SCHOOL OF NURSING

General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

Rotational Exam: OB -Gyne Ward

Name:
Subject:
Year and Group:
Inclusive Date of Rotation:

Instruction: Write the letter of your answer before the number. Strictly NO erasures and NO superimpositions. Highlight your
answer.or write the letter of your answer before the number

1.Which characteristic of nursing process is responsible for 6.Which of the following need is given a higher priority
proper utilization of human resources, time and cost among others?
resources? A The client has attempted suicide and safety
precaution is needed
A Organized and Systematic B The client has disturbance in his body image
B Humanistic because of the recent operation
C Efficient C The client is depressed because her boyfriend
D Effective left her all alone
D The client is thirsty and dehydrated
2.Which characteristic of nursing process addresses the
7.Which of the following is TRUE with regards to Client
INDIVIDUALIZED care a client must receive?
Goals?
A They are specific, measurable, attainable and
A Organized and Systematic
time bounded
B Humanistic
B They are general and broadly stated
C Efficient
C They should answer for WHO, WHAT ACTIONS,
D Effective
WHAT CIRCUMSTANCES, HOW WELL and WHEN.
D Example is : After discharge planning, Client
3.A characteristic of the nursing process that is essential to
demonstrated the proper psychomotor skills for insulin
promote client satisfaction and progress. The care should
injection.
also be relevant with the client’s needs.
A Organized and Systematic
8.Which of the following is a OBJECTIVE data?
B Humanistic
A Dizziness
C Efficient
B Chest pain
D. Effective
C Anxiety
D Blue nails
4.Rhina, who has Menieres disease, said that her
9.Which of the following is true about the NURSING CARE
environment is moving. Which of the following is a valid
PLAN?
assessment?
A It is nursing centered
1. Rhina is giving an objective data B Rationales are supported by interventions
2. Rhina is giving a subjective data C Verbal
3. The source of the data is primary D At least 2 goals are needed for every nursing
4. The source of the data is secondary diagnosis
A 1,3
B 2,3 10.A framework for health assessment that evaluates the
C 2.4
effects of stressors to the mind, body and environment in
D 1,4
relation with the ability of the client to perform ADL.
5.Among the following statements, which should be given
A Functional health framework
the HIGHEST priority?
B Head to toe framework
C Body system framework
A Client is in extreme pain
D Cephalocaudal framework
B Client’s blood pressure is 60/40
C Client’s temperature is 40 deg. Centigrade
11.Which of the following statement is true regarding
D Client is cyanotic
temperature?
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

A Oral temperature is more AFrom bulb to stem
accurate than rectal temperature B From stem to bulb
B The bulb used in Rectal temperature reading is C From stem to stem
pear shaped or round D From bulb to bulb
C The older the person, the higher his BMR
D When the client is swimming, BMR Decreases 20.How long should the thermometer stay in the Client’s
Axilla?
12.Which of the following is TRUE about temperature?
A 3 minutes
A The highest temperature usually occurs later in a B 4 minutes
day, around 8 P.M to 12 M.N C 7 minutes
B The lowest temperature is usually in the D 10 minutes
Afternoon, Around 12 P.M
C Thyroxine decreases body temperature 21.Which of the following statement is TRUE about pulse?
D Elderly people are risk for hyperthermia due to A Young person have higher pulse than older
the absence of fats, Decreased thermoregulatory control persons
and sedentary lifestyle. B Males have higher pulse rate than females after
puberty
C Digitalis has a positive chronotropic effect
13.What can you expect from Marianne, who is currently at D In lying position, Pulse rate is higher
the ONSET stage of fever?
A Hot, flushed skin 22.The following are correct actions when taking radial
B Increase thirst pulse except:
C Convulsion A Put the palms downward
D Pale,cold skin B Use the thumb to palpate the artery

C Use two or three fingers to palpate the pulse at

14.Considered as the most accessible and convenient the inner wrist
method for temperature taking D Assess the pulse rate, rhythm, volume and
bilateral quality
A Oral
B Rectal 23.The difference between the systolic and diastolic
C Tympanic pressure is termed as
D Axillary A Apical rate
B Cardiac rate
15.Considered as Safest and most non invasive method of C Pulse deficit
temperature taking D Pulse pressure
A Oral
B Rectal 24.Which of the following is responsible for deep and
C Tympanic prolonged inspiration
D Axillary A Medulla oblongata
B Pons
16.Which of the following is NOT a contraindication in C Carotid bodies
taking ORAL temperature? D Aortic bodies
A Quadriplegic
B Presence of NGT 25.Which of the following is responsible for the rhythm and
C Dyspnea quality of breathing?
D Nausea and Vomiting A Medulla oblongata
B Pons
17.Which of the following is a contraindication in taking C Carotid bodies
RECTAL temperature? D Aortic bodies
A Unconscious
B Neutropenic 26.The primary respiratory center
C NPO A Medulla oblongata
D Very young children B Pons
C Carotid bodies
18.How long should the Rectal Thermometer be inserted to D Aortic bodies
the clients anus?
A 1 to 2 inches 27.Which of the following is TRUE about the mechanism of
B 0.5 to 1.5 inches action of the Aortic and Carotid bodies?
C 3 to 5 inches A If the BP is elevated, the RR increases
D 2 to 3 inches B If the BP is elevated, the RR decreases
C Elevated BP leads to Metabolic alkalosis
19.In cleaning the thermometer after use, The direction of D Low BP leads to Metabolic acidosis
the cleaning to follow Medical Asepsis is:
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

28.All of the following factors correctly APulse + 4 is considered as FULL
influence respiration except one. Which of the following is B The bell of the stethoscope is use in auscultating
incorrect? BP
A Hydrocodone decreases RR C Sound produced by BP is considered as HIGH
B Stress increases RR frequency sound
C Increase temperature of the environment, D Pulse +1 is considered as NORMAL
Increase RR
D Increase altitude, Increase RR 38.In assessing the abdomen, Which of the following is the
correct sequence of the physical assessment?
29.Which of the following is more life threatening? A Inspection, Auscultation, Percussion, Palpation
A BP = 180/100 B Palpation, Auscultation, Percussion, Inspection
B BP = 160/120 C Inspection, Palpation, Auscultation, Percussion
C BP = 90/60 D Inspection, Auscultation, Palpation, Percussion
D BP = 80/50
39.In inspecting the abdomen, which of the following is
30.Refers to the pressure when the ventricles are at rest NOT DONE?
A Ask the client to void first
A Diastole B Knees and legs are straighten to relax the
B Systole abdomen
C Preload C The best position in assessing the abdomen is
D Pulse pressure Dorsal recumbent
D The knees and legs are externally rotated
31.Which of the following is TRUE about the blood
pressure determinants? 40.In palpating the client’s breast, which of the following
A Hypervolemia lowers BP position is necessary for the patient to assume before the
B Hypervolemia increases GFR start of the procedure?
C HCT of 70% might decrease or increase BP
D Epinephrine decreases BP A Supine
B Dorsal recumbent
33.How many minutes are allowed to pass if the client had C Sitting
engaged in strenuous activities, smoked or ingested D Lithotomy
caffeine before taking his/her BP?
A 5 41.Which of the following is among an ideal way of
collecting a urine specimen for culture and sensitivity?
A Use a clean container
B 10 B Discard the first flow of urine to ensure that the
C 15 urine is not contaminated
D 30 C Collect around 30-50 ml of urine
D refrigerate the specimen or add ice according to
34.Too narrow cuff will cause what change in the Client’s the agency’s protocol
BP?
A True high reading
B True low reading
C False high reading 42.When should the client test his blood sugar levels for
D False low reading greater accuracy?
A During meals
35.Which is a preferable arm for BP taking? B In between meals
A An arm with the most contraptions C Before meals
B The left arm of the client with a CVA affecting the D 2 Hours after meals
right brain
C The right arm 43.In collecting a routine specimen for fecalysis, which of
D The left arm the following, if done by a nurse, indicates inadequate
knowledge and skills about the procedure?
36.Which of the following is INCORRECT in assessing A The nurse scoop the specimen specifically at the
client’s BP? site with blood and mucus
A Read the mercury at the upper meniscus, B She took around 1 inch of specimen or a
preferably at the eye level to prevent error of parallax teaspoonful
B Inflate and deflate slowly, 2-3 mmHg at a time C Ask the client to call her for the specimen after
C The sound heard during taking BP is known as the client wiped off his anus with a tissue
KOROTKOFF sound D Ask the client to defecate in a bedpan, Secure a
D If the BP is taken on the left leg using the sterile container
popliteal artery pressure, a BP of 160/80 is normal.
44.Who collects blood specimen?
37.Which of the following is TRUE about the auscultation of A The nurse
blood pressure? B Medical technologist
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

C Physician C. Overt Data
D Physical therapist D. Symptoms

45.Which of the following is a primary factor that affects the 54.Data or information obtained from the assessment of a
BP? patient is primarily used by nurse to:
A Obesity A.Ascertain the patient’s response to health problems
B Age B.Assist in constructing the taxonomy of nursing
C Stress intervention
D Gender C.Assist in constructing the taxonomy of nursing
intervention
46.The following are social data about the client except D.Determine the effectiveness of the doctor’s order
A Patient’s lifestyle
B Religious practices 55.What is an example of a subjective data?
C Family home situation
D Usual health status A.Color of wound drainage
B.Odor of breath
47.The best position for any procedure that involves C.Respiration of 14 breaths/minute
vaginal and cervical examination is D.The patient’s statement of “I feel sick to my
A Dorsal recumbent stomach”
B Side lying
C Supine 56.SITUATION : Correct application of the Nursing Process
D Lithotomy is vital in providing quality care. The nurse must use her
skills and knowledge in proper assessment, planning and
48.In palpating the client’s abdomen, Which of the following evaluating to meet the patient’s need and address the
is the best position for the client to assume? priority response of the client to his or her illness. Which
A Dorsal recumbent statement is a difference between comprehensive and
B Side lying focused assessment?
C Supine A.Comprehensive assessments can’t include any focus
D Lithotomy assessments
B.Focused assessments are more important than
49.Rectal examination is done with a client in what comprehensive assessments
position? C.Focused assessments are usually ongoing and
A Dorsal recumbent concerning specific problems
B Sims position D.Objective data are included only in comprehensive
C Supine assessments
D Lithotomy
57.Two-year-old Ben’s mother states “Ben vomited 8
ounces of his formula this morning.” This statement is an
50. Which of the following is the best position for the client example of:
to assume if the back is to be examined by the nurse? A Objective data from a primary source
A Standing B Objective data from a secondary source
B Sitting C Subjective data from a primary source
C Side lying D Subjective data from a secondary source
D Prone
58. Which expected outcome is correctly written?
51.In assessing the client’s chest, which position best show A.The patient will be less edematous in 24 hours
chest expansion as well as its movements? B.The patient will drink an adequate amount of fluid daily
A Sitting C.The patient will identify 5 high-salt foods from prepared
B Prone list by discharge
C Sidelying
D Supine

52.During the planning phase of the nursing process, which

of the following is the product developed?
A.Nursing Care Plan
B.Nursing Diagnosis
C.Nursing History D.The patient will soon sleep well through the night
D.Nursing notes
59.An expected outcome on a patient’s care plan reads:
53.Objective data are also known as? “Patient will state seven warning signs of cancer by
A. Covert data discharge.” When the nurse evaluates the patient progress,
B. Inferences the patient is able to state that a change in wart or mole, a
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

sore that doesn’t heal and a change in 64. A client with a diagnosis of terminal
bowel or bladder habits are warning signals of cancer. cancer is being cared for at home. The nurse is teaching
Which of the following would be an appropriate evaluative the client how to control pain. The nurse teaches the client
statement for the nurse to place on the patient’s nursing to:
care plan?
A.Patient understands the warning signals of cancer A.Start with the lower dosage of a medication then
B.Goal met; Patient cited a change in wart of mole, sore gradually increase the dose until pain relief is obtained.
that doesn’t heal and a change in bowel or bladder habits B.Start with the higher dosage of medication then gradually
as warning signals of cancer. decrease the dosage until pain relief is maintained.
C.Goal not met C.Adjunct therapies such as relaxation exercises are
D.Goal partially met useless for cancer pain relief.
D.Monitor medication dosage carefully in order to prevent
addiction.
60.The nurse makes the following entry in the patient’s
record: “Goal not met; patient refuses to attend smoking 65.. A client receiving chemotherapy states that everything
cessation classes.” Because this goal hasn’t been met, the she tries to eat does not taste good. The nurse explains
nurse should: that this is a side effect of chemotherapy and the client can
A.Develop a completely new nursing care plan perform which of the following to decrease this symptom.
B.Assign the patient to a more experienced nurse
C.Critique the steps involved in the development of the A.Eat spicy foods to camouflage the taste.
goal B.Frequently perform mouth care.
D.Transfer the patient to another facility C.Drink sips of water between every mouth of food.
D.Use commercial mouth wash before each mea

61. A nurse is discharging a client to home after the client

received a round of chemotherapy. The client states "I am
glad to be going home so that I can continue my herbal
remedy for nausea”. The best response by the nurse is:

A. Tell me what herbal remedies you are planning on

taking. Then we can discuss their safety with your
physician.
B.I think herbal therapies are an excellent way to control
nausea related to chemotherapy.
C.Be sure to research the herbal therapies with the
salesperson at the health food store before you start taking
them.
D.Herbal therapies are safe and effective for everyone. I
do not know why physicians do not use them.

62. The goal of each chemotherapy treatment is to:

A.Eradicate all of the cancer cells

B.Eradicate all the actively proliferating cells in the body
C.Eradicate the wall of the cancerous tumor
D.Eradicate a percentage of the cancer cells

63. A client is to start chemotherapy next week for ovarian

cancer. The nurse knows the client understands teaching
concerning alopecia when the client states:

A.I can't wait to get a tan on the top of my head.

B.I know my hair will fall out but, it will grow back just as it
is now after the chemotherapy.

C.I know my hair will not fall out, because I have been
using a mild shampoo.

D.I have decided to have my hair cut short tomorrow. I

already bought my wig.