NURSING EXAM UPDATED QUESTIONS WITH ANSWERS 2024/2025 latest/final, Exams of Nursing

Download NURSING EXAM UPDATED QUESTIONS WITH ANSWERS 2024/2025 latest/final and more Exams Nursing in PDF only on Docsity!

NURSING EXAM UPDATED QUESTIONS WITH ANSWERS

2024/2025 latest/final

1. It is defined as “the nursing specialty that deals with the care of women throughout their pregnancy and childbirth, and the care of their newborn children.” A. Gynecologic nursing B. Maternal-child nurses C. Maternal-child nursing D. Maternal and child health care
2. It involves the care of the woman and family throughout pregnancy and childbirth, and the health promotion and illness care for the children and families. A. Gynecologic nursing B. Maternal & child nurses C. Maternal-child nursing D. Maternal and child health care
3. A trained nurse who specializes in the health and development of children from birth to school age. A. Pediatric Nursing B. Maternal & Child Nursing C. Maternal & Child Health Care D. Maternal & Child Health Nurse
4. The following are the goals of Maternal and Child Health, EXCEPT: A. To prevent fertility. B. To learns the art of child care. C. To have normal delivery and bears healthy child. D. To ensure that every expectant and nursing mother maintains good health.
5. The following are the targets for Maternal and child health (MCH), EXCEPT: A. adolescents B. children, school age population C. all women in their reproductive age groups, ie., 15-49 years of age

D. all men and women in their reproductive age groups, ie., 15-49 years of age

6. Which of the following are the components of maternal and child health?
   1. Prenatal assessment
   2. Attended birth
   3. postnatal care
   4. family planning
   5. medical health condition. A. 1, 2, 3, & 4 B. 1, 3, 4, & 5 C. 1,2,4,& 5 D. 2, 3, 4, & 5
7. According to Rubin’s theory of maternal role adaptation, the mother will go through 3 stages during the post partum period. These stages are: A. Taking-in, taking-hold and letting-go B. Taking-hold, letting-go, attachment phase C. Going through, adjustment period, adaptation period D. Attachment phase, adjustment phase, adaptation phase
8. According to the Philippine Nursing Law, a registered nurse is allowed to handle mothers in labor and delivery with the following considerations:
9. The pregnancy is normal.;
10. The labor and delivery is uncomplicated;
11. Suturing of perineal laceration is allowed provided the nurse had special training;
12. As a delivery room nurse she is not allowed to insert intravenous fluid unless she had special training for it. A. 1 and 2 B. 1, 2, and 3 C. 3 and 4 D. 1, 2, and 4
13. Which provision of our 1987 constitution guarantees the right of the unborn child to life from conception is: A. Article II section 12 B. Article II section 15

C. Article XIII section 11 D. Article XIII section 15

10. Which of the following statements is not true about reproductive system?. A. The reproductive system is a body system aiding reproduction B. The reproductive system becomes active all throughout the life cycle. C. The reproductive system is the combination of bodily organs and tissues used in the process of producing offspring. D. The reproductive system of the male and female have some basic similarities and some specialized differences.
11. During ovulation phase the menstrual cycle, ovulation is initiated by the secretion of which of the following hormone? A. Estrogen B. Follicle Stimulating Hormones C. Luteinizing Hormones D. Progesterone
12. The clinical instructor explains certain obstetrical terms to the sophomore nursing students in the OB Ward. Which of the following statement are CORRECT?
13. Nidation happens in the upper 1/3 of the uterus.
14. The union of the ovum and the sperm is conception which happens in the ampulla of the fallopian tube.
15. Gametogenesis is the development of mature male gamete called egg cell.
16. Oogenesis is the development of mature female gamete. A. 1, 2, 3 and 4 B. 1, 2 and 4 C. 1, 3 and 4 D. 2, 3 and 4
17. The following are the meaning of “Before birth”, EXCEPT: A. Antenatal B. Antepartum C. Neonatal

D. Prenatal

14. Which of the following refers to the single cell that reproduces itself after conception?. A. Blastocyst B. Chromosome C. Trophoblast D. Zygote
15. The developing human organism from about 2 weeks after fertilization through the second month. A. Embryo B. Fetus C. Neonate D. Zygote
16. The large amount of progesterone is secreted during the secretory phase of the menstrual cycle is responsible for: A. Onset of ovulation B. The regulation of menstruation C. The incidence of capillary fragility D. Sustaining the thick endometrium of the uterus
17. To differentiate as a female, the hormonal stimulation of the embryo that must occur involves which of the following?. A. Increase in maternal estrogen secretion B. Decrease in maternal androgen secretion C. Secretion of androgen by the fetal gonad D. Secretion of estrogen by the fetal gonad

18. When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells?. A. Follicle-stimulating hormone B. Gonadotropin releasing hormone C. Leuteinizing hormone D. Testosterone
19. Which of the following statements regarding oogenesis is/are true?. A. Reproductive ability ends at menopause B. The total supply of eggs is present at birth. C. Ability to release eggs begins at puberty. D. All of the above
20. This produces sperm cells?. A. Epididymis B. Seminal Vesicle C. Testes D. Vas Deferens
21. Which of the following is the chief function of progesterone?. A. Development of female reproductive organs B. Stimulation of follicles for ovulation to occur C. Establishment of secondary male sec characteristics D. Preparation of the uterus to receive a fertilized ovum
22. Hormones that responsible for the positive results of pregnancy during urine test. A. Follicle-stimulating hormones B. Gonadotropin Releasing Hormones C. Human Chorionic Gonadotrophin Hormones.

D. Leuteinizing hormones

23. The role of Human Chorionic Gonadotrophin Hormones HCG in the prenatal development is to prevent the disintegration of the corpus luteum of the ovary and thereby maintain progesterone production that is critical for a pregnancy in humans. (1 Point) A. False B. True C. Maybe D. Sometimes
24. In response to an expectant couple’s questions, the nurse is explaining various hormones and their functions during pregnancy. Which of the following should the nurse include in the discussion?. A. Estrogen maintains the growth of the endometrial lining of the uterus. B. Human placental lactogen maintains the development of the uterine lining. C. Progesterone contributes to mammary gland development and uterine growth. D. Human chorionic Gonadotropin ensures continued production of progesterone and estrogen.
25. The Level II Nursing Instructor discusses early fetal growth to 2A1 nursing students one of whom is Ms. Legazpi who asks by the instructor about the purpose of the placenta. The most appropriate response of Ms. Legazpi is based on the knowledge that the placenta: A. Promotes symmetrical growth of the fetus.7’ B. Allows fetal movement and maintains fetal temperature. C. Prevents antibodies and viruses from passing the fetus. D. Provides an exchange of nutrients and waste products between the mother and the fetus.
26. Which of the following functions would the nurse expect to be unrelated to the placenta?.

A. production of maternal antibodies

B. exchange site for food, gases and waste C. production of estrogen and progesterone D. detoxification of some drugs and chemicals

27. Nurse Rainier recalls the hormones that have an effect on human physiologic development. Which of the following is not the physiologic effect of estrogen?. A. myometrial thickening B. maturation of ovarian follicles C. development of 2ndary sex characteristics D. prevention of uterine motility during pregnancy
28. The end result of fertilization is known as:. A. conception B. copulation C. nidation D. spermatogenesis
29. During in what period, organs are especially vulnerable to structural damage because they are developing rapidly?. A. Embryonic Period B. Second trimester C. Third trimester D. Delivery Period
30. A client who is 16 weeks pregnant comes to the emergency department complaining of vaginal bleeding. Which statement accurately describes estrogen and progesterone level during this client stage of pregnancy?. Single choice. (1 Point) A. Both estrogen and progesterone levels are arising B. Both estrogen and progesterone levels are declining

C. The estrogen level is much lower than progesterone level D. The estrogen level is much higher than the progesterone level

31. Another question was raised by the clinical instructor regarding anatomy of the reproductive system. The non-pregnant state of the uterus is lined by the:. Single choice. (1 Point) A. Decidua capsularis B. Decidua vera C. Endometrium D. Myometrium
32. A student nurse identifies which of the following portion of the fallopian tube is the site of sterilization?. A. ampulla B. infundibulum C. interstitial segment D. isthmus
33. When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion?. A. Sperm count B. Sperm maturity C. Sperm motility C. Semen volume
34. Which structure is responsible for supplying the fetus with nutrients and removing waste?. A. Amniotic fluid B. Ductus arteriosus C. Placenta

D. Yolk sac

35. Which structures carries deoxygenated blood from the fetus to the placenta?. A. Ductus venosus B. Foramen ovale C. Umbilical arteries D. Umbilical veins
36. It is the occurrence of a first menstrual period in the female adolescent. A. Maturation B. Menarche C. Menstruation D. Metorrhagia
37. It refers to irregular menstruation A. Dysmenorrhea B. Dysphagia C. Dyspnea D. Metorrhagia
38. Where is the female gamete produced?. A. Endometrium B. Fallopian tube C. Graafian follicle D. Seminiferous tubules
39. What is the endometrium called after implantation of the blastocyst?. A. Blastocyst B. Blastomere

C. Decidua D. Morula

40. What are the two fetal membranes?. A. Amnion and mesoderm B. Chorion and amnion C. Chorion and endoderm D. Ectoderm and mesoderm
41. During a health teaching session, a pregnant client asks the nurse how soon the fertilized ovum becomes implanted in the endometrium. Which answer should the nurse apply?. A. 7 days after fertilization B. 14 days after fertilization C. 21 days after fertilization D. 28 days after fertilization
42. The nurse is caring for a client in the 1st 3 weeks of pregnancy. The nurse should expect to collect which assessment findings?. A. Breast sensitivity B. Fetal Heart tone C. Presence of menses D. Uterine enlargement
43. Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?. A. burning B. dysuria

C. frequency D. incontinence

44. The fetus is most likely to be damaged by pregnant woman’s ingestion of drugs during which of the following periods?. A. 1st trimester B. 2nd trimester C. 3rd trimester D. 4th trimester
45. The developing cells are called a fetus from which of the periods of pregnancy?. A. Time of the fetal heart is heard B. 8th weeks to the time of the birth C. Implantation of the fertilized ovum D. End of the 2nd week to the onset of labor
46. A client who is 5 weeks pregnant reports nausea and vomiting. The nurse reassures the client that these symptoms probably will subside by?. A. 5 to 8 weeks gestation B. 9 to 12 weeks gestation C. 14 to 17 weeks gestation D. 18 to 22 weeks gestation
47. Which of the following terms correspond with the phrase: a woman that is pregnant?. A. Gravida B. Parity C. Spermatogonia D. Zona pellucida

48. When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases?. A. Ischemic phase B. Menstrual phase C. Proliferative phase D. Secretory phase
49. When performing a pelvic examination, the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?. A. Bartholin’s gland B. Clitoris C. Parotid gland D. Skene’s gland
50. Cervical softening and uterine souffle are classified as which of the following?. A. Diagnostic signs B. Positive signs C. Presumptive signs D. Probable signs
51. The following are manifested by a woman as the Presumptive signs of pregnancy, EXCEPT: A. Ammenorrhea B. Braxton hick’s contractions C .Morning sickness D. Urinary frequency

52. The following are the skin pigmentation changes during pregnancy, EXCEPT:.

A. Chloasma B. Linea Niagra C. Striae gravidarum D. Vitiligo

53. The following are discomfort of Gastrointestinal Tract relaxation during pregnancy
54. Morning sickness
55. Flatulence
56. Constipation
57. Hemorrhoids. A. 1,2, B. 1,3, 4 C. 2,3, D. 1,2,3,
58. Which of the following would the nurse identify as a presumptive sign of pregnancy?. A. Hegar’s sign B. Nausea and vomiting C. Skin pigmentation changes D. Positive serum pregnancy test
59. Which of the following sign's may indicate pregnancy?. A. Chadwick's sign B. Kock's sign C. Turner's sign D. Virchow's sign
60. Goodell’s sign is one of the Probable signs of pregnancy, which means:. Single choice. (1 Point)

A. Softening of the cervix B. Irregular, painless contractions of the uterus. C. The mucous membranes of the cervix, vagina and vulva become bluish. D. Softening of the lower uterine segment that can be felt during vaginal examination.

57. During a pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?. A. Braxton-Hicks sign B. Chadwick’s sign C. Goodell’s sign D. McDonald’s sign
58. Pregnancy is a state characterized by Virchow’s Triad, which of the following is NOT included in Virchow’s Triad?. Single choice. (1 Point) A. Hypercoagulability B. Venous stasis and turbulence C. Endothelial injury and dysfunction D. retroperitoneal hemorrhage behind the peritoneum
59. Which of the following is NOT an associated change during the ante-partum period?. A. Goodell's sign B. Increased urination frequency C. Decreased basal metabolic rate D. Increased respiratory requirements
60. Which of the following is NOT appropriately matched with the term: Braxton Hicks contractions?. A. Edema

B. Intermittent contractions C. Irregular D. Painless

61. On which of the following areas would the nurse expect to observe chloasma?. A. Abdomen, breast, and thighs B. Breast, areola, and nipples C. Cheeks, forehead, and nose D. Chest, neck, arms, and legs
62. Mrs. Elauria went to the health center for pre-natal check-up. the student nurse took her weight and revealed 142 lbs. She asked the student nurse how much should she gain weight in her pregnancy. A. 10-15 lbs B. 20-30 lbs C. 25-35 lbs D. 30- 40 lbs
63. When assessing a pregnant client, Nurse Mae should specifically assess for which of the following data on every prenatal visit?. A. Visual acuity B. Blood pressure C. Computation of EDC D. Personal habits (smoking, alcohol intake)
64. Which of the following is a positive sign of pregnancy?. A. (+) ultrasound B. (+) pregnancy test C. Enlargement of the uterus

D. Fetal movement felt by mother

65. Nurse Abigail explains in her health teaching classes that Folic Acid is especially needed during pregnancy for: A. Bone growth B. Cell growth C. DNA production D. Cell growth and RBC formation and DNA production
66. Iron supplements are recommended during pregnancy because:. A. Iron food source is limited B. RDA for iron doubles during pregnancy C. RDA for iron decreasing during pregnancy D. Iron content in food is easily destroyed in the preparation
67. The recommended weight gain during pregnancy is usually:. A. Total of 10-15 pounds: 0.5 pound – 1 pound in first trimester, and 1 pound per week in the last two trimesters. B. Total of 15-25 pounds: 0.5 pound – 1 pound in first trimester, and 1 pound per week in the last two trimesters. C. Total of 25-35 pounds: 3-4 pounds in first trimester, and 1 pound per week in the last two trimesters. D. Total of 35-40 pounds: 3-4 pounds in first trimester, and 1 pound per week in the last two trimesters.
68. A primigravida at 16 weeks gestation tells the nurse that she’s having a hard time quitting smoking while pregnant. The nurse should encourage the patient to quit smoking because smoking during pregnancy is associated with: A. Placenta previa B. Low birth weight infants

C. Early decelerations during labor D. Large for gestational age infants

69. The uterus has already risen out of the pelvis and is experiencing farther into the abdominal area at about the:. A. 8th week of pregnancy B. 10th week of pregnancy C. 12th week of pregnancy D. 18th week of pregnancy
70. When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?. A. Stethoscope placed midline at the umbilicus B. Doppler placed midline at the suprapubic region C. External electronic fetal monitor placed at the umbilicus D. Fetoscope placed midway between the umbilicus and the xiphoid process
71. The pre-natal development, growth is most rapid in which of the following period?. A. First trimester B. Implantation period C. Second trimester D. Third trimester
72. Which of the following best describes preterm labor?. Single choice. (1 Point) A. Labor that begins after 15 weeks gestation and before 37 weeks gestation B. Labor that begins after 20 weeks gestation and before 37 weeks gestation C. Labor that begins after 24 weeks gestation and before 28 weeks gestation D. Labor that begins after 28 weeks gestation and before 40 weeks gestation

73. A primigravida at 35 weeks gestation tells the nurse that she gets an occasional cramp in her legs. The nurse should assess the patient’s intake of:. A. Calcium B. Iron C. Niacin D. Zinc
74. The most important cause of leg cramps in pregnancy. A. Lack of Potassium B. Insufficient intake of Vitamin C C. Decreased exposure to sunlight D. Calcium- phosphorus imbalance
75. Which of the following is the best management for leg cramps?. Single choice. (1 Point) A. Stoop to lift objects, don’t bend B. Increase fiber in the diet and schedule a daily rest time C. Avoid standing for prolong periods and crossing the legs D. Straighten the legs, dorsiflex the ankle and avoid pointing the toes
76. A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, why can’t we have one?” Which of the following would be the most pertinent nursing diagnosis for this couple?. A. Fear related to the unknown B. Pain related to numerous procedures. C. Ineffective family coping related to infertility. D. Self-esteem disturbance related to infertility.

77. During the first trimester your anticipatory guidance is based on the knowledge that:. A. Balance diet is difficult to achieve during pregnancy. B. Detailed questioning about their family is unwelcome. C. Pregnant women are often anxious to follow health guidelines. D. Pregnant women want to learn about growth and development.
78. The nurse is assisting in developing a teaching plan for a client who is about to enter the 3rd trimester of pregnancy. The teaching plan should include identification of which danger sign that must be reported immediately?. A. Blurred vision B. Dypsnea on exertion C. Hemmorhoids D. Increased vaginal mucus
79. A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the priority when assessing the client? A. Depression B. Dietary intake C. Glucosuria D. Hand/face edema
80. Ainna, 19 weeks pregnant comes to the clinic for a routine prenatal visit. In addition to checking the client’s fundal height, weight and blood pressure, what should the nurse assess for at each prenatal visit?. A. Edema B. Hemoglobin alterations C. Pelvic adequacy D. Rh factor changes

81. As a nurse you should know that the one of the following actions is best in assessment of the degree of edema in the extremity is:. Single choice. (1 Point) A. Checking for pitting B. Weighing the patient C. Measuring the affected area D. Observing intake and output
82. The following are correct statements about false labor EXCEPT:. A. The cervix is still closed. B. There is no vaginal bloody discharge C. The pain is irregular in intensity and frequency. D. The duration of contraction progressively lengthens over time
83. The labor can be differentiated from false labor because in a true labor contraction will?. A. Bring about progressive cervical dilation B. Occur immediately after membranes ruptures C. Stop when the client is encourage to walk around D. Be less uncomfortable if client is in side-lying position
84. The neonatal circulation differs from the fetal circulation because:. A. The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blood. B. The blood at the left atrium of the fetal heart is shunted to the right atrium to facilitate its passage to the lungs C. The blood in left side of the fetal heart contains oxygenated blood while the blood in the right side contains unoxygenated blood. D. None of the above
85. Fetal Heart Rate can be heard by using of Doppler at:

A. 4-6 weeks gestational age B. 7-9 weeks gestational age C. 10-12 weeks gestational age D. 13-14 weeks gestational age

86. As a nurse, you should know when you start measuring a pregnant woman’s fundal height.. Single choice. (1 Point) A. 8 weeks gestational age B. 12 weeks gestational age C. 16 weeks gestational age D. 20 weeks gestational age
87. What event occurring in the second trimester helps the expectant mother to accept the pregnancy?. Single choice. (1 Point) A. Ballotment B. Lightening C. Pseudocyesis D. Quickening
88. What is the best health teaching for fatigue during pregnancy?. A. Increase fiber in the diet and schedule a daily rest time B. Schedule a daily rest time and maintain a good nutrition C. Avoid standing for prolong periods and crossing the legs D. Avoid wearing constrictive knee high stockings and take a sitz bath
89. A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?. A. Avoiding the intake of liquids in the morning hours

B. Eating six small meals a day instead of thee large meals C. Eating a few low-sodium crackers before getting out of bed D. Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water

90. Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?. A. Elevated estrogen levels B. Decreased gastric acidity C. Decreased intestinal motility D. Increased plasma HCG levels
91. Which of the following nursing interventions would the nurse perform during the third stage of labor?. A. Coach for effective client pushing B. Promote parent-newborn interaction. C. Assess uterine contractions every 30 minutes. D. Obtain a urine specimen and other laboratory tests.
92. Urinary frequency is common during pregnancy and is managed by which of the following?. A. Void as necessary and avoid caffeine B. Increase fiber in the diet and schedule a daily rest time C. Avoid standing for prolong periods and crossing the legs D. Avoid wearing constrictive knee high stockings and take a sitz bath
93. A primigravida at 10 weeks gestation tells the nurse that she continues to have urinary frequency. The nurse should instruct the patient to:. A. Drink tea or coffee only in the morning. B. Avoid wearing panty liners during the night.

C. Decrease her amount of fluid intake during day. D. Empty her bladder frequently throughout the day.

94. A multigravida at 37 weeks gestation tells the nurse that she has frequent heartburn. After providing the patient with suggestions for obtaining relief from the heartburn, the nurse determines that the patient has understood the instructions when the patient says:. A. “I should eat smaller, more frequent meals with fluids.” B. “It’s alright for me to have a fried hamburger and fries.” C. “I can take a teaspoon of baking soda in water occasionally.” D. “I should eat only three large meals and drink plenty of fluids.”
95. Patient teaching for discomfort of backache should be?. A. Perform Kegel exercises and void necessarily B. Walk regularly and rest with feet elevated daily C. Increase fiber in the diet and schedule a daily rest time D. Stoop to lift objects, don’t bend and avoid standing for long periods of time
96. The nurse is providing care for a pregnant woman. The woman asks the nurse how she can best deal with her fatigue. The nurse should instruct her to do which of the following? B. Try to get more rest by going to bed earlier. C. Take a sleeping pill for a restful night’s sleep D. Tell her not to worry because the fatigue will go away soon. A. Take her prenatal vitamins Option 2? Option 3 Option 4
97. During a prenatal class, the nurse explains the rationale for breathing techniques during preparation for labor based on the understanding that breathing techniques are most important in achieving which of the following?.