Nursing Practice Exam

You see a school-aged child in an ambulatory setting because of a Rheumatic Fever. Which of the ff. would you expect to find and be revealed by the health history.

Which of the ff. nursing diagnoses would best apply to a child with Rheumatic Fever?

When reviewing the record of a child with Tetralogy of Fallot, which of the ff. would you expect to discover?

Coarctation of the Aorta demonstrates few sx in newborns. Which of the ff. is an important assessment to make on all newborns to help reveal this condition?

You will teach the mother of a boy with Tetralogy of Fallot that if he suddenly becomes cyanotic and dyspneic, to:

Infants with Congenital Heart Disease should not be allowed to become dehydrated because this makes them prone to:

A 3 y/o child just had a cardiac catheterization. After the procedure, which of the ff. interventions would be most important?

When a child is scheduled for cardiac catheterization, an important health teaching point for parents is that the:

An 8-month-old has a Ventricular Septal Defect (VSD). Which nursing diagnosis would best apply?

An infant is prescribed with Digoxin. You would teach her parents that the action of this drug is to:

You take an infant's apical pulse before administering Digoxin. What is the usually accepted level of HR that is considered safe for administering Digoxin to an 8-month-old infant?

Which of the ff. would be most important to implement for an infant who develops Heart Failure(HF)?

You care for a toddler who has a functional heart murmur. You would advise the child's parent s that:

A newborn is born in a resource-limiting setting without access to an incubator. What is the most effective intervention to prevent hypothermia in the first 30mins. after birth?

A nurse needs to ensure early and exclusive breastfeeding for a newborn. Which step should the nurse prioritize immediately after birth?

Which action should a healthcare provider take to promote proper thermal protection immediately after delivery in a cold delivery room?

A nurse is caring for a newborn 10mins. after birth. What should the nurse monitor to assess the newborn's adaptation to extrauterine life? .

Which practice should a healthcare worker avoid to prevent hypothermia in a newborn during a home delivery?

During the first assessment, a newborn is found to be breathing slowly and has bluish extremities. Which immediate intervention is appropriate?

A newborn has a Patent Ductus Arteriosus (PDA) and presents with signs of respiratory distress. What should be the initial step in management?

When providing essential care to a newborn, which intervention is crucial for preventing neonatal conjunctivitis?

A HCP notices that a newborn has not yet passed urine 24hrs. after birth. What should be the first step in evaluating this condition?

In a scenario where a newborn has been born prematurely, which ENC components is most vital to prioritize?

If a HCP suspects that a newborn has not been properly fed d/t lethargy & poor sucking, what is the best immediate action?

Which intervention is most appropriate for a newborn who is at risk for neonatal sepsis but appears healthy?

A newborn is experiencing persistent cyanosis despite effective ventilation. Which congenital condition might the healthcare team suspect, and what should be the next step?

A nurse is evaluating the effectiveness of delayed cord clamping. Which observation would best indicate that this practice was successful?

After performing skin-to-skin contact, a nurse notices that a newborn's temperature remains low. What analysis should the nurse performs next?

A baby born prematurely is not maintaining adequate oxygen saturation despite normal respiratory efforts. What is most likely the cause?

A neonate shows signs of jaundice within the first 24hrs. after birth. What should be the HCP's immediate course of action?

A Public Health Nurse (PHN) in Brgy. Irisan is interested in teaching the students about the elements of the ecologic triad. She appropriately informs them by saying which of the following, EXCEPT:

Universal precautions primarily aim to prevent the transmission of:

Wearing gloves protect nurses against unnecessary exposure to infections. When should gloves be worn? i. When handling sharps/contaminated instruments ii. When risk of exposure to blood/bodily fluids is expected iii. When making beds iv. When assisting with pt. mobility v. When recording pt. VS

A pt. with Clostridium difficile (C. diff.) infection is admitted to the hospital. The nurse is preparing to care for the pt. and understands that strict infection control measures must be implemented. Which of the ff. actions by the nurse demonstrates an evidence-based approach to preventing the transmission of C. diff.?

A client with a high fever and respiratory sx is admitted to the emergency room. What initial precautionary measure should the nurse take?

A nurse is preparing to provide wound care to a pt. with a pressure ulcer. The wound us colonized with Methicillin-resistant Staphylococcus aureus (MRSA). Which of the ff. precautions must the nurse implement to prevent the spread of infection?

Which action by the nurse reflects an evaluation of the effectiveness of standard precautions in reducing the risk of healthcare-associated infections?

A nurse is caring for multiple clients with varying levels of infection risk. Which client should the nurse attend to first to minimize risk of cross-contamination?

A client in a long-term care facility develops a Urinary Tract Infection (UTI) after prolonged catheterization. Which of the ff. represents the "portal of entry" in the chain of infection for this client?

A nurse is investigating an outbreak of Malaria in a rural community. Upon review, the nurse identifies that stagnant water in the area has contributed to a rise in the population of mosquitoes, which are the vectors of the disease. Which component of the epidemiologic triad is being addressed by eliminating the mosquito breeding sites?

An epidemiologist is analyzing a Measles outbreak in a school and determines that the outbreak occurred because many children were unvaccinated, leading to a high rate of infection. Using the epidemiologic triad, which factor primarily influenced the outbreak in this population?

Which of the ff. interventions would be appropriate during an epidemic of a contagious disease? i. Initiating international travel bans to limit global transmission. ii. Isolating infected individuals to prevent further spread. iii. Focusing public health works on containment within a specific region. iv. Monitoring cases sporadically to identify potential hotspots. v. Administering vaccines to unaffected populations to prevent future outbreaks.

Teresa, a client with TB, is admitted to the hospital for 2 weeks. When Teresa's family members come to visit, they would be adhering to respiratory isolation precautions when they:

A client has an order to receive Purified Protein Derivative (PPD) 0.1 mL, intradermally. A nurse administers the medication by using a tuberculin syringe with a:

Under the NTP guidelines, what is the primary goal of the TB Comtrol Program in the Philippines?

A country where TB is no longer a public health problem is the vision of the National Tuberculosis Control Program. The NTP's objectives and strategies calls for: i. Improvement of access to and quality services ii. Enhance the ehalth0seeking behavior on TB by communities, especially the TB symptomatic iii. Sustainability of support for TB control activities iv. Strengthen management of TB control services at all levels

Nurse Ema is assigned to a remote community. She has a client who tests positive for TB but is unable to travel regularly to the health center for DOTS. According to the NTP, what is the best approach to ensure the client adheres to treatment?

A nurse is caring for a pt. with Active Pulmonary TB who has been prescribed with Isoniazid. The nurse is educating the pt. about potential adverse effects of the drug. Which pt. statement indicates a need for further education?

INH and Rifampicin have been prescribed for a client with TB. A nurse reviews the medical records of the client. Which of the ff. if noted in the client's history would require physician notification?

In the context of the NTP, which of the ff. is the key component in the diagnosis of multidrug-resistant TB in the Philippines?

Nurse Jona is exposed to a client with active TB. What is the most appropriate immediate action for Nurse Jona to take?

Mr. Rosales, a client diagnosed with TB continues to have evidence of tubercle bacilli in sputum after 6 weeks of drug therapy. Which question is most important for the nurse to ask Mr. Rosales at this time?

A nurse is evaluating a pt. diagnosed with TB who has been on first-line anti-TB medications for 3 months. The patient reports persistent fatigue, mild cough and occasional night sweats. Which action should the nurse prioritize based on this evaluation?

A nurse in a leprosy-endemic area is tasked with early detection of leprosy. Which group should be prioritized for screening and what method should be used?

Which of the ff. is not a clinical manifestation of Leprosy?

A pt. presents with numbness in the hands, hypopigmented skin patches, and thickened peripheral nerves. The nurse suspects Leprosy. Which action should the nurse prioritize to prevent the progression of the disease and the disability?

In managing a client with Leprosy, the nurse notes that the client is developing claw hand deformity due to nerve involvement. What is the most appropriate course of action to prevent further disability?

A nurse is managing a pt. with Leprosy who is undergoing multidrug therapy. The pt. reports experiencing dark discoloration of the skin and dryness. Which of the ff. should the nurse include in the pt.'s care plan?

Nurse Eva is planning an educational campaign in a community to prevent the spread of Leprosy. What strategy is most effective?

A client in the community diagnosed with Leprosy presents with thickened skin and numbness in the hands. What is the priority nursing intervention?

In a resource-limited setting, a nurse is managing a client with suspected Leprosy but without access to advanced diagnostic tools. What is the most reliable method for diagnosing Leprosy in this situation?

Which of the ff. is not true about Dengue?

Public health info. should be directed toward immediate control during Dengue outbreak. Which of the ff. control measures is inappropriate?

Dengue is transmitted by the bite of the Aedes aegypti mosquito carrying the causative agent. Which of the ff. pathologic changes is not caused by Dengue infection?

A pt. with suspected Dengue infection presents with a platelet count of 80,000/mm3, hematocrit (Hct) of 45%, and persistent vomiting. What should be the nurse's priority intervention to prevent complications in this pt.?

Mina was diagnosed with Dengue Hemorrhagic Fever (DHF). Melena and gingival bleeding have been noted. During the toxic/hemorrhagic state of the disease, the nurse should implement which of the ff. in caring for Mina?

A nurse observes that a client with Dengue Fever is becoming increasingly restless, with cold, clammy skin, and a weak, thready pulse. What is the most appropriate immediate action?

A pt. with Severe Dengue develops signs of circulatory shock, including hypotension, cold extremities, and decreased urine output. The nurse starts IVF therapy. Which of the ff. should the nurse monitor to evaluate the effectiveness of this intervention?

A nurse is reviewing a pt.'s lab. results during the recovery phase of Dengue Fever. Which of the ff. findings would most likely indicate that the pt. is improving

Dengue becomes epidemic in Brgy. Puket. Which of the ff. is not considered as an enabling factor for this occurrence?

Nurse John works at a hospital catering mostly to Communicable Diseases (CDs). He is assessing a 7 y/o child who was bitten by a stray dog. Nurse John collects data for the health history. Which of the ff. factors is not particular to rabies?

Sandra, while on her way home was bitten by a stray dog. You are the nurse at the RHU and asked Sandra what she immediately did after the incident. Her response indicated a correct understanding of first aid measures when she says that:

A pt. present with hydrophobia, agitation, and difficulty swallowing. The pt. was bitten by a dog three months ago, but did not seek medical attention. Based on these findings, what is the nurse's immediate priority intervention?

Kate, a 24 y/o woman, was referred to your hospital because she was bitten by a dog infected with rabies virus. The nurse reviewed that Kate developed plantar fasciitis because of the animal bite. In handling Kate's case, who was bitten by a stray dog, what vaccines will you give?

A nurse is tasked with counselling a pt. who is refusing rabies vaccination after a dog bite, believing the risk is low because the dog appeared healthy. Which of the ff. is the most appropriate response by the nurse?

A 72 y/o is admitted to the hospital with Congestive Heart Failure (CHF) and will be started on Digitalis therapy. Vitals on admission are, BP 110/60, pulse 100bpm, respirations 22. What is the expected outcome of the therapy?

A client diagnosed with Thrombophlebitis a day ago, complains of chest pain and SOB and is visibly anxious. The nurse should immediately assess the client for s/sx of which of the ff.?

The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the ff. should the nurse focus on first?

The nurse is caring for a client with Left Ventricular Heart Failure. Which one of the ff. assessments is an early indication of inadequate oxygen transport?

A nurse admits a client transferred from the E.R. The clients, diagnosed with MI is complaining of substernal chest pain, diaphoresis, and nausea. The first action by the nurse should be:

A client with Angina has been instructed about the use of sublingual Nitroglycerin. Which of the ff, statements made by the pt. to the nurse indicates further teaching?

When teaching a client about the use of sublingual Nitroglycerin, the nurse should emphasize that the most common side effect is:

Henry is now taking Propranolol because of HTN. Upon assessment, the HR of the pt. is 82 bpm and he is recently diagnosed of COP. The nurse must:

A vegetarian is on Coumadin therapy because of a heart problem. Client teaching involves avoiding ASA and green, leafy vegetable due to:

Pt. Mark is recently diagnosed of Angina Pectoris 8 months ago. During the clinic visit, he complains of chest pain unresponsive to intervention. The nurse knows that this type of Angina is:

The client is evaluated to more likely experiencing hypervolemia if the CVP reading is:

The nurse is performing a cardiac assessment on a client. The nurse knows that the correct order of blood flow through the valves of the heart is:

In a client with Mitral Regurgitation, the nurse would expect to see which of the ff. s/sx?

A client is admitted to the hospital because of HF and Digoxin toxicity. at home, the client was taking Digoxin and Furosemide. Which of the ff. sx would the nurse anticipate finding on the initial assessment?

The client is given Digitalis and Furosemide. Which of the ff. foods should be included to prevent adverse side effects of the drugs?

Clients with Raynaud's Disease should be taught to avoid which environmental factor?

To assess for Jugular Vein Distention (JVD), a pt. should be placed in what position?

A 57 y/o male, complaining of not feeling well is seen in the clinic. The client is taking several medications for the control of heart disease and HTN. A tentative dx of Digoxin toxicity is made. Which of the ff. assessment data would support this dx?

Upon arrival of pt. Rico in the E.R., he complains of chest pains that radiates from the left shoulder, left arm, neck, and jaw. What ECG changes can confirm the dx of MI?

The CI asks a SN to identify the most appropriate location to assess the pulse of an infant younger than 1 y/o. Which of the ff., if stated by the student, would indicate that the student understands the assessment procedure?

A nurse is caring for a pt. from the ICU and observes that the display on the cardiac monitor is ventricular tachycardia. What should the nurse do first?

A client who has been diagnosed with CHF two days earlier begins to exhibit sx of Left-Sided Heart Failure (LSHF). Which of the ff. would the nurse observe?

n infant with CHF is receiving diuretic therapy and a nurse is closely monitoring the I&O. The nurse uses which most appropriate method to assess the urine output.

A 72 y/o client is admitted to the hospital with CHF and will be started on Digitalis therapy. Vitals on admission are, BP 110/60 mmHg, pulse 100bpm, respirations 22. What is the expected outcome of the therapy?

Pt. Ligaya who is suspected of CHF will undergo a procedure to measure the pulmonary artery pressure. The nurse is aware that the insertion of the catheter is via the: