NCM 109 (FINALS CONCEPT
EXAMINATION) with complete
solutions 2025/2026
Tocolytics are given to stop or arrest labor. Nurses should not give tocolytics under the following
circumstances
1. Patient is in Active labor, cervix has dilated to 4 cm, or more
2. Absence of Severe Pre-eclampsia
3. Fetal complications
4. Hemorrhage is present
5. Ruptured membranes
- 2, 3, 4, 5
- 1, 2, 3, 4, 5
- 1 only
- 1, 3, 4, 5 - ANS ✔✔- 1, 2, 3, 4, 5
Maria, 10 years old, is + for tuberculosis, but based on the result of Nurse's assessment, she has
no symptoms, no evidences in x-ray result including laboratory. She was diagnosed with latent
TB infection. What would be the drug of choice for Maria?
- Omeprazole 1 tab for maintenance dose
- Streptomycin IM X 6 months
- Isoniazid once daily for 9 months
- Rifampin daily for one month - ANS ✔✔- Isoniazid once daily for 9 months
,Mary, a school age child, while in the classroom, was playing with her classmates who is
coughing, sneezing, and had fever with sore throat. The following day Mary was absent from
class, had check up in the clinic with her mother and was diagnosed with influenza. What is the
mode of transmission of influenza virus that causes Mary to be infected.
- Hand to eye transmission from contaminated surfaces
- Airborne route
- Hand to nose transmission from contaminated surfaces
- Direct transmission - ANS ✔✔Direct Transmission
A 6 year old child, accompanied by her mother, was assessed by the nurse for a checkup. She
has been feverish for the past week and complains of urinary frequency. Upon palpation, the
nurse EXPECTS which normal finding?
- Non-palpable Kidneys
- Palpable Kidneys
- Palpable Spleen
- Flow Murmur - ANS ✔✔Non-palpable Kidneys
May, 12 years old, with chest x-ray + for tuberculosis, had mild hemoptysis, was advised to be
confined in the medical ward. If you are the nurse on duty, in what area of the meducal will you
admit May?
- Clean Isolation Room
- General Ward
- Dirty Isolation Room
- Pediatric Intensive Care Unit - ANS ✔✔Dirty Isolation Room
,Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 130mL/min/1.73m2
- Normal
- G1
- G2
- G3A - ANS ✔✔G1
The Student Nurse is assessing a 3 year old child admitted for difficult urination. Upon
percussion, she heard dullness above the symphysis pubis. What could this finding mean?
- An indication of Urinary Tract Infection
- Indicative of Cystitis
- Presence of Full Bladder
- Presence of Kidney Stones - ANS ✔✔Presence of Full Bladder
Which of the following is generally considered to be the first-line imaging modality in suspected
pediatric intussusception?
- CT Scanning
- Ultrasonography
- Radiography
- MRI - ANS ✔✔Ultrasonography
, Which of the following would the Nurse anticipate for a child diagnosed with HUS? Select all
that apply
- Hyperkalemia
- Hypernatremia
- Elevated Creatinine
- Decreased BUN
- Increased Bilirubin
- Hypophosphatemia - ANS ✔✔- Hyperkalemia
- Elevated Creatinine
- Increased Bilirubin
What is your prioritized nursing problem for john who was diagnosed to have bronchitis and has
viscous mucus secretions?
- High risk for fluid and electrolytes imbalance r/t on and off fever.
- Hyperthermia r/t inflammation of the bronchi.
- High risk for ineffective airway clearance r/t increases airway secretions.
- Parental anxiety r/t child's distress - ANS ✔✔High risk for ineffective airway clearance r/t
increases airway secretions.
Which of the following medications for Nephrotic Syndrome addressed problems with edema?
- Mycophenolate Mofetil
- Prednisone
- Cyclophosphamide
- Furosemide (Lasix) - ANS ✔✔Furosemide (Lasix)
EXAMINATION) with complete
solutions 2025/2026
Tocolytics are given to stop or arrest labor. Nurses should not give tocolytics under the following
circumstances
1. Patient is in Active labor, cervix has dilated to 4 cm, or more
2. Absence of Severe Pre-eclampsia
3. Fetal complications
4. Hemorrhage is present
5. Ruptured membranes
- 2, 3, 4, 5
- 1, 2, 3, 4, 5
- 1 only
- 1, 3, 4, 5 - ANS ✔✔- 1, 2, 3, 4, 5
Maria, 10 years old, is + for tuberculosis, but based on the result of Nurse's assessment, she has
no symptoms, no evidences in x-ray result including laboratory. She was diagnosed with latent
TB infection. What would be the drug of choice for Maria?
- Omeprazole 1 tab for maintenance dose
- Streptomycin IM X 6 months
- Isoniazid once daily for 9 months
- Rifampin daily for one month - ANS ✔✔- Isoniazid once daily for 9 months
,Mary, a school age child, while in the classroom, was playing with her classmates who is
coughing, sneezing, and had fever with sore throat. The following day Mary was absent from
class, had check up in the clinic with her mother and was diagnosed with influenza. What is the
mode of transmission of influenza virus that causes Mary to be infected.
- Hand to eye transmission from contaminated surfaces
- Airborne route
- Hand to nose transmission from contaminated surfaces
- Direct transmission - ANS ✔✔Direct Transmission
A 6 year old child, accompanied by her mother, was assessed by the nurse for a checkup. She
has been feverish for the past week and complains of urinary frequency. Upon palpation, the
nurse EXPECTS which normal finding?
- Non-palpable Kidneys
- Palpable Kidneys
- Palpable Spleen
- Flow Murmur - ANS ✔✔Non-palpable Kidneys
May, 12 years old, with chest x-ray + for tuberculosis, had mild hemoptysis, was advised to be
confined in the medical ward. If you are the nurse on duty, in what area of the meducal will you
admit May?
- Clean Isolation Room
- General Ward
- Dirty Isolation Room
- Pediatric Intensive Care Unit - ANS ✔✔Dirty Isolation Room
,Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 130mL/min/1.73m2
- Normal
- G1
- G2
- G3A - ANS ✔✔G1
The Student Nurse is assessing a 3 year old child admitted for difficult urination. Upon
percussion, she heard dullness above the symphysis pubis. What could this finding mean?
- An indication of Urinary Tract Infection
- Indicative of Cystitis
- Presence of Full Bladder
- Presence of Kidney Stones - ANS ✔✔Presence of Full Bladder
Which of the following is generally considered to be the first-line imaging modality in suspected
pediatric intussusception?
- CT Scanning
- Ultrasonography
- Radiography
- MRI - ANS ✔✔Ultrasonography
, Which of the following would the Nurse anticipate for a child diagnosed with HUS? Select all
that apply
- Hyperkalemia
- Hypernatremia
- Elevated Creatinine
- Decreased BUN
- Increased Bilirubin
- Hypophosphatemia - ANS ✔✔- Hyperkalemia
- Elevated Creatinine
- Increased Bilirubin
What is your prioritized nursing problem for john who was diagnosed to have bronchitis and has
viscous mucus secretions?
- High risk for fluid and electrolytes imbalance r/t on and off fever.
- Hyperthermia r/t inflammation of the bronchi.
- High risk for ineffective airway clearance r/t increases airway secretions.
- Parental anxiety r/t child's distress - ANS ✔✔High risk for ineffective airway clearance r/t
increases airway secretions.
Which of the following medications for Nephrotic Syndrome addressed problems with edema?
- Mycophenolate Mofetil
- Prednisone
- Cyclophosphamide
- Furosemide (Lasix) - ANS ✔✔Furosemide (Lasix)
