PRE-INTENSIVE (NP4) EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Situation - Nurse Sylvia is assigned In Out Patient Department medical center. Every Wednesday
of the month, the health care services are scheduled for patients with endocrine disorders.
The patient is admitted to the private room for further work-up. You started to develop a
nursing care plan for Ms. Belen who has hypothyroidism. Which of the following nursing
diagnosis is APPROPRIATE for her at this time?
A. Disturbed thought processes R/T hyper metabolic rate
B. Constipation R/T gastro intestinal hyper motility
C. Imbalanced Nutrition R/T less body requirements
D. Activity intolerance R/T decrease metabolic rate - ANS D
Once Ms. Belen is confirmed to have Hypothyroidism, she might experience Hematologic
compromise which is ____________.
A. Iron and Folate deficiency
B. decreased hematocrit
C. oxygen demand is decreased
2026/2027 ALLRIGHTS RESERVED
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,D. increased Serum cholesterol - ANS A
Nurse Tony informed Patient Lilia the risk factors of developing complications with cardiac
disorders. Nurse Tony reminded her to the following risk factors which include
_______________.
A. gender, stress, obesity
B. obesity, inactivity, diet, smoking
C. stress, family history, obesity
D. inactivity, diet, family history - ANS B
Nurse Tony recommends to patient Lilia precautionary measures to maintain a healthy heart.
Which of the following is NOT recommended?
A. Brisk walking for 15 minutes a day
B. Take 10 cc of red wine every night
C. Smoking not more than a pack of cigarette a day.
D. Take diet high in saturated fats and low cholesterol.~ - ANS C
As a Nurse, which of the following characteristics of pain should you ask when assessing if a
patient has an eye disorder? "Is _______________?"
1. the pain sharp
2. the pain burning in character
3. there conjunctival redness
4. there absence of tears-
2026/2027 ALLRIGHTS RESERVED
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,A. 1, 2, 3 and 4
B. 1 and 2
C. 1, 3 and 4
D. 1, 2 and 3 - ANS B
As a nurse, you are famillar with the presenting complaints of client with retinal detachment.
Which of the following Is a specific sign/symptom?
A. yellow discoloration on the affected area.
B. Excessive bleeding on the eye area.
C. Sense of "floaters" in the visual field.
D. Presence of excessive discharge from the eye. - ANS C
Which of the following is an effective method of treatment for retinal detachment?
A. eye implant
B. enucleation
C. scleral buckling
D. use of eye drops - ANS C
The patient was ordered for surgery. What is your initial responsibility when you prepare a
patient for retinal detachment?
A. Teach family members on how to use eye drops.
B. Let relatives sign consent.
C. Assess level of understanding about retinal detachment.
2026/2027 ALLRIGHTS RESERVED
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, D. Provide patient with proactive eyeglasses. - ANS C
After the patient's 3rd post-op. eye surgery. She was preparing to go home. Which of the
following health instructions should be given by the nurse? She
A. can still wear her eye glasses which she used before surgery
B. can resume her usual activities after a week
C. is allowed to do reading even at night after discharge
D. can wear dark glasses after her eye patch had been removed - ANS D
Situation - Mrs. Rory, 38 years old, is admitted to the hospital for the extreme weakness after a
full day's work. She has been having these discomforts for almost two years now. After an
endocrine work-up, she was diagnosed to have Grave's disease.
As the attending nurse of Ms. Rory, which of the following findings do you expect to find?
A. warm moist skin
B. weight gain
C. bounding rapid pulse
D. coarse, thick hair - ANS C
Nurse Sita is aware that environmental factors heavily affect client's care. The nurses' first
concern for the client is ____________.
A. Client safety.
B. More staffing.
C. Confidentiality
2026/2027 ALLRIGHTS RESERVED
4
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Situation - Nurse Sylvia is assigned In Out Patient Department medical center. Every Wednesday
of the month, the health care services are scheduled for patients with endocrine disorders.
The patient is admitted to the private room for further work-up. You started to develop a
nursing care plan for Ms. Belen who has hypothyroidism. Which of the following nursing
diagnosis is APPROPRIATE for her at this time?
A. Disturbed thought processes R/T hyper metabolic rate
B. Constipation R/T gastro intestinal hyper motility
C. Imbalanced Nutrition R/T less body requirements
D. Activity intolerance R/T decrease metabolic rate - ANS D
Once Ms. Belen is confirmed to have Hypothyroidism, she might experience Hematologic
compromise which is ____________.
A. Iron and Folate deficiency
B. decreased hematocrit
C. oxygen demand is decreased
2026/2027 ALLRIGHTS RESERVED
1
,D. increased Serum cholesterol - ANS A
Nurse Tony informed Patient Lilia the risk factors of developing complications with cardiac
disorders. Nurse Tony reminded her to the following risk factors which include
_______________.
A. gender, stress, obesity
B. obesity, inactivity, diet, smoking
C. stress, family history, obesity
D. inactivity, diet, family history - ANS B
Nurse Tony recommends to patient Lilia precautionary measures to maintain a healthy heart.
Which of the following is NOT recommended?
A. Brisk walking for 15 minutes a day
B. Take 10 cc of red wine every night
C. Smoking not more than a pack of cigarette a day.
D. Take diet high in saturated fats and low cholesterol.~ - ANS C
As a Nurse, which of the following characteristics of pain should you ask when assessing if a
patient has an eye disorder? "Is _______________?"
1. the pain sharp
2. the pain burning in character
3. there conjunctival redness
4. there absence of tears-
2026/2027 ALLRIGHTS RESERVED
2
,A. 1, 2, 3 and 4
B. 1 and 2
C. 1, 3 and 4
D. 1, 2 and 3 - ANS B
As a nurse, you are famillar with the presenting complaints of client with retinal detachment.
Which of the following Is a specific sign/symptom?
A. yellow discoloration on the affected area.
B. Excessive bleeding on the eye area.
C. Sense of "floaters" in the visual field.
D. Presence of excessive discharge from the eye. - ANS C
Which of the following is an effective method of treatment for retinal detachment?
A. eye implant
B. enucleation
C. scleral buckling
D. use of eye drops - ANS C
The patient was ordered for surgery. What is your initial responsibility when you prepare a
patient for retinal detachment?
A. Teach family members on how to use eye drops.
B. Let relatives sign consent.
C. Assess level of understanding about retinal detachment.
2026/2027 ALLRIGHTS RESERVED
3
, D. Provide patient with proactive eyeglasses. - ANS C
After the patient's 3rd post-op. eye surgery. She was preparing to go home. Which of the
following health instructions should be given by the nurse? She
A. can still wear her eye glasses which she used before surgery
B. can resume her usual activities after a week
C. is allowed to do reading even at night after discharge
D. can wear dark glasses after her eye patch had been removed - ANS D
Situation - Mrs. Rory, 38 years old, is admitted to the hospital for the extreme weakness after a
full day's work. She has been having these discomforts for almost two years now. After an
endocrine work-up, she was diagnosed to have Grave's disease.
As the attending nurse of Ms. Rory, which of the following findings do you expect to find?
A. warm moist skin
B. weight gain
C. bounding rapid pulse
D. coarse, thick hair - ANS C
Nurse Sita is aware that environmental factors heavily affect client's care. The nurses' first
concern for the client is ____________.
A. Client safety.
B. More staffing.
C. Confidentiality
2026/2027 ALLRIGHTS RESERVED
4
