NLE 2016 JUNE (60+ Previous Board Questions)

 

Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

***Please don’t post/share this publicly. Satin satin lang ito ah   ***The questions are not verbatim from June 2016 NLE (Modified ang questions at choices, bawal kasi magshare ng sakto ang questions) 1.  What identifying information, when asked, would NOT break the principle of Confidentiality? a.  Address b.  Civil Status c.  Income d.  Name 2.  Where would you find fi nd the patient’s current diagnosis?  diagnosis?  a.  Admission sheet b.  Doctor’s order sheet  sheet  c.  Medication sheet d.  Nu Nurses’ rses’ notes  notes  3.  Nurse Pat has been working in the pediatric ward for many years now. He has developed a high perceptual acuity in which he performs by his instinct. Nurse Pat is in what stage of o f Patricia Benner’s Stages of Nursing Expertise? Expertise?   a.  Competent b.  Expert c.  Novice d.  Proficient 4.  Which part of the lungs found at the end of the terminal bronchioles does gas exchange occurs? a.  Alveoli b.  Bronchi c.  Bronchioles d.  Carina 5.  You are assigned to a patient who will undergo right leg amputation. Which of the following should you perform before the surgery? a.  Clean the right leg b.  Cover the leg c.  Elevate the leg d.  Mark the leg 6.  What is your top priority when doing your post mortem care? a.  Close the deceased’s eyes  eyes   b.  Cover the body c.  Remove all contraptions d.  Treat the body with respect 7.  In the assessment phase of the nursing process, what is i s the next step after gathering data?

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

a.  Analyze b.  Collate c.  Evaluate d.  Validate 8.  In clearing the respiratory airways, what is the maximum time to suction? a. 10 seconds b.   15 seconds c.  30 seconds d.  1 minute 9.  What is the first line of drug used in i n hyperthyroidism? a.  Beta Blockers b.  Levothyroxine c.  Methimazole d.  PTU (Propylthiouracil) 10. A patient had undergone Thyroidectomy. As the nurse, nur se, what should you prepare and keep at the bedside? a.  Ambubag b.  Nasogastric tube c.  Oxygen set d.  Tracheostomy set 11. What acid-base imbalance is present when an individual experiences decompensated shock? a.  Metabolic acidosis b.  Metabolic alkalosis c.  Respiratory acidosis d.  Respiratory alkalosis 12. As a knowledgeable nurse, you know that thyroid medications such as Levothyroxine is given, EXCEPT: a.  Before breakfast b.  With meals c.  1 hour before meals d.  3-4 hours after meals 13. A patient is to undergo Billroth II procedure. pr ocedure. As a knowledgeable nurse, you know that in this procedure: a.  Antrum is completely removed b.  Part of stomach is anastomosed to the duodenum c.  Part of stomach is anastomosed to the ileum d.  Part of stomach is anastomosed to the jejunum 14. A nurse is caring for a client with Alzheimer’s Disease who is having difficulty recognizing objects that are well known, including persons. The nurse documents that the client is experiencing:

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

a.  Aphasia b.  Agnosia c.  Apraxia d.  Ataxia 15. ***A patient suffering from shock has a cold sweaty pallid skin, a weak rapid pulse, irregular breathing, dry mouth, dilated pupils, and a reduced flow of urine. ur ine. Which of the following assessment findings indicates hypovolemic shock? a.  Pulse less than 60 bpm b.  Pupils unequally dilated c.  Respiratory rate more than 30 cpm d.  Systolic blood pressure less than 90 mmHg 16. ***Which of the following would be the best indication that fluid replacement for the client with hypovolemic shock is adequate? a.  Diastolic blood pressure above 90 mmHg b.  Systolic blood pressure above 110 mmHg c.  Urine output greater than 30 ml per hour d.  Urine output of 20 to 30 ml per hour 17. You are a nurse assigned to care for a client who is on intracranial pressure (ICP) monitoring. As a knowledgeable nurse, you should watch out for which major complication of ICP monitoring? a.  Apnea b.  Coma c.  High blood pressure d.  Infection 18. The nurse is preparing to remove a fecal impaction on an elderly client through enema. It is MOST important that the nurse must remember that: a.  Cardiac dysrhythmias can result during the process b.  Family members should be taught on how to do the procedure c.  Increased fiber intake can minimize such problem d.  Procedure is done prior to bath 19. An elderly client diagnosed with tuberculosis has difficulty coughing up secretions for sputum specimen. As the nurse assigned to this client, you plan to assist by: a.  Asking the client to drink a warm liquid b.  Force fluids for the next 8 hours c.  Raise the head of the bed for at least 45 degrees d.  Spraying the oropharynx with saline 20. A patient comes to you with a complaint of vertigo. As a knowledgeable nurse, you know that the client may have problem with which portion of the ear? a.  External ear b.  Inner ear

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

c.  Middle ear d.  Tympanic membrane 21. The nurse is planning a discharge di scharge teaching on a client who has a post-operative wound on the leg. During the teaching session, the nurse notices that the wound site is red, edematous, and has induration. What do these signs suggests? a. Dehiscence b.   Evisceration c.  Hemorrhage d.  Infection 22. As a knowledgeable nurse, you know that which adverse effect must be watched for carefully when Furosemide (Lasix) is admi administered? nistered? a.  High serum sodium level b.  Increase in blood pressure c.  Increase in blood volume d.  Low serum potassium level 23. Which is the most common complication after an abdominal aortic aneurysm resection? a.  Enteric fistula b.  Graft occlusion c.  Hemorrhage and shock d.  Renal failure 24. A client has an admitting diagnosis of Meningitis. In reviewing the laboratory analysis analys is of the client’s cerebrospinal fluid (CSF), the nurse would expect to note:  note:  a.  Clear color b.  Elevated sedimentation rate c.  High protein d.  Increased glucose 25. For a client admitted with head injury whose neck has been stabilized, the preferred bed position is: a.  30 degree head elevation b.  Flat c.  Side-lying d.  Trendelenburg’s Trendelenburg’s   26. Which of the following is NOT part of the four essential newborn care protocol of Unang Yakap? a.  Immediate thorough drying b.  Early skin-to-skin contact co ntact c.  Early breastfeeding d.  Crede’s Crede’s prophylaxis,  prophylaxis, Vitamin K injection 27. After a placental delivery. What is the proper way of disposing the placenta? a.  According to hospital policy

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

b.  Give it to the family c.  Bury it d.  None of the above 28. Which of the following is the most common complication after experiencing Hydatidiform mole? a. Choreoamnionitis b.   Choreocarcinoma c.  Ectopic pregnancy d.  Recurrence of Hydatiform mole 29. Which of the following organism causes Pelvic Inflammatory Disease? a.  Chlamydia b.  Staphylococcus c.  Streptococcus d.  Trichomoniasis 30. Which of the following organism causes Pelvic Inflammatory Disease? a.  Gonorrhea b.  Staphylococcus c.  Streptococcus d.  Trichomoniasis 31. A patient is to be assessed for scoliosis. How would you position the patient during assessing the scoliosis’ degree of curvature?  curvature?  a.  In sitting position, feet together and bend b.  In standing position, feet apart and bend c.  In standing position, feet together and bend d.  In standing position only 32. As the school nurse, how would you perform your assessment of the children’s eyes? a.  Pull down lower eyelid by your thumb, instruct child to look down b.  Pull down lower eyelid by your thumb, instruct child to look up c.  Pull up upper eyelid by your index finger, instruct child to look up d.  Pull up upper eyelid by your thumb, instruct child to look down 33. In case of accidentally splashing chemicals on your eyes at home, what would be the most appropriate to do? a.  Rinse eyes with medicated eye drops b.  Rinse eyes with PNSS c.  Rinse eyes with sterile water d.  Rinse eyes with tap water 34. You are assigned in a barangay as a Public Health Nurse. What is the most appropriate way to maximize your schedule for the whole barangay? a.  Give them your personal phone number b.  Move or live in an area close to the health center

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

c.  Post your schedule on the front door of your office d.  Any of the above 35. In conducting your home visit, what would be your next step after greeting the patient? a.  Assess the environment b.  Perform the bag technique c.  Put down the PHN bag at a low flat table d.  State the purpose 36. A beautiful young woman was elected as a leader by the people in your community. What is your next action? a.  Elect another leader because she will get married and leave b.  Have her sign a contract not to leave for 10 years c.  Let her be. See how it will go. d.  Tell her not to fall in love l ove with anyone in the community. 37. The elected beautiful young woman has been invited i nvited to join the NPA (New People’s Army). She has decided to join them, what will you do?  do?   a.  Respect her decision b.  Advise her not to join c.  Tell her to rethink about her decision d.  None of the above 38. You are a community health nurse for a home visit vi sit to a 9 year old child who constantly misses school school due to being sick. You notice the child is pale with bruises all over his body. You suspect Leukemia. What is your next action? a.  Take him to the hospital immediately b.  Instruct complete bed rest and advise to forego school c.  Administer antibiotic d.  None of the above 39. Which of the following is not a test for Tuberculosis? a.  CBC b.  Sputum exam c.  Tuberculin test d.  Widal test 40. How many years are the mother and baby protected from tetanus upon receiving TT4? a.  3 years b.  5 years c.  10 years d.  Lifetime 41. What is the most dangerous part to be affected in Tetanus? a.  Face and back b.  Head and face

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

c.  Neck and back d.  Arms and legs 42. Which of the following would you assess in a child who is suspected to be neglected? a.  Burns on the forearm b.  Malnutrition and dehydration c.  Scar on scalp d.  Unusual bruising 43. A client with generalized anxiety disorder states, “I have learned that the best thing I can do is to forget my worries.” How would the nurse evaluate this statement? a.  The client is developing insight. b.  The client needs encouragement to verbalize feelings. c.  The client’s coping skills have improved.  improved.   d.  The client’s treatment has been successful.  successful.  44. A client with anxiety is beginning treatment with Lorazepam (Ativan). It is mo most st important for the nurse to assess the client’s  client’s  a.  Family and social support b.  Motivation for treatment c.  Use of alcohol d.  Use of coping mechanisms 45. How would you describe a depressed patient in the chart? a.  Avoids eye contact; alone; guarding behavior b.  Cries; pouts; alone c.  Curses; staring eyes; closed fist d.  Frowns, grinds teeth, staring eyes 46. How would you describe a mad patient in the chart? a.  Alone; avoids eye contact; contact; with guarding behavior behavior b.  Cries; avoids eye contact; pouts c.  Frowns; avoids eye contact; grinds teeth d.  Frowns; staring eyes; grinds teeth 47. The client who believes everyone is out to get him or her is experiencing a(n) a.  Hallucination b.  Idea of reference c.  Nihilistic delusion d.  Persecutory delusion 48. The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as a.  Mild

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

b.  Moderate c.  Panic d.  Severe 49. When assessing a client with anxiety, the nurse’s questions should be  be   a.  Avoided until the anxiety is gone b.  Open ended c.  Postponed until the client volunteers information d.  Specific and direct 50. What is the first line of drug used in an acute manic? a.  Carbamazepines b.  Haloperidol c.  Imipramine d.  Lithium carbonate 51. What are the four basic management functions? a.  Planning, analysis, controlling and supervising b.  Planning, organizing, controlling, and evaluation c.  Planning, organizing, leading, and controlling d.  Planning, staffing, analysis, and controlling 52. You are currently the nurse supervisor of a hospital which is subjected to accreditation. When the accreditation body visits the hospital, you know that all of the following should be prepared beforehand, EXCEPT? a.  Adjusting the hospital machines, as directed b.  Evaluation forms and Peer reviews c.  PRC licenses of all nurses d.  None of the above 53. As an emergency room nurse, you need to be competent co mpetent in all aspects of care including quick but accurate prioritization of patients while being able to attend to other needs in the ER such as preparing the equipment and machines while also carrying out doctor’s orders. What skill would the nurse must have during these times? a.  Agility b.  Critical thinking c.  Judgment d.  Multitasking 54. What republic act seeks to address the prevalence of violence against women and children, abuses on women and their children by their intimate partners? a.  RA 7163 b.  RA 8353 c.  RA 9173 d.  RA 9262

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

55. Which of the following ethical principle states that “there is always an exemption to the rule”?  rule”?  a.  Beneficence b.  Divine command c.  Law of Epikia d.  Primum non nocere 56. What is most common malpractice done at the hospital by the nurse? a.  False nursing diagnoses b.  Medication errors c.  Mistaken patient identity d.  Patient falls 57. Which of the following relationships do not constitute the principle of testimonial privilege? a.  Boyfriend and girlfriend, who are about to get married b.  Husband and wife c.  Lawyer and client d.  Teacher and student 58. What is the ethical principle wherein you support your patient’s and the patient’s family’s decision?  decision?  a.  Autonomy b.  Beneficence c.  Fidelity d.  Veracity 59. The nurse accidentally administers an extra dose of medication to the patient. What is the nurse liable for? a.  Malpractice b.  Medication error c.  Negligence

d.  None of the above 60. What type of research would you use to study the effects of smoking in pregnancy, without the study being unethical? a.  Ex post facto b.  Prospective c.  Quasi-experimental d.  True Experimental 61. What type of research is suitable to use when you want to study about how the nurses in your hospital perform their charting five years ago? a.  Ethnographic b.  Historical c.  Phenomenological d.  Retrospective

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

62. A group of researchers want to study the sleep pattern of ni night ght duty nurses. The researchers plan to observe the nurses for a 24-hour period. What type of study is this? a.  Case study b.  Ethnographical c.  Phenomenological d.  Retrospective SITUATION:  Touch

is a powerful communication tool. It can elicit both negative and positive reactions, depending on the people involved and the circumstances of the interaction. Communicating and interacting via the sense of touch is i s also referred to as Haptic communication. In this premise, touch can be categorized according to the message communicated. 63. When the nurse touches the patient’s abdomen for physical examination, what kind of touch is elicited? a.  Love-intimacy b.  Friendship-warmth c.  Functional-professional d.  Social-polite 64. Which of the five categories of touch must NEVER be done in any premise or situation? a.  Friendship-warmth b.  Love-intimacy c.  Sexual-arousal d.  Social-polite 65. Which touch indicates a strong liking for the other person, such as engaging in a mutual embrace among your best buddies? a.  Friendship-warmth b.  Love-intimacy c.  Sexual-arousal d.  Social-polite 66. You sighted a child hugging ang kissing his parents. You know that this touch is at which level? a.  Friendship-warmth b.  Functional-professional c.  Love-intimacy d.  Social-polite 67. You are newly hired as a staff nurse. In meeting the chief nurse for the first fi rst time, both of you engaged in a handshake. What type of touch is this? a.  Friendship-warmth

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

b.  Functional-professional c.  Love-intimacy d.  Social-polite ANSWER KEY: 1.  C 2.  A 3.  B 4.  A 5.  D 6.  D 7.  D 8.  A 9.  D 10. D 11. A

35. D 36. C 37. A 38. A 39. D 40. C 41. C 42. B 43. B 44. C 45. B

12. B 13. D 14. B 15. D 16. C 17. D 18. A 19. C 20. B 21. D 22. D 23. D 24. C 25. A 26. D 27. A 28. B 29. A 30. A 31. C 32. B 33. D 34. C

46. D 47. D 48. C 49. D 50. D 51. C 52. B 53. D 54. D 55. C 56. A 57. A 58. A 59. C 60. A 61. B 62. B 63. C 64. C 65. A 66. C 67. D

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Nursing Licensure Examination Previous Board Questions: Multiple Choice Questions  June 2016

Other topics that appeared during the examination: -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  - 

Family Service and Progress Record (5 questions) Rabies (what will be given to a patient who was bitten by a stray dog in the thigh?) Negligence vs. Malpractice Delphi technique Hyperthyroidism and Hypothyroidism Hirschsprung’s Disease (Other Disease (Other uncommon manifestations) Myocardial Infarction (Priority nursing diagnosis) MERSCov Nursing Procedure: Tracheostomy (5 questions) Imminent versus Threatened abortion How to diagnose major depression Stages of grief How to remove impacted cerumen from ear Res ipsa loquitor How to apply “altruism”  “altruism”   Personal distance (19 inches to 4 feet) Cluster sampling technique In Chest Physiotherapy, how to position patient when mobilizing the secretions in the apical part of both lungs Insulin IVF computation (2 questions)

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