1
Q
- Bubbles, a teenage patient, is experiencing pain in her lower abdomen on one side. As a nurse, you know that the patient is exhibiting a classic symptom of Mittelschmer. This is associated with what normal phenomenon?
A. Suppressed prostaglandin
B. Ovulation
C. Rise or two of follicular fluids or blood spilling
D. Menstruation
A
B. Ovulation
2
Q
- In what phase of the menstrual cycle are estrogen and progesterone low?
A. Menstrual Phase!
B. Proliferative Phase
C. Secretory Phase
D. Luteal Phase
A
A. Menstrual Phase!
3
Q
- All of the factors directly affect the onset of the first menarche of girls but one:
Weight
Age
Genetics
Physical activity
A
Age
4
Q
- The pregnant mother states that her husband is experiencing what she is experiencing. What will
he manifest?
Always moody
Nausea and vomiting
Ambivalence
A
Nausea and vomiting
5
Q
- A mother came to the clinic and reported that she felt sudden, quick movement in her belly. You assessed the mother to look out for any other signs of pregnancy. As a nurse, you know that all of the following are probable signs of pregnancy, except?
Quickening
Palpable fetal outline
Positive PT
Braxton Hicks
A
Quickening (Presumptive)
6
Q
- A pregnant woman is being tested for sensitivity to antibiotics. What’s the amount of antibiotic to
be injected for the test?
A. 0.01 ml
B. 0.1 ml
C. 0.05 ml
D. 0.5 ml
A
B. 0.1 ml
7
Q
- The abnormal proliferation and subsequent degeneration of the trophoblastic villi characterize
gestational trophoblastic disease. As the cells degenerate, they become filled with fluid and appear as clear fluid-filled, grape-sized vesicles. A 29-year-old woman who is 16 weeks pregnant visits the clinic for the first time, showing a uterus that has already reached its landmark before its expected time. Upon further assessment, the patient revealed that her diet consists mostly of carbohydrates and junk foods, and her blood
type is O. The nurse suspects that the patient has gestational trophoblastic disease. Which of the
following tends to increase the risk of developing gestational trophoblastic disease in women?
A. low protein diet, poverty
B. younger than 35 years
c. blood group O women
D. African heritage
A
A. low protein diet, poverty
8
Q
- The nurse is caring for a pregnant woman with gestational diabetes mellitus who received 6 units
of NPH insulin at 0730. The nursel should monitor the client for clinical manifestations of hypoglycemia at the following times:
A. 0930 to 1030
B. 0830 to 0830
C. 1230 to 1430
D. 1330 to 2130
A
D. 1330 to 2130
9
Q
- Which vital sign slightly increases during the rest of the pregnancy?
A. Blood pressure
B. Blood volume
C. Pain
D. Pulse
A
D. Pulse
10
Q
- You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly, you see the FHR drop from its baseline of 125 down to 80. What should be your first nursing intervention?
A. Administer Intravenous fluid
B. Reposition the mother
C. Administer 02
D. Prepare the mother for a cesarean section
A
B. Reposition the mother
11
Q
- After the client has just given birth, where should you expect to find the fundus?
A. Below the umbilicus
B. At the umbilicus
C. Above the umbilicus
D. At the xyphoid process
A
A. Below the umbilicus
12
Q
- During one of Nurse Kitkit’s counseling sessions about family planning, Mrs. Janz, 29 years old, opens up about getting a temporary tubal ligation. As a nurse, what would you advise if the client is still looking forward to having children in the future?
A. Between 6% and 7% of both men and women who have sterilization procedures ask to have the procedures reversed.
B. Reversal techniques could be complicated and expensive, with 70% to 80% success rates.
C. Tubal ligation is chosen by about 28% of all women of childbearing age as their contraceptive of choice.
D. Tubal ligation and vasectomy may lead to increased sexual enjoyment, because hey largely
eliminate the possibility of pregnancy
A
B. Reversal techniques could be complicated and expensive, with 70% to 80% success rates.
13
Q
- A woman who has given birth to a healthy neonate is being discharged. As part of discharge
teaching, the nurse should instruct the client to observe vaginal discharge for postpartum hemorrhage and notify the health care provider about:
A. Bleeding that becomes lighter each day
B. Clots the size of golf balls
C. Saturating a pad in an hour
D. Lochia that lasts longer than 1 week
A
C. Saturating a pad in an hour
14
Q
- A pregnant patient has a history of genital herpes lesions and has experienced outbreaks
periodically throughout the pregnancy. What should the nurse instruct the patient regarding this virus if lesions are present at the time of delivery?
A. A cesarean section will be advised at the time of birth.
B. There are no precautions needed at the time of birth.
C. The patient will need medication immediately after birth.
D. The baby will be given a vaccination against the virus at birth.
A
A. A cesarean section will be advised at the time of birth.
15
Q
- Nurse Sangwon is teaching a new mother how to bathe her baby for the first time. The mother asks, ‘What is the proper order I should follow when giving my newborn a sponge bath?’ Nurse Sangwon should tell the mother to proceed with what part first in bathing a newborn?”
A. Trunk
B.Extremities
C. Eyes and face
D. Genitals
A
C. Eyes and face
16
Q
- A multiparous client visits the urgent care center 5 days after a vaginal birth, experiencing
persistent lochia rubra in a moderate to heavy amount. The client asks the nurse, “Why am I
continuing to bleed like this?” The nurse should instruct the client that this type of postpartum
bleeding is usually caused by which of the following?
A. Uterine atony
B. Cervical lacerations
C. Vaginal lacerations
D. Retained placental fragments
A
D. Retained placental fragments
17
Q
- Mrs. Dinosaur gave birth to a healthy baby girl. However, immediately after birth and in the
moments afterward, the baby’s temperature falls below normal. Nurse Sauropod move the infant as
far from the cold surface as possible to help reduce this type of heat loss called
A. Conduction (Direct contact
B. Convention (air current
C. Convection
D. Radiation
A
D. Radiation
18
Q
- According to Erikson’s psychosocial theory of development, a 10-year-old child would be in
which stage?
A. Trust versus mistrust
B. Initiative versus guilt
C. Industry versus inferiority
D. Identity versus role confusion
A
C. Industry versus inferiority
19
Q
- The pediatrician writes the following order for a term newborn: Vitamin K 1 mg IM. When Nurse
Yami is about to inject the vitamin K, the mother asks her what the importance of vitamin K is for a
newborn. Which of the following responses provides a rationale for this order?
A. During the neonatal period, babies absorb fat-soluble vitamins poorly.
B. Breast milk and formula contain insufficient quantities of vitamin K.
C. The neonatal gut is sterile.
D. Vitamin K prevents hemolytic jaundice.
A
C. The neonatal gut is sterile.
20
Q
- Brown fat, a special tissue found in mature newborns, apparently helps to conserve or produce body heat by increasing metabolism as well as regulating body temperature, similar to that of a
hibernating animal. The greatest amounts of brown fat can be found in ?
A.intrascapular
B. behind the liver
C. behind the stomach
D. behind the lungs
A
A.intrascapular
21
Q
- All of the following conditions are part of the Jones criteria except?
A. Maculopapular rash
B. Carditis
C. Leukocytosis
D. Fever
A
A. Maculopapular rash
22
Q
- The nurse knows that the stomach capacity of a newborn is?
A. 10 - 21 mL
B. 21 - 30 mL
C. 31 - 80 mL
D. 80 mL - 100 m
A
B. 21 - 30 mL
Ratio: A: Maximum milk
B: Maximum capacity
23
Q
- A 6-year-old is scheduled to have measles, mumps, and rubella (MMR) vaccine. Which of the
following route will you expect the nurse to administer the vaccine?
A. Intramuscularly (IM) in the vastus lateralis muscle
B. IM in the deltoid muscle
C. Subcutaneously (SubQ) in the gluteal ajea
D. SubQ in the outer aspect of the upper arm
A
D. SubQ in the outer aspect of the upper arm
24
Q
- When administering intramuscular (IM) injections in infants and young children, which muscle is the preferred site to avoid vascular and nerve injuries?
A. Vastus lateralis
:B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
A
A. Vastus lateralis
25
25. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to:
A. Punish the child every time the child says "no", to change the behavior
B. Allow the behavior becąuse this is normal at this age period
C. set limits on the child's behavior
D. Ignore the child when this behavior occurs
C. set limits on the child's behavior
26
26. A child is admitted with acute glomerulonephritis. The nurse should expect the urinalysis during this acute phase to show:
A. RBC and bacteria
B. RBC and proteins
C. Bacteria and increased specific gravity
D. Proteins and decreased specific gravity
B. RBC and proteins
27
27. This is an Act providing for stronger deterrence and special protection against child abuse,
exploitation, and discrimination, and for other purposes. This Act shall be known as the "Special
Protection of Children Against Abuse, Exploitation and Discrimination Act."
A. RA 9262
B. RA 9622
C. RA 7160
D. RA 7610
D. RA 7610
28
28. Upon assessment of a toddler patient, Nurse Jen gathered evidence of child abuse. Nurse Jen appropriately reports this assessment to which of the following?
A. Bantay bata 163
B. DSWD
C. Nearby authorities
D. Immediate superior
B. DSWD
29
29. A staff nurse at a government hospital has been experiencing repeated harassment and defamation from a coworker, affecting her work performance and emotional well-being. She decides to take formal action to address the unprofessional conduct. Where should the nurse file a complaint against the coworker regarding the unethical behavior?
A. Professional Regulatory Board of Nursing
B. Professional Regulation Commission
C. Philippine Nurses Association
D. Civil Service
D. Civil Service
30
30. Which government body has the power to revoke or suspend Nurse Jograd's certificate of
registration/professional license should he commit unprofessional and unethical conduct in the
future?
A. Philippine Nurses Association
B. Professional Regulation Commission
C. Commission on Higher Education
D. Professional Regulatory Board of Nursing Professional
D. Professional Regulatory Board of Nursing Professional
31
31. Mr. Redflag reported that his 6-year-old son fell down the stairs and sustained some injuries.
While assessing the child, the child appears withdrawn, and Mr. Redflag is the one answering the questions on the child's behalf. Nurse Mimasaur suspects hild abuse. What should Nurse Mimasaur do first?
A. Report to the authorities
B. Document
C. Report to the supervisor
D. Prepare the child for foster care placement
B. Document
32
32. The FIRST step in the Quality Improvement process is which of the following?
A. Assess progress.
B. Examine the data.
C. Confirm the existence of the problem by gathering data.
D. Set goals.
C. Confirm the existence of the problem by gathering data.
33
33. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury to a patient. As the Ql officer, what is your initial step following a sentinel event?
A. Reporting to the Department of Health
B. Immediate Investigation
C. Corrective action on the personnel
D. Reporting to the Chief Executive Officer
B. Immediate Investigation
34
34. A newly registered nurse is asked to serve on the hospital's quality improvement (Ql) committee. The nurse understands that the first step in quality improvement is to:
A. Collect data to determine whether standards are being met.
B. Implement a plan to correct the problem.
C. Identify the standard.
D. Determine whether the findings warrant correction.
C. Identify the standard.
35
35. The client satisfaction rate is at 60% for 2 consecutive months, and staff morale is at its lowest. The nurse manager decides to plan changes that will improve conditions on the unit. Which should be the priority action?
A. Ignoring the issues since these will be resolved naturally
B. Calling for a staff meeting, placing this issue on the agenda
C. Developing a strategic action on how to deal with these concerns
D. Seeking help from another manager
B. Calling for a staff meeting, placing this issue on the agenda
36
36. A quality assurance nurse performs a chart review to determine how many facility patients with surgical incisions are currently experiencing wound infections. When a nursing audit is carried out
when the patient is already discharged. This chart review is an example of which kind of nursing
audit?
A. Concurrent
B. Retrospective
C. Terminated
D. Prospective
B. Retrospective
37
37. In the study, "Compliance with home care regimen is greater among patients who received the structured discharge plan instructions than those who received verbal discharge instructions",
which is the independent variable?
A. Verbal instructions
B. Discharge plan instructions
C. Compliance with home care regimen
D. Patients
B. Discharge plan instructions
38
38. In the study, "Compliance with home care regimen is greater among patients who received the structured discharge plan instructions than those who received verbal discharge instructions",
which is the dependent variable?
A. Verbal instructions
B. Discharge plan instructions
C. Compliance with home care regimen
D. Patients
C. Compliance with home care regimen
39
39. Nurse Kakaibabe has been working in the pediatric ward for several consecutive shifts. After her request for vacation leave was denied due to understaffing, she became visibly upset. In front of her co-workers and patients' families, Nurse Kakaibabe suddenly shouted at her supervisor, calling her names. As a nurse, Kakaibabe's actions may be considered a violation of professional conduct. From a legal standpoint, what type of intentional tort has Nurse Kakaibabe committed?
A. Grave assault
B. Slander
C. Libel
D. Disrespect
B. Slander
40
40. In a limited equipment and bed in the hospital, what is the ethical priority?
A. Justice distribution
B. Greater good for the greater number of people
C. Non maleficence
D. Beneficence
A. Justice distribution
41
41. The nurse prioritized a child with high-grade fever over a child with a mild laceration. What
moral principle did the nurse uphold?
A. Veracity
B. Beneficence
C. Non-maleficence
D. Justice
B. Beneficence
42
42. A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is alert and oriented and, after giving it much thought, has decided that he wants to be removed from the
ventilator. The nurse believes the patient intends suicide but supports his final decision. When the
ventilator is removed, the nurse remains with the patient to support him. The nurse's action demonstrates respect for what moral principle?
A. Nonmaleficence
B. Autonomy
C. Beneficence
D. Fidelity
B. Autonomy
43
43. Nurse Kyla is caring for a client with a history of untreated pelvic inflammatory disease (PID who
is now admitted with acute peritonitis. Which nursing assessment finding supports the risk of future infertility?
A. Involvement of cervix
B. Involvement of uterus
C. Involvement of uterus and cervix
D. Involvement of fallopian tubes
D. Involvement of fallopian tubes
44
44. A 28 weeks pregnant client presents with complains of heartburn, regurgitation, and epigastric discomfort. The provider diagnoses her with hiatal hernia. The nurse knows that which of the following most accurately describes the location of pain felt in hiatal hernia:
A. Junction of the umbilicus and upper abdomen
B. Between sternum and lower abdomen
C. Between sternum and upper abdomen
D. Junction of the stomach and small intestine
C. Between sternum and upper abdomen
45
45. Surgical repair of hiatal hernia is primarily indicated to relieve:
A. Regurgitation
B. Vomiting
C. Shortness of breath
D. Dysphagia
A. Regurgitation
46
46. Hirschsprung's disease is a congenital anomaly that occurs as the result of an absence of
ganglion cells in the rectum and other areas of the affected intestine.
Patients with this disease most commonly present with symptoms early in life. Which of the following is not a manifestation of the disease?
A. Constipation
B. Diarrhea
C. Abdominal distention
D. Clay-colored stool
D. Clay-colored stool
47
47. Nurse Justin examines the infant's medical record and suspects Hirschsprung's disease. Which stool characteristic would most likely support this diagnosis?
A. Greasy and floating I
B. Pencil-thin stool
C. Hard and pellet-like
D. Jelly-like stool
B. Pencil-thin stool
48
48. A prescription is written for a pregnant client with hyperthyroidism. The nurse reviews the
medication orders and recalls that one drug commonly used can cause agranulocytosis as an
adverse effect. Which of the following medications is associated with this adverse effect?
A. Propylthiouracil
B. Lugol's Solution
C. Levothyroxine
D. lodine
A. Propylthiouracil
49
49. A patient with hyperthyroidism will likely exhibit which of the following manifestations:
A. Pale, cool extremities
B. Warm, moist skin
C. Cool, dry skin
D. Dry, warm skin
B. Warm, moist skin
50
50. Martha, a 78-year-old client with a history of hypothyroidism, stopped taking her levothyroxine
for several weeks because she "felt better." She is now admitted to the emergency department with
altered mental status, hypotension, and bradycardia. Which complication should the nurse suspect?
A. Thyroid storm
B. Addisonian crisis
C. Myxedema coma
D. Hypovolemic shock
C. Myxedema coma
TTTBE 2025
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