Licensure Exam
1. A lactating mother came to the family planning clinic seeking contraception for the first time.
The nurse discussed about contraception options, the benefits, and side effects. But the mother
was confused to decide the type of contraception she wants to use.
What is the priority counselling approach applied in this condition?
A. Keep two-way communication C. Ensure privacy
B. Remain non-judgemental D. Show empathy
2. A six month lactating mother came to health center for family planning service. After assessing
her eligibility and providing counselling, the nurse inserts Jadelle in September 2012 E.C. Before
the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose.
What would be the most appropriate appointment date for the next visit?
A. September 2014 B. September 2015 C. September 2016 D. September 2017
3. A mother who uses an implant contraceptive came with complaints of changed bleeding
pattern, headaches, abdominal pain, breast tenderness and nausea. The mother reported that her
menstruation period become sometime absent and little in amount on other time.
What is the priority intervention for this woman?
A. switch contraception C. check for pregnancy
B. provide counselling D. remove the contraception
4. A 25-year –old mother came with complaints of excessive and irregular monthly bleeding after
six month of taking contraception. She also complains about increments of her weight. Her body
mass index was 26.4 and blood pressure 140/80mmhg. The nurse counsels her to shift the
contraceptive she uses.
What is the priority side effect of the contraception?
A. Weight gain B. Excessive bleeding C. Irregular bleeding D. Increased blood pressure
5. A31-year-old woman came to gynecologic unit with complaints of lower abdominal pain, pain
during coitus abnormal vaginal discharge and fever. On physical examination, the nurse found
uterine and adnexal tenderness.
What is the most likely confirmatory manifestation for this patient?
A. pain during coitus C. abnormal vaginal discharge
B. lower abdominal pain D. uterine and adnexal tenderness
6. A woman came to gynecologic OPD with complaints of excessive and irregular uterine
bleeding. The woman cannot remember when her menstrual period started. The amount and
duration of bleeding also vary during each cycle.
,What is the most likely explanation of this finding?
A. Menorrhagia C. Poly menorrhea
B. Metrorrhagia D. Menometrorrhagia
7. An adolescent girl came with complaints of difficulty and pain during sexual intercourse.
She has regular menstrual period with abdominal cramps. On pelvic examination: a nurse
identified loses of hymen membrane like structure with small perforation on middle third of
vagina. The nurse suspected that her problem is vaginal congenital anomalies.
What is the most likely manifestation for diagnosis of this condition?
A. Abdominal cramps B. Small perforation
C. Painful sexual intercourse D. Membrane like structure
8. A 20 weeks pregnant woman came with the complaints of vaginal bleeding for three hours she
had abdominal and back pain. On examination, her hemoglobin level was 9g/dl (NR; 10.5-
13.7g/dl) blood pressure 90/50mmHg and pulse rate 110/min.
The woman was diagnosed for inevitable abortion.
What is the priority nursing intervention for this woman?
A. Provide analgesia C. prepare for blood transfusion
B. Reassure the woman D. Resuscitate with normal saline
9. A 35-year-old multi-para mother came with complaints of protrusion of mass on her vagina.
She had also sense of pelvic backache and fatigue .After assessment, she was diagnosed for
uterine prolapse. The uterus is repositioned by gynaecologists.
What is the priority intervention for this mother?
A. Resuscitate the woman C. Educate about pelvic exercises
B. Administer pain inhibitors D. Teach how to control urine incontinence
10. A nurse was providing care for a girl with abnormal excessive uterine bleeding tenderness
anorexia and vomiting .After 24hours of care, her blood pressure became to 110/70 mmHg, pulse
rate 76/min, respiratory rate 22/ min, T% 37.80C and hemoglobin 9g/dl.
Which finding shows effectiveness of the patient’s management?
A. blood pressure C. Haemoglobin Level
B. body Temperature D. Respiration Rate
11. A null–porous woman came to nearby hospital with weight loss and difficulty of breathing
over the past several months. Physical examination result showed lymph gland enlargement,
tender nodular, firm liver, bilateral mass in hypogastrium with tender and irregular appearance.
The cytological examination also detected overran malignancy.
, What is the most likely stage of cancer?
A. stage IIA C. stage III
B stage II B D. stage IV
12. A 28 –year –old came to a hospital with complaints of dysmenorrhea and dyspareunia that
occurs pre –menstrual and subsides after menses begins. She also had constipation and rectal
bleeding with defecation. Physical examination shows that she had tender adnexal masses and
pain upon uterine motion. She is diagnosed for Endometriosis.
What is the most likely manifestation to confirm the diagnosis?
A. pain C. dysmenorrhea
B. constipation D. adnexal masses
13. The nurse evaluates a two –year –old who was admitted for the treatment of failure to thrive
secondary to severe acute malnutrition. The child had good appetite and no edema for 10
consecutive days. The nurse decided to discharge the child.
What is the most likely additional finding that could support the nurse’s decision?
A. Weight for age >85% C. Weight for height >80%
B. Weight for age >90% D Weight for height >85%
14. A 15-month-old child was brought to health center for growth and developmental check-up.
On examination the infant can walk independently but cannot grasp of an object using thumbs and
index finger. The child responds to a simple command like ‘’wave bye bye ’’,
(A). Emotional developmental problem (C). Cognitive developmental problem
(B). Language developmental problem (D). Fine motor developmental problem
15. A nurse in immunization room found that the refrigerator is out of order. The technician of the
health center confirmed that maintenance of the refrigerator could take a maximum of four to five
days. So, the nurse wants to store vaccines till the refrigerator maintained.
What is most likely type of cold chain used to store the vaccines in this time?
(A). Cold box with cool water pack (C). Vaccine carrier with cool water pack
(B). Cold box with frozen water pack (D). Vaccine carrier with frozen water pack
16. A health center has a total of 20000 populations in the catchment area, of which infants
account 20%. In this health center the planned annual coverage for PCV vaccine is 90% with
vaccine wastage multiplication factor of 1.11
What is the annual maximum stock level of PCV vaccine in the health center?
(A). 11,988 (C). 14,985
1. A lactating mother came to the family planning clinic seeking contraception for the first time.
The nurse discussed about contraception options, the benefits, and side effects. But the mother
was confused to decide the type of contraception she wants to use.
What is the priority counselling approach applied in this condition?
A. Keep two-way communication C. Ensure privacy
B. Remain non-judgemental D. Show empathy
2. A six month lactating mother came to health center for family planning service. After assessing
her eligibility and providing counselling, the nurse inserts Jadelle in September 2012 E.C. Before
the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose.
What would be the most appropriate appointment date for the next visit?
A. September 2014 B. September 2015 C. September 2016 D. September 2017
3. A mother who uses an implant contraceptive came with complaints of changed bleeding
pattern, headaches, abdominal pain, breast tenderness and nausea. The mother reported that her
menstruation period become sometime absent and little in amount on other time.
What is the priority intervention for this woman?
A. switch contraception C. check for pregnancy
B. provide counselling D. remove the contraception
4. A 25-year –old mother came with complaints of excessive and irregular monthly bleeding after
six month of taking contraception. She also complains about increments of her weight. Her body
mass index was 26.4 and blood pressure 140/80mmhg. The nurse counsels her to shift the
contraceptive she uses.
What is the priority side effect of the contraception?
A. Weight gain B. Excessive bleeding C. Irregular bleeding D. Increased blood pressure
5. A31-year-old woman came to gynecologic unit with complaints of lower abdominal pain, pain
during coitus abnormal vaginal discharge and fever. On physical examination, the nurse found
uterine and adnexal tenderness.
What is the most likely confirmatory manifestation for this patient?
A. pain during coitus C. abnormal vaginal discharge
B. lower abdominal pain D. uterine and adnexal tenderness
6. A woman came to gynecologic OPD with complaints of excessive and irregular uterine
bleeding. The woman cannot remember when her menstrual period started. The amount and
duration of bleeding also vary during each cycle.
,What is the most likely explanation of this finding?
A. Menorrhagia C. Poly menorrhea
B. Metrorrhagia D. Menometrorrhagia
7. An adolescent girl came with complaints of difficulty and pain during sexual intercourse.
She has regular menstrual period with abdominal cramps. On pelvic examination: a nurse
identified loses of hymen membrane like structure with small perforation on middle third of
vagina. The nurse suspected that her problem is vaginal congenital anomalies.
What is the most likely manifestation for diagnosis of this condition?
A. Abdominal cramps B. Small perforation
C. Painful sexual intercourse D. Membrane like structure
8. A 20 weeks pregnant woman came with the complaints of vaginal bleeding for three hours she
had abdominal and back pain. On examination, her hemoglobin level was 9g/dl (NR; 10.5-
13.7g/dl) blood pressure 90/50mmHg and pulse rate 110/min.
The woman was diagnosed for inevitable abortion.
What is the priority nursing intervention for this woman?
A. Provide analgesia C. prepare for blood transfusion
B. Reassure the woman D. Resuscitate with normal saline
9. A 35-year-old multi-para mother came with complaints of protrusion of mass on her vagina.
She had also sense of pelvic backache and fatigue .After assessment, she was diagnosed for
uterine prolapse. The uterus is repositioned by gynaecologists.
What is the priority intervention for this mother?
A. Resuscitate the woman C. Educate about pelvic exercises
B. Administer pain inhibitors D. Teach how to control urine incontinence
10. A nurse was providing care for a girl with abnormal excessive uterine bleeding tenderness
anorexia and vomiting .After 24hours of care, her blood pressure became to 110/70 mmHg, pulse
rate 76/min, respiratory rate 22/ min, T% 37.80C and hemoglobin 9g/dl.
Which finding shows effectiveness of the patient’s management?
A. blood pressure C. Haemoglobin Level
B. body Temperature D. Respiration Rate
11. A null–porous woman came to nearby hospital with weight loss and difficulty of breathing
over the past several months. Physical examination result showed lymph gland enlargement,
tender nodular, firm liver, bilateral mass in hypogastrium with tender and irregular appearance.
The cytological examination also detected overran malignancy.
, What is the most likely stage of cancer?
A. stage IIA C. stage III
B stage II B D. stage IV
12. A 28 –year –old came to a hospital with complaints of dysmenorrhea and dyspareunia that
occurs pre –menstrual and subsides after menses begins. She also had constipation and rectal
bleeding with defecation. Physical examination shows that she had tender adnexal masses and
pain upon uterine motion. She is diagnosed for Endometriosis.
What is the most likely manifestation to confirm the diagnosis?
A. pain C. dysmenorrhea
B. constipation D. adnexal masses
13. The nurse evaluates a two –year –old who was admitted for the treatment of failure to thrive
secondary to severe acute malnutrition. The child had good appetite and no edema for 10
consecutive days. The nurse decided to discharge the child.
What is the most likely additional finding that could support the nurse’s decision?
A. Weight for age >85% C. Weight for height >80%
B. Weight for age >90% D Weight for height >85%
14. A 15-month-old child was brought to health center for growth and developmental check-up.
On examination the infant can walk independently but cannot grasp of an object using thumbs and
index finger. The child responds to a simple command like ‘’wave bye bye ’’,
(A). Emotional developmental problem (C). Cognitive developmental problem
(B). Language developmental problem (D). Fine motor developmental problem
15. A nurse in immunization room found that the refrigerator is out of order. The technician of the
health center confirmed that maintenance of the refrigerator could take a maximum of four to five
days. So, the nurse wants to store vaccines till the refrigerator maintained.
What is most likely type of cold chain used to store the vaccines in this time?
(A). Cold box with cool water pack (C). Vaccine carrier with cool water pack
(B). Cold box with frozen water pack (D). Vaccine carrier with frozen water pack
16. A health center has a total of 20000 populations in the catchment area, of which infants
account 20%. In this health center the planned annual coverage for PCV vaccine is 90% with
vaccine wastage multiplication factor of 1.11
What is the annual maximum stock level of PCV vaccine in the health center?
(A). 11,988 (C). 14,985
