Notre Dame of Tacurong College City of Tacurong College of Nursing Comprehensive Examination BSN 2 Part 1 INSTRUCTION: Select the

correct answer for each of the following questions. Mark only one answer for each item by shading the box corresponding to the letter of your choice in the answer sheet provided. STRICTLY NO ERASURE ALLOWED. CHILG BEARING AND WOMENS HEALTH NURSING 1. When assessing a client with a tentative diagnosis of hydatidiform mole, the nurse should be alert for: a. Hypotension c. Unusal uterine enlargement b. Decreased FHR d. Painless, heavy vaginal bleeding 2. The nurse would suspect an ectopic pregnancy if the client complained of: a. An adherent painful ovarian mass b. Lower abdominal cramping for a long period of time c. Leukorrhea and dysuria a few days after the first missed period d. Sharp lower right or left abdominal pain radiating to the shoulder The most common type of ectopic pregnancy is tubal. Within a few weeks after conception the tube may rupture suddenly, causing: a. Painless vaginal bleeding c. Continuous dull, upper-quadrant abdominal pain b. Intermittent abdominal contractions d. Sudden knifelike, lower-quadrant abdominal pain First fetal movements felt by the mother are known as: a. Lightening b. Quickening c. Ballottement Physiologic anemia during pregnancy is a result of: a. Decreased dietary intake of iron b. Increased blood volume of the mother d. Engagement

3.

4. 5.

c. Decreased erythropoiesis after the first trimester d. Increased detoxification demands on the mothers liver

6.

A client who is pregnant is being prepared for a pelvic examination. The client complains of feeling very tired and sick to her stomach, especially in the morning. The best response for the nurse to make is: a. Perhaps you might ask the doctor about it. c. Can you tell me how you feel in the morning? b. This is common. There is no need to worry. d. Lets discuss some ways to deal with these common problems. During a prenatal examination the nurse draws blood from a young client and explains that the determination of Rh is routinely performed on expectant mothers predirect whether the fetus is at risk for developing: a. Acute hymolytic anemia c. Physiologic hyperbillirubinemia b. Protein metabolism deficiency d. Respiratory distress syndrome The nurse can try to helpa pregnant client over-come first-trimester morning sickness by suggesting that the client: a. Eat protein before sleep c. Eat nothing until the nausea subsides b. Take an antacid before bed time d. Request her physician to prescribed an antiemetic The nurse explains the treatment for fluid retention during pregnancy, which is: a. Adequate fluid and a low-salt diet b. A low-salt diet and elevation of lower extremities c. Adequate fluid and elevation of the lower extremities d. Judicious use of diuretics and elevation of the lower extremities ]

7.

8.

9.

10. The nurse should teach the client that breastfeeding is always contraindicated with: a. Mastitis b. Pregnancy c. Inverted nipples d. Herpes genitals 11. The nurse observes the clients amniotic fluid and decides that it appears normal, since it is: a. Clear and dark-amber colored b. Milky, greenish-yellow, containing shreds of mucus c. Clear, almost colorless containing little white specks d. Cloudy, greenish-yellow, containing little white specks 12. During the Post partum period it is important that a client voids regularly. The nurse is aware that urinary retention is unrelated to: a. Bladder atony c. Infection of the bladder b. Postpartum bleeding d. diaphoresis following delivery 13. During the period of induction of labor, a client should be observed carefully for signs of: a. Severe pain c. Hypoglycemia b. Uterine tentany d. Prolapsed of the umbilical cord COMMUNITY HEALTH NURSING

14. Before administering a medication to a client, the nurse needs to identify the client. Which of the following methods of identification should the nurse perform? a. Asks the clients first name b. Check the clients ID bracelet c. Check the clients name on the medication administration record d. Check the clients name with family of a significant other 15. The adult client has an order for Penicillin to be given intramuscularly. Which of the following angles would be the correct one to use into the ventrogluteal muscle site? a. 45o angle b. 60o angle c. 75o angle d. 90o angle 16. When administering a flu vaccine, how does the nurse locate the deltoid muscle? a. By locating the center of the arm between the elbow and the shoulder b. By locating the midpoint of the lateral aspect of the upper arm c. By palpating the lower edge of the acromion process and measuring four inches below the center of the lateral aspect of the upper arm d. By palpating the lower edge of the acromion process and measuring four finger-widths below to the midpoint and center of the lateral aspect of the upper arm. 17. A gelatinous container to hold a drug in powder, liquid or oil form is called: a. Enertic-coated drug b. Capsule c. Tablet d. Elixir

18. A powdered drug is compressed into a hard small disc. Some have coating to prevent them from dissolving the stomach. That is called a(n). a. Enertic-coated drug b. Capsule c. Tablet d. Elixir 19. A sweetened and aromatic solution of alcohol that is used as a vehicle for medical agents is call a(n): a. Enertic-coated drug b. Capsule c. Tablet d. Elixir 20. The physician orders 14 units of regular insulin and 28 units of long-units of long-acting insulin to be given subcutaneously at the breakfast hour. What is the total number of units of insulin that the nurse will prepare in the insulin syringe? a. 14 units b. 28 units c. 32 units d. 42 units 21. The nurse hands the oral medication to the client and the client states that the medication is the wrong color. The nurse will take which of the following actions? a. Return to the medicine room and check the medicine administration sheet with the physicians order b. Reassure the client that the medicine is same other than the fact that is comes from a different pharmacy company c. Explain that the medicine comes in different colors but that it is the correct medicine d. Tell the client that the correct medicine has been ordered by the physician and the client should take is 22. The nurse is preparing an injection using a single dose glass ampule. The nurse will do which of the following? a. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side b. Wear sterile gloves and break off neck of the glass ampule with a single snap in a forward motion c. Tap the top of the ampule, place a gauze pad or alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands d. Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off top with forward motion away from the hands NUTRITION 23. Fruits, vegetables and cereals are potent sources of: a. Antioxidants b. Unsaturated fat

c. Saturated fat d. Free radicals

24. All of the following statements about omega 3 fatty acids are true except: a. They help to maintain healthy triglyceride and high-density lipoprotein b. They have significantly contributed to the obesity epidemic c. They are necessary for health infant growth and development d. They play an important role in the production of hormones that govern numerous metabolic and biological process 25. The only fat soluble antioxidant synthesized in the body is? a. Vitamin D b. Thiamine c. Ascorbic acid d. CoQ10 d. Fortified milk and other dairy products

26. Good source if vitamin D include all except: a. Blueberries b. Sunlight c. Salmon, tuna sardines and mackerel 27. One of the fat-soluble vitamins involved in coagulation is: a. Vitamin K b. Vitamin A c. Vitamin D d. vitamin E d. Scurvy

28. A deficiency of thiamine (VitamineB1) in the diet causes: a. Osteopenia b. Beri-beri c. Protein malnutrition

29. All of the following statements about vitamin B3 (niacin) are true except: a. It helps to release energy in carbohydrates, fat and protein c. Deficiency causes beriberi b. It improves blood lipid levels d. It is involved in the synthesis of sex hormones 30. Consuming fever that 130 grams carbohydrate per day may lead to: a. Hypoglycemia b. Kwashiorkor c. Marasmus d. Ketosis

31. Characteristics of successful dieters include all of the following except: a. Maintaining a daily food journal c. Adhering to a strict eating plan b. Counting calories d. eliminating all carbohydrates from their diets 32. Iron supplements are frequently recommended for all of the following except: a. Woman who are pregnant c. Teenage girls b. Infants and toddlers d. Post-menopausal women BIOETHICS 33. A clinical instructor temporarily left the students in the area of assignment and an emergency delivery was assisted by the students while the clinical instructor was not around. The sex of baby was changed by mistake by the students in the registration form. A doctrine that could be applied to determine the liability of the clinical instructor is: a. Res ipsa liquitor c. Respondeat superior b. Res ut des d. Force Majeure 34. The nurse did not follow roper protocol in performing her duties. If she causes injury to her patient because of this, she will be liable to be: a. Negligence c. Crime b. Malpractice d. Incompetence 35. When a nurse lacks necessary abilities, knowledge and skills to perform her roles and function as professional, she considered to be: a. Unprofessional c. Negligent b. Irresponsible d. Incompetent 36. Which of the following is an example of negligence by a nurse? a. The nurse suctioned by the babys mouth and nose to prevent aspiration b. The nurse applied terramycin ointment on the babys eyes after delivery c. The nurse give tetanus immunization to a pregnant woman. d. The nurse pushed vigorously the fundus of the mothers uterus to hasten the delivery of the baby 37. Dishonorable conduct of the nurse includes which of the following: a. Comminting an error in medication c. Scandalous behaviour b. Incompetence d. Professional negligence 38. Careless in its efforts to clearly perceive and internalize particular moral values. a. Strict conscience c. Lax conscience b. Scrupulous conscience d. Pharisaical conscience 39. Termination of pregnancy without expulsion of all of the producrs of conception a. Missed abortion c. Spontaneous abortion b. Threatened abortion d. Incomplete abortion 40. Occuring as a result of art5ificial or mechanical interuuption a. Induced abortion b. Threatened abortion 41. All of the following are rights of the accused except: a. Right to counsel b. Right to illegal detention c. incomplete abortion d. Spontaneous abortion c. Right against self-incrimination d. right to ball

42. The following are true of euthanasia except: a. Ir is allowed inorder to end the suffering of a person who is serously ill. b. It is not legally allowed c. Killing another person because of pity d. It is an immo0ral act 43. A nurse causes an injury to a patient by a voluintary act but without intetnion or malice, she is said to have colmmitted: a. Force majuere c. Criminal negligence b. Reckless imprudence d. Res ipsa liquitor 44. A nurse files a birth certificate when no birth actually occurred is: a. Abandonment of a child c. Stimulation of birth b. Forgery d. Miscommunication

45. A nurse is bound by a professional ethics not to reveal any information given bt the patient unless: a. Ordered by the doctor b. Required to testify to see the end of justice c. Pushed by the superior d. Requested by the hospital administrator 46. The nurse writes a leeter to the editor of a newspaper accusing her employer of wrongdoing, this action can be considered as: a. Assualt b. Misrepresentation c. Slander d. Libel 47. Slander is defined as: a. Distributing in public false acusstion against a person b. Saying in public false accusation agianst a person c. Explaining in private the fault of a person d. Giving false testimon on a relavant matter b a witness under oath 48. Life imprisonment is also called: a. Reclusion temporal b. Reclusion perpetua c. Prison mayor d. Prison correctional 49. For a testator to be qualified to make a will., must a. Be a good health b. Be in his death bed c. Be able to understand what he wants to do d. Be able to sign a testament 50. The person who makes the will is called: a. Intestate b. Testator c. Palintiff d. Respondent 51. The following are crimes involving destruction of the life of fellowmen except: a. Abortion b. Parricid c. Infanticide d. Suicide 52. A nurse woirking in a provater clinic assisted the physician in performing induced abortion. She is considered as: a.