance?
A. Support Group
B. Access to social and economic resources
C. Physical examination
D. Manage stress
- Which of the following factors can hinder the access to health programs?
7. Which of the following activities involves primary disease prevention?
B. Breast Self-Examination
C. Well-child assessment
D. Hospital admission
8. Which of the following the goal of secondary disease prevention?
A. To include activities which geared towards high level of wellness
B. To reduce the risk factors present in an individual
C. To prevent disability and render intervention in the earlier stage
D. To ensure treatment and management of present illness
9. A cardiac patient came in to the hospital for his daily cardiac rehabilitation. This type of activity is included in the following:
A. Primary Disease Prevention
B. Secondary Disease Prevention
C. Tertiary Disease Prevention
D. All of the above
- A hospice is a family-centered institution wherein the major goal of its existence is to provide comfort and lifestyle of clients in the terminal stage of illness. This is an example of:
A. A. Primary Disease Prevention
B. Secondary Disease Prevention
C. Tertiary Disease Prevention
D. All of the above
Situation. For No. 11 – 12. A survey must be done in order to know the factors of increase incidence of needle-stick injuries among nursing personnel in the hospital.
- Which of the following research activities would a nurse researcher initially do?
A. Review related topics
B. Find out how many had needle stick injuries in the unit
C. Prepare a tool for collecting the data
D. Get a permission from the nursing service director
- Which of the following statements contribute on the feasibility of the study?
A. Variables are diverse
B. Readability of the findings
C. Broad problems
D. Findings are inconsistent
Nursing Practice 2. Community Health Nursing and Care of the Mother and Child
Situation. Nos. 13 – 18. As a community health nurse, you need to apply COPAR in visiting communities in order to meet their needs.
- On the first day of community immersion, which of the following activities involve the goal to get the whole set-up of the community?
A. Home visit
B. Mass information drive
C. Mother’s Class
D. Community health survey
- As a community health nurse, you know that this is the best toll for community assessment:
A. Selective interview
B. Ocular survey
D. Home visit
- How can you encourage active participation of the people in a new community?
A. Selective interview of clients
C. Community conference
- When will be the best time to work with termination phase in a community immersion?
A. Pre-Interview Phase
B. Orientation Phase
C. Working Phase
D. Termination Phase
17 Community health nursing is a field of nursing which focuses on the:
A. Individual patient
B. Nursing community
C. Care of families
D. Health Education in the community
- Community health has the following goals except:
A. Treatment of Illness
B. Health promotion
C. Disease prevention
D. Management of factors affecting health
Situation.19- 21. Ina, 5 years old was brought in the health center due to fever, vomiting, abdominal pain.
19 As a nurse on duty, what it your first priority?
A. Perform nursing procedures
B. Assess the patient
C. Plan for your care regimen
D. Identify nursing diagnosis
20 Upon assessment, you have found petechial rash on her extremities. What will be the next step?
A. Perform Tourniquet Test
B. Diagnose it as a Dengue case
C. Prescribe calamine lotion
D. Conclude that the Dengue is on the third stage
- How would you perform Rumpel-Leede Capillary Fragility Test?
A. Inflate the cuff for 5 minutes within the pressure. The pressure is the average of systolic and diastolic pressure.
B. Inflate the cuff for 3 minutes within the pressure. The pressure is the average of systolic and diastolic pressure. Since the patient is a child.
C. Inflate the cuff for 2 minutes within the pressure. The pressure is the average of systolic and diastolic pressure.
D. Inflate the cuff for 5 minutes within the pressure. The pressure is the sum of systolic and diastolic pressure.
- After the Tourniquet Test, which of the following assessment would render a positive result leading to a suspected Dengue Haemorrhagic Fever?
A. If there is disseminated petechiae.
B. If there is more than 20 petechiae in one square inch.
C. If there is no change noted.
D. None of these.
- The Department of Health implements Women’s Health and Safe Motherhood Project. Which of the following statements does not belong to its coverage?
A. Developing networks such as BEmoNC and CEmoNC
B. Allowing home deliveries
C. Family Planning
D. Facility-based deliveries
- You are screening pregnant women in a rural health unit. Which of the following would require referral to a hospital?
A. Cephalic presentation
B. Adequate Pelvimetry
C. Breech Presentation
D. Gravida 4
Nursing Practice 3. Care of Clients with Physiological and Psychosocial Alterations
25. In a nurse-patient relationship there are two types of communication: verbal and non-verbal. Which of the following does not belong to the group?
A. Health Teaching
B. Using patient’s folks as an interpreter
C. Verbal order of the physician
- As a novice nurse, you are under the responsibility of your senior. Any mistake in the area you have made must be reported to the senior staff then to the head nurse or manager. This action is according to the principle of?
A. Line of command
B. Respondeat superior
C. Res ipsa loquitur
D. None of the above
- Res ipsa loquitor is apparent on the following cases, except:
A. Scalding the patient’s skin with hot water during a meal
B. Bed sores present on the patient’s back
C. Infiltrated IV site
D. Verbal Assault
28 You were assigned in a medical ward. Upon opening a chart, you have seen that patient A has insensible fluid loss of approximately 900 cc daily. This type of fluid loss can be due to:
A. Wound drainage
B. Gravity Drain
C. Urine output
- Which of the following does not belong to the group of 4 A’s in Alzheimer’s Disease?
30 Teresa, is a 54-year-old female with intratrochanteric fracture. After her surgical procedure, you have noticed that she is having some confusion. Which of the following would you suspect?
A. Lack of nourishment
B. Effect of anesthesia
C. Lack of air
D. Fat embolism
- Which of the following conditions would allow a foreign nurse to practice in the Philippines?
A. Be employed in a state college
B. Visitation in a state college
C. Employed only in private hospitals
D. Medical or Surgical missions
- Observing the principle of sterile technique, which of the following would not belong to the group?
A. Scrub nurse
C. Operating room technician
- A compartment syndrome can be detected when the patient complains:
B. Deep pain
C. Phantom pain
D. Radiating pain
- In a head fracture, increase of intracranial pressure can be possible. Which of the following would be other reasons of increased intracranial pressure?
A. Localized abscess
- A patient came in to a hospital with a history of suicidal attempts. At this time, he ingested 20 sleeping pills. Which of the following would be the priority nursing action?
A. Assess for consciousness
B. Assess for vital signs
C. Insert NGT
D. Insert IV line
- After a craniotomy, which of the following would be the nursing priority?
A. Prevention of infection
B. Preventing increase intracranial pressure
C. Preventing instability of posture
D. Preventing delirium
Nursing Practice 4. Care for Patients with Physiologic and Psychosocial Alterations (PartB)
Situation. 37- 42. You are assigned in the emergency room. A 70-year-old female came in complaining of dryness of throat and mouth. She is a known diabetic for 20 years with a strong familial history of diabetes mellitus. Upon assessment, her vital signs are: T= 37 C, PR- 90 RR- 24 BP- 140/80; CBG 570 mg/dl.
- As a nurse, you know that the above initial assessment would reveal that the patient is:
B. Decrease sensorium
D. None of these
- A venoclysis has been started with PNSS I litre x 150 cc/hr. Using a microset, how many drops per minute should the line be?
A. 50 drops per minute
B. 30 drops per minute
C. 150 drops per minute
D. 75 drops per minute
- Aside from hydration, which of the following would be taken in order to check for Ketoacidosis?
A. Urine Culture and Sensitivity
B. Capillary Blood Glucose monitoring
C. Arterial Blood Gas
D. Pulse Oximeter
- A urine ketone has been ordered. You know as a nurse that this test is taken in order to:
A. To check for pH level of urine
B. To check for presence of ketones in the urine
C. To check the quantity of urine being excreted
D. To check for the sugar levels in the urine
- Which of the following will be your nursing action in terms of monitoring the hydration status of the patient?
A. Strictly monitor the intake and output
B. Restrict fluids
C. Increase oral fluid intake
D. Start an IV line with D5NSS
- As a nurse, you are needed to formulate nursing diagnoses with Diabetic Ketoacidosis. These are the following correct statements except:
A. Fluid Volume Deficit related to vomiting
B. Altered Level of Consciousness related to acid-base balance
C. Altered Level of Consciousness related to ineffective breathing pattern
D. Altered Nutrition: Less than body requirements related to diabetes mellitus
- As a nurse, you can insert in your documentation the following abbreviations which are widely understood by the nursing community except:
- These are the following assessments needed for fluid status reporting in an adult patient, except:
A. Distended jugular vein
B. Peripheral perfusion
C. Mucous membrane
D. Sunken eyeballs
- Upon opening the chart, you came across the ABG result of Patient Joe. These are following parameters: pH= 7.25; PaCO2=50; Bicarbonate= 26. This result reveal:
A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis
- A plain cranial CT scan has been indicated STAT. When it comes to consent, since the patient is unconscious. Who will be the most liable for the consent?
A. His Grandmother
B. His mother
C. His 18-year-old wife
D. His attending physician
- In the cranial CT scan, a 30 cc bleed has been noted on the temporal lobe. As a nurse, you know that this part of the brain is responsible for except:
A. Auditory sensation and perception
- Your hourly monitoring of vital signs show an elevating blood pressure. As a nurse you anticipate to give:
C. Mannitol 20%
D. Magnesium Sulfate
Nursing Practice 5. Care for Patients with Physiologic and Psychosocial Alterations
Situation. 49- 52. You are assigned in a psychiatric ward for this rotation. Your first patient is a 26-year-old, female named Kathleen. She has a history of violent behaviour towards male patients and male nurses. She oftentimes had seen to sing love songs and bursts into laughter alternating with cry spells. She has 5 episodes of suicidal attempts after failing activities.
- On the first day, which of the following statements would encourage Kathleen to respond elaborately?
A. “Hello Ms. Kathleen, what a fine day isn’t it?”
B. “Hello Ms. Kathleen, time for your new nurse to be talking to you.”
C. “Hello Ms. Kathleen, I am Nora, your new nurse. How are you?”
D. “Hello Ms. Kathleen, what beautiful voice you have.”
- Ms. Kathleen wants to play volleyball. Knowing her history, these are the following would be the proper nursing actions except:
A. Include only female participants in the game
B. Invite other patients
C. Plan for a game that would make her satisfied with the result
D. Avoid challenging comments to her while at play
- After the play, Ms. Kathleen must be taken into the Mess Hall for her dinner. Upon receiving her meal, she whispered to you “The cook is a witch. She is putting some ingredients in our meal to kill us slowly. That is the reason why I wash the fried chicken with water.” As a nurse, you know that this is an example of:
A. delusion of control
B. delusion of negation
C. delusion of persecution
D. delusion of reference
- Ms. Kathleen starts to sing love songs. She then stressed out that “This song is really written for me.” This statement is:
A. Idea of imagination
B. Ideas of reference
C. Ideas of hallucination
D. Ideas of illusion
- As a nurse, these are different therapy groups in which the nurse needs not to be a member. This is:
A. Art club
B. Alcoholics anonymous
C. Music therapy group
D. Horticulture group
- Henry is a member of the group who controls the worthless talk of his co-worker Pearl. His role in the group is:
A. Yes member
- Which of these situations appropriately would describe culinary therapy?
A. Eva is getting ready for an afternoon walk to her garden wherein she plants orchids.
B. Jane is practicing a musical piece for a week now.
C. Pia is reading a cookbook and preparing the needed materials for the baking session that is about the begin in 30 minutes.
D. Paul finds sketching relaxing and rewarding
- Mental retardation can be defined as:
A. Severe lag on memory
B. Lack of sensory abilities
C. Timidity on mental abilities
D. Sub average intellectual functioning
- As a nurse, you are interested in things that can help you cope with stress and change. Which of the following is a bio-behaviour intervention?
D. None of the choices
- Alyssa is prescribed to take Zyprexa. As a nurse you know that this is indicated for?
A. symptoms of self-destruction or impulses
B. Sleeping problems
C. Mood stabilizer
- You have noticed Alyssa to be using alcohol whenever she moves. She rubs her palms with alcohol and wants to wash her wound with water for several times. The wound has been packed and no bleeding has been noted. This behaviour is:
- As a nurse, you know that Alyssa is in a crisis. Which of following would describe a duration of crisis?
A. 1-2 weeks
B. 3-4 weeks
C. 4-6 weeks
D. 1-2 months