June 2008 Nursing Licensure Examination (NLE)
NURSING PRACTICE II – Community Health Nursing and Care of the Mother and Child
Nursing Board Exams Review Questions 1-30
1. Which statement is correct regarding the use of cervical cap?
A. It may affect the Pap Smear result
B. It does not need to be fitted by the physician
C. It does not require the use of spermicidal
D. It must be removed within 24hours
2. The major components of the communication process are?
A. Verbal, written, and nonverbal
B. Speaker, Listener and reply
C. Facial expression, tone of voice and gestures
D. Message, sender, channel, Receiver and Feedback
3. The extent of burns in children are normally assessed and expressed in terms of:
A. The amount of body surface that is unburned
B. Percentages of total body surface area (TBSA)
C. How deep the deepest burns are
D. The severity of the burns on a 1 to 5 burn scale
4. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry; has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is:
A. Being raised by a parent of low intelligence (IQ)
B. An orphan
C. A victim of child neglect
D. The victim of poverty
5. Which of the following indicates the type(s) of acute renal failure?
A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting
B. One type: Acute
C. Three types: Prerenal, intrarenal, postrenal
D. Two types: Acute and subacute
6. A means of facilitating professional staff development is by building upon skills, abilities and of experience of each practitioner is called:
A. The novice to expert model
B. Situational leadership model
C. Career enhancement
D. Clinical ladder
7. Which of the following questions by the nurse would be best fit the philosophy of the nursing mutual participation model of care (NMPMC)?
A. “Have you brushed your child’s teeth today?”
B. “How does your child look to you today?’
C. “Where have you been all morning?”
D. “Do you think your child’s color is worse?”
8. There are numerous definitions of the word “health”. Which definition below is from Florence Nightingale?
A. A state or a process of being and becoming an integrated and whole person
B. The state of being free from illness or injury
C. Being well and using every power the individual processes to the fullest extent
D. A state of complete physical, social, and mental well-being and not merely the absence of diasease or infirmity.
9. Informal communication takes place when the individual talk and is best described by saying the participants:
A. Are involved in a preexisting informal relationship
B. Talk with slang words
C. Have no particular agenda or protocol
D. Are relaxed
10. Tertiary care by the home health nurse is directed toward children with:
A. Problem is mobility
B. Short-term needs
C. Minor problems
D. Clinically apparent disease
11. The endometrium thickens during which phase of the menstrual cycle?
A. Secretory phase
B. Menstrual phase
C. Proliferative phase
D. Ischemic phase
12. A measurement tool to articulate the nursing workload for a specific patient or groups of patients over a specific period of time is called:
A. Staffing pattern
B. Sill mix
C. Benchmaking
D. Patient classification
13. The mother of a 9 month-old infant is concerned that the head circumference of her baby is greater than the chest circumference. The BEST response by the nurse is:
A. “These circumference normally are the same, but in some babies this just differs”
B. Perhaps your baby was small for gestational age or premature
C. “This is normal until the age of 1 year, when the chest will be greater”
D. “Let me ask you a few questions, and perhaps we can figure out the cause of this difference”
14. Which of the following approaches would work best when the nurse is communicating with an infant?
A. Use an adult voice just as you would for anyone
B. Communicate through the caregivers
C. Allow the child time to warm up to the nurse
D. Respond only after the child cries for a while
15. Evidence-based care started in medicine as a way to:
A. Promote technological advances in medicine
B. Incorporate collaboration within all health care disciplines
C. Integrate individual experience with clinical research
D. Teach medical students the art and science of medicine
16. Martina develops endometritis. What would be the best activity for her?
A. lying in bed with a cold cloth on her forehead
B. reading while resting in a trendelenburg position
C. sitting with her feet elevated while playing cards
D. walking around her room listening to music
17. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins
18. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She is not able to drink and there is no blood in the stool. How will you classify Fely’s illness?
A. persistent diarrhea
B. some dehydration
C. severe dehydration
D. no dehydration
19. The infectious agent that causes pulmonary tuberculosis is:
A. mycobacterium tubercle
B. Hansen’s bacillus
C. Wuchereria bancrofti
D. mycobacterium diphtheria
20. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states: “Why couldn’t I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it was my fault to be abused”. Based on this, which would be your most appropriate nursing diagnosis?
A. social isolation
B. anxiety
C. chronic low self-esteem
D. ineffective family coping
21. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her before this procedure?
A. void immediately before the procedure to reduce your bladder size
B. no more amniotic fluid forms afterward, that is why only a small amount is removed
C. the intravenous fluid infused to dilate your uterus does not hurt the fetus
D. the x-ray used to reveal your fetus position has no long-term effects
22. When planning teaching strategy for a pregnant woman, the nurse should do which of the following?
A. give information about how the woman can manage the specific problems she identifies as relevant in her life
B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria
C. provide all information to the woman in a group session with other pregnant women so she can have someone to discuss it with
D. during the first prenatal visit, teach a woman the care measures necessary for health promotion throughout the pregnancy
23. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?
A. frequency of urination
B. chills and fever
C. varicosities
D. Braxton Hicks’ Contractions
24. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the following?
A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day
B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism
C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories
D. limit intake of amino acids to prevent development of diabetic ketoacidosis
25. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies should be readily available for the infant immediately after birth?
A. vitamin K to avoid bleeding
B. mild soap without perfume so as not to irritate the skin
C. bulb syringe to suction fluid and mucous from the mouth
D. heating lamp to avoid chilling from water evaporation
26. You were the nurse assigned to work with a child who has had whole brain radiation. You have assessed the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever and dysphasia. Based on this assessment, you are to work with the patients in which of the following areas.
A. Accepting a reoccurrence of the tumor
B. Dealing with the side effects of radiation therapy
C. Caring for the dying child
D. Accepting the imminent death of their child
27. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a nursing diagnosis of “Nutrition: Less than body requirements”. Which of the following interventions will be most helpful in resolving this nursing problem?
A. Two large meals a day instead of several minerals and snacks
B. Special IBD diet (diet that has been proven effective for crating IBD)
C. Salt free diet, high in potassium, vitamins and minerals
D. Diet as tolerated with lactose hydrolyzed milk instead of milk products and omission or highly seasoned foods and reduction of fiber.
28. Emotional intelligence consists of a number of competencies. Some of these are listed below. Which is NOT a characteristic of emotional intelligence?
A. Self-esteem
B. self-awareness
C. Empathy
D. Self-regulation
29. Data Collection for driving and restraining forces, including costs, desirability and feasibility is a:
A. People issue
B. Structural issue
C. Political issue
D. Technology issue
30. One of four factors describing the experience of sexually abused children and the effect it has on their growth and development is stigmatization. Stigma will occur when:
A. A child blames him or himself for the sexual abuse and begins to withdraw and isolate
B. Newspapers and media don’t keep sexual abuse private and accidentally or on purpose reveal the name of the victim.
C. The child as been blamed by the abuser for his or her sexual behaviors, saying that the child asked to be touched or did not make the abuser to stop
D. The child’s agony is shared by other members of the family or friends when the sexual abuse becomes public knowledge
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