RN Review Buddy / SPLE & PNLE Practice Bank

26/02/2026

🌿ISAIAH 40:31📖🙏💖

25/02/2026

#️⃣🔟 "Answer muna sa comments 👇
✅ Answer + 🩵 Rationale + 🧠 Mnemonics will be posted later sa comment section."

🤰🩺 DAILY DRILL: OB – PART 2 (Q1–Q10)✨

🔵1. Which finding is a positive sign of pregnancy?

A. Amenorrhea
B. Positive urine pregnancy test
C. Fetal heart tones heard by Doppler
D. Nausea and vomiting

🔵2. A pregnant woman at 36 weeks lies supine and becomes dizzy and hypotensive. The nurse should first:

A. Elevate the legs
B. Place the client in left side-lying position
C. Give oxygen via face mask
D. Increase IV fluids

🔵3. Which contraction pattern is most consistent with true labor?

A. Irregular contractions relieved by rest
B. Contractions felt only in the abdomen
C. Contractions that increase in frequency and intensity
D. Contractions that stop with walking

🔵4. A woman is 6 cm dilated with regular contractions. She is in which stage of labor?

A. Latent phase
B. Active phase
C. Transition phase
D. Second stage

🔵5. The nurse notes heavy vaginal bleeding and a boggy uterus after delivery. What is the first nursing action?

A. Notify the physician
B. Check vital signs
C. Massage the fundus
D. Prepare blood transfusion

🔵6. Which lochia finding is abnormal on postpartum day 2?
A. Rubra with small clots
B. Moderate rubra
C. Foul-smelling lochia
D. Rubra with fleshy odor

🔵7. A postpartum mother reports mood swings and crying episodes lasting 5 days. The nurse should explain that this is:

A. Postpartum depression
B. Postpartum psychosis
C. Postpartum blues
D. Anxiety disorder

🔵8. Which situation places a woman at highest risk for postpartum hemorrhage?

A. Cesarean delivery
B. Episiotomy
C. Overdistended uterus
D. Vacuum-assisted delivery

🔵9. Which fetal heart rate pattern is considered reassuring?

A. Late decelerations
B. Variable decelerations
C. Early decelerations
D. Prolonged decelerations

🔵10. A nurse is teaching perineal care to a postpartum woman. Which instruction is correct?
A. Wipe from back to front
B. Use warm water only
C. Clean from front to back
D. Avoid changing pads frequently

24/02/2026

🌿Jeremiah 29:11📖🙏

23/02/2026

“Answer muna sa comments 👇
✅ Answer + 🩵 Rationale + 🧠 Mnemonics will be posted later.”

#09 🤰 DAILY DRILL: OB NURSING (Q1–Q10)

🔵1. A pregnant client at 10 weeks AOG reports nausea and vomiting. This is best explained by:

A. Increased progesterone
B. Increased estrogen and hCG
C. Decreased gastric motility
D. Increased blood volume

🔵2. Which finding is considered a presumptive sign of pregnancy?

A. Fetal heart tones
B. Positive pregnancy test
C. Amenorrhea
D. Ultrasound visualization

🔵3. A gravida 2 para 1 woman is in active labor. Which cervical finding confirms active labor?

A. 2 cm dilation
B. 3 cm dilation
C. 4–7 cm dilation
D. 8–10 cm dilation

🔵4. Which assessment finding indicates true labor?

A. Irregular contractions relieved by rest
B. Back pain relieved by walking
C. Progressive cervical dilation
D. Contractions only felt in abdomen

🔵5. The priority nursing action for a woman with umbilical cord prolapse is to:

A. Administer oxygen
B. Elevate the presenting part
C. Prepare for vaginal delivery
D. Monitor fetal heart rate

🔵6. A newborn delivered at 38 weeks has a strong cry, flexed extremities, and HR 120 bpm. The Apgar score is most likely:

A. 4
B. 6
C. 8–10
D. 3

🔵7. Which condition places a pregnant woman at highest risk for postpartum hemorrhage?

A. Prolonged labor
B. Precipitous labor
C. Uterine atony
D. Episiotomy

🔵8. Which fetal heart rate pattern indicates fetal well-being?

A. Late decelerations
B. Variable decelerations
C. Early decelerations
D. Minimal variability

🔵9. The nurse teaches a pregnant client to report which danger sign immediately?

A. Mild ankle edema
B. Frequent urination
C. Vaginal bleeding
D. Morning sickness

🔵10. Which is the best position for a pregnant woman experiencing supine hypotensive syndrome?

A. Supine
B. Trendelenburg
C. Left side-lying
D. High Fowler’s

22/02/2026

“Answer muna sa comments 👇
✅ Answer + 🩵 Rationale + 🧠 Mnemonics will be posted later.”

#08 🏡 DAILY DRILL: CHN (Community Health Nursing) – Q1–Q10

🔵1. Which activity best represents primary prevention in the community?

A. TB contact tracing
B. Blood pressure screening
C. Immunization program
D. Rehabilitation services

🔵2. In Family Health Nursing, which family type consists of parents and their children?

A. Extended family
B. Nuclear family
C. Blended family
D. Single-parent family

🔵3. The nurse is conducting a home visit. Which action should be done first?

A. Perform physical assessment
B. Establish rapport
C. Give health teachings
D. Review family records

🔵4. Which indicator best reflects the health status of a community?

A. Morbidity rate
B. Literacy rate
C. Employment rate
D. Population density

🔵5. A community has a high incidence of measles. The most appropriate nursing action is to:

A. Provide curative services
B. Conduct mass immunization
C. Refer clients to hospitals
D. Increase hospital beds

🔵6. Which is the priority criterion in ranking community health problems?

A. Modifiability of the problem
B. Magnitude of the problem
C. Availability of resources
D. Community interest

🔵7. The nurse plans an intervention to prevent complications of hypertension. This is an example of:

A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion

🔵8. Which activity is included in secondary prevention?

A. Health education
B. Early disease detection
C. Rehabilitation
D. Lifestyle modification

🔵9. In epidemiology, the person–place–time triad is used to:

A. Identify causative agents
B. Describe disease occurrence
C. Plan rehabilitation
D. Evaluate nursing care

🔵10. Which role of the CHN nurse focuses on empowering the community to solve its own problems?
A. Care provider
B. Health educator
C. Advocate
D. Community organizer

22/02/2026

“Answer muna sa comments 👇
✅ Answer + 🩵 Rationale + 🧠 Mnemonic will be posted later.”

#07 🧠 DAILY DRILL: NEURO (Q1–Q10)

🔵1. Which assessment finding is an early sign of increased intracranial pressure (ICP)?

A. Bradycardia
B. Fixed and dilated pupils
C. Change in level of consciousness
D. Widened pulse pressure

🔵2. A patient with a left-sided stroke is most likely to exhibit:

A. Left-sided weakness
B. Right-sided weakness
C. Bilateral paralysis
D. No motor deficit

🔵3. Which intervention has the highest priority for a patient experiencing an active seizure?

A. Insert an oral airway
B. Restrain the patient
C. Protect the head and maintain airway
D. Administer anticonvulsants immediately

🔵4. Which finding is most consistent with meningitis?
A. Nuchal rigidity
B. Hypotension
C. Polyuria
D. Bradycardia

🔵5. A patient with Parkinson’s disease is expected to have:

A. Hyperreflexia
B. Tremors at rest
C. Flaccid paralysis
D. Sudden memory loss

🔵6. Which symptom suggests hypoglycemia-induced neurologic changes?

A. Slurred speech and confusion
B. Slow heart rate
C. Decreased urine output
D. Hypertension

🔵7. Which position helps decrease intracranial pressure?

A. Trendelenburg
B. Supine flat
C. Head of bed elevated 30°
D. Side-lying with knees flexed

🔵8. A patient reports a sudden severe headache described as “the worst headache of my life.” This suggests:

A. Migraine
B. Tension headache
C. Subarachnoid hemorrhage
D. Sinus headache

🔵9. Which assessment is most important in a patient with head injury?

A. Intake and output
B. Glasgow Coma Scale
C. Bowel sounds
D. Peripheral pulses

🔵10. Which nursing instruction is appropriate for a patient taking anticonvulsants?
A. Stop medication once seizures stop
B. Avoid alcohol
C. Take medication only during seizures
D. Double dose if one is missed

22/02/2026

Jermiah 33:3🙏💖

21/02/2026

#06 🩺 DAILY DRILL: GU / RENAL (Q1–Q10)

🔵1. A patient with acute glomerulonephritis is expected to have which urine finding?

A. Glycosuria
B. Hematuria
C. Ketones
D. Bacteriuria

🔵2. Which assessment finding is most concerning in a patient with acute kidney injury (AKI)?

A. Urine output of 50 mL/hr
B. Serum creatinine rising rapidly
C. Mild peripheral edema
D. Decreased appetite

🔵3. A client with chronic kidney disease (CKD) is at highest risk for which electrolyte imbalance?

A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hyponatremia

🔵4. Which urine characteristic is expected in a patient with diabetes insipidus?

A. Dark and concentrated
B. Cloudy with sediments
C. Dilute and increased volume
D. Foul-smelling urine

🔵5. A patient complains of flank pain radiating to the groin. The nurse suspects:

A. Cystitis
B. Pyelonephritis
C. Renal calculi
D. Glomerulonephritis

🔵6. Which assessment finding best indicates fluid volume overload in renal failure?

A. Dry mucous membranes
B. Bounding pulse and crackles
C. Sunken eyes
D. Decreased blood pressure

🔵7. The priority nursing intervention for a patient with suspected urinary retention is to:

A. Encourage oral fluids
B. Perform bladder scan
C. Insert indwelling catheter immediately
D. Administer diuretics

🔵8. Which lab result indicates worsening kidney function?

A. Decreased BUN
B. Increased hemoglobin
C. Increased serum creatinine
D. Decreased potassium

🔵9. A patient on hemodialysis is at greatest risk for which complication during dialysis?

A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Fluid overload

🔵10. Which instruction is most important for a patient with CKD?
A. Increase protein intake
B. Limit potassium-rich foods
C. Increase fluid intake freely
D. Avoid carbohydrates

✨ COMMENT DOWN YOUR ANSWER FUTURE NURSES 👇😊🩵

20/02/2026

“💙 CARDIO MNEMONICS for today’s drill!

Remember MONA:
Morphine, Oxygen, Nitroglycerin, Aspirin✅

Comment ✅ if you got it right!

”

20/02/2026

#05 🩺 RN REVIEW BUDDY
CARDIOVASCULAR MS DRILL (1–10)

Answer first bago tingnan ang sagot 😉

1. A client with myocardial infarction reports chest pain rated 8/10. What is the priority nursing action?

A. Administer morphine
B. Administer oxygen
C. Obtain vital signs
D. Notify physician

2. Which lab value is most specific for diagnosing MI?

A. CK-MB
B. Troponin I
C. Myoglobin
D. LDH

3. A client with heart failure has crackles and edema. Which diet is appropriate?

A. High sodium
B. High potassium
C. Low sodium
D. High protein

4. Which finding indicates left-sided heart failure?

A. Jugular vein distention
B. Peripheral edema
C. Pulmonary crackles
D. Ascites

5. A client on digoxin has nausea and blurred vision. What is the nurse’s first action?

A. Give next dose
B. Check apical pulse
C. Administer antiemetic
D. Encourage fluids

6. What is the normal range of adult heart rate?

A. 40–60 bpm
B. 60–100 bpm
C. 100–120 bpm
D. 120–140 bpm

7. Which position is best for a client with dyspnea due to heart failure?

A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone

8. A BP of 180/110 mmHg is classified as:
A. Normal
B. Prehypertension
C. Stage 1 HTN
D. Hypertensive crisis

9. Which electrolyte imbalance increases risk for digoxin toxicity?

A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia

10. Which medication is commonly prescribed after MI to prevent clot formation?

A. Furosemide
B. Aspirin
C. Metformin
D. Albuterol

Comment your score out of 10 🩵
Answers will be posted later 😉

Daily PNLE & SPLE practice questions with rationale � For working nurses who refuse to give up� .