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TOPRANK Diagnostic Exam Nursing Board Review – 200 Questions with Verified Answers & Rationales: Maternal & Child Nursing, Medical-Surgical Nursing, Psychiatric Nursing, Community Health Nursing, Research, and Nursing Jurisprudence (A+ Guaranteed Study Gu

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TOPRANK Diagnostic Exam Nursing Board Review — 200 Questions with Verified Answers & Rationales This is a comprehensive, high-yield diagnostic exam reviewer for nursing board preparation. It covers 200 complete questions spanning all major nursing subjects — Maternal & Child Nursing, Medical-Surgical Nursing, Psychiatric Nursing, Community Health Nursing, Nursing Research, and Nursing Jurisprudence — with verified answers and detailed rationales for every item. What's Inside: Maternal & Child Nursing (Obstetrics & Pediatrics) – Ectopic pregnancy, abruptio placentae, fetal decelerations (variable, late, early), magnesium sulfate therapeutic levels and toxicity, labor and delivery, amniotomy, episiotomy, phototherapy, oedipal stage, preschool safety, childhood fears, play development, deciduous teeth, adolescent growth spurt, leukemia, diabetes, femoral fracture, clubfoot, rheumatic fever, tetralogy of Fallot, myelomeningocele, hypospadias, urinary tract infection, pyloromyotomy, and pediatric safety Medical-Surgical Nursing – Myocardial infarction, mastectomy positioning, intestinal obstruction, osteomyelitis, insulin administration, diabetic ketoacidosis, Type 1 diabetes, hypothyroidism, levothyroxine, arterial blood gas interpretation, thyroidectomy, diabetes insipidus, Addison's disease, acute renal failure, hemodialysis, epididymitis, arterial steal syndrome, HIV/TST, histoplasmosis, sarcoidosis, tuberculosis, ventilator alarms, endoscopy, hepatitis, gastritis, anemia (iron deficiency, aplastic, sickle cell), hemophilia, vitamin B12, polycythemia vera, and blood component therapy Psychiatric Nursing & Crisis Intervention – Crisis types (dispositional, traumatic, maturation, transitional), early crisis intervention, crisis characteristics, crisis intervention goals, therapeutic communication, sexuality issues, dyspareunia, vaginismus, medications affecting sexual desire, sexual orientation, confidentiality, and substance abuse Community Health Nursing – Dengue hemorrhagic fever prevention and control, immediate hemorrhage control, Primary Health Care (Alma Ata), accessibility of health services, community participation, levels of prevention (primary, secondary, tertiary), cancer prevention, and WHO mortality data Nursing Research – Clinical question components, research question elements, independent/dependent variables, intervention, comparison, qualitative vs. quantitative designs, phenomenology, ethnography, participatory action research, quasi-experimental design, null hypothesis, non-directional hypothesis, prospective/cohort design, non-experimental design, internal/external validity, reliability, Hawthorne effect, in vitro biophysiologic measures, informed consent, and justice principle Nursing Jurisprudence & Ethics – Unintentional tort, assault, battery, false imprisonment, invasion of privacy, conflict resolution strategies (accommodating, compromise, collaborating, competing), delegation to unlicensed assistive personnel, communication skills, performance evaluation, sophisticated technology, living will, durable power of attorney, and end-of-life care Labor & Delivery Complications – Placenta previa, umbilical cord prolapse, second stage of labor, late decelerations, station -1, amniotomy, umbilical cord compression, and dystocia (hypotonic, hypertonic, precipitous) Fluid, Electrolyte & Acid-Base Balance – Metabolic alkalosis, metabolic acidosis, respiratory alkalosis, respiratory acidosis, ABG interpretation, furosemide effects, and burn fluid shifts Burn Management – Emergent phase fluid and electrolyte imbalances, fluid shifting (intracellular to extracellular, vascular to interstitial), capillary permeability, fluid resuscitation (hourly urine output), and TPN Hematologic Nursing – Iron deficiency anemia, aplastic anemia, sickle cell disease, hemophilia A, Schilling test, vitamin B12, ferrous gluconate, polycythemia vera, and blood component therapy Respiratory Nursing – COPD, pursed-lip breathing, inhaler use, pulse oximetry, oxygen saturation, temperature and humidity shifts, pulmonary hygiene, Propranolol and asthma, Reactive Airway Disease, and tracheostomy care End-of-Life Care & Palliative Nursing – Terminally ill client, pain management, living will, durable power of attorney, no-code order, and respecting client's wishes Why Choose This Guide? 200 Verified Answers – Every question includes the correct answer with detailed rationale Exam-Focused – Questions mirror the actual nursing board exam format Comprehensive – Covers all major nursing subjects tested in the PNLE and NLE Real-World Scenarios – Includes practical application questions (e.g., Diane's labor and delivery, Baby Boy Ross's phototherapy, Joey's fears, the diabetic child, the child with leukemia, the child with a cast, the child with rheumatic fever, the infant with vomiting, the infant with myelomeningocele, the child with UTI, the child with hypospadias, the post-MI patient, the mastectomy patient, the intestinal obstruction patient, the osteomyelitis patient, the diabetic patient, the hypothyroid patient, the thyroidectomy patient, the diabetes insipidus patient, the Addison's disease patient, the acute renal failure patient, the hemodialysis patient, the epididymitis patient, the HIV patient, the sarcoidosis patient, the TB patient, the ventilator patient, the endoscopy patient, the hepatitis patient, the gastritis patient, the anemia patients, the hemophilia patient, the polycythemia vera patient, the aplastic anemia patient, the sickle cell patient, the burn patient, the terminally ill patient, the placenta previa patient, the cord prolapse patient, the laboring patient, the postpartum patient, the crisis intervention patient, the sexuality patient, the alcoholic patient, the COPD patient, the Guillain-Barré patient, the asthma patient, and the tracheostomy patient) Statistics & Guidelines – Includes specific numbers tested on exams (magnesium sulfate 1.3-2.1 mEq/L, pH 7.12, PaCO2 40, HCO3 15, pH 7.25, PaCO2 50, pH 7.47, PaCO2 34, HCO3 21, pH 7.48, PaCO2 46, HCO3 28, 618 mg/dL, 8 g/dL, 150,000/mm3, 130 mEq/L, 7-mm induration, 36% to 34% hematocrit, 4.5 million RBC, 11.9 g/dL hemoglobin, 25 inches, 30 days, 37 breaths/min, 2 LPM, 10 LPM, 4 kilometers, 1,500 mL, 2,500 mL, 200 cc/hour, 90/50 mmHg, 126 bpm, 5.5 HbA1C) Instant Download – PDF format, ready to study immediately Who Is This For? PNLE reviewees preparing for the nursing board exam NLE reviewees preparing for the nursing licensure exam NCLEX candidates reviewing maternal & child, medical-surgical, psychiatric, and community health nursing Nursing students in maternal & child nursing, medical-surgical nursing, psychiatric nursing, community health nursing, and nursing research courses Anyone needing a comprehensive review of all major nursing subjects Tutors and instructors seeking a question bank for nursing board review Foreign nursing licensure candidates reviewing nursing content Review centers and nurse educators developing practice tests

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TOP RANK
DIAGNOSTIC EXAM
Nursing Board Review – 200
Questions with Verified Answers
& Rationales


1. Nurse would suspect an ectopic pregnancy if the
client complained of:
A. An adherent painful ovarian mass
B. Lower abdominal cramping for a long period of time.
C. Leukorrhea and dysuria a few days after the first missed
period
D. Sharp lower right or left abdominal pain radiating to the
shoulder.
Answer: D. Sharp lower right or left abdominal pain
radiating to the shoulder.
Rationale: Ectopic pregnancy classically presents with
sharp, unilateral lower abdominal pain that may radiate to
the shoulder (due to diaphragmatic irritation from
hemoperitoneum). This is a classic sign of a ruptured ectopic
pregnancy.




2. A client who has missed two menstrual cycle period
comes to the prenatal clinic complaining of vaginal
bleeding and one-sided lower-quadrant pain. The
nurse suspects that this client has.
A. Abruptio placentae
B. An ectopic pregnancy
C. An incomplete abortion
D. A rupture of a graafian follicle.
Answer: B. An ectopic pregnancy
Rationale: The classic triad of ectopic pregnancy is missed
menstrual period (amenorrhea), vaginal bleeding, and one-
sided lower-quadrant pain. This presentation is highly
suspicious for ectopic pregnancy.


1

,3. Variable decelerations indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
Answer: A. cord compression
Rationale: Variable decelerations are characterized by an
abrupt decrease in fetal heart rate that varies in duration
and intensity. They are caused by umbilical cord
compression.




4. Late deceleration indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
Answer: B. placental insufficiency
Rationale: Late decelerations are characterized by a
gradual decrease in fetal heart rate that begins after the
peak of the contraction and returns to baseline after the
contraction ends. They indicate uteroplacental insufficiency.




5. Early deceleration indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
Answer: C. fetal head compression
Rationale: Early decelerations are characterized by a
gradual decrease in fetal heart rate that begins with the
onset of the contraction and returns to baseline by the end
of the contraction. They are caused by fetal head
compression and are considered benign.




2

,6. Blood therapeutic level of magnesium So4?
A. 1.3 – 2.1 mEq/L
B. 0.5 – 1 meq/L
C. 1.3 – 5 meq/L
D. 0.5 – 2 meq/L
Answer: A. 1.3 – 2.1 mEq/L
Rationale: The therapeutic serum magnesium level for
magnesium sulfate therapy is 1.3 to 2.1 mEq/L. Levels above
this range indicate toxicity.




7. A client is on Magnesium So4 therapy for severe
preeclampsia. The nurse must be alert for the first
sign of an excessive blood magnesium level which is:
A. Disturbance in sensorium
B. Increased in respiratory rate
C. Development of cardiac dysrhythmia
D. Disappearance of the knee-jerk reflex
Answer: D. Disappearance of the knee-jerk reflex
Rationale: The first sign of magnesium sulfate toxicity is the
disappearance of the knee-jerk (deep tendon) reflex. This is
followed by respiratory depression and cardiac
dysrhythmias.




Situation: Diane is arrived to the labor and delivery
area in labor. She complains of regular uterine
contractions with 8 to 10 minutes interval and states
that her bag of water has been ruptured. The fetus is
in a left occiput anterior position (LOA).
8. The nurse's first action should be to:
A. check the FHR
B. start IV fluid as ordered
C. call the physician
D. place to lying position
Answer: A. check the FHR
Rationale: The first action when a client arrives in labor with
ruptured membranes is to check the fetal heart rate (FHR) to
assess fetal well-being. This is the priority nursing action.




3

, 9. Which procedure would best determine if Diane's
BOW has ruptured
A. A complete blood count
B. Nitrazine Paper test
C. Urinalysis
D. Vaginal examination
Answer: B. Nitrazine Paper test
Rationale: The Nitrazine paper test is used to determine if
membranes have ruptured. Amniotic fluid is alkaline (pH 7.0-
7.5) and turns Nitrazine paper blue, while normal vaginal
secretions are acidic.




10. Initial assessment done and revealed the
following FH = 30cm, FHT 145bpm, BP = 110/70
mmHg. IE done by Dr. Mar and revealed 4 cm cervical
dilatation. Diane asked for Demerol. The nurse's best
response is:
A. "Try to wait until you really need it."
B. "It is too early in your labor; medication will retard
progress of uterine contraction."
C. "I know you are in pain. I'll just prepare the medication."
D. "Perhaps a change in position will make you more
comfortable."
Answer: B. "It is too early in your labor; medication
will retard progress of uterine contraction."
Rationale: At 4 cm cervical dilatation, the client is in the
latent phase of labor. Administering Demerol (meperidine) at
this stage may retard the progress of uterine contractions.
The nurse should explain this to the client.




11. The pregnant woman ask "When does the heart
and the brain of the baby form". The best response
made by the nurse is:
A. First month
B. Second month
C. Third month
D. Fourth month



4

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