COMPREHENSIVE NURSING PRACTICE EXAM: MEDICAL-
SURGICAL, PEDIATRICS, AND MENTAL HEALTH | FROM
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What intervention should the PN implement first for a male client who drank water before
surgery? Answer: Determine the amount of water and exact time it was taken.
How should the PN evaluate ondansetron given prior to chemotherapy? Answer: Monitor the
client for nausea or vomiting following the treatment.
What intervention should the PN implement for a client with OCD when approached? Answer:
Provide time for the behavior then guide the client to other activities.
What factor increases the risk for impaired skin integrity in an older adult client? Answer: Has
increasing episodes of urinary incontinence.
What action should the PN take for a client with cirrhosis experiencing peripheral neuropathy?
Answer: Protect the client's feet from injury.
What action should the PN implement for a postoperative client with chest tubes? Answer:
Maintain system integrity and promote lung reexpansion.
Where is the apical heart rate located? Answer: Just below the left nipple.
What should the PN do after observing urine in a client's drainage? Answer: Note the most
recent white blood count.
What instruction should the PN provide to a client with a below-the-knee cast? Answer: Never
scratch under the cast.
What should the PN implement first for a postoperative client in pain after IV morphine?
Answer: Implement complementary pain relief methods.
What is the most important intervention for a withdrawn client with schizophrenia? Answer:
Measure appropriate vital signs.
What should the PN do first if a client loses balance and falls? Answer: Stay with the client and
call for assistance.
What is the next intervention after initiating a urine stream for a voided specimen? Answer:
Collect the specimen.
What should the PN do if weights are touching the foot of the bed in 90-90 traction? Answer:
Adjust the weights to ensure they are not touching the bed.
What action should the PN take regarding a client with hyperproteinemia who increased protein
intake? Answer: Encourage the client to continue the dietary changes she has made.
What behavior should the PN expect from a 3-year-old after a postoperative visit? Answer:
Plays doctor and nurse with the dolls.
What should the PN explain about fluid intake and output measurements? Answer: Why the
fluid measurements need to be recorded.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
SURGICAL, PEDIATRICS, AND MENTAL HEALTH | FROM
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What intervention should the PN implement first for a male client who drank water before
surgery? Answer: Determine the amount of water and exact time it was taken.
How should the PN evaluate ondansetron given prior to chemotherapy? Answer: Monitor the
client for nausea or vomiting following the treatment.
What intervention should the PN implement for a client with OCD when approached? Answer:
Provide time for the behavior then guide the client to other activities.
What factor increases the risk for impaired skin integrity in an older adult client? Answer: Has
increasing episodes of urinary incontinence.
What action should the PN take for a client with cirrhosis experiencing peripheral neuropathy?
Answer: Protect the client's feet from injury.
What action should the PN implement for a postoperative client with chest tubes? Answer:
Maintain system integrity and promote lung reexpansion.
Where is the apical heart rate located? Answer: Just below the left nipple.
What should the PN do after observing urine in a client's drainage? Answer: Note the most
recent white blood count.
What instruction should the PN provide to a client with a below-the-knee cast? Answer: Never
scratch under the cast.
What should the PN implement first for a postoperative client in pain after IV morphine?
Answer: Implement complementary pain relief methods.
What is the most important intervention for a withdrawn client with schizophrenia? Answer:
Measure appropriate vital signs.
What should the PN do first if a client loses balance and falls? Answer: Stay with the client and
call for assistance.
What is the next intervention after initiating a urine stream for a voided specimen? Answer:
Collect the specimen.
What should the PN do if weights are touching the foot of the bed in 90-90 traction? Answer:
Adjust the weights to ensure they are not touching the bed.
What action should the PN take regarding a client with hyperproteinemia who increased protein
intake? Answer: Encourage the client to continue the dietary changes she has made.
What behavior should the PN expect from a 3-year-old after a postoperative visit? Answer:
Plays doctor and nurse with the dolls.
What should the PN explain about fluid intake and output measurements? Answer: Why the
fluid measurements need to be recorded.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
