QUESTIONS ON SNB EXAM FOR LAST SEPTEMBER 2022, NOVEMBER 2022 AND JANUARY 2023 and

APRIL 2023
SNB LICENSURE EXAM

1. Autocratic leadership style is used in? (QUESTION #43)

A. Counselling
B. Policy Making
C. an Emergency
D. Problem Solving

2. the nurse best response for an adolescence but you don’t understand would you (QUESTION
#50)
A. Yes, I don’t understand
B. B I would like to understand let talk
C. C I do understand as I was a teenager once
D. D I don’t understand but you are younger you must understand

3. What is positive Romberg’s test

4. When the nurse modify the environment to prevent fall injury it is called ?

5. Patient came in with abg of ph 7.5mmhg and pco2 of 32mmhg. The nurse would
A. Perform allens test
B. Administer nahco3
C. Perform dialysis
D. Advised to control/slow their breathing.

6. 56 pt id for hiv testing every 5yrs

A. A primary prevention
B. B secondary prevention
C. C tertiary
D. D all of the above

7. What is the most recommended site for administration for Mantoux test?
A. IV
B. ID
C. IM
D. SubQ

8. 22. S/sx of DKA?

a. Apnea
B. Hypoventilation
C. Kussmaulls respi
D. Cheyne stokes respi

9. Topics:
A. *cultural competence
B. *ethical principles
C. *nurse's code
10. Ear drops how?
A. Backwards down or Backwards up

11. Elderly patient with multiple drug prescription atleast 15 otc drugs. What is the most
appropriate nursing action? (QUESTION 34)
A. *Ans. Check for drug to drug interaction

12. Romberg Test for elder client

A. *Ans: Cerebellar Ataxia

13. skin condition on stage 2 pressure ulcer

a. intact
b. full thickeness skin
c. redness on epidermis
d. partial thickeness loss on epidermis

14. Question: Nephrotoxicity of Aminoglycosides

1. Glomerulonephritis
2. Acuted kidney injury
3. Chronic Renal Failure

15. 9. Signs of hypovolemic shock

16. Severe pre eclampsia complication

17. Family assessment tool

18. Measles
A. A.enteric prec
B. B.airborne prec
C. C.neutropenic prec

19. Hyperemesis gravidarum

20. best describe pain management at end stage of life?

21. What Principle, when providing CPR

A. Justice
B. B.autonomy
C. C. Beneficence
D. D. Non malifence

22. What will you do if you see unopened ketamine vial?

23. Warfarin prevents __ in atrial fibrillation

24. Diabetes insipidus:

A. Fluid volume excees
B. Fluid volume deficit

25. Tracheostomy suction pressure adult 80-120 mmhg

26. Fluid vol deficit

27. Ethical principles beneficence etc.

28. Pneumothorax management and nursing reaponsibility

29. Primary survey seconday survey and so on level of management and prevention.

30. Diabetic keto acidosis:

A. Kussmaul sign
B. Cheyne-strokes

31. On unsuccessful resuscitation, what would you do with your team

A. Important in infection surveillance
B. Case management on psych patient

32. Early sign hypovolemic shock:

A. Restlessness
B. Bradycardia

33. In homecare setting, infection surveillance relies heavily on

a) blood results
b) state of home environment
c) clinical signs and symptoms
d) caregivers compliance to hand hygiene.

34. You notice an unopened ketamine ampule. What is your priority

35. Put back to storage room

A. Notify nursing supervisor immediately
B. Call security guard
C. Give to other patient to have ketamine medication

36. Nonmaleficence

37. Beneficence

38. Autonomy

39. What is the fastest way to count family satisfaction

40. Blood test for type 1 DM-Random blood test

41. Ethical Principles used during CPR and elderly for fall.

42. Bioethicolegal nursing— autonomy, beneficence, nonmalifecence, veracity, confidentiality,

juctice, fidelity

43. ascites - answer hypoalbunemia

44. ampicillin 250/500 *5ml

45. fluids = 65ml/hr for 1st 8 hrs then 80ml/hr total hours 1 liter fluid will be consumed = answer
14 hours in total

46. cleft lip priority - patent airway

47. DM compliance to diet and treatement - answer glycosylated hgb

48. morse fall variables

49. Morse fall scale Not included

A. *Ans. Age

50. contraindicated in giving tissue plasminogen activator with Ischemic stroke.

A. Hypertension
B. Hyperglycemia
C. Hx of head trauma

51. D Hx of intracranial hemorrhage

52. Lab finding on liver cirrhosis

A. *ANS. _hypoalbuminemia_

53. Kernig's sign

54. Lymphedema after mastectomy

55. How to prevent dumping syndrome after gastrectomy sx?

56. reverse barrier nursing?

A. do not allow visitor
B. c.positive pressure?
C. d. don gloves and chena in pt's bedside

57. Early sign of tension pneumothorax

A. trachial deviation
B.
C. Respiratory distress
D. Diminished bilateral breath sound

58. To give morphine 8mg stock dose 10mg/ml. How many ml to give?
59. Ischemic stroke best intervention
60. signs of impending respiratory failure.
61. T-PA
62. Suicadal tought best approach
63. Ondasetron (zofran) is given for postoperative patient for n/v
64. Chicken pox incubation
65. Minipress
66. incubation period ng chickenpox
67. Ultram
68. On chemo patient with thrombocytopenia what to do?
69. Measles
70. Hip surgery and diazepam
71. Adverse effect of diazepam tablet
72. appropriate diet ng patient with residual dysphagia post stroke
73. Highest level of evidence
74. Side effect of diazepam and common side effect of tramadol
75. essential intervention for the management of acute ischemic stroke
76. Ethical principles
77. DKA,DM
78. Chest tube- water seal
79. Types of reseach
80. Types of leadership
81. Anticoagulant
82. Ischemic stroke
83. Isolation precautions
84. Ascites
85. Essential intervention for management of acute ischemic stroke is administration of:
A. Ivf therapy
B. Anti arrhythmic drugs
C. Thrombolytic therapy
D. osmotic diuretic
86. Inderal
87. Hip fracture management

88. Uncontrolled epistaxis may be treated with:

A. Head tilting sideways
B. Head tilting backward
C. Angiographic embolization
D. Administration of ephedrine

89. Ondansetron=nausea and vomiting

90. Propanol side effects. What are the incubation of chickenpox
91. About MI, burns, strokes, intubation

92. Dislodged trache management

93. Adverse effect of Diazepam
94. Battles signs
95. Side effect of antipsychoric drug
96. Approach for patients with presbycusis
97. Intapersonal conflict

98. Pt is getting IVF of PNSS 500 cc for 5hours. Is the drof factor is 15. What is the rate of IV?
Answer 25 gtts/min.

99. Leadership style during emergency=autocratic

100. Management for ischemic heart attack, thrombolytic contraindicated for: hx of prior
hemorrhagic stroke OR hx of prior ischemic heart attack
101. Burns priority:
102. Urine output✅?
103. Infection
104. Pain
105. Pt undergoing chemotherapy developed thrombocytopenia.
Answer: Do not inject Intamuscular
106. What kind of precaution needed for the Measles patient?
Answer: Airborne Precaution

107. What is to be watched out for patient receiving T-PA or Tissue Plasminogen Activator.
108. Which of the situation is indicative of INTRAPERSONAL CONFLICT
109. The following are needed to be monitored following a hip replacement surgery except.
110. How do you approach a patient who is known of having suicidal ideation?
A. Do not speak anything about suicide
B. Asked directly regarding the patient's suicidal ideations.

111. Ask directly regarding the patient's suicidal ideation.

112. What is to be monitored in patient taking the medication Prazosin Hydrochloride
(Brand Name: Minipress)

113. Which of the following statements is true regarding Informed Consent?

114. Ondansetron is for?
Answer: Nausea and Vomiting

115. Patient who has jaundice, ascites and spider angioma is most likely a case of?
Answer Liver Cirrhosis

116. What is the incubation period of Chicken Pox

Answer 2-5 days

117. What is the priority home instruction for patient who was hospitalized due to
Chronic Bronchitis?
Answer: Cessation od smoking

118. What kind of research is apprpriate if you want to study practice-based topic?
A. Qualitative
B. Quasi-experimental

119. Patient with Type 1 Diabetes is non-compliant with his diet. What test will show his
current medical status?
A. Post Prandial Glucose Test
B. Oral Glucose Tolerance Test
C. Glycosylates Hemoglobin Test
D. Random Blood Sugar

120. Which of the following statements is true about Kernig's sign?

Answer knee will extend 90 degrees when bent.

121. Patient noted to have blood ph level of 7.55 and PC02 of 34. What does the nurse
needs to do?
A. Administer Sodium Bicarbonate
B. Instruct the patient to breath slowly
C. Instruct the patient to breath faster
Answer: instruct the patient to breath slowly.
 122. What do you need to monitor in handling a patient with Parkinson's disease?
Answer: Fall precaution

123. What will you suspect when a patient who undergone renal needle biopsy complains
of pain that radiates in the abdomen?
A. Anuria
B. Oliguria
C. Infection
D. Bleeding

124. What will the nurse do if the patient who has 40% total burn has 55 hematocrit?
Answer: increase the rate of IV fluid
125. Rationale; Hematocrit shows hemoconcentration and dehydration

126. Ondasetron Post op

127. Chickenpox incubation period
128. diet for pt with residual dysphagia after stroke
129. Tracheostomy initial intervention
130. intrapersonal
131. Kernig's sign
132. priority care for pt. with parkinson's dse

133. Morphine sulfate

Stock dose: 10mg/ml
Desire dose: 8mg
Plrs 500cc to run for 5 hrs
Drop factor 15cc
___gtts/min

134. post op hip replacement intervention

135. nursing action when found a morphine vial unopened
136. Contraindications of minipress
137. 500 ml to infuse for 5 hrs 15 gtts drop factor
138. Morphine sulfate to give 8 mg available 10 mg/ml

139. Battle sign

140. What will you monitor post op of total hip replacement
141. What will include teaching when giving Inderal
incubation period of chickenpox.
side effect of tramadol – hypotension
nursing intervention for patient skin receiving radio therapy

142. Contraindication of t-PA (tissue plasminogen activator)

Pt has 40% full thickness burn. After 12 hours post injury, pt's hematocrit is 55%. What will the nurse
do?

143. infection prevention in TPN

144. After one week of burn injury, what diet the nurse will instruct the patient?
A. Low sodium and fat
B. High protein and carbohydrates
 145. What does BMI measure?
A. Measure lean muscle mass and fat
B. Measure body fat

146. A patient had 300 ml output an hour. What does an enrolled nurse first intervention and report
to the registered nurse in-charge?
a. Slow down IV infusion
b. Check for kink
c. Milk the tubing to be patent

147. In placing catheterization in female patients, what will the nurse do first?
a. Inflate, deflate the balloon then insert

148. In visual acuity, 20/60 means?

a. Can read within 20 feet
b. Can read within 60feet

149. The Patient will undergo a mastectomy, In preparation for operation, what will the nurse
instruct the patient to observe as signs of complications?

150. Side effect of diazepam - confusion & dizziness

what will u if the patient is complaining hoarseness of the voice after thyroidectomy ▶️hoarseness,

voice tiring, weakness is common effect post operation

nursing intervention of dislodged tracheostomy.

nursing intervention on epistaxis

nursing intervention to elderly patient with hearing loss

eligible in obtaining informed consent

iv infection prevention - changes dressing every 7 days

nursing intervention to a patient with suicidal thought

home care nurse found out that his patient taking so many medication. first thing to do? -
call the pt physician & verify his medication

head trauma/ head injury

sign/symptoms. -
battle sign- raccoon eyes

(remember ABG normal values. )

sodium bicarbonate given to metabolic acidosis

1. Antidote for acetaminophen toxicity answer: N-acetylcysteine

2. cardiographic asystole
 answer adrenaline
 3. Basal skull fracture - battle's sign
Mgt for pt with acute ischemic stroke
Thrombolytic
4. 2days post-ap pain scale 8/10
Pain Assessment ..
5. Macular Degenerative-
*loss of central vision
6. Acute ischemic stroke within 4-6 hours
Thrombolytic therapy
Hemmrhagic stroke contraindication

7. Resonium for hyperkalemia

8. Which is/are Characteristics of colostomy
Round,oval or any varies in shape
9. Confirmatory for hiv : western blot
10. Rotation of insulin site to prevent:
Lipodystrophy
11. Patient recently diagnosed with liver cirrhosis complains of itch over his entire body, this itch
is caused by
A. Hypokalemia
B. Folic acid deficiency
C. Increase in bilirubin levels
D. Prolonged prothrombin time
== C 😊
12. The aim of case management in psychiatric setting includes all except
13. What is the initial treatment of patient recently diagnosed with bulimia?

14. Sign of cardiogenic shock

-hypotension
15. What is the best wound dressing for exudative and necrotic wound?
*Hydrocolloid
16. Iv ondansetron (zofran) is administered to postop pt for
A. Paralytic elius
B. Incisional pain
C. Urinary retention
D. Nausea and vomiting
Ans. D
17. no urine output 8 hours post op ..
2 possible answers😅
abdominal distension or ifc insertion
18. A pregnant woman in the third trimester of pregnancy complains that her hands feel numb. On
examination, her hand is not injured or discolored but appears swollen. The most likely cause of this
is a/an
a. Wrist sprain
b. Calcium deficiency
c. Undiagnosed fracture
d. Median nerve compression
18. Which leadership style should be use in emergency clinical situation.
A.autocratic
B.Democratic
C.laissezfaire
D.Transformational
19. When nurse is monitoring post operative after abdominal surgery. Signs of deep vein thrombosis
if presence of an/a?
A. Strong pedal pulse
B. Absence of bowel sound
C edema in both lower extremities
D calf pain under dorsiflexion of the foot
Ans.C
20. What is the initial nursing intervention with a female patient with foley catheter with no urine
output
21. After an hour, the nurse noticed an error on the documentation, what should the nurse do:
22. Which statement is true regarding nonverbal communication (sorry di ko na po maalala buong
words ang haba eh hehe)
23. In assessing a patient with chest tube drainage,you notice a fluctuation of water seal bottle, what
is ur most nursing action?
24. A mother frustrated with her 18 months old child. Who refused toilet training.
1. Encourage the child to water diaper
2 give sweet kindy every time he participates
Answer is 2
25. Adverse effects of Diazepam
A. Headache and confusion
B. Warm and flushing
C. Orthostatic hypotension and dizziness
26. Common signs of cholecystitis
*RUQ pain
27. macular degeneration
*Loss of central vision
28. resonium
*To treat hyperkalemia
29. ECG reads asystole. The nurse should administer?
A. Atropine
B. Lidocaine
C. Adrenaline
D. Amiodarone
Ans: C.adrenaline

30. The nurse is about to give a high concentration of oxygen during manual resuscitation, the nurse
should set the flow to
A. 2lpm
B. 6lpm
C. 10lpm
D. 15lpm
31. What is the most appropriate nursing intervention in patient with diabetes insipidus? Watch out
for signs of
A: fluid volume deficit
32. The nurse is about to give a high concentration of oxygen during manual resuscitation, the nurse
should set the flow to
A. 2lpm
B. 6lpm
C. 10lpm
D. 15lpm
33. Which Blood test done initially for HIV patient
34. How to prevent osteoporosis in elderly?
A. Decrease calcium intake
B. Increase physical activity
C. Decrease sunlight exposure
D. Increase iron containing food
* Ans: D
35. What is the side effect of propanolol (inderal)?
36. How to educate student nurse on how to communicate to an elderly client who has hearing
impairment.
37 what effluent would you expect in an ileostomy
A. watery stool
B. semi formed stool
C. hard lumpy stool
D. form stool

38. a child weigh 5 kg is about to receive antibiotic therapy 150mg for 24 hours. The stock dose is
125mg/5ml. the medication will be given 3x a day how many ml each dose?
A. 0.5ml
B. 1 ml
C. 2 ml
D. 5ml
38. Post tracheostomy, how to assess surgical emphysema?
a. Monitor the drain
b. Monitor the respiration closely
c. Palpate the skin around the stoma
d. Assess the stoma for hemorrhage
40. The nurse encourage the pt. to have a ___ diet with galstone to prevent symptoms for
reaccuring.
: LOW FAT

MORE QUESTIONS:
SNB QUESTIONS
(1) Melina is bleeding from
(a) Esophagus
(b) Stomach
(c) Colon

(2) Promote wound healing

(a) Protein & vitB
(b) Protein & vitC
(c) Carbohydrate
(d) Fat

(3) A patient undergone spinal anesthesia should be nursed in

(a) Prone position
(b) Supine
(c) Lateral
(d) Semi-prone

(4) Which organ is attacked by hypoxia?

(a) Heart
(b) Liver
(c) Brain
(d)kidney

(5) Hepatitis B is transmitted by

(a) Blood
(b) Food
(c) Saliva

(6) Hepatitis A is transmitted

by (a)Blood
(b)Food
(c)SalivaUniversal recipient (blood group) (a)A
(b)O
(c)B
(d)AB

(7) Universal donor (blood

group) (a)A
(b)C
(c)AB
(d)O

(8) Ascites is caused by

(a)Fluids in the peritoneal cavity
(b)Fluids in the pleural
(c)Fluids in the pericardial
(d)Fluids in the pelvic

(10)Following abdominal surgery, abdominal distension is

caused by (a)Excessive air in the intestine
(b)Paralytic ileum
(c)Constipation
(d)Increased intestine movement

(11) Na restricted in patient with CCF because to

(a)Decrease circulatory volume
(b)Detain blood in tissue
(c)Cause irritation to the myocardium
(d)Promote tubular absorption of water

(12) A child with epilepsy is advised not to

(a) Participate in
exercise (b)Cycling
alone (c)Take cold
food / drinks

(13)The amputated stump is bandaged with a pressure bandage for a week after
surgeryfor a purpose of
(a) Prevent infection
(b) Prevent hemorrhage
(c) Molding the stump for better prosthetic fit

(14) The immediate action for a child with acute asthmatic attack is
(a) Administer bronchodilator
(b) Administer expectorant
(15) In a leukemia child, skin become bruises is caused by
(a) Absence of factor VIII
(b) Low platelet count (N-200-500x10 /L)
(c) Low Hb count
(d) Raised WBC count

(16) In severe gastroenteritis, NAHCO3 given via IV is to treat

(a) Hyponatremia
(b) Hypocalcaemia
(c) Acidosis
(d) Alkalosis

(17) Massive edema in nephritis syndrome is partly due to

(a) Too much fluid intake
(b) Difficulty in passing urine
(c) Decrease osmotic pressure in blood vessels
(d) Hyperalbuminemia

(18) The primary objective of drug therapy in the treatment of glaucoma is to

(a) Dilate the pupil
(b) Decrease intra ocular pressure
(c) Increase convexity of the lens

(19) The vitreous humor

(a) Fills posterior four fifth of bulb of the eye
(b) Is a nutrient of the lens
(c) Serves to regulate intra ocular pressure
(d) Circulates through the chamber of the eye

(20)The early complication of

tonsillectomy is (a)Infection
(b)Pneumonia
(c)Hemorrhage
(21)Following tonsillectomy pt should be
nursed in (a)Supine position
(b)Semi prone
(c)Fowler’s
(d)Trendelenburg

(22)The maintenance of flow in drainage system is

done by
(a)Ensuring adequate length in tubing
(b)Close observation of nature of flow
(c)Ensuring adequate vacuum in the
bottle

(23)The following can delay wound healing

except (a)Steroid therapy
(b)Anemia
(c)Ambulation
(d)Infection
(24)The indicatives sign of hemorrhage following
surgery (a)Increase in pulse rate and BP
(b)Abdominal discomfort and pain
(c)Pallor & warm skin
(d)Progressive blood stained and drainage

(25)The following nursing care would be implemented for neonate

except (a)Maintain body temperature
(b)Maintain fluid and electrolyte balance
(c)Promote early ambulation
(d)Provide medical and surgical asepsis

(26) Name with complication of intestinal obstruction

(a)Peritonitis and nausea
(b)Nausea and vomiting
(c)Peritonitis and perforation

(27)List a specific investigation for peritonitis

(a)Abdominal X ray ,blood culture
(b)WBC, chest X-ray
(c)ECG, Hb

(28) List 2 indicators for TURP

(a)Prostate megaly and Ca prostate
(b)Urinary incontinence and Ca bladder
(c)Urethral stricture
(d)Dribbling of urine

(29)What is the most clinical feature of pleural effusion?

(30)(a)Dyspnea
(b)Pain on exertion
(c)CXR indicating air in the pleural space

(30)What is the normal BP for 1 year child?

(a)70-100 / 50-70
(b)60-90 /55-60
(c)65-95 /55-65
(d)65-60 /50-60

(31)Impacted gall stone in which area cause jaundice

(a)Cystic duct
(b)Hepatic duct
(c)Common bile dust
(d)Gall bladder

(32)An elderly woman had cardiac arrhythmia during thyroidectomy, when she isreturned to
the word what is the priority
(a)ECG monitoring
(b)Monitoring of vital sign
(c)Nurse in lateral position
(33)Causes of intestinal obstruction
(a)Congenital hereditary
(b)Hereditary abdominal injury
(c)Ca stomach, Ca colon

(34)Which is the best position to prevent increase intracranial pressure for a head injury
patient also suffering from shock?
(a)Flat with head lower than the baby
(b)Elevate pt’s head
(c)Flat with lower extremities higher than the body
level (d)Line flat

(35)What is the cause of hypoxia after subtotal throidectomy?

(a)Damage to the parathyroid gland
(b)Thyroid crisis
(c)Damage to the recurrent laryngeal nerve
(d)Formation of haematoma leading to airway obstruction

(36)Effective measure of stop bleeding palm

(a)Direct pressure on the wound
(b)Elevate the affected hand

(37)Name the commonest type of micro organism in

septicemia
(a)Pseudomonas & Escherichia coli
(b)Streptococcus & pseudomonas
(c)Staphylococcus & streptococcus
(d)Streptococcus & Escherichia coli

(38) Before blood transfusion, we should start

(a)0.9%N/S
(b) D/S
(c)5% D/W
(d)R/L

(39)Hypovolumic shock is due to except

(a)Severe burn
(b)Severe pain
(c)Diarrhea
(d)Bleeding

(40)Giving sitz bath after haemorrhoridectomy is to reduce pain and

(a)Reduce hemorrhage
(b)Promote bowel movement
(c)Promote healing

(41)To prevent unconscious patient from complication of respiratory tract

(a)Side lying
(b)Head tilt, chin lift
(c)Head tilt
(d)Jaw lift

(42)Acute appendicitis emergency except

(a)Obtain consent
(b)Nothing by mouth
(c)I/V drip
(d)Enema

(43)Appendectomy complication
(44)(a)Peritonitis
(b)Bleeding
(c)Chronic appendicitis

(45) How to promote a patient to get comfortable sleep except

(a) Give cold drink
(b) Comfortable position
(c) Bladder empty
(d) Recommended sleeping drug

(46)Long time bed rest for heart failure pt, the main objective is to
(a)Reduce heart work load
(b)Promote blood circulation
(c)Increase cardiac contraction

(47) How to prevent air not to go into baby’s stomach

(a)Expel air by rubbing back
(b)Teat of bottle filled with milk at all time

(47)T tube is an after colostomy for drainage of

(a)Bile
(b)Blood
(c)Pus
(d)Lymph

(48)Edematous pt should take

(a)Low salt diet
(b)Low protein diet
(c)High residue diet

(49) The drug which reduce temperature is call

(a) Antipyretic
(b) Antihypertensive
(c) Antiematic

(50) In case of extreme poisoning of salicylate

(a) Antiematic
(b) Peritoneal dialysis
(c) Haemodialysis
(d) Vit K inj

(51)The nurse highest priority for new born with cleft palate and cleft lip
(a)To feed new born
(b)To concern with parental anxiety

(52) The appropriate time for surgery for child with cleft palate
(a)1-2months
(b)First 4 days
(c)2-6month
(d)After 1 year
(53)Nutritional needs of child with cleft palate &cleft lip
(a)Spoon feed in sitting position
(b)Parental route
(c)R/T feed (d)TPN

(54)The most appropriate treatment for ventricle fibrillation

(a)Compression of the heart
(b)Digoxin
(c)Defibrillators

(55) CVP is established by

(1) To assess hydration
(2) Arterial pressure
(3) Ventricle pressure
(4) Ventricle function
(5) (a)(1)+(2) ,
(b) (1)+ (3),
(c) (3)+(4),
(d) (1)+(2)+(4)

(56) Normal pressure of H2O manometer for CVP

(a) 1-5 mmHg
(b) 5-10 mmHg
(c) 1-5 cm H2O
(d) 5-10 cm H2O

(57) Exact location of H2O manometers to assess CVP

(a) Atrium (midaxillary line)
(b) Lower axillary
(c) Upper axillary
(d) Axillary’s line

(58)Asprin is not given in

(a)Peptic ulcer
(b)Infection
(c)Inflammation
(d)Fever

(59)One of the initial symptoms of oesophogeal tumor

(a)Difficulty in swallowing of solid food
(b)Projectile vomiting
(c)Bleeding
(d)Hoarse voice

(60)Nurse assessment in incompactable blood transfusion

(a)Allergic reaction
(b)Haemolytic reaction
(c)Increase in temperature

(61) Average female Hb%

(a)10-12 mg
(b)12-14 mg
(c)14-18 mg

(62)Heat regulation centre (a)Cerebellum (b)Cerebrum (c)Hypothalamus

(63)Which is not life threatening problem?

(a)Arterial fibrillation
(b)Ventricle fibrillation
(c)Ventricle tachycardia
(d)Sinus bradycardia & sinus tachycardia

(64)For IV site pain, nurse will check

(a)Allergic reaction
(b)IV infiltration
(c)IV drip calculation
(d)Thrombosis

(65)Nurse highest priority in burn pt

(a)To check weight
(b)To calculate IVfluid
(c)To assess body surface area

(66)In burn case, first 24 hour fluid loss due to

(a)Increase permeability of capillaries
(b)Decrease permeability of capillaries

(67)In burn case, fluid shift due to

(a)Osmosis
(b)Diffusion
(c)Filtration

(68) Pre meal blood sugar level

(a)2-4 mmol/l
(b)4-6 mmol/l (80-120 mol/dl)
(c)6-8 mmol/l

(69)Rotation of insulin site to prevent

(a)Thickening of skin
(b)Skin infection
(c)Effect of insulin

(70)Increase ICP can cause in (a)Cerebral oedema (b)Confusion

(71)Severe tissue damage needs (a)Primary management (b)Secondary management

(c)Tertiary management
(d)All of the above

(72)Hemophilia can cause (a)brain tissue damage

(b)GI bleeding
(c)Bleeding in deeply lying structure muscle, joints

(73)The best time for self breast examination

(a)During ovulation time
(b)One week after menstruation
(c)One week before menstruation
(74) The purpose of Pep smears
(a)Primary prevention
(b)Health promotion
(c)Secondary prevention
(d)Tertiary prevention

(75)Most common cause of breast cancer

(a)Cervical dysplasia
(b)Ovarian carcinoma
(c)Uterine cancer

(76) Moron’s reflex in new born present

(a)Birth time( disappears at 3 months)
(b)3-4 month
(c)6-8 month

(77)Cemitidine drug is used to

(a)Inhibit gastric juice
(b)Decrease gastric movement

(78)Insulin is produced by
(a)Pancreas
(b)Islet of Langerhans

(79)Insulin is given s/c for

(a)Fast effect
(b)Slow and uniform absorption
(c)Decrease side effect

(80)Unconscious pt found on road after accident, highest priority of nurse

(a)Assess of neck injury
(b) Pt air way
(c)Assess for bleeding

(81)If unable to get IV line in collapse, epinephrine can be given

(a)Intracaridic
(b)Endotracheal tube
(c)Intratracheal tube

(82) Adult CPR total breath /min

(a)12 breath /min
(b)16 breath /min
(c)18 breath /min

(83)Metabolic alkosis to give

(a)NaCl
(b)NaHCO3(acidosis)
(c)K+
(d)Ca+

(84) Untreated hypertensions pt’s complication except

(a)DM
(b)Stroke
(c)Heart failure
(d)Renal failure

(85)Arm burn patient, need to do first (a)Immediate use cold water (b)Apply hydrocortisone
cream (c)Apply antibiotic cream

(86)Un conscious patient, coughing & chocking nursed in (a)Supine position

(b)Sit up (c)Side lying
(d)Small pillow under abdomen

(87) CPR rescue, air blowing: compression

(a)1:5
(b)1:10
(c)2:30

(88)Gray matter consists of (a)Axons

(b)Peripheral nerve (c)Neurogleal contraction tissue (d)Nerve cells

(89)Intelligence, thought, reason and unconscious are provided by (a)Cerebral cortex

(b)Hypothalamus
(c)Thalamus (d)Basal ganglia

(90)Cardiac asthma, paroxymal natural dyspnea is due to (a)Allergy

(b)Ankle edema (c)Emphysema (d)Left ventricular failure

(91)Iodine is the prime important in the formation of (a)Pyridoxine (b)Adrenalin

(c)Bone (d)Thyroxin

(92)The pain of coronary thrombosis differs from that of angina pectoris because of (a)May
come on at rest
(b)Radiates gradually both arms (c)Last for a shorter period of time

(93) Ketonurea does not result from

(a)Starvation (b)DM (c)Nephritis (d)Vomiting

(94)The urgent to pass urine every five minutes but only a few drops are passed withdifficult
as in uterine colic is called
(a)Urgency
(b)Incontinence
(c)Strangury
(d)Tenesmus

(95)Highest concentration of potassium is found in (a)Cells

(b)Plasma
(c)Urine
(d)CSF

(96)Which one of the following does not cause hyprekalaemia? (a)Acute renal failure
(b)Haemolysis of red blood cell (c)A high cellular potassium
(d)Addison’s disease

(97)Thiamine (B1) deficiency cause (a)Cardiac failure in Beri Beri (b)Night blindness
(c)Rackets (vitD) (d)Hypothyroidism (Ca)

(98)The drug of choice for bradycardia (a)Atropine

(b)Morphine
(c)Lidnocane
(d)Phenytoin

(99)Treatment for premature ventricular contraction (a)Lidnocane (xylocaine )

(b)Dopamine
(c)Isoproterend
(d)Atropine
(100)Hypoglycemia is due to
(a)Too much insulin in the body
(b)Little insulin in the body
(c)Excessive exercise
(d)Low rate of sugar in the body

(101)Nursing care for the relatives of a patient who die (a)Leave him alone
(b)Refer to psychiatric
(c)Listen and accept it as a part of the living process

(102)S/C injection, needle inserted

(a)30’
(b)45’
(c)90’
(d)15’

(103)IM injection given on the thigh, which muscle (a)Ventrogluteal m/s

(b)Deltoid m/s (c)Dersogluteal m/s (d)Vastus lateralis

(104)If given more than 2ml of IM inj: which m/s should use (a)Gluteus medius
(b)Deltoid m/s (c)Vastus lateralis (d)Dersogluteal m/s

(105)Technique of cleaning a wound

(a) From surrounding skin to the wound
(b) From outer part to inner part of wound
(c) From least contaminated to most contaminated area

(106)Acid tends to
(a) Contribute H+ ion
(b) Liberate H+ ion
(c) Add H+ion

(107) Nurse must instruct a pt who undergoes colostomy and removal of polyp to
(a) Wait for1 week to resume activity
(b) Wait for 1 day to resume activity
(c) After 48 hrs if there is no bleeding can resume activity
(d) Increase dietary fiber and fluid intake

(108)Which Ca could cause faster metastasis to the brain

(a) Esophagus
(b) Lungs
(c) Kidney
(d) Liver

(109) Pt who are at risk of cervical Ca

(a) Active sexual activity with multiple sexual partners
(b) Family history of cervical Ca
(110)Cause of colorectal Ca
(a) Smoking
(b) Alcoholism
(c) Low fiber & high fat consumption

(111)Pre operation management of ruptured appendicitis (a)Administer antibiotics

(b)Administer antipyretic (c)Administer analgesic (d)Administer I/V drip

(112)Gall bladder dysfunction is evidence by

(a) Carbohydrate intolerance
(b) Fat intolerance

(113) The reason for taking vital signs with observing color of post operation patient
(a) Internal hemorrhage
(b) Respiratory status

(114)Management in tension pneumothorax

(a) Chest insertion
(b) Thoracotomy

(115)Bone building and reabsorption

(a) Remodeling
(b) Haematoma
(c) Callus
(d) Cellular proliferation

(116)Positioning after hip arthroplasty

(a) Abduction of both legs
(b) Adduction of both legs
(c) Extended rotation of affected leg

(117)Before putting the skeletal traction, pt must be assessed for

(a) Muscle tone
(b) Skin integrity
(c) Mobility
(d) Neurovascular
(118)Weights attached in traction must be
(a) Hanging freely
(b) Lie on bed
(c) Touch to the floor

(119)Pre medication for ETT

(a) Atropine and Pethidine

(120)Which drug can be given in epilepsy

(a) Phenytoin sodium
(b) Promotizine

(121)What is the treatment for hyperkalemia

(a) Glucose & insulin
(b) Peritoneal dialysis
(c) Haemodialysis

(122)Ileal conduit is to
(a) Drain faces
(b) Drain urine
(c) Drain bilirubin

(123)LMP on 1st April 2001, EDD?

(a) 1st Jan 2002
(b) 8th Jan 2002
(c) 1st Dec 2001
(d) 8th Dec 2001
(124)A baby with in perforate anus, nurse observe
(a) Mucus with stool
(b) Absence of muconium

(125)Pt with closed head injury, watches for

(a)Cerebral edema
(b)Hypertension
(c)Bleeding
(d)Pain

(126)Waste products excreted from blood dialysis are via (a)Diffusion

(b)Filtration
(c)Osmosis
(d)Perfusion

(127)What is the early complication of pt with illeostomy?

(a) Excoriation
(b) Wound sepsis
(c) Fluid &electrolyte imbalance
(d) Necrosis

(128)Healthy stoma
(a) Pinky and moist
(b) Pale skin
(c) Blue skin

(129) If the patient c/o pain after TURP, what action should be taken by nurse
(a) Given analgesic
(b) Inform Dr
(c) Check patency of catheter

(130)BCG is given for

(a) TB
(b) Polio
(c) Whooping cough
(d) DPT

(131)Primary aim to psychiatric patient in the hospital

(a) Discharge early
(b) Promote institutional care
(c) Ability to cope with life dependently

(132)In a patient with shock body counteract by

(a) Vasoconstriction
(b) Vasodilatation
(133)Pt with UTI diagnosis can be confirmed by
(a) Excessive bacteria in urine, dysuria with fever
(b) Haematuria
(c) Anuria
(d) Urine examination

(134)Management of patient with paracetamol overdose

(a) Charcoal
(b) Saline lavage

(135)While taking history of patient with hemorrhoid, nurse should ask for
(a) Long standing
(b) Diet habit
(c) Bleeding, bowel and dietary habit

(136) Communicated # mean

(a) #more than one piece of bone

(137)In early period of pregnancy, what can cause congenital cataract for child
(a) Rubella
(b) DM

(138)what is the side effect of Morphine giving pt with advance Ca

(a) Drug addiction
(b) Constipation
(c) Vomiting
(d) Respiratory distress

(139)Sub Arachnoids hemorrhage (SAH) patient should avoid

(a) Aggressive physiotherapy
(b) Coughing

(140)Asthma can be distinguished from COPD which is

(a) Narrowing of air way
(b) Bronchodilator
(c) Can be cause by UTI
(d) Hyper secretion

(141)Viral pneumonia is treated by

(a) Antibiotics
(b) Steroids
(c) Depends on symptoms
(d) Sulphonides

(142)The treatment of thorotoxicosis radioactive iodine is best prescribed for

(a) Women below 40 year
(b) Women above 40 year
(c) Women child bearing age
(d) Women who is pregnant

(143)What is the action of Diamox?

(a) Decreases intraocular pressure
(b) Corrects closed angle glaucoma
(c) Prevents the flow of aqueous humor

(144)Hypovolumic shock, primary nursing

(a) Hydrating with water
(b) Prevent shock with colloid
(c) Given vasodilatation

(145)S/S of cardiac failure

(a) SOB
(b) Periobital edema
(c) Rebounding pulse

(146)In bronchial asthma all these will be there except

(a) Bronchial spasm
(b) Bronchial secretion
(c) Bronchial Dilation

(147)Why giving Prednisalone in glomeular nephritis

(a) Increase urine output
(b) Reduce inflammation

(148) Anemia in kidney failure is due to

(a) RBC basing through the capillary membrane
(b) Kidney unable to produce erythroprotin
(c) RBC excrete through urine
(d) Failure in the transporation of RBC in bone marrow

(149)Why high BP in elderly patient?

(a) Decrease electricity of arterial wall

(150)Why insulin is refrigerated

(a) To reduce bacterial growth
(b) To keep its potency
(c) To prevent cloudiness

(151) All these medication can be given to epilepsy patient except

(a) Promethazine (antihistamine)
(b) D/Z
(c) Dialaton
(d) Carbimazepam

(152)In haemolysis except

(a) Basic and blood
(b) Removal of waste product from blood
(c) Decrease BUN and creatinine
(d) Increase urine out put

(153)In communication with elderly patient, nurse should stand

(a) Face to face
(b) Sitting in 45
(c) Sitting in 30
(d) Standing near to the side
154)To prevent aspiration in NGT feeding
(a) Check residual volume
(b) Insert big tube
(c) Give bolus feeding
(d) Give continuous feeding

(155) Neonate diaphragmatic hernia, observe for

(a)Moro’s reflex
(b)Respiratory distress
(c)Sucking ability

(156)What is the advice for patient after inguinal hernia repair (a)Apply hot compress for relief
(b)Avoid lifting heavy objects

(157)In personal disorder all these will be there except (a)Mood change
(b)Alteration of though (c)Alteration of memories

(158)Management of acute retention of urine

(a)Suprapubic tap
(b)Catheterization
(c)Diuretics

(159)All these can be done for epilepsy patient except (a)Restrain arms
(b)Turn pt’s head to the side
(c)Safe environment
(d)Maintain airway

(160) If the pt’s prothrombin time is 30 sec, you need to watch

(a)Insomnia
(b)Haematuria
(c)Articardia
(d)Inflammation

(161)How do you give cricoids pressure (ETT) (a)Upward & back ward
(b)Down ward & back ward
(c)Press on Adam’s apple

(162)The patient was stabbed in chest and came to A&E ,BP 100/60 mmHg ,HR 96/minand
RR 40/min. You must put him in
(a)Foot end raised
(b)Semi fowler’s position
(c)Prone
(d)Recumbent

(163)For above situation, first priority (a)Chest tube insertion (b)Lobotomy

(c)O2 inhalation (d)CVP insertion

(164)Above procedure should be concluded

(a)Interments low suction
(b)Under water seal
(c)CVP reading

(165) Patient’s blood chemistry result (K+ 30 mmol/l) means

(a)Hypokalemia
(b)Hypocalcemia
(c)Hyperkalaemia
(d)Hypercalcemia

(166)Above patient main complaint (a)Numbness

(b)Weak in lower limb muscle (c)Tremor severe cramp

(167)Osteoporosis is due to (a)Decrease FHS& LH (b)Increase FHS& LH

(c)Decrease oestrogen & progesterone (d)Increase oestrogen& progesterone

(168)During peritoneal dialysis patient’s position

(a)Prone
(b)Semi recumbent
(c)Supine
(d)Upright

(169)3 year old nephritic syndrome what medication will be given (a)Corticosteroid
(b)Furosemide
(c)Solumendrol
(d)Antiemetic

(170)Above case investigation showing

(a)Increase serum albumin
(b)Proteinuria
(c)Urine sugar
(d)Decrease WBC

(171)Patient with decrease HR can be given (a)Digoxin

(b)Propanalol
(c)Niphedipine
(172) increase ICP sign and symptom

(a)Increase BP ,decrease pulse ,widening pulse pressure (b)Increase BP ,increase pulse ,

increase resp (c)Increase BP , increase temp, increase resp (d)decrease BP ,increase pulse,
increase resp

(173)UTI most common cause (a)E-coli

(b)Salmonella Typhi (c)Streptococci (d)Staphytococci

(174)In CVA patient the most first neuromuscular complication (a)Planter extension
(b)Shoulder joint dislocation (c)Contracture upper limp (d)Knee jerk

(175)Choose beta blocker for hypertension case

(a) Propanolol
(b) Nifedipine
(c) Analaprial
(d) Vasolid

(176)During care, tracheotomy tube suddenly dislodged, 1st action is

(a) Inform Dr
(b) Cover with sterile gauze
(c) Use thetracheodilator & open the tracheotomy
(d) Prepare for tracheotomy tube insertion

(177)Patient was prescribed beta blocker hypertensive, what need to remind him
(a) Check pulse rate frequently
(b) Not to stand up immediately
(c) Suggest to stay lie down position

(178) Pt’s K+ 3.8 and Ca+ 130

(a) Hypocalcaemia
(b) Hypercalcaemia
(c) Hyperkalemia
(d) Hypokalemia

(179)2 nurse rescue breathing (2 men CPR)

(a) 12/min
(b) 16/min
(c) 18/min
(d) 20/min

(180)Long term Rx for child asthma

(a) Prednisolone
(b) Nebulizer

(181) Cirrhosis of liver with ascites, what drug should be avoided

(a) Asprin
(b) Prednisolone
(c) Diazepam
(d) Antibiotic

(182)Due to Cirrhosis of liver what changes in physiology

(a) Portal hypertension
(b) Anemia
(c) Platelet count decrease
(d) Water retention in peritoneal cavity

(183)Late Cirrhosis of liver cause neurological pattern changes

(a) Delusion
(b) Coma
(c) Schizophrenia
(d) Illusion

(184)Pt is prescribed MAO have to avoid

(a) Tyramine yeast
(b) Protein
(c) Fat
(d) Milk

(185)Post loprotomy wound burst, 1st action

(a) Inform Dr
(b) Cover with sterile gauze with warm saline
(c) Inform OT
(d) Diathermy the bleeding point

(186)Patient was given Phenargan (antihistamine) for which purpose

(a) For sedation
(b) For emesis
(c) For secretion

187)Patient was given Atropine inj: nurse recognized following complication

(a) Pulse rate above 150/min
(b) Unconscious
(c) Disoriented
(d) Increase BP

(188) During operation following response occurs due to surgical stress

(a) Increase heart rate
(b) Decrease heart rate
(c) Increase renal function

(189) Post laboratory 6th day, patient’s wound burst when he cough, nurse notice
(a) Serious fluid comes out from the edge of wound
(b) Slight red blood comes out from the edge of wound

(190)PU with acute bleeding, Dr ordered

(a) Saline lavage
(b) Antacid
(c) Continue milk drink
(d) Gastroscopy
rd
(191) 3 day of post laboratory, nurse expect the following electrolyte loss
(a) Na
(b) K
(c) Ca

(192)Potassium sparing diuretic drugs

(a) Lasix
(b) Spirolectone
(c) Mannyl

(193) How to prepare the skin to give s/c insulin

(a) Clean the skin using alcohol swab &ask pt to blow to dry skin
(b) Gently pick the skin over the site of needle

(194)why illeostomy whited

(a) Circulation
(b) Injection (c) Necrosis
(195)Rx for TB, 2-3 drugs component using
(a) Potentiated action

(196)The best time for teaching, coughing exercise before operation

(a) 1 week before operation
(b) Just before opt
(c) In afternoon of opt:

(197) Preoperation, 6 persons section is explained about procedure, for which reason
(a) To manage in less time
(b) To promote post operation recovery
(c) For routine regulation

(198)Post operation with general Anesthesia, position

(a) Tredelenberg
(b) Supine
(c) Lateral
(d) High fowler’s
(199)Gastrectomy post opts: gradually increased food intake, why?
(a) Dumping syndrome

(200)KCL drip given slowly &consciously

(a) Not to get cardiac arrest

(201)Donor recipient incompatibility is caused by

(a) Hemolytic reaction
(b) Urticardia

(202)Post operation patient transfer from OT to ward, 1st priority care

(a) Check Dr’s post opts; order
(b) Check gag reflex (air way patency)
(c) Check wound
(d) Check position

(203)Complication of IM injection
(a) Sciatic nerve injury
(b) Wound abscess
(204)Reason for pressure dressing after operation

(a) To prevent edema & haematoma

(b) To concell wound
(c) To prevent infection
(d) Protect from trauma

(205)The best indications for renal failure & Glumerulo filtration are
(a) BUN& Urine out put
(b) Creatine & urine output

(206)Obese female pt; with cholescysitis, going for operation, Dr want to reduce her body
weight, nurse tell her
(a) You will feel better after you reduce body weight
(b) Don’t worry after opt: you will be fine
(c) If reduce weight, you will reduce getting post opt: discomfort

(207)Prescribed Ranitidine dose of 225mg On hand, you have 150mg/tab, how manytab:
should be given?
(a) 0.5tab
(b) 1 tab
(c) 1.5 tab
(d) 2 tab

(208)The client is to receive 1l of I/V Dextrose & 2L of I/V N/S for 24 hour. But I/V setdelivers
20 drop/min.The drip rate should be set at
(a) 42 drop/min
(b) 60 drop/min
(c) 32 drop/min
(d) 20 drop/min

(209)Level of consciousness should be assessed by

(a) Orientate time, place and person
(b) Pain stimuli
(c) Seeing pupil
(210) Neonate diaphragram hernia, a nurse should observe
(a) Moro’s reflex
(b) Respiratory distress
(c) Sucking ability
(d) Cynosis

(211)The nurse must access the client with severe vomiting for
(a) Respiratory acidosis
(b) Respiratory alkalosis
(c) Metabolic acidosis
(d) Respiratory alkalosis

(212)To get consent valid for operation with solid mind

(a) Pt with solid mind
(b) Avnt with schizophrenia
(c) Avnt of 3 years girl

(213)Post operative complication can be minimized by

(a) Daily dressing
(b) Monitor vital sign
(c) Early ambulation
(d) Provide plenty of H2O

(214) The effective method for preventing and treating complication of post surgery is
(a) Encourage pt to cough
(b) Advice pt to inspire as be could
(c) Advise pt to do deep breathing

(215)Sign & Symptom of transfusion reaction include the following except

(a) Fever
(b) Tachycardia
(c) Bradycardia
(d) Breathlessness
(216)S/S of hypovolumic shock include the following except
(a) Warm skin
(b) Tachycardia
(c) Hypotension
(d) Hemorrhage

(217)Diabetic mellitus affects the metabolism of

(a) Carbohydrate, fat and protein
(b) Carbohydrate, fat and calcium
(c) Protein, electrolyte and vitamin
(d) Fat, mineral and electrolyte

(218)Health education to the post operative hemorrhoid pt on discharge is

(a) Advise to drink water 1L/day
(b) Advise to change job
(c) Advise to take 5 types of fruits & high fiber diet

(219)For suctioning, you have to choose the size of the catheter is because
(a) To remove secretion easily
(b) To prevent hypoxia and trauma to mucosa
(c) To fit the tracheotomy tube
(d) To insert easily

(220)During suction, how long will you insert the suction catheter
(a) 5-6 cm
(b) 6-10 cm
(c) 10-15 cm
(d) 15- 20 cm

(221) Before suction through the tracheotomy tube, what the nurse doesn’t need to do
(a) Position the pt
(b) Elevate the head of the bed
(c) Ask to cough vigorously
(222)Hyperventilate the pt

(223)The post operative pt was given tab: Maxalon is for

(a) Sedation
(b) Pain
(c) Secretion
(d) Antiemetic

(224)Pre opt: appendectomy, the following investigation is done. According to whichresult is

need to do intervention
(a) Hb% 1.5
(b) K= 2.3mmol/l
(c) Partial prothrombin time 25 sec
(d) Na+ 140 mmol/l

(224)Which of the following electrolyte is the greatest amount in the extra cellular
compartment?
(a) Na+
(b) K+
(c) Ca+
(d) Chloride
(225)CVP has to measure at 4th intercostals space and
(a) Mid clavicle line
(b) Mid axillary line
(c) Lower axillary line
(d) Lower clavicle line

(226) What is the pulse deficit?

(a) Different between the radial pulse and heart rate
(b) Different between systolic and diastolic pressure
(c) Pulse rate less than 160/min
(d) Nurse can’t feel the radial pulse

(227)What is the complication of long term use of portex airway? (a)Necrosis & stenosis
(b)Aspiration
(c)Haemorrhage
(d)Swelling

(228)Causes of diabetic ketoacisis (hyperglycemia) (a)Over eating

(b)Insulin overdose (c)Infection (d)Omission of feed

(229)S/S of diabetic ketoacisis

(a)Drowsiness , nausea , vomiting & dry skin
(b)Double vision
(c)Headache

(230)for above case, the first nursing is (a)Withdrawal 24 hr food and fluids (b)Give
concentrated calories
(c)Put indwelling catheter &record I/O(d)Give I/V solution with insulin

(231)Degeneration of cognitive disorder in aging is

(a)Dementia
(b)Delirium
(c)Hallucination
(d)Anger

(232)Amikacin 250mg dilute with normal saline 100mls. The drop factor is 1ml=60drops,during
one hour has to finish. Calculate drops/min
(a)16/min
(b)50/min
(c)100/min
(d)250/min

(233)Desired does 0.0625mg/l, in hand is 0.25mg/l, calculate the amount (a)0.25

(b)1.25
(c)2.5
(d)2.05

(234)TB drugs that cause side effects to 8th cranial nerve (a)Streptomycin
(b)Erythromycin
(c)Ethambutol

(235) Side effect of 8th cranial nerve cause

(a)Vertigo (b)Blur vision (c)Facial (d)Palsy

(236)Patient receiving O2 at 3Lvia nasal prong is receiving (a)10-21 % O2

(b)20-30 (c)40-45 (d)50-60

(237)By giving humidified O2

(a)Loosen thick mucous
(b)Maintain adequate humidity to respiratory passage

(238)Instillation of Pilocarpine is to (a)Constrict the pupil (b)Lubricate eyeball

(c)Dilate the pupil

(239)In a burn pt, extensive tissue loss is healed by (a)Primary intervention

(b)Secondary (c)Tertiary (d)All of the above

(240)Applying pressure on the cricoids process during ETT insertion is to (a)Prevent the ETT
to go out of place
(b)Minimize bleeding
(c)Avoid pneumothorax
(d)Control spontaneous coughing

(241)S/S of acute MI may cause except (a)Profuse sweating

(b)Dyspnoea (c)Chest pain (d)Hypertension

(242)Management of conscious MI pt may include except (a)Inotropic support

(b)O2 therapy (c)Administer vasodilator (d)DC shock

(243)When the person alter perception, first symptom will be (a)Illusion

(b)Delusion (c)Audi (d)Auditory hallucination (e)Visual hallucination

(244)Open or compound #
(a)There is no communication between the site of # and the extension of the body (b)There is
a wound on the skin surface break down at the site of # (c)Pathogen are introduced to # site

(245)One of the disadvantage of skeletal traction is (a)Potential for infection

(b)Rotation of the limb (c)Mobility of the pt
(d)Ability to withstand heavy weights

(246)Weight applied to traction should be (a)Removed when procedure is being performed

(b)Pulled at all time
(c)Rested on bed and floor

(247)S/S of internal bleeding

(a)Tachycardia
(b)Hypotension
(c)Reduce urine out put
(d)All of above

(248)Patient with peritoneal dialysis, 1st pre assessment (a)Advise to empty bladder
(b)Body weight (c)Catheter patency (d)S/S of peritonitis

(249)During PD, pt’s position

(a)Prone
(b)Semi recumbent
(c)Supine
(d)Upright

(250)In your stock inj: Heparin 5000IU. If you need to give 3000IU to pt, how much doyou
need to withdrawal?
(a)0.6 ml
(b)1 ml
(c)0.5 ml
(d)1.5 ml
(251)Care of the curved tracheostomy, main purpose is (a)To prevent wound infection
(b)To maintain patency of air way (c)To give O2 via tracheostomy tube (d)Thorough hand
washing need to do care

(252)Oedema can be caused by the following except (a)Excessive salt intake

(b)Excessive fluid intake (c)Deficiency of K+ (d)Deficiency of plasma protein

(253)Untreated hypertension pt can be followed by complications except (a)Diabeties mellitus

(b)Stroke (c)Heart failure (d)Renal failure

(254)Highest concentration of K+ is found in

(a)Cells
(b)Urine
(c)Plasma
(d)CSF

(255)Hyperthyroid person is observed to be (a)Restless & agitated

(b)Anorexia& constipated (c)Cold & clammy skin (d)Slow moving &deliberate

(256)50 Kg weighted man has burn 36% body surface, how much plasma dose he loss (a)660
(b)900
(c)960

(257)Tracheotomy done between which levels of tracheal rings?

(a)2nd & 3rd and 3rd & 4th (b)3rd & 4th and 4th & 5th (c)4th & 5th and 5th & 6th (d)5th & 6th and 6th & 7th
(258)What is the 1st line management for cholecystitis (a)Nasogastric suction, IV
analgesis ,antibiotic (b)Cholecystectomy
(c)Exploration of CBC (d)Insertion of T tube

(259)During operation, the following response occurs due to surgical stress, (a)Decrease
heart rate
(b)Increase BP (c)Decrease renal perfusion
(d)Increase fluid volume to prevent hypovolaemia

(260)For S/C insulin inj to avoid

(a)Buttock
(b)Abdominal wall
(c)Upper arm
(d)Thigh

(261)Which of the following is use for cleaning of tracheostomy wound? (a)NaCl

(b)Chlorhexidine (c)Antiseptic solution (d)Hydrogen perioxide

(262)Tracheotomy done immediately after operation because of (a)Nasogastric feeding

(b) Mechanical ventilation (c)Radiotherapy
(d)To suck secretion easily

(263)Mr. Roy, 20 M is admitted with fit and airway obstruction, put oral airway inappropriate
nursing measure for this pt is
(a)Remove airway when pt; got response (b)Fix oral airway with tape
(c)Suction
(d)Allow him to split out the airway when become conscious

(264)Mr. Royya admitted with Peptic ulcer and acute bleeding, which one is immediatenursing
measure? (a)Administer ranitidine
(b)Administer antacid
(c)Prepare for gastroscopy
(d)Milk feeding should be continued

(265)The PU pt is treated with Cimetidine, which is for (a)To reduce gastric motility
(b)To inhibit gastric acid secretion
(266)Post opt pt, what is the reason for giving pressure dressing? (a)Concelled incisional
wound
(b)Prevent outside infection contaminated to wound (c)Protect from trauma
(d)Prevent edema and haematoma

(267)The post opt: is passing frequency of urine with little amount. What the first actionthat the
nurse should take?
(a)Check bladder distension
(b)Send urine for culture
(c)Inform Dr immediately
(d)Give diuretics

(268)Position for infant CPR is (a)Supine with neutral neck position (b)Supine with hyper
extended neck position (c)Lateral with slight extended neck position

(269)Pt is on 30% O2, will be nursed with (a)Nasal canula

(b)Venti mask (c)Trachy mask

(270)which one is an effective coughing method? (a)Deep breathing after coughing

(b)Hold incision wound and cough

(271)Mr. Wu is admitted with dyspnea and severe chest pain. For 12leads ECG, youhave to
place V2 lead on
(a)4th intercostals space, mid clavicle line in left sternal region (b)4 th intercostals space ,mid clavicle line in
right sternal region

(272)When the sound is alarmed during Mr. is in ICU, your first priority to do is (a)Silence the
alarmed sound
(b)Elevated the head of pt (c)Check the pt position
(d)Check the connection (dislodgement) of the electrodes

(273)The first aid to stop nose bleeding is (a)Press just above the nasal bone (b)Press just
below the nasal bone (c)Plug with sterile gauze
(d)Block the nose

(274)14 year old, Wong was admitted for perforative tempanic membrane. Your advisefor his
discharge care should be
(a)To blow the nose daily
(b)To keep clean and dry
(c)To sleep on the affected side
(d)To do ear syringing daily

(275)Contraindication to do central stimulation (neurological pain assessment) to check

unconsciousness of the pt: who is suffering from severe facial injury is
(a)Supraorbital pressure
(b)Sternal rub
(c)Trapezium muscle squeeze
(276)The initial assessment before applying skeletal traction will be (a)Skin assessment
(b)Neuromuscular assessment (c)Daily assessment of vital signs
(277)The advantage of percutaneous endoscopic feeding is (a)Save economically
(b)Prevent frequent aspirations (c)Need to change every month only (d)Not easily dislodged

(278)Glucose standard (normal blood glucose monitoring ) is met for Mr. Wong inHospital
setting.If he is resumed to day activities, the following will occur.
(a)Hyperglycemia
(b)Hypoglycemia
(c)Normoglycemia
(d)Dyspnea

(279)Contraindicated site to give insulin is (a)Buttock

(b)Thigh
(c)Forearm (d)Abdomen wall

(280)When performing eye care, you have to clean the eye from (a)Outer canthus to inner
canthus
(b)Inner canthus to outer canthus
(c) Medial canthus to inner canthus
(d) Upper lid to lower lid

(281)Situation: Mr. Toh was admitted for acute asthmatic attack into your ward. Dr Ordered
nebulization therapy and monitoring of peak flow meter. Which situationWill you use to
dissolve the medication for the nebulization therapy?
(a)Sodium chloride0.4%
(b)Sodium chloride0.9%
(c) Dextrose solution
(d) Sterile water for injection

(282)Cold and non-isotonic solution wed in nebulizer can cause

(a) Bronchospasms
(b) Vasodilatation
(c) Bronchoconstriction
(d) Hypotension

(283)You have to instruct Mr. Toh during monitoring of flow meter is

(a) To exhale slowly for 2-3 sec
(b) To hold and seal the pipe with mouth tightly and blow
(c) To place the meter the highest mark

(284)Monitoring of peck flow meter means

(a) Expiration of the air after maximum lung infection
(b) Inspiration and exhalation of the lung
(c) Expiration of the air after normal lung inflation

(285)Metered dose inhaler means giving medication inhale

(a) The lung through penetration
(b) Nasal congestion
(286)Giving ventolin nebulization therapy, you will not see the following adverse effect.
(a) Tremor
(b) Palpitation
(c) Tachycardia
(d) Hypotension
(287)Yeast infection is the common complication in the use of betamethasone
inhaler,It can be prevented by except
(a) Mouth wash
(b) Use a spacer
(c) Application of antifungal lotion
(d) Brush teeth

(288)After post op; management for the pt: who underwent above knee amputation will be
(a) Nurse in elevation of the affected leg
(b) Nurse in reversed trendelengburg position
(c) Nurse in head elevation

(289) If a pt; is suspected for increased intracranial pressure, the earliest signs andsymptoms will be
(a) Tachycardia, increase systolic pressure and widening of pulse
(b) Bradycardia, increase systolic pressure and widening of pulse
(c) Tachycardia, decrease pressure

(290)The best place to do pulse oximetery for severe hypovolumic shock pt is

(a) Ear lobe
(b) Finger
(c) Toe

(291)The best indication for removal of chest tube will be confirmed by

(a) Return of normal breathing
(b) Absence of adventious sound
(c) Absence of drainage in the tubing
(d) Checking of serve of radiological results

(292)Pt complained of chest pain having pericarditis. In which position you will nurse
(a) Lying down
(b) Lean forwarded position
(c) Side lying position

(293)If I/v cannula failed, which medication can be given by intratracheal route?
(a) Atropine, Lidocane and Adrenaline
(b) Atropine, Sodium bicarbonate and Adrenaline
(c) Lidocaine, Potassium chloride
(d) Xylocaine, Sodium bicarbonate and Adrenaline
(294)Following are fat soluble vitamins except
(a) B
(b) A
(c) D
(d) E
(295)The earliest indication of complication in thrombolytic therapuy in acute stroke will be
(a) Hypotension
(b) Change in level of consciousness
(c) Arrhythmia

(296)Cold compress is compress is contraindicated in neonate because it can cause

(coldstress in neonate can cause)
(a) Arrhythmia
(b) Hypertension
(c) Increased oxygen consumption
(d) Anemia
(297)You have to avoid holding in the armpit of weaked side of paralyse pt: to prevent
(a) Ease of transferring
(b) Sub-laxation of the affected limb
(c) Fracture of the affected limb

(298)Banding of the ampatutated leg first several weeks is to help

(a) To prevent bleeding
(b) To mold for the fixation of artificial limb

(299)To do oropharyngeal airway insertion, you have to measure the length from
(a) Corner of the mouth to the angle of the jaw
(b) Corner of the mouth to the tragus of the ear
(c) Lip of the nose to the lobe of the ear
(d) Centre of the mouth to the ear

300)Assessment for the neutropenia pt is

(a) Gastrointestininal, skin and urine
(b) Gastrointestininal, skin and lung
(c) Urine, lung and mucous membrane
(d) Urine, lung and skin

(301)Post ;op teaching in pt with sinus operation

(a) Breathe through the mouth
(b) Tell him to remove the nasal plug

(302)Nursing action for Esophageal reflex disease is

(a) Give antibiotic as ordered
(b) Elevate the leg
(c) Give milk before going to sleep

(303)TURP irrigation purpose

(a) To prevent blood clot blockage

(304)Terminally ill pt, using action is

(a) Dignity
(b) Nutrition

(305)Primary defense mechanism is

(a) Intact skin and mucous membrane
(b) Non-intact skin and mucous membrane
(c) Bones and tons

(306)For vomiting pt nurse will

(a) Turn pt head
(b) Turn pt to one side
(c) Supine position
st
(307) Post op, nurse noticed blood stained profuse, 1 action
(a) apply direct pressure on surgical wound
(b) inform Dr
(c) Reinforce wound dressing with elastic plaster
(d) Clean the wound and change dressing
(308) Nurse reassured pt; who is on cardiac monitoring machine except
(a) moving around reduced dislodgement of electrodes will alarm
(b) Let him move freely in bed and out
(309)Signs of breathlessness in severe burn pt; are following
except (a)shallow breathing
(b) hoarsening of voice
(c) restless
(d) Dyspnea

(310)Abnormality of bone an accident of joint called

(a) sprain
(b) dislocation
(c) strain

(311)Assessment by using GCS, the following will be there

(a) Pupil size
(b) blood pressure
(c) Motor reflex of upper and lower extremities
(d) Temperature

(312)Complication of long term colostomy except

(a) stenosis
(b) protrusion
(c) excoriation
(d) Necrosis

(313)Sterization is free from except

(a) Bacteria
(b) Spore
(c) Micro virus
(d) Fungus

(314) Transferring pt is on chest tube from bed to chair, first action is

(a) To place bottle higher than pt’s shoulder
(b) To place bottle lower than tube site
(c) To clamp the chest tube
(d) To let move pt freely

(315)Nurse will know sign of air leaking in chest tube pt by

(a) No bubble in bottle
(b) Water flatulence on inspiration and expiration
(c) Bubble on inspiration
(d) Bubble continuously on inspiration and expiration

(316) The reason of applying backslap for pt who has # radius & ulna is
(a) To immobile the hand
(b) To stabilize and immobile the fracture site
(c) To support the whole hand

(317)Above pt will be reassured

(a) Not to come out of bed
(b) Not to let the cast wet the cast wet and keep it dry as possible

(318)Nurse Pt above pt with backslaps to be completed with

(a) Slang to support hand/affected
(b) Put the affected hand on pillow all the time
(c) Manual traction at the waist 1-2 hour per day
To assess bladder distension, the nurse would percuss above the
A. Epigastric
B. Symphisis pubis
C. Umbilicus
D. Right illiac fossa

Incubation period of chicken pox:

A. 1 to 7 days
B.
C.
D. 13 to 17 days

To assess for bladder distention. The nurse should palpate above the:
A. Epigastric
B. Umblicus
C. Right iliac fossa
D. Symphysis pubis

Kernig’s sign= Severe stiffness of the hamstrings causes an inability to straighten the leg when the
hip is flexed to 90 degrees.

Late sign of ICP

A. Tachypnea
B. Bradycardia
C. Widening pulse pressure
D. Narrowing pulse pressure

Sound of pneumothorax
A. Dullness
B. Tympany
C. Resonance
D. Hyperresonance

Pt.is attached to cardiac monitor with ecg-------------seen in monitor..what is your nursing action..
a.code blue
b.Refer to attending
c.check ecg attachment
d.print ecg strip

Instilling ear drops tos adult pt

a. Pull downward only
b. Pull up ward only
c. Pull downward and backward
d. Pull upward and backward

carbapenem-enterobacteriaceae mode of transmission

A. Airborne
B. Droplet
C. Contact
CSF infection
A. Protein
B. Glucose
C. Lymphocytes

How to administer iron?

A. Deltoid
B. IM using Z-track
C. SC

What to check before transferring vack pt. To ward after procedure

a.level of conciousness
b.vital sign
c.wound dressing

What is supplemental to chronic kidney dse for erythropoietin

A. Iron
B. Calcium
C. Zinc

A nurse is conducting a health teaching to a pregnant patient with anemia about diet what is
statement from the nurse is correct( something ganyan po tanong)
choices includes
a) you can have offal
b) include eggs in your diet
c) your increase consuming legumes and grapefruit
d.) Consume balance diet

A client is admitted for acute exacerbation of COPD. Which of the following assessment findings
would the nurse expect?
A. Hypocapnea
B. A hyperinflated chest on his X-ray film
C. An increase in oxygen saturation upon exertion
D. A widened diaphragm seen on his X-Ray film.

At a prenatal check up, at 36weeks a client complaint of abdominal pain and regular uterine
contraction, a nurse will instruct to
A. Lie down until the pain is gone
B. Take paracetamol for pain
C. Take peppermint tea to relieve symptoms
D. Time the frequency and characteristics of contraction for at least 1 hr.
During a house visit, a palliative nurse assess that the client's death is imminent. which is the most
important role on the care of the family?
a. create a visiting schedule for the family members
b. recommend a respite care service for the family members
c. communicate the news to the family about the client's impending death
d. educate the family on the management of symptoms of the client

Which of the following aspects of nursing is essential for defining nursing as both prefessional and
attitude
A. Professional organization
B. Established standards of care
C. Practice supported by scientific research
D. Activities based on scope of practice

84 year old client taking Furosemide (lasix) for CHF. What symptoms indicate an adverse effect?
a. Bradycardia
b. Weight gain
c. Hypotension

A client will be having a liver biopsy, what pre operative meds to be given?
a. Vit A,
b. Vit K,
c. Coumadin
d. Vit B12

the nurse enter the client's room and finds the rubbish is on fire, The nurse assist the client out of
the room.What is the next IMMEDIATE action?
a. Shout for help
b. Extinguish the fire
c. activate the fire alarm
D. Assist the neighboring client out of the room

ABG of a copd patient brought in emergency room

Ph 7.3
HCO3 26
CO2 68
pO2 60mmhg
a) metabolic alkalosis, Uncompensated
b) metabolic acidosis, partially compensated
c)respiratory alkalosis, uncompensated
d)respiratory acidosis, partially compensated
Augmentin was ordered by the physician due to allergy to Amoxicillin. The nurse inform the doctor
then replace the antibiotic.
What Ethical principle does the nurse did?
A. Fidelity
B. Justice
C. Veracity
D. Nonmaleficence

Patient X 57 y/o taking ACE inhibitor complains dizziness upon standing from supine position. What
is the most appropriate nursing action?
A. Bed rest
B. ask the doctor to change the medication
C. Move slowly when getting up

Ms Piturin had bruises on her chest and appeared very breathless, following a traffic accident. The
doctor noticed distended neck veins, treacheal deviation to the left and absent of air entry in her
right lung. The nurse will ______ immediately
A. Call for urgent x-ray
B. Prepare for chest tube insertion
C. Push the ultrasound machine to patient’s bedside
D. Prepare 18G intravenous cannula ang alcohol swab.

86 y/o pt complains of abdominal pain, muscle weakness and leg cramps. what will nurse ask?
a. Do you eat a lot of meat?
b. Do You have a heart problem?
c. Do you briskwalk everyday?
d. Do you have diuretics medication?

Prenatal nutrinion plan in pregnant client. Which food is high in Vit B9?
A. Eggs.
B. Spinach.
C. Cod fish
D. Pumpkin soup

500ml dextrose and 2000mg lidocaine. What is the concentration of lidocaine.

a. 0.25/mL
b. 4/mL
c. 6/mL
d. 8/mL

* Breast examination Instructions how to perform.

* Which of the following statement changes in bladder elimination which affect even healthy adults?
Pt was admitted for DKA. In acute phase, which is IMMEDIATE action?
A. Correct the acidosis
B. Administer insulin drip
C. Administer normal saline solution
D. Connect to electrocardiogram monitor

px is having involuntary ms jerking movt and is non responsive, what is the most appropriate
position?
A. Prone
B. Lying
C. Supine
D. Trendelenburg

Terminal ill clients family want to pray for the client nurse best response will be
a. conduct prayer on a private
b. provide religious resource

The nurse enter the client's room and finds the rubbish is on fire, The nurse assist the client out of
the room.What is the next IMMEDIATE action?
a. Shout for help
b. Extinguish the fire
c. activate the fire alarm
D. Assist the neighboring client out of the room

*How to instruct 89 y/o how to collect sputum sample.

* Signs of dehydration
Ans: sunken eyes, cracked lips

30. prenatal nutrinion plan in pregnant client. Which food is high in Vit B9?
A. Eggs.
B. Spinach.
C. Cod fish.
D. Pumpkin

The pt who will undergo a liver biopsy, what is the pre op med that a nurse will administer?
a. vit a
b. vit k
c. coumadin
d. vitb12
A newly admitted pt, informs the nurse that he jas a $50 in his wallet, what will the nurse do?
A. Locked in the nurse's locker room (dko sure. dko matandaan exact word😁)
B. Document amount in the client's record
C. Advise patient to pass the money for his family to bring home
D. Advise patient to keep the money in his wallet and in the drawer of the bedside cabinet.

How many minutes for hand washing?

a. 10 seconds
b. 20 seconds
c. 30 seconds
d. 40 seconds

*Most common symptoms of bph

Ex. lap. patient died on OR bed, for police investigation? And a family member requesting for a
religious ritual that need to be done. What nurse should appropriate response?
A. Sorry can't do the ritual
B. Ask the police about it.
C. Ask the doctor and let's see what the best the Nurse can do.
D. I understand your religious belief. We also have obligation to do. I will make a room for you to do
the ritual before the police interfere or arrived.

250ml pnss left in the iv bottle. 28gtts/min, drop factor is 20. How many hours the 250ml will be
consumed?
A. 1
B. 2
C. 3 correct
D. 4

About inform consent. Who is the one can sign the consent ata?
A. 89y/o drowsy reactive to pain
B. 17 y/o, wanted to have abortion
C. 48 yrs old female with persecutory delusin for blood transfusion
D. 65yrs old male with head injury for emergency craniotomy

Elderly patient is having hearing loss, what should the nurse do

a. Ask patient to write or draw to communicate
b. Shout right next to the unaffected ear
c. Face the patient speak slowly and clear in normal tone
What is an infection of the outer ear?
a. otitis media
b. otitis externa ✔
c. Labyrinthitis