s/sx reflex (grayish discoloration of pupils)

28. INTUSSUSCEPTION – sausage

1. PTB – low-grade afternoon fever.
02. PNEUMONIA – rusty sputum.
03. ASTHMA – wheezing on
expiration.
04. EMPHYSEMA – barrel chest.
05. KAWASAKI SYNDROME –
strawberry tongue.
06. PERNICIOUS ANEMIA – red beefy
tongue.
07. DOWN SYNDROME – protruding
tongue.
08. CHOLERA – rice watery stool.
09. MALARIA – stepladder like fever
with chills.
10. TYPHOID – rose spots in
abdomen.
11. DIPTHERIA – pseudo membrane
formation
shaped mass, Dance Sign (empty
portion of RLQ)
29. MS – Charcot’s Triad (IAN)
30. MG – descending muscle
weakness
31. Guillain Barre Syndrome –
ascending muscle weakness
32. DVT – Homan’s Sign
33. CHICKEN POX – Vesicular Rash
(central to distal) dew drop on rose
petal
34. ANGINA – Crushing stubbing pain
relieved by NTG
35. MI – Crushing stubbing pain which
radiates to left shoulder, neck, arms,
unrelieved by NTG
36. LTB – inspiratory stridor
37. TEF – 4Cs’ Coughing, Choking,
Cyanosis, Continous Drooling
53. ACROMEGALY – Coarse facial
feature
54. DUCHENNE’S MUSCULAR
DYSTROPHY – Gowers’ sign (use of
hands to push one’s self from the
floor)
55. GERD – Barretts esophagus
(erosion of the lower portion of the
esophageal mucosa)
56. HEPATIC ENCEPHALOPATHY –
Flapping tremors
57. HYDROCEPHALUS – Bossing sign
(prominent forehead)
58. INCREASE ICP – HYPERtension
BRADYpnea BRADYcardia (Cushing’s
Triad)
59. SHOCK – HYPOtension TACHYpnea
TACHYcardia
60. MENIERE’S DSE – Vertigo, Tinnitus
61. CYSTITIS – burning on urination

12. MEASLES – koplik’s spots.
13. SLE – butterfly rashes.
14. LIVER CIRRHOSIS – spider like
varices.
15. LEPROSY – lioning face.
16. BULIMIA – chipmunk face.
17. APPENDICITIS – rebound
tenderness.
38. EPIGLOTITIS – 3Ds’ Drooling, 62. HYPOCALCEMIA – Chvostek &
Dysphonia, Dysphagia Trosseaus sign
39. HODGEKIN’S DSE/LYMPHOMA – 63. ULCERATIVE COLITIS – recurrent
painless, progressive enlargement of bloody diarrhea
spleen & lymph tissues, Reedstenberg
Cells 64. LYME’S DSE – Bull’s eye rash
40. INFECTIOUS MONONUCLEOSIS –
Hallmark: sore throat, cervical lymph
adenopathy, fever
41. PARKINSON’S – Pill-rolling tremors

18. DENGUE – petechiae or (+) 42. FIBRIN HYALIN – Expiratory Grunt

Herman’s sign.
19. MENINGITIS – Kernig’s sign (leg
flex then leg pain on extension),
Brudzinski sign (neck flex = lower leg
flex).
20. TETANY – hypocalcemia (+)
Trousseau’s sign/carpopedal spasm;
Chvostek sign (facial spasm).
43. CYSTIC FIBROSIS – Salty skin
44. DM – polyuria, polydypsia,
polyphagia
45. DKA – Kussmauls breathing (Deep
Rapid RR)
46. BLADDER CA – painless hematuria

21. TETANUS – risus sardonicus.
22. PANCREATITIS – Cullen’s sign
(ecchymosis of umbilicus); (+) Grey
turners spots.
23. PYLORIC STENOSIS – olive like
mass.
24. PDA – machine like murmur.
47. BPH – reduced size & force of
urine
48. PEMPHIGUS VULGARIS –
Nikolsky’s sign (separation of
epidermis caused by rubbing of the
skin)
49. RETINAL DETACHMENT – Visual
Floaters, flashes of light, curtain vision

25. ADDISON’S DISEASE – bronze like
skin pigmentation.
26. CUSHING’S SYNDROME – moon
face appearance and buffalo hump.
27. HYPERTHYROIDISM/GRAVE’S
DISEASE – exopthalmus.
50. GLAUCOMA – Painfull vision loss,
tunnel/gun barrel/halo vision
(Peripheral Vision Loss)
51. CATARACT – Painless vision loss,
Opacity of the lens, blurring of vision
52. RETINO BLASTOMA – Cat’s eye
Nurses Licensure Exam NLE NURSING
PRACTICE 05
Answer the 20 item exam
and get your scores below!
1. When 40 year old Tom was admitted to the
hospital, he frequently exposes himself to female
staff nurses. He derives pleasure at the sight of
shrieking woman. This is behavior is known as:
A. Necrophilia
B. Sadism
C. Voyeurism
D. Exhibitionism
2. The nurse responds to this behavior by:
A. Ignoring his behavior, realizing that he
has low self-esteem
B. Informing him that the behavior is
unacceptable, limit setting is appropriate
C. Holding a ward meeting where unit
appropriate behavior is discussed
D. Ask the Psychiatrist to confront Tom�s
behavior
3. In order to get into areas of sex life of a patient,
the nurse must first be:
A. Secure about her own sexuality
B. Knowledgeable in what is proper and
what is improper sexual behavior
C. Keen about the varieties of sexual
expressions
D. Interested, natural and human
4. When the nurse enters the patients room and
sees him openly masturbate, what is the best
approach to follow?
A. Provide privacy and leave the patient
B. Warn the patient that masturbation can
lead to serious illnesses
C. Report the incident to the head nurse
and record the observation
D. Tell the patient that masturbation is an A. Collaboration with community agencies
unacceptable
5. Baffy, 25y/o was sexually abused by a pedicab B. Crisis intervention techniques
driver while on her way home from work one
evening as a cashier in a 24 hour convenience
store. She was brought to the ER with bruises all
over her body. She was crying uncontrollably & C. Physical assessment
appears to be very anxious. Nurse Lena
therapeutically communicates with her, saying:
D. Teaching & Learning principles
A. You are very upset, calm yourself first 9. To become a patient advocate to rape victims,
Baffy. I can�t understand you. nurse Lena should note the following
responsibilities:
B. I know something terrible & horrifying
happened to you. A. Since this is a legal case, call the press
C. Would you like to relate to me what B. Isolate the patient first to provide
happened? privacy while attending to other patients
D. Can you identify your abuser? C. Postpone the physical examination, until
the patient is calm
6. For victims of sexual abuse like Baffy, nurse
Lena can help lower her level of anxiety by:
D. Perform thorough physical assessment
& document objectively all evidences of rape
A. Assessing her family history
10. Sheila, 5 years old, was diagnosed as autistic
since she was 1 year old. This disorder is
characterized by:
B. Allowing her to express feelings &
concern
A. Anxiety induced involuntary stereotype
C. Identifying coping mechanisms motor movements
D. Teaching about human sexuality B. Inappropriate behavior, poor attention
span with impulsivity
7. Emergency care to be given for Rape victims
are as follows:
___ 1. If a victim calls the hospital, tell her not to C. Negativistic, hostile and defiant
bathe, shower, wash or change clothes, just go the behavior
directly to the hospital
___ 2. Provide privacy and be judgemental
___ 3. Stay with the victim, focus on physical
D. Failure to develop interpersonal skills
safety & emotional security
___ 4. Assist in pelvic examination to collect
evidences such as semen, stains 11. At her age, Sheila is at what stage of
psychosocial development?
A. 1,2,3
A. Industry vs. Inferiority
B. 2,3,4
B. Initiative vs. guilt
C. 1,2,4
C. Trust vs. Mistrust
D. 1,3,4
D. Autonomy vs. Shame and Doubt
8. In providing nursing care for Baffy during her
acute stress reaction to rape trauma, Nurse Lena 12. The best strategy that the nurse can use to
applies which of the following? provide a trusting relationship with an autistic
child like Sheila is to:
A. Reinforce positive behavior through
praise and rewards
B. Explain to the child activities and
routines
C. Provide a structured environment
D. Convey warmth through touch
13. A distinguishing factor that separates conduct
disorder from oppositional defiant disorder in
children include the following:
A. Obvious symptoms at birth
B. Violation of rights of others
C. Opposition to authority
D. Angry outburst
14. A normal response to hospitalization for a
young child is:
A. being emotionally upset
B. withdrawal from the family
C. regressive behavior
D. free-floating anxiety
15. Prevention of mental retardation begins:
A. As soon as pregnancy is suspected
B. With family planning
C. During the first trimester of pregnancy
D. During the second trimester of
pregnancy
16. The real issue in school phobia is not the
school itself, but the:
A. separation from the mother
B. teacher A. problems are identified
C. school work B. problems are resolved
D. hostile classmates C. problems are examined
17. The priority nursing action for a child with
Separation Anxiety disorder is: D. contract is specified
answer
A. Assist the child to return to school
immediately with family support 1. D. Exhibitionism
2. B. Informing him that the behavior is
unacceptable, limit setting is appropriate
B. Arrange for a home-school teacher to
visit for 2 weeks
3. A. Secure about her own sexuality
4. A. Provide privacy and leave the patient
C. Encourage family discussion of various
problem areas 5. B. I know something terrible & horrifying
happened to you.
D. Use play therapy to help the child 6. B. Allowing her to express feelings & concern
express his feelings
7. D. 1,3,4
18. A child with a depressive disorder is likely to
exhibit: 8. B. Crisis intervention techniques
9. D. Perform thorough physical assessment &
document objectively all evidences of rape
A. Negativism and acting out
10. D. Failure to develop interpersonal skills
B. Sadness and crying 11. B. Initiative vs. guilt
12. D. Convey warmth through touch
C. Suicidal thoughts
13. B. Violation of rights of others
14. A. being emotionally upset
D. Weight gain
15. B. With family planning
19. The parents of a child with Attention Deficit
Hyperactivity disorder tells the nurse that they 16. A. separation from the mother
have tried everything to calm their child and
nothing has worked. Which action is most 17. C. Encourage family discussion of various
appropriate initially? problem areas
18. B. Sadness and crying
A. Actively listen to the parents concern
before planning interventions 19. A. Actively listen to the parents concern
before planning interventions
20. B. problems are resolved
B. Encourage the parents to discuss these
issues with the mental health team
C. Provide literature regarding the disorder
and its management
D. Tell the parents they are overreacting to
the problem
20. The final stage of nurse-client relationship is
the termination phase where the:
1. Jenny is placed on Lithium
therapy. Early signs of toxicity
include:
A. tinnitus
B. vomiting
C. ataxia
D. stupor
2. The therapeutic blood lithium
level is:
A. 2.5 MEq/L and above
B. 1.5-2.5 MEq/L
C. 0.5-1.5 MEq/L
D. 1.5-2.0 MEq/L
3. To reduce overt aggression
from a manic patient the
following are appropriate
measures EXCEPT:
A. Participation in
competitive games
B. Encouraging relaxation
techniques
C. Reduction in
environmental stimuli
D. Encourage client to
discuss angry feelings
4. The biochemical theory of
manic behavior may be related
to:
A. Neurotransmitter
deficiency
B. Excessive level of
Norepinephrine
C. Increased cholinergic
activity
B. Restlessness and
D. Increased noreadrenergic confusion
activity
C. Fractures of the vertebra
5. Karla was given a diagnosis of
& long bones
Depression with Suicidal
tendencies. In planning the
nursing care for her, which of the D. Temporary memory loss
following should be given and apnea
priority?
8. The appropriate activity for a
depressed withdrawn client
A. Allow relatives to visit
should be:
him
A. reading a novel
B. Meet his daily self-care
needs
B. playing chess
C. Keep him safe from self-
harm C. taking a walk
D. Maintain his daily D. listening to music
nutritional needs
9. Suicide precaution should be
6. You noticed that Karla strictly observed when the client
combed her hair for the first time exhibits which of the following
while in the hospital. You manifestations?
validate the meaning of her
behavior by saying:
A. the client feels weak and
tired
A. Tell me how you did that
B. the client expresses
B. I sense that you feel good hostile feelings
today. Tell me what�s
happening
C. the client has sudden
cheerfulness
C. I like the way you
arranged your hair. It�s nice.
D. the client is agitated
D. Is that your favorite 10. Tricyclic Antidepressant was
hairdo? prescribed for Karla. While
taking the TCA, she should be
7. Karla was scheduled for ECT. observed for:
The most frequent complication
of ECT is:
A. diarrhea
A. Loss of consciousness
B. constipation
and headache

C. muscle rigidity
D. polyuria
11. Carlos, age 35 was brought
to the rehabilitation center for
detoxification. He is a known
alcoholic for ten years. Upon
assessment, the reason he was
asked when was his last intake of
alcohol is:
A. Specific period when
withdrawal symptoms may set in
B. How far the dependency
has progressed
C. To determine the
development of delirium tremens
D. Severity of withdrawal
client may experience
12. Carlos tells the nurse how he
hit his wife after an argument
they had and asked if he would
ever be forgiven. The best
response of the nurse is:
A. You seem to have bad
feelings about hitting your wife.
B. You may ask her when
she visits you.
C. That depends if you�ll
be good enough during your
confinement.
D. If it�s okay with you,
we can discuss that during the
family therapy.
13. During the night, Carlos
suddenly cries out as he saw
shadows on the wall, - No,
don�t take me, noooh!! The
nurse�s best response would
be:
A. What do the shadows
mean to you, Carlos?
B. Go back to sleep you�re
just having a nightmare.
C. No one�s here but you
and me Carlos, You�re safe
here.
D. Tell me what you feel
Carlos, I�m here to help.
14. Carlos is noted to fabricate
information due to his memory
lapses. The nurse is aware that
this is done to:
A. maintain self-esteem
B. gain sympathy
C. manipulate others
D. attract attention
15. An attitude that the nurse
must assume to be most help to
Carlos is:
A. Warm and
accommodating
B. Firmly consistent yet
accepting
C. Acceptance and
permisiveness
D. Judgmental and
moralistic
16. Robin, known to be
substance dependent for 3 years
is admitted to the ER. Upon
assessment he was found to be
on drugs, with pinpoint pupils
with RR of 9. Robin is likely to
be suffering from:
A. Cocaine intoxication
B. Cocaine withdrawal
C. Heroine intoxication
D. Heroine withdrawal
17. Most appropriate nursing
diagnosis for Robin is:
A. alteration in social
interaction
B. alteration in sensory
perception
C. ineffective individual
coping
D. impaired adjustment
18. The medication likely to be
to Robin for the withdrawal from
the substance will be:
A. Methadone
B. Librium
C. Narcan
D. Disulfiram
19. During withdrawal Robin
will likely manifest:
A. rapid respiration, dilated
pupils, rapid pulse
 16. C. Heroine intoxication

B. synesthesia, increased 17. C. ineffective individual coping

vital signs, aggression 18. A. Methadone

19. B. synesthesia, increased vital signs,

C. lacrimation, yawning aggression

restlessness 20. A. Emphysema and lung cancer

D. sleepy languor, poor

concentration, euphoria

20. Chronic use of marijuana

may lead to:

A. Emphysema and lung

cancer

B. Korsakoffs and
Wernickes syndrome

C. Hepatitis and AIDS

D. Cardiomyopathy

answer

1. B. vomiting

2. C. 0.5-1.5 MEq/L

3. A. Participation in competitive games

4. B. Excessive level of Norepinephrine

5. C. Keep him safe from self-harm

6. B. I sense that you feel good today. Tell me

what�s happening

7. C. Fractures of the vertebra & long bones

8. C. taking a walk

9. C. the client has sudden cheerfulness

10. B. constipation

11. A. Specific period when withdrawal

symptoms may set in

12. A. You seem to have bad feelings about

hitting your wife.

13. C. No one�s here but you and me Carlos,

You�re safe here.

14. A. maintain self-esteem

15. B. Firmly consistent yet accepting