RN/RPN EXAMINATION Independent Question and
answers Vol-1
Exam (elaborations)
1
,RN/RPN EXAMINATION Independent Question Vol-1
1. Baby Polar has a head injury from fall this morning and had a history of fall six
months ago. The child was rushed to ER and the mother is telling the nurse she
wasn’t around during the incident. What is the reason for child’s admission?
A. To observe the child
B. To suspect child’s abuse
C. A law to admit the child
D. To protect the child from further harm
2. Mr. Paul is admitted with hepatitis A with ascites after traveling from Japan. As a
Nurse taking care of him, How you will provide nursing management?
A. Skincare
B. Weigh patient daily
C. Measure abdominal circumference
D. Vital signs
3. Marlina a 15 years old teen has gonorrhea and asked the nurse if this situation could be
kept confidential. What is the best nursing response?
A. Don’t have to worry will keep it as confidential
B. Because of your age, I will inform your parents
C. I will inform the Public Health Authority
D. I will inform the community physician
4. A group of pregnant mother’s are having pre & post natal health teachings in the clinic
and one of them ask the nurse what is the proper nutrition for her. What will be your
nursing response ?
A. Well balanced food, 300-500 calories, increase fluid intake
B. Because you’re eating well-balanced food, no need to drink more water
C. Increase fluid intake
D. 2200-2500 calories, vitamins and mineral and increase fluid intake
5. An Indian immigrant who doesn’t speak English was admitted to the hospital and the
nurse is establishing nurse client relationship through the interpreter and noticed that the
trusting relationship were not met. How should the nurse handle the situation ?
A. Through the interpreter, ask the client why the nurse client relationship has
not met
B. Through the interpreter, refer the client to the same cultural group
C. Through the interpreter, revalidate the expectation and the needs of client
D. Through the interpreter, tell client that they could communicate by no-
verbal communication.
2
,6. Patient with left sided weakness accompanied by his wife is for discharged today but
his attending physician told him to come back to the OPD for weekly check-up. How
will the nurse ensure that the client will show up for his weekly check-up?
A. Ask his wife if he could drive him to the hospital
B. Ask him if he could afford to pay for his taxi
C. Ask him, “Do you have difficulty in coming to the hospital?
D. Refer him to the social worker
7. Martine was brought to the emergency room from the community health clinic who
fell while riding in his bicycle and without wearing a helmet. He is confused, drowsy
with nausea and vomiting and could not remember what happened. What is the best
nursing action?
A. Assess his neurological status and complete the Glasgow coma scale
B. Assess his neurological status and call for an ambulance
C. Check his vital signs
D. Let the client lay down in a supine position
8. A post TUP (Transurethral Resection of Prostate) client who just came from the
recovery room, the nurse noticed a slightly red drainage-flow from a three-way
catheter. What is the nursing action should be made ?
A. Continue to assess the flow rate
B. Increase the IV flow rate
C. Refer to the Doctor immediately
D. Increase the flow of the CBI
9. A 12 year old boy with asthma had an order of Ventolin mobilization. What is
the initial action of the nurse after administering the medication?
A. Immediately sign the MAR sheet
B. Assess the effect of the medicine
C. Check vital signs of the patient
D. Persecute the chest of the client
10. Mr. Alex is on TPN and having a good therapeutic conversation with you, after
awhile he mentioned, he develops diarrhea and dryness of the mouth for two days
now. What is your nursing action?
A. Give him Gravol
B. Give him no-sugar coated chewing gum
C. Provide him ice chips
D. Give Imodium and lemon candy
3
, 11. In dealing with adolescents according to their developmental stage, what is the best
nursing action?
A. Involve the parents in decision-making
B. Allow peer group participation
C. Allow them to have a decision independently
D. Allow the teachers to get involved in decision-making
12. A COP client with O2 sat. of 82%, Respiration 24/min, with crackles in his lungs on
auscultation, BP 80/60, and comfortable in a sitting position. What is your nursing
assessment?
A. Exacerbation of COP
B. Patient is on respiratory depression
C. Client is developing emphysema
D. Early shock assessment
13. A 36 weeks pregnant mother is in the delivery room, on 6 cm cervical dilation with
ruptured membranes and complained of severe pain during contractions. She verbalizes
that her breathing techniques is no longer helpful and she is requesting for an epidural
analgesia. What is your nursing response?
A. I will inform your Doctor about giving an epidural analgesia
B. Your membranes are already ruptured, epidural analgesia is contraindicated
C. Prepare her for vaginal delivery
D. Tell her husband to encourage her to do breathing exercises during contraction
14. A client from the community has been transferred to the hospital medical floor with
complaints of diarrhea more than 20 min times with pus & blood but without any fat in
the stool. How would you assess this client with dehydration aside from skin turgor?
A. Weigh daily
B. Intake and output
C. Ask if he is thirsty
D. Measure abdominal circumference
15. Community awareness is the role and functions of all health team about the spread of
HIV, while giving heath information to a group of HIV positive participants, one
member of the group asked the nurse of the social determinants of their diagnosis during
the meeting. What is your response?
A. Mode of evaluation
B. Country of origin
C. Gender
D. Pneumocystic carinii for pneumonia
4
answers Vol-1
Exam (elaborations)
1
,RN/RPN EXAMINATION Independent Question Vol-1
1. Baby Polar has a head injury from fall this morning and had a history of fall six
months ago. The child was rushed to ER and the mother is telling the nurse she
wasn’t around during the incident. What is the reason for child’s admission?
A. To observe the child
B. To suspect child’s abuse
C. A law to admit the child
D. To protect the child from further harm
2. Mr. Paul is admitted with hepatitis A with ascites after traveling from Japan. As a
Nurse taking care of him, How you will provide nursing management?
A. Skincare
B. Weigh patient daily
C. Measure abdominal circumference
D. Vital signs
3. Marlina a 15 years old teen has gonorrhea and asked the nurse if this situation could be
kept confidential. What is the best nursing response?
A. Don’t have to worry will keep it as confidential
B. Because of your age, I will inform your parents
C. I will inform the Public Health Authority
D. I will inform the community physician
4. A group of pregnant mother’s are having pre & post natal health teachings in the clinic
and one of them ask the nurse what is the proper nutrition for her. What will be your
nursing response ?
A. Well balanced food, 300-500 calories, increase fluid intake
B. Because you’re eating well-balanced food, no need to drink more water
C. Increase fluid intake
D. 2200-2500 calories, vitamins and mineral and increase fluid intake
5. An Indian immigrant who doesn’t speak English was admitted to the hospital and the
nurse is establishing nurse client relationship through the interpreter and noticed that the
trusting relationship were not met. How should the nurse handle the situation ?
A. Through the interpreter, ask the client why the nurse client relationship has
not met
B. Through the interpreter, refer the client to the same cultural group
C. Through the interpreter, revalidate the expectation and the needs of client
D. Through the interpreter, tell client that they could communicate by no-
verbal communication.
2
,6. Patient with left sided weakness accompanied by his wife is for discharged today but
his attending physician told him to come back to the OPD for weekly check-up. How
will the nurse ensure that the client will show up for his weekly check-up?
A. Ask his wife if he could drive him to the hospital
B. Ask him if he could afford to pay for his taxi
C. Ask him, “Do you have difficulty in coming to the hospital?
D. Refer him to the social worker
7. Martine was brought to the emergency room from the community health clinic who
fell while riding in his bicycle and without wearing a helmet. He is confused, drowsy
with nausea and vomiting and could not remember what happened. What is the best
nursing action?
A. Assess his neurological status and complete the Glasgow coma scale
B. Assess his neurological status and call for an ambulance
C. Check his vital signs
D. Let the client lay down in a supine position
8. A post TUP (Transurethral Resection of Prostate) client who just came from the
recovery room, the nurse noticed a slightly red drainage-flow from a three-way
catheter. What is the nursing action should be made ?
A. Continue to assess the flow rate
B. Increase the IV flow rate
C. Refer to the Doctor immediately
D. Increase the flow of the CBI
9. A 12 year old boy with asthma had an order of Ventolin mobilization. What is
the initial action of the nurse after administering the medication?
A. Immediately sign the MAR sheet
B. Assess the effect of the medicine
C. Check vital signs of the patient
D. Persecute the chest of the client
10. Mr. Alex is on TPN and having a good therapeutic conversation with you, after
awhile he mentioned, he develops diarrhea and dryness of the mouth for two days
now. What is your nursing action?
A. Give him Gravol
B. Give him no-sugar coated chewing gum
C. Provide him ice chips
D. Give Imodium and lemon candy
3
, 11. In dealing with adolescents according to their developmental stage, what is the best
nursing action?
A. Involve the parents in decision-making
B. Allow peer group participation
C. Allow them to have a decision independently
D. Allow the teachers to get involved in decision-making
12. A COP client with O2 sat. of 82%, Respiration 24/min, with crackles in his lungs on
auscultation, BP 80/60, and comfortable in a sitting position. What is your nursing
assessment?
A. Exacerbation of COP
B. Patient is on respiratory depression
C. Client is developing emphysema
D. Early shock assessment
13. A 36 weeks pregnant mother is in the delivery room, on 6 cm cervical dilation with
ruptured membranes and complained of severe pain during contractions. She verbalizes
that her breathing techniques is no longer helpful and she is requesting for an epidural
analgesia. What is your nursing response?
A. I will inform your Doctor about giving an epidural analgesia
B. Your membranes are already ruptured, epidural analgesia is contraindicated
C. Prepare her for vaginal delivery
D. Tell her husband to encourage her to do breathing exercises during contraction
14. A client from the community has been transferred to the hospital medical floor with
complaints of diarrhea more than 20 min times with pus & blood but without any fat in
the stool. How would you assess this client with dehydration aside from skin turgor?
A. Weigh daily
B. Intake and output
C. Ask if he is thirsty
D. Measure abdominal circumference
15. Community awareness is the role and functions of all health team about the spread of
HIV, while giving heath information to a group of HIV positive participants, one
member of the group asked the nurse of the social determinants of their diagnosis during
the meeting. What is your response?
A. Mode of evaluation
B. Country of origin
C. Gender
D. Pneumocystic carinii for pneumonia
4
