ITUATION a.

Menorrhagia
Mona is a newly registered nurse who recently passed the May 2023 b. Metrorrhagia
PNLE. She aspires to become a nurse in the obstetrics ward. To become c. Dyspareunia
accustomed to the ward, Mona needs to recall her knowledge on the d. Amenorrhea
anatomy and physiology of the female reproductive system.
9. The mother of the patient approached Nurse Mona and asked her
1. Tubal ligation is performed to prevent further fertilization and about menopause. She told Mona that she has bouts of feeling hot and
pregnancy. The part of the oviduct which is ligated is __________. irritated. She asks Mona about the immediate way to aid these feelings.
The best statement that Mona will give is _________.
a. Infundibulum
b. Ampulla a. To have a back massage
c. Isthmus b. To take ibuprofen
d. Interstitial c. To sip a cold drink
d. To ambulate
2. When an egg is released in ovulation, it is propelled forward in the
fallopian tube by the cilia lining the lumen. As the sperm approach the 10. Endometriosis is characterized by:
egg, they try to penetrate the egg and fertilize it. This process occurs
most commonly in the __________. a. Amenorrhea and dyspareunia
b. Ecchymoses and petechiae
a. Interstitial c. Painful menstruation and backache
b. Ampulla d. Early osteoporosis and pelvic inflammation
c. Fimbriae
d. Isthmus SITUATION
The SOGIE or Sexual Orientation, Gender Identity and Expression Bill is
3. The portion of the uterus that is palpated with the first Leopold still being pushed in the government of the Philippines. As a maternal
maneuver is the __________. and child nurse, Nurse Furina must be aware of the current ideologies
and developments in SOGIE.
a. Body
b. Corpus 11. Nurse Furina provides nursing care to Lynette, a 21-year-old
c. Cervix female who sees herself as a man. Nurse Furina knows that this is
d. Fundus pertains to Lynette’s _________.

4. When dissected, the uterus is composed of multiple layers. Which a. Sexual orientation
layer prevents the backflow of menstrual blood to the oviducts due to its b. Gender expression
contraction? c. Biologic gender
d. Gender identity
a. Endometrium
b. Neometrium 12. On her day-off, Nurse Furina attended a Pride March dedicated to
c. Myometrium the members of the LGBTQIA+ community. She had a chat with Lyney
d. Perimetrium who told her that she was a male at birth who transitioned into being a
female through surgery. Nurse Furina knows that the assigned sex of a
5. This tissue is sometimes cut via an episiotomy to ensure the safe and person is termed _________.
smooth passage of the child through the vagina during a normal
spontaneous delivery. a. Sexual orientation
b. Gender expression
a. Perineum c. Biologic gender
b. Hymen d. Gender identity
c. Pudendum
d. Fourchette 13. While chatting, Lyney asked Nurse Furina whether there is a
difference in the chromosomes of a man and a woman. Nurse Furina
replies that __________.

SITUATION a. A male has the XX chromosomes

After learning the normal anatomy and physiology of the female b. A female has the XY chromosomes
reproductive system, Mona aims to recall the abnormalities of the female c. A male has the YY chromosomes
reproductive system. d. A female has the XX chromosomes

6. Normally, the body of the uterus is tipped slightly forward. Which
abnormality is seen when the body of the uterus is bent sharply backward
just above the cervix?
a. Anteversion
b. Retroversion
c. Anteflexion
d. Retroflexion
7. Nurse Mona was accepted in the obstetrics ward and admitted a
patient two hours ago. The patient told her that her uterus was rapidly
increasing in size. Nurse Mona assessed her and determined that there are
no fetal heart sounds. This is most possibly a case of ___________.
14. During the Pride March, a heterosexual couple approaches Nurse
Furina and asks for her opinion about asserting “masculine” toys such as
trucks, guns, and swords to their son. What is Nurse Furina’s best
response?
a. “Tama po iyan, ibigay niyo lang po lahat ng panlalaking laruan para
lumaking matikas ang iyong anak.”
b. “Mas mabuti pong tanungin at alamin ninyo ang mga laruan na
gusto ng iyong anak at kausapin siya.”
c. “Ibigay niyo lang po ang makakaya ninyo at sabihin ninyo na ang
lalaki ay dapat maging matapang.”
d. “2023 na po, kailangan nagbibigay na rin tayo ng manika at make-up
sa mga lalaki.”

a. Abruptio placenta 15. Nurse Furina sees two females together. One female is carrying a
b. Endometriosis baby and they see Nurse Furina. They talk and tell her that they are only
c. Gestational trophoblastic disease attracted to one another and never to the opposite sex. They tell Nurse
d. Ectopic pregnancy Furina that they are __________.

8. Upon taking her history, Nurse Mona determined that the patient a. Homosexuals
had menstrual flows heavier than normal. She knows that this is called b. Heterosexuals
__________. c. Bisexuals
d. Sapiosexuals
 b. Probable sign
SITUATION c. Positive sign
Barbara is a 10-year-old female who is currently experiencing her first d. Permanent sign
menstruation. Her older sister, Nurse Jean, is right by her side to address
her concerns regarding puberty and the changes occurring to her. 24. After a while, Lisa complained to Nurse Sucrose that she is feeling
contractions in her abdomen but was relieved when she ambulated down
16. Once the estrogen rises and the first egg cell matures and is about the hallway. Nurse Sucrose tells her that the contractions are a
to be released from the ovary, the first menstrual cycle of the female __________. BRAXTON HICKS
begins. Without fertilization, the endometrium will slough along with
blood, mucus, and tissue. This first flow of debris is termed _________. a. Presumptive sign
b. Probable sign
a. Menstruation c. Positive sign
b. Menopause d. Permanent sign
c. Menarche
d. Meniere 25. Upon assessment, Nurse Sucrose hears that Lisa is telling her
partner that she is irritated by the stretchmarks on her abdomen. She
17. Nurse Jean knows that the hormone directly responsible for the knows that these are what signs of pregnancy?
maturation of the ovum is the _________.
a. Presumptive
a. Gonadotropin-releasing b. Probable
b. Follicle-stimulating MATURATION OF OVUM c. Positive
c. Luteinizing d. Permanent
d. Progesterone
SITUATION
18. Alongside ovulation comes with change in the basal body Be certain to reserve sufficient time at prenatal visits for care to be
temperature of a woman. All of the following are true about the thorough. The following obstetric calculations are needed to determine
temperature changes with ovulation except. BONUS fetal well-being.

a. Temperature drops a day before ovulation 26. Eula is on her 4th pregnancy with a male fetus. She had a history
b. Temperature rises a day after ovulation of 1 miscarriage in her 2nd pregnancy. Her first pregnancy was a baby
c. Temperature drops a day after ovulation boy, AOG 38 weeks, and a baby girl for the 3rd, AOG 34 weeks. Her
d. Temperature rises the day of ovulation obstetrical history is therefore documented by the nurse as:

19. During ovulation, the estrogen secretion is high and causes the a. G4 T1 P1 A1 L2 M0
mucus to be thin, watery, and may be stretched into long strands which is b. G3 T1 P2 A1 L2 M0
called __________. c. G4 T1 P2 A1 L2 M0
d. G4 T1 P2 A1 L1 M0
a. Mittelschmerz
b. Spinnbarkeit 27. When the level of the fundus is right at the umbilicus, the nurse
c. Ferning may be able to estimate the gestational age of the fetus. This method is
d. Elastase utilizing the _________.

20. If pregnancy does not happen in a menstrual cycle, the secretion of a. Shirodkar method
progesterone and estrogen begins to fall because of the degeneration of b. Bartholomew’s method
the ___________. c. Rovsing’s estimation
d. Naegele’s rule
a. Corpus albicans
b. Graafian follicles 28. Using the given above, what is the estimated age of gestation of the
c. Corpus luteum fetus?
d. Corpus callosum
a. 12 weeks
SITUATION b. 16 weeks
Pregnancy is an eventful time for a woman’s life. Continuous assessment c. 20 weeks
of the pregnant woman is warranted as pregnancy causes constant d. 24 weeks
changes for a woman’s psyche and body.
29. If Eula comes to the clinic for a check-up on June 2, her EDD is
21. Lisa came into the clinic and reported breast enlargement, June 11, what assessment is to be expected?
vomiting, and darkening of the face. Upon assessment, Nurse Sucrose
palpated the uterus and felt a bouncing mass in the abdomen. This is an a. Fundic height two fingerbreadths below the xiphoid process,
example of ________. engaged
b. Cervix closed, uneffaced, FH midway between the umbilicus and
a. Presumptive sign symphysis pubis
b. Probable sign c. Cervix open, fundic height two fingerbreadths below xiphoid process,
c. Positive sign floating
d. Permanent sign d. Fundal height at least at the level of the xiphoid process

22. Lisa showed Nurse Sucrose a positive pregnancy test. Nurse 30. Eula told Nurse Amber that she last had her menstruation on May
Sucrose knows that a positive pregnancy test is a ________. 26, 2023. The expected date of Eula’s delivery is __________.
NO ANSWER , MARCH 4, 2024
a. Presumptive sign a. January 6, 2024
b. Probable sign b. February 2, 2024
c. Positive sign c. March 19, 2024
d. Permanent sign d. April 10, 2024

23. The physician approaches Lisa while Nurse Sucrose is observing SITUATION
them. The physician places a Doppler ultrasound and it detects a fetal Pregnancy places stress on a woman’s body. Nurses must be able to
heart tone, heard by the three of them. Nurse Sucrose documents this as a determine the changes expected and how to promote wellness and
__________. prevent complications.

a. Presumptive sign
31. Dr. Baizhu is assessing a pregnant mother who went to the clinic
for a check-up. Upon inspecting, he notices that the vagina has a purplish
to bluish coloration and is soft to touch. He determines that this is:
a. Chadwick’s sign
b. Goodell’s sign
c. Hegar’s sign
d. Schultze’s sign
32. A pregnant woman approached Dr. Baizhu and told him that her
stretchmarks are bothering him. What should he not tell her?
a. “I see. All of those stretchmarks will completely disappear so you do
not need to worry.”
b. “I will give you aspirin to stop the inflammation.”
c. “Your stretchmarks is called striae gravidarum and these are caused by
the enlargement of your uterus.”
d. “Your stretchmarks are a normal thing and will fade to some
degree after childbirth.”
33. Chie, pregnant with twins, approaches Dr. Baizhu and asks him as
to why she needs to take the iron supplements prescribed to her. He tells
her that iron is needed because:
a. The fetus has an increased need for RBCs which the mother must
supply
b. The mother’s iron absorption is impaired
c. The mother may suffer from anemia due to poor appetite
d. The mother needs to expand her blood volume
34. For her routine check-up, Rosaria told Nurse Sara that when she
tries to sleep on her back, she feels lightheaded and dizzy. Nurse Sara’s
best response would be for Rosaria to:
a. Laying on a left-lateral recumbent position
b. Dangling feet on the edge of the bed before standing up
c. Massaging the temple of the head before sleeping
d. Drinking water before going to bed
35. The expected weight gain in a normal pregnancy during the 2nd
trimester is:
EITHER 1 o 2
a. 1 pound a week
b. 2 pounds a week
c. 1 pound a month
d. 2 pounds a month
SITUATION
Pregnancy poses constant risks towards the mother’s well-being and
health. Nurses must be aware of the complications which may arise
anytime in the pregnancy.
36. One of the causes of a decreased amount of amniotic fluid is:
Oligohydramnios- lack of amniotic fluid
Polyhydramnios-excess amniotic fluid
a. Fetal kidney failure
b. Fetal esophageal atresia
c. Maternal diabetes mellitus
d. Fetal hyperglycemia
37. The physician will perform an abdominal and vaginal ultrasound to
determine the source of the mother’s bleeding. What preparation must the
nurse do for the abdominal ultrasound? DRINK WATER AND DO
NOT URINATE
a. Have the mother void immediately before the ultrasound
b. Have the mother defecate immediately before the ultrasound
c. Have the mother drink three glasses of water immediately before
the ultrasound
d. Have the mother wipe povidone-iodine on her abdomen immediately
before the ultrasound
38. Layla arrives at the health care clinic. She also tells the nurse that a
home pregnancy test was positive, but she began to have mild cramps
and is now having moderate vaginal bleeding. During the physical
examination of the client, the nurse notes that Layla has a dilated cervix.
The nurse determines that she is experiencing which type of abortion?
a. Inevitable open cervix, +cramping
b. Incomplete expelled some fetal part
c. Threatened
d. Missed
39. Nurse Lesley is assessing Hilda with a diagnosis of gestational
trophoblastic disease. She is aware that one of the following is
unassociated with this condition?
a. Vaginal bleeding
b. Elevated levels of human chorionic gonadotropin
c. Excessive fetal activity
d. Larger than normal uterus for gestational age
40. Floryn is limping when she arrived in the health center and Nurse
Melissa assesses her immediately. Floryn tells her that she feels sharp
stabbing pain in her right lower abdomen with no vaginal bleeding. She
gives Nurse Melissa a positive pregnancy test. The physician suspects
that Floryn has a ruptured ectopic pregnancy but Nurse Melissa knows
that there is no bleeding. Which of the following statements explains the
physician’s hypothesis?
a. There is no expulsion of blood nor internal bleeding in ectopic
pregnancy
b. Blood from organ rupture was expelled in the peritoneum
c. Surrounding lymphatic vessels absorbed the blood flow
d. Fetus was already delivered hence no spotting
SITUATION
In some women, reasons that are unclear, unexpected deviations, or
complications from the course of normal pregnancy occur.
41. Nurse Edith is assessing a pregnant woman who is suspected of
abruptio placentae. Which of the following signs and symptoms support
this diagnosis?
a. Bright red vaginal bleeding
b. Rigid and tender uterus
c. Sharp unilateral abdominal pain
d. Nontender uterine contractions
42. In relation to the case above, which term pertains to when blood
from an abruptio placenta invades the uterine myometrium?
a. Couvelaire
b. Couvade
c. Coumadin
d. Countrecoup
43. Which of the following signs and symptoms will most likely make
Nurse Paquito suspect that the patient is having hydatidiform mole?
a. Slight bleeding
b. Absence of fetal heartbeat
c. Enlargement of the uterus
d. Passage of clear vesicular mass per vagina
44. Aurora has increased parity, advanced maternal age, had past
cesarian births, and past uterine curettage. Which of the following is
associated with all these risk factors?
a. Preterm labor
b. Placenta previa
c. Ruptured uterus
d. Abruptio placenta
45. Ruby is a 22-year-old G3P1 pregnant mother who arrived at the
clinic. Her chief complaint is vaginal bleeding. Nurse Julian took her
history and determined that she has a history of cocaine use. Which of
the following complications most likely causes the vaginal bleeding?
a. Premature separation of placenta
b. Pregnancy outside the uterus
c. Termination of pregnancy before the age of viability
d. Abnormal lower implantation of the placenta
SITUATION
Nurse Dwayne is a delivery room nurse who is accustomed to the process crawled rarely. Nurse Guinevere knows that the following principles of
of childbirth. His patient, Mrs. Johnson, is currently on the first stage of development support the statement except:
labor for her second pregnancy.
a. Growth and development follows a sequence of orders
46. Nurse Dwayne approaches Mrs. Johnson as she asks him what will b. Gross skills are first developed followed by fine skills
happen once the baby’s head starts to “pop out” of her vagina. Being c. There is always time to initiate developmental activities
knowledgeable about the process, Nurse Dwayne enumerates the steps of d. Skills and behaviors are constantly learned through practice
labor in the correct order of:
54. Which of the following nutrients is needed for children to reduce
a. Engagement, descent, extension, internal rotation, flexion, external dental caries?
rotation, expulsion
b. Engagement, descent, flexion, internal rotation, expulsion, external a. Zinc
rotation, extension b. Calcium
c. Engagement, descent, flexion, internal rotation, extension, external c. Fluoride
rotation, expulsion d. Selenium
d. Engagement, descent, extension, internal rotation, expulsion, external
rotation, flexion 55. The deficiency of this nutrient causes the basal metabolic rate of
the child to be lowered. It may also cause goiter.
47. After explaining the process, Nurse Dwayne performs the
Leopold’s maneuver to determine the fetal heart location for a fetal heart a. Phosphorus
rate monitoring. Which step in the Leopold’s maneuver shall Nurse b. Iodine
Dwayne do? c. Magnesium
d. Copper
a. Fundal grip
b. Umbilical grip SITUATION
c. Pawlik’s grip Ganyu is currently in her third year of her nursing undergraduate
d. Pelvic grip program. To become a pediatric nurse as she aspires to be, she must be
able to discern the developmental stages of children and where they are.
48. With Nurse Dwayne doing the Leopold’s maneuver, he determines
that the fetus is in the right occipitoanterior. Where should Nurse 56. Klee is a 2-year-old girl who is running around the living room.
Dwayne put the Doppler ultrasound to detect the fetal heart tone? Alice, her mother, calls her and she runs towards her mother. Klee sees
Alice is preparing the ingredients for their dinner. Which is the best
a. Right upper abdomen statement for Alice to persuade her to eat?
b. Right lower abdomen
c. Left upper abdomen a. “What do you want to eat, fish or chicken?”
d. Left lower abdomen b. “You need to eat what I will prepare for you.”
c. “Do you want to eat?”
49. While in the nurses’ station, Nurse Dwayne hears Mrs. Johnson d. “What food do you want to eat?”
shout. He rushes to her and she tells him that she felt the most painful
part of the contraction and it has already subsided. Nurse Dwayne assures 57. After hearing the choices of food, Klee throws a temper tantrum
her by saying that she had felt the ______. and runs around the living room once more. What is Alice’s initial action
to do?
a. Relaxation
b. Increment a. Grab Klee’s hand and spank her
c. Acme b. Protect Klee’s safety
d. Decrement c. Explain to Klee her unacceptable behavior
d. Ignore Klee’s behavior
50. In the emergency room, Nurse Steve assesses Mrs. Austin
alongside a physician who tells him that he feels a foot immediately 58. Dehya brings her 6-month-old younger sister, Nilou to the clinic
superior to the cervix. What is this presentation called? for a routine check-up. Dehya asks student nurse Ganyu if there are any
ideal gifts to buy Nilou. Student nurse Ganyu replies that the best thing to
a. Complete buy is ___________.
b. Footling
c. Frank a. Potty seat
d. Footloose b. Teething ring
c. Coloring book
SITUATION d. Lego blocks
In the pediatrics ward, Nurse Guinevere is attending to the needs and care
of the various pediatric patients. She is aware that the pediatric patients 59. While in the clinic, Dehya sees Layla, a 6-year-old girl who
have different developmental stages and needs. approaches Nilou and wants to play with Nilou. Nilou begins to cry as
Dehya hands her to Layla to be carried. Student nurse Ganyu knows that
51. Nurse Guinevere knows that the increase in physical size of a the play suited for Nilou is __________.
pediatric patient is termed __________.
a. Competitive play
a. Development b. Parallel play
b. Maturation c. Solitary play
c. Puberty d. Cooperative play
d. Growth
60. In a private room, student nurse Ganyu is assessing the breathing
52. Nurse Guinevere tells a parent that this may be measured by of a 4-month-old boy who is in an oxygen tent after a bout of croup. The
observing a child’s ability to perform specific tasks. parents tell nurse Ganyu that they will go buy some toys and clothes for
the baby. What is student nurse Ganyu’s best response to prevent
a. Development separation anxiety?
b. Anthropometric measurement
c. Growth a. Have another student nurse stay by the boy’s side
d. Vital statistics b. Hold the boy’s hand while the parents are out
c. Do not let the parents leave
53. A child is seen roaming the hallway of the ward and Nurse d. Leave a personal article of the parents beside the boy
Guinevere quickly accompanies him back to his room. The parents thank
her and tells her that ever since he started to learn how to walk, he
SITUATION
Development does not stop until the end years of an individual. With
this, nurses must be aware of the constant developmental stages,
milestones, and activities of individuals of all age groups.
61. While doing her painting, Eunchae, a 10-year-old child shows her
mother Sakura the progress that she has made. The following is a
statement which reflects the positive psychological development of
Eunchae:
a. “Am I doing a good job?”
b. “What am I doing wrong?”
c. “Can you do it instead?”
d. “I’m sorry, Mommy.”
62. Ayaka, a 16-year-old female, has been in an accident while
sneaking out with her boyfriend. She has suffered a sprain in the right
foot and a fractured ulna. Her brother and mother arrive in her room and
provide her with food and support. However, they noticed that she still is
not receptive to them. Who is the best support person possible for
Ayaka?
a. Brother
b. Mother
c. Father
d. Boyfriend
63. Beidou, a 19-year-old female, is constantly pacing back and forth
outside of her house. She is anxious as she has her girlfriend beside her
and aims to introduce her to her parents. All but one of the following are
the appropriate responses from Nahida’s parents once they know about
the situation:
a. “Anak, anak ka namin at lagi lang kaming nandito para makipag-usap
sa iyo.”
b. “Hindi madali para sa amin ito anak ngunit lagi ka naming
mamahalin.”
c. “Anak, ibibigay namin sa iyo lahat ng suporta namin ngunit hindi
ngayon.”
d. “Halika sa loob anak, isama mo siya, pag-usapan natin kung may
ikinababahala kayo.”
64. Amy, a 7-year-old girl, has an imaginary friend named Fischl. She
tells her that Fischl is the “Princess of the Immernachtreicht” and she is
the guardian of the so-called land. One day, Amy bumped her arm into
the side of the dining table while running around with her “magical
wand” and had bruise. Amy’s mother sees it and her best action is to:
a. Scold Amy while placing ice on her bruise
b. Raise an eyebrow and treat the bruise
c. Act like a magical witch doctor and treat the bruise
d. Tell Amy that her friend is not real to stop running around and injuring
herself
65. Collei, a 20-year-old girl, was adopted when she was five years
old. Her parents are supportive of her decisions but noticed that Collei
seems to have difficulties with regards to being confident in her work as
a graphic designer. Which stage in life may have caused the lack of
confidence?
a. Toddler
b. School-age
c. Infancy
d. Preschool
66. Based on number 65, which developmental task supports the lack
of confidence of Collei?
a. Industry vs inferiority
b. Autonomy vs shame/doubt
c. Initiative vs guilt
d. Identity vs role confusion
67. Kaveh, a 13-year-old male, is alone in his room. His mother asks
him to come out of his room. She asks Kaveh as to what he is doing
inside his room and he tells her that he is doing something. Which of the
following is Kaveh most likely doing?
a. Writing literary essays
b. Playing Mobile Legends with peers
c. Practicing using lato-lato
d. Folding the bed linens
68. Nahida, an eight-month-old girl, is in her living room playing with
her rattles. The parents are observing her and see that she is flopping her
arms around with the toys in the ground. Given her age, it is best that the
parents:
a. Meet the needs of the child when those needs arise
b. Anticipate the needs of the child before she signals so
c. Let the child cry for a while before attending to the needs
d. Ignore the child to lessen her demands
69. Based on number 68, Nahida’s psychosexual developmental task
is:
a. To learn how to control her bowel movements
b. To develop a dormant personality
c. To be aware of her genital area
d. To know the world with her tongue
70. Pierro, the father of 8-year-old boy Sandrone, sees him in the
living room touching and exploring his genitals. He knows that this
behavior is ________ and he must _________________.
a. normal; let Sandrone continue his behavior
b. abnormal; tell Sandrone that his behavior is bad
c. normal; divert Sandrone’s attention by playing ball
d. abnormal; scold Sandrone and tell him that it is unacceptable
SITUATION
Dori is a four-year-old girl who came to the clinic looking pale and short
of breath. Her mother is with her and Nurse Clondrine is assessing her.
Nurse Clondrine must be aware of her condition as well as other related
conditions.
71. Dori had her blood test via a complete blood count and was
diagnosed to have iron-deficiency anemia. She was prescribed iron
supplementation. To prevent iron toxicity, which medication should be
readily available at all times?
a. Acetylcysteine
b. Protamine sulfate
c. Calcium gluconate
d. Deferoxamine
72. Which of the following shows that Dori and her parents are not
compliant with the iron regimen?
a. Absence of greenish black stool
b. Pinkish conjunctiva and buccal mucosa
c. Rising Hgb levels
d. Exercises without shortness of breath
73. Nurse Clondrine educates the parents of Dori on how she should
drink the liquid iron supplements by saying that:
a. Pour the iron supplement into a medicine cup and drink
b. Use a straw to sip the iron supplement
c. Do not brush the teeth after drinking to improve absorption
d. Use a medicine dropper to directly drop the supplement at the tip of
the tongue
74. All of the following except one are reminders that Nurse Clondrine
must give Dori’s parents about iron supplementation:
a. Store the supplement away from the reach of Dori
b. Keep no more than a month’s supply of iron supplement
c. Label the container properly
d. Secure more than a month’s supply of iron supplement
75. If a parenteral iron administration is to be done, what must Nurse
Clondrine do?
a. Massage the injection site
b. No more than 5 ml should be given in one site
c. Use the Z-track method
d. Inject the iron subcutaneously
SITUATION a. Football
Soojin was rushed an hour ago to the clinic with complaints of severe left b. Basketball
abdominal pain and difficulty of breathing. She is now stable with c. Golf
interventions done by Nurse Rei. d. Cycling

76. A series of tests were done on Soojin and it was revealed that her 84. After eating, Seojoon asks Nurse Wonny if there are any ways to
red blood cells were in the shape of a crescent moon. Nurse Rei knows do proper and safe brushing of the teeth. Which of the following will be
that the only condition that causes this is __________. best suited for Seojoon?

a. Beta-thalassemia a. Use a vibrating toothbrush

b. Sickle cell anemia b. Taking a toothbrush with firm bristles
c. Polycythemia vera c. Using a big toothbrush
d. Hemophilia A d. Dipping a toothbrush in warm water

77. Looking at Soojin’s chart, Nurse Rei expects which intervention to 85. Which of the following is also known as the Christmas Disease?
be done which made Soojin stable?
a. Hemophilia A
a. Intravenous fluid administration b. Hemophilia B
b. Antiviral treatment c. Von Willebrand Disease
c. Embolectomy and phlebotomy d. Idiopathic Thrombocytopenic Purpura
d. Plasmapharesis
SITUATION
78. Upon taking Soojin’s history, her parents mention their The fetal heart has multiple accessory parts which close or not function
psychosocial history and other information. Which of the following tells upon the birth of the child. Some of the accessory parts remain patent
Nurse Rei that Soojin is at risk for a sickle cell crisis? however in some cases after birth.

a. Home has only a ground floor 86. Nurse Sullyoon is reviewing the congenital heart defects and
b. Living in a high-altitude place determines that all but one are acyanotic defects:
c. Is of Korean descent
d. Has a functional water pipe home system a. Transposition of great arteries
b. Atrial septal defect
79. Soojin asks Nurse Rei as to how they have determined that she has c. Coarctation of aorta
the disease. She also told Nurse Rei that it may have been a one time d. Atrioventricular canal
thing when her cells started to sickle. Nurse Rei’s best response is:
87. Lily approached Nurse Sullyoon in the nurses’ station and told her
a. “We have checked your blood and we really do see that your cells are that her 2-year-old daughter, Jiwoo, has blue fingers and is dizzy. Nurse
sickled.” Sullyoon rushes to the room and does which nursing intervention?
b. “The technicians determined that you have the abnormal HbSC gene.”
c. “You are right, you will be fully treated after you are discharged.” a. Assist Jiwoo in a squatting position
d. “This is a lifetime disease because you have the abnormal HbS b. Place Jiwoo in a left-lateral recumbent position
gene.” c. Notify the physician
d. Facilitate Jiwoo’s breathing by coughing
80. While observing around, Soojin notices that a clear fluid is
dripping from a bag hung up on a pole which drips into her injection site. 88. Lily asks the physician if there is any solution to prevent the so-
She asks Nurse Rei why it is necessary and Nurse Rei’s best reply is: called “shunting” of blood through the septum. Nurse Sullyoon expects
the physician to say ________.
a. The fluids make your body cold to prevent heat which destroys the
a. Karaya patch
cells b. Nitroglycerin patch
b. The fluids help prevent dehydration which triggers cell sickling c. Septal patch
c. The fluids contain various medications to minimize your anxiety d. Dacron patch
d. The fluids replace your damaged red blood cells
89. In a transposition of the great arteries, which of the following is the
SITUATION pairing that is observed?
Seojoon was seen walking to the clinic accompanied by his father. Nurse
Wonny assesses him and immediately sees massive bruising in both his a. Right atrium is connected to the aorta
elbows and oozing of blood from minor lacerations on his right arm. b. Right ventricle is connected to the pulmonary artery
Seojoon told Nurse Wonny that he slipped on a cobblestone pavement. c. Left atrium is connected to the pulmonary vein
d. Left ventricle is connected to the pulmonary artery
81. Nurse Wonny and the physician received the laboratory report on
Seojoon and determined that he lacked the factor VIII. Nurse Wonny 90. Nurse Sullyoon hears from the pediatrician that his patient has a
knows that the disease Seojoon has is __________. machinery-like murmur. She knows that this murmur is only heard with
a/an __________.
a. Hemophilia A
b. Hemophilia B a. Atrial septal defect
c. Von Willebrand Disease b. Patent ductus arteriosus
d. Christmas Disease c. Ventricular septal defect
d. Patent ductus venosus
82. On the other hand, Nurse Wonny differentiates it with Hemophilia
B knowing that Hemophilia B lacks the __________. SITUATION
Nurse Haewon is a nurse in the emergency ward. She has already been
a. Factor IX exposed to multiple cases of various diseases, including gastrointestinal
b. Factor X disorders of the pediatric clients.
c. Factor XI
d. Factor XII
91. The appendix can become inflamed most likely due to:
83. Seojoon tells Nurse Wonny that he wants to engage in sports since
he is still an adolescent. Which of the following sports activities could
Nurse Wonny suggest? a. Too much running and indigestion
b. Binge eating
c. Fecalith obstruction d. “Kapag hinahalikan ko po si Rendon, mas maalat po yung
d. Constipation nalalasahan ko kaysa sa dati.”

92. A mother approaches Nurse Haewon and asks her what the 100. A possible complication of cystic fibrosis is atelectasis. Nurse
possible causes for her son’s Hepatitis B may be based on the health Motivation must be aware that a sign of atelectasis is ___________.
history given by her 17-year-old son. Among the events said by the son,
Nurse Haewon points out the most possible cause of the Hepatitis B a. Wheezing
being: b. Hyperresonant breath sound
c. Absent breath sounds
a. Having sex with his girlfriend thrice a week for the past month d. Dull lung sound
b. Getting a tattoo at a convenience store
c. Eating street foods every day after classes
d. Does not wash his hands before and after eating

93. ward and immediately vomits 3-4 feet all over the floor when she
was laid on her side on the ER bed. Which possible condition is Bae most
likely suffering from?

a. Pyloric stenosis
b. Intussusception
c. Hirschsprung’s Disease
d. Tracheoesophageal atresia

94. Nurse Haewon tends to a 7-year-old child who was diagnosed to

have intussusception. She expects the following symptom for the child to
present:

a. Olive-shaped mass in the abdomen

b. Ribbon-like stool
c. Choking upon feeding
d. Currant jelly-like stool

95. The mother of the 7-year-old child in the case above is educated by
Nurse Haewon regarding the prognosis of the intussusception. There is a
need for further teaching is the mother says which of the following
regarding the resolution of intussusception?

a. Passage of normal amount of flatus

b. Loss of stool-smelling breath
c. Passage of a normal reddish-brown stool
d. Bowel sounds are present

SITUATION
Rendon has cystic fibrosis, a multi-disorder of the exocrine gland
characterized by thickened secretions.

96. To promote Rendon’s well-being, the recommended management

for cystic fibrosis to clear mucus is:

a. Frequent ambulation
b. Postural drainage
c. Increasing fluid intake
d. Managing room humidity

97. When doing teaching, Nurse Motivation instructs Rendon who is

taking Theophylline (Theodur) that he should avoid drinking which of
the following?

a. Tea and coffee

b. Milk and milk shakes
c. Orange and grape juices
d. Cranberry juice

98. Which of the following electrolytes is causing the thickened

secretions in the body fluids of Rendon?

a. Sodium
b. Chloride
c. Magnesium
d. Sulfur

99. The girlfriend of Rendon, Ryssi, talks to Nurse Motivation about

cystic fibrosis. Which of the following statements tells Nurse Motivation
that Ryssi knows about the hallmark sign and symptom of cystic
fibrosis?

a. “May niluluwa po siya lagi na dilaw na plema at nililinis ko na lang po

lagi.”
b. “Minsan po nagsusuka si Rendon at namumutla po siya pagkatapos.”
c. “Habang naglalakad kami, mas madali na po siya hingalin.”