Philippine Nursing Board Exam Results | Practice Nursing Questions | Medical Surgical Nursing | Psychiatric Nursing | OB Nursing


1. The assessment of a client that would most indicative of diabetes insipidus is:
A. Increased blood glucose
B. Low urinary specific gravity
C. Elevation of blood pressure
D. Decreased serum osmolarity

Correct answer is B: Because water is not being reabsorbed, urine is dilute, resulting in a low specific gravity.
A. Diabetes Insipidus is not disorder of glucose metabolism; blood glucose levels are not affected
C. Loss of fluid may actually lower blood pressure
D. As fluid is lost from the vascular compartment, serum osmolarity increases

2. Normally the antidiuretic hormone (ADH) influences kidney function by stimulating the:
A. Nephron tubules to reabsorb water
B. Nephron tubules to reabsorb glucose
C. Glomerulus to withhold the proteins from the urine
D. Glomerulus to control the quantity of fluid passing through it

Correct answer is A: The antidiuretic hormone aids the body in retaining the fluid by causing the nephrons to reabsorb water.
B. Reabsorption of glucose is not affected, only the reabsorption of water
C. The glomeruli are not affected
D. Same as answer C.

3. The administration of corticosteroids to control the symptoms of one disease can cause infections. A rationale that does not support this concept is that corticosteroids:
A. Prevent the production of leukocytes
B. Stop antibody production in lymphatic tissue
C. Promote the growth and spread of enteric viruses
D. Interfere with the inflammatory response of the body.

Correct answer is C: These agents are classified as anti-inflammatory or immunosuppressive. Glucocorticoids interfere with the body’s response to microorganisms but do not directly promote the spread of enteroviruses
A. Immunosuppressant action causes bone marrow depression, which decreases the number of WBCs.
B. They interfere with antibody production
D. They interfere with the release of enzymes responsible for the inflammatory response.

4. The nurse knows that most of the hormones present in the body at any given time were secreted from the endocrine glands:
A. 24 hours ago
B. 4 to 6 hours ago
C. 8 to 12 hours ago
D. More than 72 hours ago

Correct answer is B: Endocrine gland secretions (hormones) are inactivated by the liver and other tissues fairly rapidly; continuous hormonal secretion by the endocrine glands is regulated by immediate feedback controls, and the body’s metabolism is always close to being suitable to the body’s immediate needs.
A. This time interval does not represent secretory patterns of the endocrine glands
C. same as answer A
D. same as answer A

5. After a head injury a client develops a deficiency of antidiuretic hormone (ADH). Normally secretion of ADH causes:
A. Serum osmolarity to increase
B. Urine concentration to decrease
C. Glomerular filtration to decrease
D. Tubular reabsorption of water to increase

Correct answer is D: Reabsorption of sodium and water in the kidney tubules decreases urinary output and retains body fluids.
A. The opposite is true
B. Same as answer A
C. There is no effect on filtration with ADH; ADH increases reabsorption in the tubules

6. A client who has acromegaly and diabetes mellitus undergoes a hypophysectomy. The nurse recognizes that further teaching about the hypophysectomy is necessary when the client states “I know I will:
A. Be sterile for the rest of my life”
B. Require larger doses of insulin than I did preoperatively”
C. Have to take thyroxine or a similar preparation for the rest of my life”
D. Have to take the cortisone or a similar preparation for the rest of my life”

Correct answer is B: The hypophysis (pituitary) does not directly regulate insulin release. This is controlled by serum glucose levels. Because somatotropin release will stop after the hypophysectomy any elevation of blood glucose caused by somatotropin will also stop.
A. This effects maybe expected after hypophysectomy because follicle-stimulating hormone and its releasing factor will no longer be present to stimulate spermatogenesis.
C. Thyroid-stimulating hormone will not be present; extrinsic thyroxine will have to be taken
D. ACTH, which stimulates glucocorticoids secretion by the adrenal glands, is absent and cortisone will have to be administered.

7. After a hypophysectomy the nurse specifically should observe the client for early signs of:
A. Urinary retention
B. Respiratory distress
C. Bleeding at the suture line
D. Increased intracranial pressure

Correct answer is D: Because the pituitary gland is located in the brain, edema after surgery may result in increased intracranial pressure.
A. This may follow any surgery because of the effects of anesthesia and is not a specific occurrence following cranial surgery
B. This is not an initial sign of increased ICP. This may be the result of pressure on the medulla caused by increased intracranial pressure.
C. This may occur with any surgery, not just a hypophysectomy.

8. In the emergency the rapid adjustments made by the body are associated with increased activity of the:
A. Thyroid gland
B. Adrenal gland
C. Pituitary gland
D. Pancreatic gland

Correct answer is B: The adrenal glands, stimulated by the sympathetic nervous system, secrete epinephrine during stressful situations. The ensuing alarm reaction involves rapid adjustment of the body to meet the emergency situation.
A. There maybe modification in secretion of hormones from this gland, but it is not directly related to meeting emergency situations.
C. same as answer A
D. same as answer A

9. One of the main differences between newly diagnosed type 1 and type 2 diabetes mellitus is that in type 1 diabetes:
A. The onset is slow
B. Clients are generally overweight
C, Treatment involves diet, exercise, and oral agents
D. Complications are not present at time of diagnosis

Correct answer is D: Clinical presentation of type 1 diabetes is characterized by acute onset and therefore there is no time to develop the long term complications that are common with long-standing disease; 20% of newly diagnosed clients with type 2 diabetes demonstrate complications because the diabetes has gone undetected for an extended period of time.

10. A client is scheduled for an adrenalectomy. The nurse should plan to:
A. Provide a high-protein diet
B. Administer steroid IM or IV
C. Collect a 24-hour urine specimen
D. Withhold all medication for 48 hours

Correct answer is B: Steroid therapy is usually instituted preoperatively and continued intraoperatively to prepare for the acute adrenal insufficiency the follows surgery.

11. A client with Cushing’s syndrome may manifest signs of diabetes mellitus because:
A. The cortical hormones stimulate rapid weight loss
B. Excessive ACTH secretion damages pancreatic tissue
C. Tissue catabolism results in a negative nitrogen balance
D. Glucocorticoids accelerate the process of gluconeogenesis

Correct answer is D: Excess glucocorticoids cause hyperglycemia and signs of diabetes mellitus may develop.


Anonymous said...

nice.. thank you... helpful talaga

Anonymous said...


Anonymous said...

wala nbng iba pa?? more pa..

Anonymous said...

Hi there just ωanted to gіve you a
quick hеadѕ up. Тhе words in youг article sеem tо be running оff the scгеen
in Ϲhrome. I'm not sure if this is a formatting issue or something to do with internet browser compatibility but I thought I'd ροѕt tο let you κnοw.
The style and desіgn lоok greаt though!
Hoрe уou get the issue resolved sοon. Kudos

My ωeb-site -
Also visit my site samsung galaxy note 2

Anonymous said...

It's going to be end of mine day, but before end I am reading this fantastic paragraph to improve my experience.

Feel free to surf to my site;
Feel free to visit my web-site ; pikavippi

Anonymous said...

Hi, I think your website might be having browser compatibility issues.

When I look at your blog site in Ie, it looks fine but when
opening in Internet Explorer, it has some overlapping.
I just wanted to give you a quick heads up! Other then
that, superb blog!

Here is my blog; sib
Here is my site :: jgf

Anonymous said...

Hello, i read your blog from time to time and i own a similar one and i was just curious if
you get a lot of spam feedback? If so how
do you stop it, any plugin or anything you can advise?
I get so much lately it's driving me insane so any support is very much appreciated.

Check out my web blog:

Anonymous said...

Hello, this weekend is fastidious for me, because this moment i am reading this enormous
educational post here at my residence.

Take a look at my weblog - aaa fx

Anonymous said...

Hi there, I found your website by the use of Google at the same time as searching for a similar subject, your web site
came up, it appears good. I have bookmarked it in my google bookmarks.

Hello there, simply became alert to your blog via Google, and located that it's really informative. I'm gonna be careful for brussels.

I will appreciate in case you continue this in future.
A lot of other folks will be benefited from your writing.

My weblog fast twitter followers

Anonymous said...

Hello there, just became aware of your blog through Google,
and found that it is truly informative. I'm gonna watch out for brussels. I'll appreciate if you continue
this in future. A lot of people will be benefited from
your writing. Cheers!

my web-site :: get followers

Anonymous said...

You could certainly see your expertise in the work you write.

The world hopes for even more passionate writers such as you who
aren't afraid to say how they believe. All the time go after your heart.

My site;

Anonymous said...

Piece of writing writing is also a fun, if you be acquainted with afterward you can write if not it is complicated to write.

my web blog - ava fx

Anonymous said...

What i do not realize is if truth be told how you are now
not actually much more well-preferred than you might be right now.
You are so intelligent. You already know therefore considerably in relation to this matter, produced me in my opinion imagine it from a
lot of various angles. Its like women and men don't seem to be interested until it's something
to do with Lady gaga! Your individual stuffs excellent.
Always take care of it up!

My website - get followers

Anonymous said...

Hmm it seems like your website ate my first comment (it was
super long) so I guess I'll just sum it up what I submitted and say, I'm thoroughly enjoying your blog.
I too am an aspiring blog blogger but I'm still new to the whole thing. Do you have any tips and hints for novice blog writers? I'd genuinely appreciate it.

Feel free to surf to my web-site; get followers

Anonymous said...

I really like what you guys tend to be up too. This type of clever
work and exposure! Keep up the wonderful works guys I've added you guys to my blogroll.

Here is my page - is pinterest social media

Anonymous said...

What's up i am kavin, its my first occasion to commenting anywhere, when i read this article i thought i could also create comment due to this good paragraph.

my site get followers

Anonymous said...

I always emailed this weblog post page to all my associates,
for the reason that if like to read it after that my links will too.

Here is my web page

Anonymous said...

Pretty сomponent to сοntent. I
ϳust stumbled upon your weblog and in acceѕsion capitаl to claim that I acquіre in fact lοvеd
acсount your weblog posts. Аnyway Ӏ will be subscribing in уour augment
and eѵen I suсcess you get right of
еntry tο perѕistently fast.

Feel free to vіsit my ѕite ... hcg diet

Anonymous said...

I was ablе to find gоod adviсe frοm уour blog articles.

Feel free to visit my ωeb pаgе; diamondlinks review

Anonymous said...

Heya i am fοr the first time here. Ӏ cаme aсrοss this
board and I find Ӏt really useful & it helped me
out much. I hope to giνe something baсk and help others like you helped me.

Feel free to viѕit mу website
florist at pittsburgh

Anonymous said...

My relаtives аlwayѕ ѕаy that
I am killing my time here аt net, hοwevеr I know I am gettіng knowleԁge
daily by rеading theѕ nісе artiсles oг revіeωs.

My homepagе ... hgh

Anonymous said...

We're a group of volunteers and opening a new scheme in our community. Your web site provided us with valuable information to work on. You'vе dοnе а formidable job аnd ouг entire community will bе thankful to you.

Feеl free to surf to mу рagе:
green coffee extract

Anonymous said...

Simply want to say your article is as astounding.

The clеагness іn youг post іѕ simply cοol and i could assume уou're an expert on this subject. Fine with your permission allow me to grab your feed to keep updated with forthcoming post. Thanks a million and please continue the rewarding work.

my blog post :: green coffee extract for weight loss

Anonymous said...

Сes poѕt sont effectivemеnt fascinants

Alsо visit my web-site ::

ajudan pk said...

This blog is so nice to me. I will continue to come here again and again. Visit my link as well. Good luck
cara menggugurkan kandungan
obat penggugur kandungan

Post a Comment

Infolinks In Text Ads