1.

All the following reasons can cause premature menopause except

a. Early puberty
b. Infection
c. Ovarian failure
d. Radiation

2. When working with a patient who has DM, the nurse reviews the result of
testing for HbA1c to evaluate for
a. Hypoglycemic episodes in the past 90 days
b. Glucose control over the past 3 months
c. Glucose levels 2 hours after a meal
d. Circulating, non-fasting glucose level

3. Contact precaution are used for direct and indirect contact with patients
and their environment. Identify the appropriate PPE that will be required
for contact precaution
a. Goggles, masks and gowns
b. Gown, masks and gloves
c. Masks and gloves
d. Gloves and gowns

4. Which of the following behaviors indicates that the patient on a bladder

training program has met the expected outcomes? Select all that apply
a. Voids each time there is an urge
b. Drinks citrus juices and carbonated beverages
 c. Uses adult diapers, for just in case
d. Practices slow, deep breathing until the urge decreases

5. Inflammation of the mouth is called

a. Glossitis
b. Gingivitis
c. Stomatitis
d. cheilosis

6. Repolarization of the ventricle is represented by which wave?

a. The QRS & T wave
b. The T wave
c. The U wave
d. The PR wave

7. If a medicine is given as an injection, it will by-pass which process of

pharmacokinetics?
a. A metabolism
b. Excretion
c. Absorption
d. Distribution

8. Blood rich in O2 and nutrients from mother’s body enters into fetal
circulation through
a. Umbilical vein
 b. Umbilical artery
c. Forman ovale
d. Ductus arteriosus

9. Identify the symptom that indicates a chronic case of viral hepatitis

a. Increased levels of bilirubin
b. Cirrhosis
c. Vomiting
d. Jaundice
10.Patients should be taught that repeated ignoring the sensation of needing
of defecate could result in which of the following?
a. Hemorrhoids
b. Incontinence
c. Diarrhea
d. constipation

11.If a drainage from a wound is thick, foul smelling, green exudate, what type
of a drainage is this?
a. Sanguineous drainage
b. Purulent drainage
c. Serosanguineous drainage
d. Serous drainage
12.Which of the following antibiotics work by preventing the formation of cell
walls?
a. Gentamycin
b. Ampicillin
c. Erythromycin
d. Tetracycline
13.Which of the following condition is predisposing factor for development of
otitis media in children?
a. When infant sit up, it favors the pooling of fluid
b. Humoral defense mechanism decreases risk of infection
c. The cartilage lining is overdeveloped
d. Eustachian tubes are short, wide and straight and lie in a horizontal
plane

14.Inasha and adnan are returning with Shara, their 6-weeks-old-infant, for a
routing newborn examination. Adnan is a carrier for beta-thalassemia;
inasha is not. What is the chance that shara be a carrier of the beta-
thalassemia?
a. 100%
b. 25%
c. 75%
d. 50%

15.You are watching a doctor check a patient for possible appendicitis. You
notice the doctor use his hands and fingers to feel the left lower quadrant
 of the patient’s abdominal region. The doctor asks the patient if she feels
any pain and were. Which of the following could the doctor be checking
for?
a. Obturator sign
b. Dunphy’s signs
c. Bartomier Michelson sign
d. Rovsing sign

16.The international shortened chemical name of a drug is this

a. None of the above
b. Chemical name
c. Brand name
d. Generic name

17.Patients who take furosemide are at risk of hypokalemia because

a. The drug inhibits reabsorption of calcium and sodium
b. It affects the metabolism of calcium
c. Along with the sodium the drug also inhibits reabsorption of
potassium
d. The drug removes potassium from the body

18.What is best indication of proper placement of a nasogastric tube in the

stomach?
a. Patient gags during insertion
 b. Fluid is easily instilled into the tube
c. pH of the aspirate is less than 5
d. patient is unable to speak

19.The ultimate goal of antidiabetic treatment is to

a. Reduce oral intake of sugar
b. Increase insulin production
c. Replace insulin
d. Correct hyperglycemia

20.Exchange of air occurs in

a. Alveolar ducts
b. Alveoli
c. Bronchioles
d. Bronchi

21.For jayvin who is taking antacids, which instruction would be included in

the teaching plan?
a. Avoid taking other medications within 2 hours of this one
b. Weigh yourself daily when taking this medication
c. Continue taking antacids even when pain subsides
d. Take the antacids with 8 oz of water

22.Which of the following contraceptive, method offers protection against

sexually transmitted infections?
 a. Latex condoms
b. Oral contraceptives
c. Coitus interruptus
d. Intra uterine devices

23.When writing an introduction to an essay the following methods can be

used expect
a. Using startling information
b. Using a summary of information
c. Using an anecdote
d. Surprising the reader by a startling but false information

24.Filtration takes place in the

a. Afferent arteriole
b. Efferent arteriole
c. Proximal convoluted tubule
d. Glomerulus

25.Paraphrasing is
a. The authors original words
b. important as it acknowledges the author
c. necessary only if it is a direct quote
d. done only in student essay
26.Why are Ng tubes not recommended for patients without intact gag and
cough reflexes?
a. There is an increased risk of placing the tube into lungs
b. The patient won’t be able to swallow
c. The patient will vomit
d. Coughing helps place the tubing into the stomach

27.You determine that your patient is at risk for constipation related to his
postoperative status. What intervention can you provide to reduce this
risk?
a. Request high protein foods to be included on the dietary try
b. Promote intake of cold fluids
c. Promote ambulation as tolerated
d. Encourage food high in magnesium

28.Why asthma symptoms commonly treated with corticosteroids or

bronchodilators?
a. They kill bacteria
b. They kill fungal cells
c. They inhibit the development of viruses
d. They reduce inflammation and relax airways

29.Laxatives are given for

a. Vomiting
 b. Asthma
c. Epilepsy
d. Constipation

30.Emotional abuse is a common form of domestic violence. Which of the

following is an example of emotional abuse?
a. Insisting on unwanted or uncomfortable touching
b. Controlling all of the finances
c. Withholding appreciation or affection towards partners as a punishment
d. Forbidding the victims from having a job

31.Two daily activities that will aid in recovery of pneumonia are

a. Mild exercise and deep breathing
b. Exercising and limiting food
c. Deep breathing and jogging
d. Drinking plenty of fluids and travelling

32.Eligibility for voluntary sterilization is

a. Client not wanting more children
b. Client suffering from a STI
c. Client is a thalassemia carrier
d. The client should be above 40 years

33.Pancreatic enzymes travel along the pancreatic duct and empty into the
 a. Duodenum
b. Stomach
c. Ileum
d. jejunum

34.Th human body has total of --------- bones

a. 206
b. 208
c. 202
d. 204

35.Spindle shaped muscle fibers are found in

a. Skeletal muscle
b. Smooth muscle
c. Cardiac muscle
d. All types of muscle

36.In pharmacokinetics, distribution refers to

a. A movement of drug particles from the intestine in to the blood
stream
b. Transport of drug in body fluids to tissues and target organs
c. Movement of drug into the liver through the hepatic portal vein
d. Breaking down of the drug in the liver
37.How might a doctor diagnose acute respiratory failure?
a. By counting alveoli damage
b. With arterial blood gases
c. With patients’ history
d. By measuring pulmonary surfactant

38.Insulin is an example of a drug obtained from a?

a. Plant source
b. Microorganism
c. Human source
d. Animal source

39.If someone is having allergy, then an -----medication maybe prescribed

a. Anticoagulant
b. Antibiotic
c. Antipyretic
d. Antihistamine

40.A collection of infected fluid that has not drained is

a. An edema
b. A hemorrhage
c. An abscess
d. An evisceration
41.I am better than others” is a statement related to
a. Cooperative behavior
b. Assertive behavior
c. Aggressive behavior
d. Submissive behavior

42.The nurse wears gown when

a. The patient had AIDS or hepatitis
b. The nurse is assisting with medication administration
c. The patient hygiene is poor
d. Blood or body fluids may ger in the nurses clothing from a task that
he plans to perform

43.When assessing the infant with suspected inguinal hernia, which of the
following findings would be most significant?
a. The inguinal swelling is reddened and the abdomen is distended
b. The infant is irritable and a thickened spermatic cord is palpable
c. The infant’s diaper is wet wit urine, and the abdomen is non tender
d. The inguinal swelling disappears during periods of rest or reduced by
gentle compression

44.Algor mortis is
a. Stiffening of the body 2 to 4 hours after death
b. Purple discoloration of skin in depleted areas
 c. Softening and liquefying of body tissues by bacterial fermentation
d. Gradual decreases of the body’s temperature with loos of skin
elasticity

45.It is mandatory to carryout a pelvis/genital examination and STI risk

assessment for those women who plans to use
a. Copper T IUD
b. Progestin only pill
c. Hormonal implants
d. Progestin only injectable

46.A suppository is a ---------preparation

a. Oral
b. Rectal
c. Sublingual
d. vaginal

47.The gland which can be classified as an endocrine and an exocrine gland is

the pancreas
a. Thyroid
b. Pancreas
c. Pituitary
d. thymus
48.Which of the following is inappropriate when a child has seizure episode?
a. Padding the side rails of the bed to protect the child from injury
b. Keeping the child in the lateral position
c. Restraining the child to prevent jerking movement
d. Administering o2 by using a face mask

49. Some drugs are contraindicated in pregnancy because they can cause
physical damage to the baby. the term that describes this effect is called.
a. Teratogenic
b. Iatrogenic
c. Malformation
d. Congenital

50.A vital parameter that requires to be assessed before giving propranolol is

a. Body weigh
b. Blood pressure
c. Temperature
d. pulse

51.You are reviewing a patient record for drug allergies, current medication
and disease states that could affect drug responses. These activities are
part of which phase of the nursing process?
a. Implementation
b. Assessment
 c. Evaluation
d. Planning

52.In which organ dose digestion begin?

a. Small intestine
b. Mouth
c. Stomach
d. Large intestine

53.During physical examination, the nurse finds that patient’s thyroid gland
cannot be palpated. The most appropriate action by the nurse is to
a. Notify the health care provider immediately
b. Document the thyroid was nonpalpable
c. Teach the patient about thyroid hormone testing
d. Palpate the patients neck more deeply

54.An example of a drug that acts neutralizing the acid and reducing its ability
to burn the esophagus
a. Sucralfate
b. Promethazine
c. Ranitidine
d. omeprazole

55.Foot drop is prevented by

 a. Bed cradle
b. Trochanter roll
c. Foot rest
d. Air rings

56.To give suppository, the person should be placed in

a. Lateral position
b. Prone position
c. Supine position
d. Fowler’s position

57.Which of the following symptoms is seen in COPD and not asthma?

a. Persistent cough
b. Wheezing
c. Shortness of breath
d. Frequent respiratory infections

58.Which assessment data would indicate to the nurse that the client would
be at risk for a hemorrhagic stroke?
a. A blood glucose level of 480 mg/dl
b. A right sided carotid bruit
c. A blood pressure pf 220/120mmhg
d. Th presence of bronchogenic carcinoma
59.T3 is also known as
a. Thyroglobulin
b. Thyroxine
c. Tri-iodothyronine
d. Thyroid stimulating hormone

60.One of the most common treatments for cancer is chemotherapy. One of

the most common side effects of chemotherapy is
a. It causes acute renal failure
b. It effects the nervous system and cause unconsciousness
c. Excessive weight gain
d. it damages the healthy body cells along with cancer cells

61.What is the expected outcome of thrombolytic drug therapy?

a. Vasocontraction
b. Dissolved emboli
c. Increased vascular permeability
d. Prevention of hemorrhage

62.Which of the following sphincter is under voluntary control?

a. External anal
b. Hepatopancreatic
c. Pyloric
d. Internal anal
63.For a drug to be excreted through kidney it has to be
a. Protein bound
b. Converted to urea
c. Lipid soluble
d. Water soluble

64.Allergic reaction is
a. Hypersensitivity to a drug
b. Caused by violent patients
c. Caused by toxic doses
d. A reaction to more than one drug combined together

65.To prevent regurgitation and aspiration

a. Feeds are given slowly
b. Position the person in the left side lying position for tube feeding
c. Position the person in the semi fowlers position
d. Provide frequent oral hygiene

66.The QRS wave is associated with which event?

a. Diastole
b. Systole
c. The closing of the semilunar valves
d. The opening of the atrioventricular valves
67.The nurse caring for 14-year-old girl who fears she might have STI. Which of
the following assessment would most indicative of trichomoniasis?
a. Urinary incontinence
b. Lesions on the vulva
c. Green vaginal discharge
d. Flu like symptoms

68.Which of the following is most appropriate when caring a child with

tetanus?
a. Avoid frequent rest periods
b. None of the above
c. Place the child in quiet environment and protect from every source
of external stimulation
d. Use bright lights in the ward area to keep the child awake

69.There are four stages of menopause. Premenopausal phase is when

a. A year passed without menstrual period and signs of complications
of menopause
b. Cessation of menstrual period with symptoms of menopause
c. Regular cyclic menstruation is irregular and disrupted
d. Year leading to last period and effects pf hormone with drawl
present
70.Following diagnosis of angina pectoris, a client reports being unable to walk
up two flights of stairs without pain. which instruction would most likely
help the client prevent this problem?
a. Rest for at least an hour before climbing the stairs
b. Take a nitroglycerin tablet before climbing the stairs
c. Climb the steps early in the day
d. Lie down after climbing the stairs

71.when the nurse Is obtaining the health history, which statement by a

patient indicates further assessment of thyroid function may be necessary?
a. I notice my breast are tender lately
b. I am so thirsty that I drink all day long
c. I feel a lump in my throat when l swallow
d. I get up several times at night to urinate

72.In demonstrating the method for deep breathing exercises, the nurse
places his or her hands on the patient’s abdomen to explain diaphragmatic
movement. Th technique involves the use of which type of communication?
a. Tactile channel
b. Mode
c. Indirect channel
d. referent

73.Salpingectomy is the treatment of choice for

 a. Uterine cancer
b. Uterine pregnancy
c. Molar pregnancy
d. Ectopic pregnancy

74.A patient who has an indwelling catheter report “I need to urinate”. Which
of the following intervention should the nurse perform?
a. Check to see whether the catheter is patent
b. Collect a urine specimen for analysis
c. Reassure the client that it is not possible for her to urinate
d. Re-catheterize the bladder with a larger gauge catheter

75.The nurse is assessing a patient receiving enteral feedings vial small-bone

nasogastric tube. Which assessment findings need further intervention?
a. Weight gain of 1 pound over the course of a week
b. Active bowel sounds In the four abdominal quadrants
c. Gastric residual aspirate of 350ml for the scond consecutive time
d. Gastric pH pf 4.0 during placemnt check

76.Mode of communication include

a. Verbal communication
b. Interpersonal communication
c. Public communication
d. One-one communication
77.Protein is an important nutrient because
a. It dose not provide calories
b. It is needed for tissue growth ad repair
c. It helps the bpdy use certain vitamins
d. It provides fibre for bowel elimination

78.On the 3rd postoperative day, a patient who have had shoulder repair
complains of left calf pain. the nurse finds redness and swelling on
assessment. What complication nest explains these findings?
a. Positioning during surgery
b. Wound infection
c. Atelectasis
d. Deep vein thrombosis

79.A preschooler with moderate level of intellectual disability will show

a. Minimun capacity for functioning in sensorimotor areas
b. Noticeably delays in motor development
c. Martkedly delay in motor developmet woth littile or no
communication
d. No delay in motor dvelopmet and speech

80.A patient who has had a colostomy recently is being discharged. Which
patient stamen would be most concerning?
 a. I have touble securing the bag because of abdominal discomfort
b. The stoma is beefy red, which is normal
c. I knowthat I have to empty the bag when it is one third ful
d. I can’t stand to even look at my stomach

81.The area of the stomach that acts as temporary storage area is the ----
region
a. Body
b. Cardiac
c. Pyloric
d. fundus

82.Which of the following list represents the pathway of light through the eye?
a. Cornea, iris, lens, retina, pupil
b. Cornea, iris, pupil, retina, lens
c. Cornea, lens, pupil, iris, retina
d. Cornea, iris, pupil, lens, retina

83.Which of the following nursing diagnosis is most appropriate for a patient

with a BMI of 35?
a. Deficient knowledge
b. Imbalanced nutrition less the body requirement
c. Overweight
d. Obesity
84.An opening in the atrial septum which allows blood flow from right atrium
to the left atrium o fetus is known as
a. Ductus arteriosus
b. The umbilical artery
c. Forman oval
d. Atrial septal defect

85.A client presents at the clinic and ins interested in obtaining emergency
contraception. The nurse explains that they must be used within 72 hours
of unprotected sex to be effective. This is due to
a. ECs can help prevent STIs
b. ECs are more effective than regular birth control
c. ECs simply prevent embryo creation and uterine implantation from
occurring
d. ECs can induce an abortion of a recently implanted embryo

86.An ---- is a test that monitors the electrical activity of the heart
a. Electroencephalogram
b. Angiogram
c. electrocardiogram
d. Angiography
87.The pharmacokinetics of a drug affects how often it is given, if a drug
absorbed and excreted quickly then is needs to be given
a. More frequently
b. Less frequently
c. Once a day
d. Hourly

88.The effect of drug assessed during which phase of the nursing process
a. Planning
b. Evaluation
c. Assessment
d. Implemantaion

89.Knowing the gluconeogenesis helps to maintain blood glucose level, a nurse

should
a. Document weight changes because of fatty acid mobilization
b. evaluate the patient’s sensitivity to low room temperature because
of derepressed adipose tissues insulation
c. All of the above
d. Protect the patient from source of infection because of c=decreased
cellular protein deposit
90.Damage to the vestibular cochlear nerve would result in some loss of

a. Taste
 b. Hearing and balance
c. Hearing and taste
d. Smell

91.Regular oral hygiene is an essential integration for the client who has had
stroke. Which of the following nursing measures is inappropriate when
providing oral hygiene?
a. Opening the client’s mouth with a padded tongue blade
b. Placing the client on the back with small pillow under the head
c. Keeping portable suctioning equipment at the bedside
d. Cleaning the client’s mouth and teeth with toothbrush

92.The bone of the upper arm is the

a. Humerus
b. Femur
c. Radius
d. ulna

93.A drug particle that is not protein bound is called

a. An active metabolite
b. Free drug
c. A half life
d. Carrier protein
94.The hormone regulating blood calcium levels are
a. Estrogen and progesterone
b. Insulin and glucagon
c. Parathyroid hormone and calcitonin
d. Glycogen and parathyroid hormone e

95.A client has a tumor of the posterior pituitary gland. A nurse planning care
should include which nursing intervention?
a. Monitor intake and output
b. Encourage intake of coffee or tea
c. Restrict fluids
d. Weight the client daily

96.One of the most serve complication of patent ductus arteriosus is

a. Congestive heart failure
b. Decreased, myocardial contractility
c. None of the above
d. Pulmonary stenosis