NLE PRACTICE EXAM 02

Answer the 20 item exam
and get your scores below!

1. Romy, 14 y/o was admitted to a medical ward due to bronchial asthma after learning that his mother is leaving for UK to work as a nurse. Romy's behavioral symptoms may be conveying which of the following message?

A. I am alone and helpless
B. I hate you for leaving me
C. Everyone needs attention
D. I deserve to be punished


2. The initial goal in the nursing care for Romy is:

A. Teach relaxation techniques
B. Encourage verbalization of feelings and concerns
C. Teach alternative ways of coping
D. Alleviate the patient's physical symptoms


3. The individual with essential hypertension is thought to:

A. Suppress anger and hostility
B. Fear social interactions with others
C. Project feelings onto environment
D. Deny responsibility for own behavior


4. Mr. Jose, bank executive is described by his subordinates as meticulous, scrupulous and wants every work to be on time. What physical illness would he be vulnerable?

A. Essential Hypertension
B. Bronchial Asthma
C. Migraine
D. D. Dermatitis


5. An appropriate nursing diagnosis for Mr. Jose would be:

A. Alteration in health maintenance related to knowledge deficit
B. Ineffective individual coping related to inadequate psychological resources
C. Ineffective denial related to poorly developed defensive function
D. Altered thought process related to withdrawal to the self


6. Chad, 23 years old, was admitted to the psychiatric unit with a diagnosis of Schizophrenia Paranoid type. As you approach Chad, he says, "If you come any closer, I'll die". This is an example of:

A. Hallucination
B. Delusion
C. Illusion
D. Ideas of reference



7. Your best response for this behavior is:

A. How can I hurt you?
B. Chad, I am your Nurse
C. Tell me more about this.
D. That's a silly thing to say


8. When communicating with a paranoid client, the main principle is to:

A. Use logic and be persistent
B. Express doubt and do not argue
C. Provide an anxiety free environment
D. Encourage ventilation of anger


9. In planning for a client who has negative symptoms of Schizophrenia, the nurse would anticipate a problem with:

A. bizarre behaviors
B. motivation for activities
C. ideas of reference
D. tactile hallucinations


10. The patient is asked, "Have you eaten?" and answered, "Have you eaten, Have you eaten, Have you eaten?" This phenomenon is called as:

A. Echolalia
B. Verbigeration
C. Dissociation
D. Neologism



11. How will you help a patient anticipate and deal with future recurrence of hallucination?

A. Stay with the patient all the time
B. Examine the patient's ways of dealing with hallucinations
C. Help patient accept that hallucination is a part of his mental illness
D. Assigning permanent staff who knows when the patient hallucinates


12. Your assessment of a patient with a diagnosis of catatonic schizophrenia will most likely reveal the following sets of behavior?

A. Aloofness, distrust, suspiciousness, grandiosity
B. Regression, giggling, smiling, laughing
C. Anxious, bizarre behavior, depression, elation
D. Stupor, hallucinations, negativism and automatism


13. Which of the following is an adverse effect associated with the use of Antipsychotic drug?

A. Sedation
B. Neuroleptic Malignant Syndrome
C. Extrapyramidal symptoms
D. Anticholinergic effects


14. Anton diagnosed with Schizophrenia Disorganized type was observed sitting alone, looking frightened. How should the nurse approach him?

A. Approach Anton, touch him on the arm and say: I'm your nurse.
B. Sit across him and say: Hi, I'm Rose your nurse. You appear frightened.
C. Greet him and say: Come I'll show you around.
D. Allow him to remain alone until he feels more comfortable


15. The goal of rehabilitation of a Schizophrenic is to:

A. learn effective coping
B. involve the family in client care
C. find employment for the client
D. facilitate optimal functioning of patient


16. Jenny was admitted to the Psychiatric unit exhibiting elation, incessant chattering and hyperactivity. Which of the following nursing diagnostic categories would hold the highest priority for her?

A. Hopelessness
B. Potential for injury
C. Personal identity disturbance
D. Ineffective individual coping


17. Jenny starts saying, "You will be promoted. Just go to Malacanang, see my cousin GMA. She is experiencing:

A. illusion
B. verbigeration
C. hallucination
D. delusion


18. Sensing that people don't believe her, she shouted," I'm really the cousin of GMA. Why don't you believe me? I own 10 buildings in Makati and the Fort Area. An effective approach of the nurse should be to:

A. listen attentively
B. leave her to a co-patient
C. start presenting reality
D. give reasons for not believing her


19. The primary reason for assigning a private room for Jenny is:


A. Decrease environmental stimuli
B. Prevent the patient's excessive activity from disturbing others
C. Deter the patient from interrupting the nurses
D. Provide the patient with a quiet place to thinking about her problems


20. The highest priority nursing intervention for a hyperactive patient like Jenny would be:

A. Discourage her from manipulating the staff
B. Prevent her assaulting other patients
C. Protect her against suicidal attempts
D. Provide adequate food and fluid intake








Score =


Correct answers:

from: Philippine Nurse