Nursing Board Cramsheet PDF

COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN EXLCUSIVE FOR ASTIGNURSE BABIES ONLY!!! NURSING BOARD CRAMSHEET Situation 13 -Dog Bites are relatively common in the Philippines. The presence of a number of stay dogs predisposes to the occurrence of rabies. 1. Upon entry of the patient to ER, the nurse must FIRST perform which nursing intervention? A. Inject with rabies immune globulin. B. Cleanse the bite with soap and running water. C. Inject the rabies vaccine immediately. D. Administer the pain reliever, as ordered. 2. The nurse knows that a dog bite has a shorter incubation for rabies if located in the A. Leg C. abdomen B. hand D. face 3. The nurse anticipates that which one is prescribed to prevent a common bacterial complication from the dog bite? A. Ibuprofen (Motrin) C. tetanus toxoid (Tetavax) B. ciprofloxacin (Cipro) D. meperidine (Demerol) 4. In administering the rabies immune globulin (RIG), the nurse infiltrates the calculated dose around the Wound edges and the rest of the dose injected_________ A. intradermally C. subcutaneously B. intramuscularly D. intravenously 5. According to RA 9482 or the anti- Rabies Act of 2007, which of the following statement s regarding rabies post exposure prophylaxis is APPLICABLE? A. Have the dogs be regular ly vaccinated against rabies B. Do not allow the dog to roam the street. C. Put the dog in a leash when in a public place. D. The owner will assist the bite victim with the medical expenses. Situation - Roy, 65 years old, came to the outpatient clinic due to dyspnea, fever and on and off productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered sputum examination, chest x-ray and blood culture. 6. In collecting sputum specimen, the nurse should instruct Roy to _____. A. breathe slowly, cough and expectorate into the specimen container B. breathe deeply and cough, expectorate into the sputum container, C. cough and expectorate saliva into the specimen container. D. cough and expectorate into the specimen container. 7. The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative organism of this type of pneumonia is ______. A. legionella pneumoniae C. streptococcus pneumoniae B. mycoplasma pneumoniae D. hemophilus pneumoniae 8. The nurse did an admission procedure. The best position to be assumed by Roy is _____. A. left lateral position with the affected side inferior. B. semi-fowler position at least 30 degrees. C. dorsal position with pillows under the chest. D. lying on his side, the affected side of the lungs should be superior. 1 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 9. When a patient is diagnosed to have pneumonia, the breath sounds detected by the nurse on auscultation of the affected area would be ______. A. wheezing sounds C. fine crackles B. stridor D. deep and low-pitched breath sounds 10. When there is respiratory depression resulting from drug overdose, the nurse have to watch for which of the following? A. Hyperventilation C. Biot's respiration B. Tachypnea D. Bradypnea Situation - Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing. 11. The 1icensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to ______. A. apply the theory earned from classroom to practice settings B. protect the public from incompetent practitioners C. apply the scope of nursing practice D. demonstrate expected competency standards 12. The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following except A. enforce and monitor quality standards of nursing practice in the county B. issue, suspend revoke or reissue certification of registered nurses C. ensure proper conduct. Or nurses 1icensure in the county D. issue permit for the opening of nursing programs in the country 13. Ms., Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ________. A. oath of professional for new nurses B. nursing practice act 7164 C. code of ethics for nurses D. core competency standards 14. Nurse Rey with the members of the team. from a tertiary hospital is going for their annual outreach program Operation TULI". There were 3000 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Rey, was asked to participate in per forming circumcision with the rest of the doctors. Nurse Rey can be 1iable of committing A. assault C. tort B. invasion of privacy D. malpractice 15. Which of the following actions is likely to constitute GROSS Negligence? A. Complied with the request of a bedridden patient not to be turned because of pain. B. A nasogastric feeding not given on time because patient is feeling nauseated C. A patient suffering from bleeding due to post-operative wound and the Nurse failed to report to the attending physician. D. Urine output that has not been measured because of an emergency admission. Situation - Nurse Carmi made a study on domestic violence against women in certain province in Luzon 2 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 16. Since she wanted to capture the essence and emotion of the victims she chose to use the qualitative design. Which among the statements below is CORRECT about qualitative design? A. It commences study at present but consummates at any future time B. It allows estimation of relationship between studied variables C. It provides insights into attitudes, beliefs, motivates and behaviours of target population D. It tests results through numerical data and subjects them to statistical analysis 17. Nurse Carmi plans to gather 6 participants who are victims of domestic violence where she will base her questionnaires. What technique in qualitative research is applicable to this plan? A. Data triangulation C. Interview B. Focus group discussion D. Case study 18. To have a better analysis and interpretation of the findings, Nurse Carmi reviewed and compared them with other findings of previous researches on the same topic. This is done MAINLY by going back to which part of the study? The _____________. A. Statement of the problem B. Related literature and studies C. Conceptual framework of the studies D. Theoretical framework of the study 19. Nurse Carmi finally decided to make an in depth study of ONLY ONE SUBJECT of domestic violence. What design will she use? A. Causality Design B. Predictive Correlational Design C. Descriptive Correlational Design D. Descriptive Case Study Design 20. In as much as the research may have some risks on the part of the subject who is 21 years old, Nurse Carmi must assure the subject of her anonymity, confidentiality and respect for her human rights. ONE ABSOLUTE WAY is to get an informed and written consent from whom? A. Parents C. Husband B. Guardians D. Subject herself Situation - Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care. 21. Which of the following regulates the practice of the nursing profession? A. Department of Health B. Professional Regulation Commission C. Civil Service Commision D. Professional Regulatory Board of Nursing 22. One of Nurse Vergel's patients needs to undergo invasive procedure. Based on the Patient's Bill of Rights, sequence the persons from whom Nurse Vergel could obtain consent? 1. Parents 2. Legal guardian 3. Next of kin 4. Physician A. 1, 2, 4 and 3 C. 1, 2, 3 and 4 B. 1, 4, 2 and 3 D. 1, 3, 2 and 4 23. Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, the patient has the right to demand on the following, but NOT _______ pertaining to his care as confidential. A. Information C. Records B. Communication D. Financial status 24. The Right to Information does not include _________. A. Any change in the plan of care before the change is made B. Extent to which payment maybe expected from Philhealth C. Discount for the professional fee of the attending doctor(s) D. Result of the evaluation of the nature and extent of his/her disease 3 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 25. A patient has the right to leave the hospital regardless if his physical condition provided s/she is informed of which of the following? Select all that apply. 1. Is informed of the medical consequences of his/her decision 2. Releases those involved in his/her care from any obligation relative to the consequences of his decision 3. His/her decision will not prejudice public health and safety 4. Appropriate arrangement has been made to settle the unpaid bill A. 1 and 2 C. 3 and 4 B. 1, 2 and 4 D. 1, 2, 3 and 4 Situation - Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora. She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for gestation and in occipito-posterior position. 26. Nurse Nora observes that the Ellie's uterine contractions are irregular in frequency and short in duration. Ellie screams in pain during contractions. Which of the following actions is considered BEST for the nurse to perform? A. Try to divert attention from pain. B. Administer pain reliever as ordered. C. Stay with the patient and offer her a back rub D. Document and report frequency and duration of contractions.. 27. The physician is considering augmenting her labor with oxytocin. What would make Nurse Nora question the use of oxytocin for Patient Ellie? A. She had an amniocentesis performed during pregnancy B Her fetus is large for gestational age by a sonogram C. Her membrane ruptured after only 1 hour of labor D. Her blood pressure is slightly elevated above normal 28. Nurse Nora notices patient's uterine contractions are 70 seconds long and occur every 90 seconds when assessing the frequency of her contractions after she receives oxytocin. what would be the nurse's FIRST action? A. Give an emergency bolus of oxytocin to relaxed the uterus B. Discontinue the administration of the oxytocin infusion C. Increase the rate of client's IV infusion D. Ask client to turn to her left side and breathe deeply 29. Nurse Nora monitors the patient, knowing that which finding indicates an adequate contraction pattern? A. Three to 5 contractions in a 10-minute period, with resultant cervical dilatation B. Four contractions every 5 minutes, without resultant cervical dilatation c. one contraction every 10 minutes, without resultant cervical D. One contraction per minute, with resultant cervical dilatation 30. Which of the following nursing measures would the nurse LEAST CONSIDERS to Patient Ellie with oxytocin drip? A. Know, how to recognize potential adverse reactions: B. Administer oxytocin drug with caution C. Monitor patient closely when infusing oxytocin D. Inform patient about potential complications. Situation- Nurse Rona recognizes the importance of the application of Epidemiology in community health setting. 31. Her priority in managing community health needs is through knowing in-depth the PREVALENCE of diseases because it indicates the ______. A. risks to health problems C. Priority needs of the people. B. presence of health problems D. magnitude of health problems 32. Nurse Rona and her team has been utilizing the EEPIDEMIOLOGIC TRIAD model - identifying causative factors of diseases. Which of the following is not relevant this, model? 4 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN A. External agent C. Treatment Regimen B. Susceptible host D. Environment 33. There is an outbreak of measles in some areas of the community where Nurse Rona is assigned. Which of the following-steps of an outbreak investigation should Nurse Rona and her team begin ? A. Identify and count cases. C. Define and identify cases. B. Verify diagnosis D. Prepare for field work. 34. Nurse Rosa is able to know the patterns of occurrence and distribution of diseases in the community. Per record she found out there had been cases of rabies at irregular intervals scattered in particular places. This occurrence rates to ______. A. Endemic C. Pandemic B. Epidemic D. Sporadic 35. As an epidemiology nurse, Nurse Rona's PRIMARY function and responsibility is to _____. A. Assist the epidemiologist in making reports B. Implement public health surveillance C. Render nursing care to sick residents D. Follow up cases and contacts Situation. - Nurse Henie uses the Family coping index in assessing family health needs and problems of particularly of families who are vulnerable to illness. 36. Which of the following is an evidence of the a poor family coping Index related to healthcare attitudes ? A. A parents who washes the wound of the child with running water B. The family who observes the habit of cleaning surroundings. C. A young mother who introduced solid food to her three-month-old baby. D. A mother who brings her child to be vaccinated for measles, 37. Which of the following is the BEST evidence of a family whose family coping index on therapeutic competence is rated as coping well? A. Shows positive interpersonal relationship B. Participates in the weekly clean and green program of the community C. Maintain clean and organized household ambiance D. Visits the clinic frequently well or sick. 38. Which of the following tools used by nurses in the community setting for assessing health needs and problems of families that is similar to family coping index A. Nursing theories B. Vitals statistics C. Case study D. Nursing diagnosis 39. In utilizing family coping index nurses should be knowledgeable that the focus of this tool is identifying the family's ________. A. strategies to deal with stressful situations B. Manner of interaction C. Ways of managing health needs and challenges D. Patterns of health habits 40. Nurse Myrna is taking care of a family chose there young children are sick with malnutrition particularly protein deficiency, which of the following behaviors is indicative of the family's positive coping index A. Observing erratic mealtime due to work schedule of parents 5 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Bringing children to health enter for consult only when needed. C. Serving foods that children like but with high in carbohydrates D. Cooking foods in variety that include meat, dairy products and beans. SITUATION- Health education is the process whereby knowledge, attitudes, and practices are changed to improve individual, family and community health. 41. The goals of health education include the following: 1. Client participation on health decision making. 2. Increased potential to comply with health recommendations 3. Reliance on health care system 4. Adoption of healthier lifestyle 5. Provide clients with as many options on health care as possible A. 1, 2 and 4 C. 2, 3 and 5 B. 2, 4 and 5 D. 1, 3 and 4 42. The nurse is designing a health education program for the community. Show the CORRECT sequence of the process that the nurse would have to undertake. 1. Write the specific outcomes 2. Assess the community 3. Prioritize learning needs 4. Select teaching strategies A. 1, 4, 2, 3 C. 2, 3, 1, 4 B. 3, 1, 4, 2 D. 1, 2, 4, 3 43. The BEST example of how the nurse can create a climate in which clients do not feel threatened is by teaching on a topic about: A. Stress, where the nurse plays pop music throughout the first session B. Good nutrition, while the nurse provides a meal C. Exercise, where the nurse begins to share her difficulties she sometimes finds in trying to exercise D. Diabetes, where the nurse asks diabetics to talk to the class during the first session 44. The nurse is working in a clinic that is designed to provide health education and immunization. As such, the clinic aims to provide_______________ A. diagnosis and treatment C. Secondary prevention B. Primary prevention D. Tertiary prevention 45. Clients who are taught a variety of skills such as measuring blood glucose, taking blood pressure, changing dressings, and bathing infants belong to which domain of learning? A. Psychomotor domain C. Cognitive domain B. Social domain D. Affective domain Situation- As a public health nurse, you may encounter barriers or challenges in communication. Thus, it is important that you maintain your professional demeanor. 6 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 46. During a support group meeting, Nurse Donato, in a teasing manner, has made several provocative remarks about your appearance and behavior as a group leader. Select your MOST appropriate response. A. "Donato, see me after this meeting" B. "Donato, you are excused from the group" C. "What do you think Donato is trying to tell us?" D. "Donato, what are you saying is inappropriate” 47. "The dress code in this facility does not include wearing blue jeans while on duty". This statement is an example of using which step in giving constructive criticism? A. Expressing empathy C. Stating expectation B. Describing the behavior D. Listing consequences 48. Which of the following is an example of a barrier to successful negotiation? A. Avoiding phrases that are coercive C. Becoming emotional B. Viewing negotiation as collaborative D. Understanding others' perspectives 49. In one of your meetings, you reminded the health center staff that there are quite a number of members in the community who have not reached primary school. Which of the following is the BEST communication intervention for a client who is illiterate? A. Use of symbols and images C. Personalize speech by using first name B. Use touch with speech D. Speak loudly and clearly 50. You also emphasized that, "Communication must be culturally competent to be effective". Which of the following BEST reflects these statements? A. Listen actively to what is said B. Reflect on the meaning of the message C. Use simple, direct words D. Provide an appropriate environment Situation 5 - Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis( PTB) in the Philippines. 51. Case finding for PTB n the community requires that the nurse should Identify persons having sputum characterized as ________. A. Rusty, frothy C. Blood stained B. Yellowish D. Greenish 52. In the care of patients with communicable diseases, Nurse Keena should know that feces, urine, blood and other body fluids are considered as ______. A. Portal of entry C. Reservoir of agent B. Vehicles of transmission D. Portal of exit 53. With the onset of the rainy season, the nurses are closely monitoring the increase of dengue cases. They should focus their health teachings on ways to prevent dengue by ______. A Destroying breeding places of the vector B. Using repellent lotion C. Burning of dried leaves D. Wearing of protective Clothing 54. Outbreak of cases of typhoid fever occurs in the community. Nurse Keena should inform the residents that the transmission of the disease is through _______. A. A vector C. Blood and body fluids B. Food and water D. Air 7 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 55. There are several cases of Rabies in the community. Which of the following preventive measure should Nurse Keena teach the families ? A. Impound all dogs B. Impose," No pets allowed"rule C. Have the dogs vaccinated D Report to the authorities households with dogs Situation - Nurse Bea engages in both formal and informal learning activities to enhance her knowledge about Nursing Theories and other concepts in Nursing. 56. Nurse Bea recall the theory or Nursing as caring by ______. A. Orem C. Kings B. Watson D. Benners 57. Which of the following is the central theme of Sr. Calista Roys theory A. Self care deficit C. Nursing as caring B. Adaptation D. Transcultural 58. This theory categorizes professionals as Novice to experts is by ______. A. Benner C. Pender B. Abdellah D. Kings 59. Nurse Bea reviewed the elements of nursing as a profession. Which of the following is an IMPORTANT element that characterizes Nursing as a profession ? A. Has members B. Possess body of knowledge C. Service oriented D. A calling 60. Nurse bea wants to pursue higher education in Nursing for her career advancement. Aside from enrolling in graduate school, which of the following she could enhance her career? A. Participates in professional organization B. Attends seminars. C. Conduct research D. Attends symposium Situation - Nurse Levy reviews all pertinent laws that affect public health nursing 61. RA 9173 is otherwise known as the Philippine Nursing act of 2002. which is the primary aim of this law? A. To enhance the competence of professional nurses B. To regulate practice of professional nursing in the country C. To facilitate mobility of nurses to other countries D. To promote well-being of health workers 62. The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by this principle A. Respondent superior B. The good Samaritan C. Res ipsa loquitor D. Jurisprudence 63. This law promotes the well being and living conditions of health workers especially those from the government managed facilities A. Continuing professional development 8 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Magna Carta for health workers C. Philippine qualifications framework D. Local government code 64. It mandates the compulsory Immunization of children below 8 years A. PD 996 B. RA 11223 C. RA 9173 D. RA 10912 65. This law allows every Filipino to avail of affordable medicines A. Local Government Code B. Primary Health Care C. Universal Health Care D. Generic Drug Act Situation – Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. That would be mother asked questions about pregnancy and prenatal care. 66. In the assessing the health condition of the preganant patient, Nurse Vera should focus on the _________. A. last menstrual period B. number of days of menstruation C. age of patient during menarche D. amount of menstrual flow 67. The patient asked Nurse Vera when is the best time to visit the clinic for her 1st prenatal care. Which should be the APPROPRIATE answer of the nurse? A. Second trimester C. Third trimester B. Before delivery D. First trimester 68. The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Vera to help the pregnant patient make a decision on breastfeeding? A. Give pamphlets and books to read. B. Provide ample time for the patient to decide. C. Refer the patient to the nutrionist. D. Assist to identify breastfeeding goal and plan. 69. The patient asks Nurse Vera, when could you hear the fetal heart of my baby? Which of the following should be the BEST answer of Nurse Vera? A. Nintth month C. Third month C. Fifth month D. First month 70. Nurse Vera informs the patient she should be screened for pre-eclmapsia during this term of pregnancy_______. A. first C. Third B. second D. Before delivery SITUATION – Nurse Jenny is in-charge of record keeping in the health center. 71. Which of the following is NOT a step of record keeping? A. Structuring C. Securing B. Storing D. Easy Disposal 72. In the community setting which is ESSENTIAL record about the patient? A. Treating record C. Chart 9 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Tally sheet D. Kardex 73. WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING? A. Quantify medication usage B. Historical background C. Archive D. Quality health care 74. Records are IMPORTANT iin health care for A. counting hospital bills B. evidence of health care C. Quantifying services provided D. For the physician to read 75. What is the ultimate purpose of record keeping A. Safeguard information C. History B. Archive D. Store information SITUATION – Nurse Mely considers teamwork and collaboration as important components of community HEALTH NURSING. 76. Which of the following is the PRIMARY goal of collaboration A. Less numbebr of people is needed B. Camaraderie C. ACOMPLISH GOALS D. Work is faster 77. Which are KEY ELEMENTS of collaboration 1. Shared vision 2. Partnership 3. Working together 4. Unity A. 1,2,3 C. 1,2 B. 3,4 D. 1,2,3,4 78. Which of the following is the MOST imporatnat purpose of teamwork? 1. Work is faster 2. Promotes trust 3. Sense of security 4. Unity A. 1,2 C. 3,4 B. 1,2,3,4 D. 1,2,3 79. Which of the following BEST describe a strong team? A. cohesive C. driven B. shared goal D. Sense of mission 80. Collaboration and teamwork are essential in public health to improve A. Staff performance C. Equity in services B. Proper use of resources D. Quality healthcare SITUATION 9 – When prioritizing problems in the community, the problems are categorized as health status, health resource or health related. 81. Nurse Maris is correct in identifying whinch of the following is a health resource problem? 10 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN A. Increase in number of deaths fromm Pneumonia B. Feud between Midwife andHead of t he Sanitation Committee C. Absence of midwife in the communtiy to render health services D. High Maternal Mortality Rate 82. There are five criteria in prioritizing community health problems. If Nurse Maris is estimating the proportion of the population affected by the problem, she is using what criterion in prrioritization? A. Social concern B. Nature of the problem C. Magnitude of the problem D. Modifiability of the problem 83. Nurse Maris oftentimes encounter barriers. Select a barrier to goal setting between the nurse and the family. A. Eeducational attainment B. Nature of employment C. Failure of family to perceive existence of problem D. Socio economic status 84. Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks? A. Allow family to decide to use health resources B. Help the family recognize the problem C. Leave the family what action take on their problem D. Refer family to barangay offficials for guidance 85. Choose the step of nursing process that identiffies the famiilyy health seeking behavior. A. Assesment C. Planning B. Implementation D. Evaluation Situation- Ms. Nena will be involved in an interdisciplinary research to conduct by the City Health Office to address health problems of the population covered. To prepare for this task, she reviews her knowledge on the research to process and research designs. 86. Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors will be appropriate? A. Case-control C. Cohort B. Ecological D. Cross-sectional 87. The type of epidemiologic study that is used to describe a group of persons enrolled in a study who share some characteristic of interest and who are followed over a period of time to observe some health outcome is a/an: A. Cross-sectional study C. Cohort study B. Experimental study D. Case control study 88. The research team will use summary indicators of health as method to depict health status. What is this approach called? A. Analytic C. Descriptive B. Holistic D. Evaluative 89. Ms. Nena is specifically assigned to talk individually with community leaders like the primary grade teacher and the barangay official in charge of the health committee. Which data collection method will the nurse use? A. Key informant interview C. Participant observer B. Community mapping D. Social survey 11 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 90. Ms. Nena suggested to use an analytic approach in their research. Which of the following statements BEST describes the analytic approach? A. Focuses on the community's health problems and issues B. Utilizes health indicators to define population health C. Views factors that influence health and by which interventions to improve health are directed D. Addresses the social determines of health to solve community's problems. SITUATION – In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment. 91. Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors especially Obesity. A.. Wellness and fitness program B. Obesity is natural body response C. Tell them to go to gym D. They have to undergo strict dietary regimen 92. Which should be emhpasize by the nurse in her health teachings A. Jogging a mile a day C. Vigourous exercise B. No need to diet D. Weight reduction 93. Nurse Noli should advice t he patients the following except: A. Cut down on salt intake B. More fruits and vegetables C. Eat regular meals D. Eat more saturated fats 94. To prevent complications from their heart disease the nurse recommends to the patient regular monitoring of their blood A. Cholesterol C. Type B. Nitrogen D. Oxygenation 95. Nurse Noli should include in his teachings the following EXCEPT: A. Less saturated fat B. Weight within normal limits C. Exercise regularly D. More fats in the diet SITUATION – Nurse Mae is a new supervisor of t he health center. Her prrogram thrusts include excellent and quality provision of services and performance of the staff. 96. To ensure that the staff adheres to their job responsibilities which should be the appropriate toool should Nurse Mae utilize in evaluating staff performance? A. Memorandum C. Incident report B. Performance evaluation D. Anecdotal report 97. As a nurse manager, which nursing action should do to let the staff imbibe the culture of quality at the health center? A. Become a role model B. Reprimand every now and then C. Frequent meetings D. Allow them to read books 12 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 98. Which measure will be used in the unit to ensure patient satisfaction of the delivery of health services? A. Encourage to use social media B. Provide means to evaluate services C. Verbal feedback D. Ask the local officials 99. Which is the simple meaning of standards of nursing care? A. What protects the nurse B. How the nurse will behave C. How much work is done D. Ask the local offficials 100. Which is the BEST strategy that Nurse should employ to give feedback on patients evaluation of health services? A. Put the evaluation at supervisors office B. Send letter to all C. Conduct staff meeting D. Through bulletin board SITUATION – With the onset of rainy seasons, Nurse Nena and her team are on alert for increase in cases of Dengue Fever. 101. Identify the causative agent of dengue fever. A. Fomite C. Bacteria B. Vector D. Virus 102. Which of the following strategies would prove effective in preventing more incidence of dengue infection? A. Healthy nutritious food B. Burning of leaves and garbage C. Destruction of breeding place of vectors D. Adequate rest and sleep 103. Bleeding is the most serious complication of Dengue infection. When is the patient be watched for symptoms of bleeding? A. 4th to 7 days C. 2nd to 3rd day B. At the onset of symptoms D. 1St day 104. Which information about the nature of dengue fever the nurse should relay to the community? A. It is always life threatening B. It could be deadly but preventable C. It could responds well to antibiotics D. The incubation period is variable 105. Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever? A. Rumpell – Leede C. Elisa B. Mantoux D. Widal SITUATION 15 – Nurse Rica finds effective communication as tthe key to successful community health nursing. 106. When writting a memorandum, which of the following is the MOST important guideline A. Purpose is included C. Friendly tone 13 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Content clear D. One topic at a time 107. Which of the following is an INDICATOR of effective communication? A. Receiver C. Sender B. Feedback D. Non verbal communication 108. Nurse Rica, would like to start a conversation, which comunication technique she should use? A. Clarifying C. Challenging B. Restating D. Broad opening 109. The patient told her something about her treatment to make sho_ understood the patient which communication technique shouuld be used by the nurse? A. Clarifying C. Validating B. Focusing D. Restating 110. Non verbal communication is as strong in conveying information because the nurse can _________. A. Observe gestures B. Body language could be observed C. Sender less effort D. Action speaks louder than words SITUATION 16 – Nurse Lyn plans to enhance her personal professional development 111. Choose an indicator that models personal and professional behavior and values. A. Utilizes communication and social media responsibly B. Attends conferences C. Enrolls in school D. Joins civic organization 112. Nurses should have knowledge about professional organization. Which of t he following is the accredited professional organization of nurses? A. Maternal Child Nursing B. Philippine Nurses Association, Inc. C. National leaguue of Government Nurses of the Philippines D. Association Nursing Service Administrators of the Phiilippines 113. A profession is characterized by the following except: A. Body of knowledge B. Code of ethics C. member of professional organization D. Engages in research 114. Which of the following is an example of self directed learning activity? A. Research at work B. Attends webinars C. Attendance to graduate school D. Resource person 115. Aside from atttending seminars which of the following informal continuing education programss should the nurse engaged herself EXCEPT: A. Attendding professional conventions B. Webinars C. Symposium 14 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN D. Doing reseach as academic requirement SITUATION – Health educataion isi one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit. 116. Which of the ff is TRUE about health education in public health? A. It only done by professionals like nurses B. It is every health worker responsibility C. It remains constant D. It is seldom use in public health setting 117. The BEST result of health education process is A. It influences and changes behavior B. It provides new input C. Update others D. Information transfer 118. Which of the following explains health education is creative process? 1. It could emploty a variety of strategies 2. It can be done anywhere 3. It could perform by any member of the healthh team 4. It is a valuable health service A. 1,2,3 C. 3,4 B. 1,2 D. 1,2,3,4 119. To families and individual in the community, which is the MOST important goal of health education? A. To study their life history B. To identify their weeknesses C. To totally change their lifestyle D. To motivate them to develop skills and literacy in healtth 120. As a whole health education in public helath aims the __________. A. Transfers information B. Make life changes C. Better health opportunities D. Change personality SITUATION – Nurse Mary is assigned to mange the Non Communicable Disease Prevention and Control. She is alar by the increase number of residents who are having Hypertension. 121. Which assessment findings is INDICATIVE of the diagnosis of hypertension? A. Family members with high blood pressure B. Elevation of blood cholesterol level C. Stressful work environment D. Consistent evaluation of blood pressure 122. Identify the MOST appropriate diagnostic examination that confirms the iincidence of hypertension amongg residents. A. Chest xray C. Ultrasound B. Electrocardiogram D. BP monitoring 123. Which medication will be prescribed to control and maintain the blood pressue of patients at normal level? A. Lidocaine C. Amlodipine 15 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Epinephrine D. Furosemide 124. Nurse Mary had observedthat most patients with hypertension stop taking their medications and heard them saying "I feel good already" Which is the APPROPRIATE nursing diagnosis? A. Impaired gas exchange C. Knowledge deficit B. Anxiety D. Ineffective coping 125. During the conduct of his health teachings to the patients, which should the nurse emphasize to maintain blood pressure at normal level? 1. Smoke in moderation 2. Exercise regularly 3. Consume less salt 4.Maintain normal weight 5.Less stress A. 2,3,4,5 C. 1.2.4.5 B. 1,2,3,4 D. 1,3,4, Situation – Risk factors include genetic and physiological factors, age, physical environment and lifestyle. 126. The presence of any of these risk factors means that ______. A. Risk modification will have no effect on disease prevention B. The chances of getting the disease are increased C. A person with risk factors can get the disease D. The disease is guaranteed not to get disease 127. A nurse involves well-being in her definition of health. What will the primary concern or focus of the nurse when she provides care to a family confronting the imminent death of a family member? A. Reinforcing the need for the whole family to adapt to the impending death. B. Sharing the nurse’s knowledge on the client’s symptoms of grief C. Discussing the perceived meaning of life with the family D. Administering pain medication so that the client can be kept comfortable 128. In the care of families, crisis intervention is an important part of _____. A. Secondary prevention C. Primary prevention B. Tertiary prevention D. Health promotion 129. The Nurse asks Baste, who is being admitted in a district hospital with uncontrolled diabetes mellitus, about his employment status. She knows that _____. A. A person’s compliance is affected by one’s affected economic status B. Baste's employment will cause complication to his diabetes C. External variables have little effected on compliance D. Diabetes mellitus will affect his client’s work condition 130. During a home visit, a member of the family you’re visiting who has been using marijuana for three years tells theyou that he wants to be “detoxified.” It is important for the nurse to ____. A. Instruct the patient to change his lifestyle C. Identify the patient’s stage of change B. Tell the patient that relapses are not tolerated D. Realize that the patient is ready for change Situation- The public health nurse must have an understanding of demography which should support health care plan. 131. Demography is concerned with the study of population. Which of the following are included in demographic profile? A. Size, composition, health status, and environment. B. Change in population, distribution, and health status 16 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN C. Size, distribution, composition, and change in population. D. Size, distribution, and composition. 132. Based on the 2017 demography report (July 2016 estimate), the Philippine population has reached: A. 140 million C. 102 million B. 120 million D. 85 million 133. There are three demographic variables in population growth. Which one is NOT included? A. Fertility C. Morbidity B. Migration D. Mortality 134. Population structure is a diagram of population typically presented in a pyramid-like style format based on ___________. A. Sex and educational attainment C. Age and civil status B. Age and fertility D. Age and sex 135. An aging population refers to a phenomenon in which the median age of the population in a country rises significantly compared to the total population in a country rises significantly compared to the total population. This is caused by any or combination of the following: 1. A declining birth rate. 4. Increased child survival. 2. Rising life expectancy. 5. Better health. 3. Decreased fertility. A. 1, 2, 3 and 4. C. 1, 2 and 3. B. 1, 2, 4 and 5. D. 1, 2, 3, 4 and 5. Situation - Nurse Pedrito makes several home visits to patients who were discharged from a district hospital. 136. As Nurse Pedrito prepares for the day's visits, which of the following patients should be seen FIRST? A client with ________. A. Parkinson's disease with imbalance gait. C. A thoracostomy six months ago. B. A history of congestive heart failure with dyspnea. D. A stroke with nasogastric tube (NGT). 137. Mang Emilio refuses to take his daily medication for hypertension. Which of the following actions should Nurse Pedrito take at this time? A. Tell MangEmilio that he will suffer from stroke. B. Explore the reason for the client's refusal to take the medication. C. Administer the medication by injection. D. Obtain help from relatives in administering the medication. 138. Nurse Pedrito sees a 65 year-old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is _________. A. Unable to carry out cognitive and motor activity at the same time. B. Observed shaving only one side of his face. C. Unable to complete a range of vision without turning his head side to side. D. Unable to distinguish between two tactile stimuli. 139. Nurse Pedrito is teaching a client with Parkinson's disease on ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to _________. A. Rest in supine position with his head elevated. B. Sleep only in dorsal recumbent position. 17 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN C. Periodically lie in prone position without a neck pillow. D. Sleep on either side, but keep his back straight. 140. A client with congestive heart failure has been receiving digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? A. Increased weight C. Increased urinary output B. Improved appetite D. Increased pedal edema Situation - Public Health Nurse Gabriela is tasked for the day to administer vaccination to pediatric clients in the barangays she covers. She, along with the team of midwives, should be knowledgeable on how to provide with the most effective, necessary and safest vaccination. 141. The foundation of medication administration is the application for the "Rights of Medication Administration." which of the following is NOT included in these rights? A. Right route C. Right dosage B. Right patient D. Right price. 142. When conducting Parents Education on immunization, which of the following considerations should Nurse Gabriela include? 1. Welcomes and greets child and family. 2. Explains the vaccines to be administered. 3. Refuse entry to those who came late. 4. Informs attendees about the procedures to be done. 5. Provide parents time to ask questions. 6. Refrain from answering questions from parents. A. 2, 4, 5, 6 C. 1, 2, 4, 5 B. 2, 3, 5, 6 D. 1, 3, 4, 6 143. When handling vaccines, the FIRST step Nurse Gabriela should do is to ________. A. Select the correct needle size. C. Check the content prior to drawing up. B. Reconstitute using diluent supplied. D. Check the vial for expiration date.. 144. If more than one vaccine is given, the following guidelines should be observed, EXCEPT. A. Do not give more than one dose of the same vaccine in one session. B. Do not use the same arm or leg for more than one injection. C. Give doses of the same vaccine at the correct intervals. D. Use the same syringe and needle in administering two vaccines. 145. When documenting the procedures done, which of the following should NOT be recorded? A. Date C. Manufacturer B. Lot number D. Needle gauge Situation- Public Health nurses participate in health screenings which help in the early detection of a disease of identify those who are at risk for a particular disease or condition. Early detection, followed by treatment and management of the condition cam result in better outcomes, and lower the risk of serious complications. 146. Nurse Filomena organized a health fair in one of the communities she covers, which was well attended, with several SCREENING TESTS being given simultaneously. What would Nurse Filomena consider the purpose of the health fair? A. Community service C. Community bonding B. Multiphasic screening D. Case finding 147. What must be stressed to all participants attending a health fair? A. A screening program is not a substitute for ongoing health supervision from a health care 18 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN provider. B. All test results are only tentative, and so participants who receive negative test results may nonetheless be suffering from a disease. C. Results are true today, but disease can develop any time, so participants should attend any future health fairs as well. D. There are many other diseases that may be attacking participants that the health fair did not screen for, and so continued vigilance is necessary. 148. As nursing students were setting up a health screening at a local community center, they reviewed the need to screen for heart disease and cancer. One student asked, "But colon cancer is prevalent: why aren't we setting up for sigmoidoscopy?" How would Nurse Filomena reply? A. "Can find adequate privacy for a sigmoidoscopy?” B. "A sigmoidoscopy is expensive to perform and invasive". C. "Would you like to perform that test for the screening?". D. "What a great idea. Would you like to help arrange it?". 149. Sensitivity is the ability of a screening test to accurately identify what aspect of the screening? A. Persons with symptoms of the disease. C. Persons who have the disease. B. Persons who do not have the disease. D. Persons who now have a diagnosis of disease. 150. The ability of a screening test to distinguish correctly between persons with and without a disease is knows as _________. A. Reliability C. Validity B. Sensitivity D. Specificity 151. Some common examples of screening tests are the following, EXCEPT ________. A. Pap smears for cervical cancer screening in women. B. Cholesterol levels in heart disease screening. C. PSA levels for prostate CA in men. D. Urinalysis for male and female clients. Situation - Public health nurses use their nursing skills in the application of public health functions and provisions of social assistance to their clients. 152. Which of the following statements BEST describes Public Health Nursing? A. Services are best implemented only in far flung and hard-to-reach areas. B. Services are rendersfree of charge to people in the catchment area. C. It involves home care to sick people who cannot be confined in the hospital. D. It puts emphasis on health promotive and preventive services. 153. The current emphasis for public health practice is ___________. A. Improving environmental sanitation C. Preventing communicable disease.. B. Controlling epidemic diseases. D. Advocating for social justice. 154. The public health nurse must participate in the essential services that are relevant and accessible to the family and the community. These include: A. Working in enforcing laws to regulate health and ensure safety. B. Diagnosing and investigating health problems of the country. C. Informing, educating, and empowering the people about health. D. Monitoring health status and completing a community assessment. 155. Collecting data and monitoring the health status of the population defines which of the core public health functions? A. Quality assurance C. Policy development B. Assessment D. Health promotion 19 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 156. Public health services are provided by government facilities. What is the most appropriate response of a public health nurse to the statement: The government should give these health services free of charge to people? A. "Yes and for that reason, we should choose our government officials wisely during elections". B. "Yes, I agree. But right now, the government does not have enough resources to do that". C. "That is an ideal situation that our government does not have enough resources to do that". D. "Many of the health services are given free, but we people pay for them just the same through our taxes". 157. The team 1eader, decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means further asked the reasons for its use. Nurse Trining’s answer should be which of the following? 1.To fully understand what the research is all about and what will happen should the participants to involve themselves in the research study 2. To get assurance that participants have the right to withdraw from participating in the research at any given time. 3. To get a compete and Full information as to the objective of the study, procedures to be implemented, data collection, benefit and has and options in the method at treatment. 4. To get assurance how anonymity and confidentiality will be maintained. A23&3 C. 1,2,3,4 B.2only D. 3 only 158. As to the observance of respecting privacy, nurse Trining explained about___________. A. breach of contract C. Ethical dilemma B. anonymity D. Confidentiality 159. In nursing, Nurse Trining explained that the MAIN goal of conducting research is to______. A. Justify the role of nurses as health care provider B. establish a credit body of evidence to support and improve the delivery of care. C. identify research priorities that will justify the Oversupply of nurses D. develop a body of knowledge to address non-nursing problems 160. In conducting a study on sleep, Nurse Trining was asked which of the types of research will be used should it involve collecting numerical data which is most often under considerable control. Her answer should be _________. A. Ichnographic C. Qualitative B. Phenomenological D. Quantitative 161. Should a 24-hour period clinical observations and activities be considered in conducting the research on sleep, the type of study that study will be conducting is A.Quantitative C. Phenomenological B.Descriptive D. Exploratory Situation – Presley enters the labor and delivery unit in probable preterm labor at 36 weeks ' gestation. The patient was informed that the fetus is in breech presentation. She has. a Catheterized urine specimen ordered. 162. Patient Presley asks the nurse why such a diagnostic procedure is required. What is the MOST APPR0PRIATE answer can the nurse give? A. Urinary tract infections are strongly associated with the occurrence of preterm labor B. Reduced sensation to urinate usually occur during preterm labor C. Preterm 1abor treatment usually causes women a bladder infection because of restricted fluid intake 20 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN D. Catheterized urine is usually ordered for any woman admitted to the labor and delivery unit 163. Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse Hope about the purpose of this medication? A. Promote fetal lung maturity. B. Prevent the premature closure of the ductus arteriosus. C. Delay delivery for at 1east 48 hours. D. Stop the premature uterine contractions. 164. Patient Presley who is ordered for diagnostic pelvic ultrasound asks what preparation she' 11 take. Appropriate preparations for this procedure include_________. A. explanation of the procedure B. NPO 6 hours before C. informed consent D. voiding 165. Pelvic ultrasound can detect, which of the following? A. Congenital defects in the structure, fetal gender, H-mole B. Fetal DM, multiple pregnancies, fetal age of gestation C. Fetal sex, number, and lung maturity D. Fetal congenital defects, placenta previa, fetal lung maturity 166. The labor progress and the physician performed amniotomy. Nurse Hope should FIRST assess tor _______. A. bladder distention B. maternal blood pressure C. cervical dilatation D. fetal heart rate (FHR) pattern Situation -Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and insists on continuing her studies while in the hospital, despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous Visits from fellow students, family and friends 167. Which intervention should the nurse use to promote rest? A. Develop a routine with the patient to balance her studies and her rest needs. B. Include a significant other in helping the patient understand the need for. rest. C. Instruct the patient that the: baby 's health is more important than her studies at this time, D. Ask her why she is not complying with the prescription of bed rest. 168. Patient Sienna who seems to be irritated with the nurse said "I don't want to talk with you because you're only a nurse. I will wait for my doctor. " Which of the following should the nurse say I'm response to the patient? A. Your doctor prescribed this for us to do nursing care. B. I understand. I should call your doctor. C. I' m angry with the way you dismiss me. D. So then you would prefer to speak with your doctor? 169. Nurse Mauve is now on ethical dilemma. This occurs when _______. A. a decision had to be made quickly under stress full situation B. choices are unclear C. there is a conflict between the nurse 's decision and that of his/her superior D. there is a conflict of two or more ethical principles 170. Despite the reaction of the patient, which of the ethical principle that the nurse is 21 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN responsible of providing all patients with caring attention and information? A. Beneficence C. Veracity B. Nonmaleficence D. Advocacy 171. Nurse Mauve should plan to initiate which action to provide a safe environment? A. Take the patient's vital signs every 4 hours. B. Encourage visits from family and friends for psychosocial support. C. Maintain fluid and sodium restrictions. D. Take off the room lights and draw the window shades. Situation Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia. 172. Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic process and often provide more information than can be gained broad testing strategies. History taking includes the by following, EXCEPT _______ A. History of present illness B. Religious Affiliation C. Social & Family history D. Past medical history 173. The objective of taking the history of present illness is to illicit the chronologic description and duration of the chief complaint. Which of the following questions would try to answer what Nurse Nanie wishes to illicit? 1.History of immunizations 2.Aggravating and alleviating factors 3-Duration of disease onset 4.Any treatment and response to treatment A. 1,2,3 C.1,2,3 & 4 B. 2,3 &4 D. 1,2 &3 174. Past medical history section of Krini contains. the following, but NOT______ A. Prenatal history C. Current history B. Child hood illness D. Birth history 175. Which of the following statements is TRUE? A. History taking must be long regardless if the child appears to be well B. No proper history can be obtained without observation of the child and the mother. C. Nurse Nanie should refrain from asking about the illness of other members of the family. D. An example of what can be elicited from a social history is how the disease started. 176. In order not to frighten small children, it is best to examine things that are uncomfortable or frightening to them last so as not to lose their cooperation. This means the LAST thing to do in a child is, which of the following, EXCEPT________. A. Inspection of the throat with a throat stick. B. Inspection of the ears with an otoscope C. Auscultation of the heart D. Undressing the child Situation 5 - Ximena a Chrisan 29-year-oid pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym. 177. Patient Ximena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do? 22 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN A.Give the drug as prescribed. B. Inform the supervisor. C. Give the average dose of the medication D. Discuss the prescription with the physician. 178. The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse? A. Discuss with a family member the need for the patient to take the medication. B. Document the patient 's refusal to take the medication. C. Notify the physician of the patient 's refusal to take the medication. D. Explain again to the patient the consequences of refusing to take the medication. 179. As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit? A. Dependently C. Interdependently B. Collegially D. Independently 180. Patient Ximena sought referral to an abort ion clinic from the nurse. She reasons out that her pregnancy a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse? A. It will cause discrimination from friends and relatives. B. Inform her that abortion is morally and legally wrong by virtue of the law. C. It will cause infection. D. It is against any religion. 181. The incoming nurse on duty reported, the nurse is administering a medication, the patient says, "This pill looks different from the one I had taken before. " What is the APPROPRIATE action of the nurse? A. Explain the purpose of the medication. B. Encourage the patient to take the medication. C. Check the original medication pre scription. D. Ask what the other pill looked 1ike. Situation -A newly hired nurse is assigned in the OB Ward. She was Supervised by a senior nurse. 182. She was asked by the nurse supervisor about her concern and what are the considered ideal fetal positions for a healthy delivery? A. Right occipitoposterior with no flexion B. Right occipitoposterior with full flexion C. Left transverse anterior in moderate flexion D. Left Sacroanterior with full flexion 183. The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse CORRECT response is________. A. to determine diameters of the fetal skull B. increase sensitivity for common bile duct of the fetus C. useful to a visualized cystic duct of the fetus D. to assess fetus' well-being 184. The newly hired nurse asks for advice from the supervisor. supervisor notices that the newly hired nurse felt uneasy upon learning that the fetus is on breech presentation. Which of the following is the BEST RESPONSE by the supervisor? A. "I understand how you feel. Tell me more." 23 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Is this your first time to witness a breech presentation" C. Are you afraid to assist the case" D. "Don' t worry. There's always a first time" 185. After the successful vaginal1 delivery, medication was ordered to be given immediately. The supervisor reassured the newly hired nurse that everything will be fine because the medication will A. promote vasoconstriction of uterine muscles B. hasten uterine contractility and control bleeding C. facilitate the return of pre pregnancy vital signs D. promote vasodilation of uterine muscles 186. The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do? A. Relate to each twin individually to, enhance the attachment process. B. Avoid assistance from other family members and support groups. C. Bottle-feed the twins to prevent maternal exhaustion. D. Plan for each parent to spend equal amounts of time with each twin. Situation - Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted -a localized area of redness on the left breast, and the mother is diagnosed with mastitis. 187. Which additional finding confirms the diagnosis that the patient has mastitis? A. Enlarged glands in the axilla B. Normal temperature C. Engorged both breasts D. Hard mass and reddened area 188. Lillian asks the nurse the cause of this ailment. Which of the following would the nurse explain as predisposing factors of mastitis? (Select all that apply) I. Milk stasis II. Nipple trauma III. Using alcohol in cleaning nipples IV. Baby 's sitting position A. II and IV C. I and II B. I and IV D. II and III 189. Lillian complains of unbearable pain. Which of the following characteristics axe EMPHASIZED in a culturally sensitive nursing Care? (Select all that apply) I The expression of pain is affected by learned behavior II. Physiologically, all individuals experience pain in a similar manner, III.. Some Asian people has high response to pain medications IV. Patients should be assessed for pain regardless of overt symptomatology. A. III and IV C. I and III B. I and II D. II and III 190. Nurse Addison provides instructions about measures to prevent postpartum mastitis who is breast feeding her newborn. Which of the following would indicate that the mother needs further instruction? "I Should _______.” A. wash my hands wel1 before breastfeeding B. breastfeed every 2-3 hours C. change the breast pads frequently D. wash my nipples with s0ap and water prior to feeding 3 hours 191. Considering her level of knowledge and the anxiety of her condition, Patient Lillian raised questions on possible ways of relieving her breast discomfort. Which of the statements NEEDS 24 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN further instructions? A. "I have to stop breastfeeding until this Condition B."I can take. antibiotics, and should begin to feel better in resolves. 24 to 48 hours," C. I can use analgesics to assist in alleviating some of these discomforts, " D. "I have to wear a supportive bra to relieve the discomfort." Situation 8 Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 Weeks gestation. 192. Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn 's Condition is used at how many minutes after birth? A. 1 to 10 C. 1 to 7 B. 1 to 3 D. 1 to 5 193. Nurse Lyca is aware that testing of vision in infants and children has been treated separately from the testing of adult. which of the statement is NOT true? A. Infants and children often cannot be tested with the same materials and techniques as adults. B. Special techniques often must be used, especially to test infants and preschoolers, that cannot be held to the same standards that apply to tests for adults C. Some infants who appear visually impaired early in life wil1 not Show normal visual responses several weeks or months later D. Course of visual and cognitive development must be taken into account in evaluating infants and children's visual abilities 194. The false statement about physiologic jaundice in the statements below is _____ A. Caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase. B. Begins to decrease by the 6th or 7th day. C. Is visible in skin and sclera. D. Begins after 48 hours of 1ife. 195. Neonatal jaundice FIRST becomes visible in which of the following parts? (Select all that apply.) 1.Face 2.Forehead 3.Trunk 4.Extremities A.3 & 4 C.1&4 B.1 & 2 D.2 & 3 196. When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT_________. A. informing appropriately the significant others B. preventing injury C. maintaining physiological homeostasis with bilirubin levels increasing D. preventing complications Situation Lily, 23-year-old pregnant woman, 37th week 's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce 1abor. 197. When the patient was informed about induction, she asks Nurse Aurora what it is all about. which of the following statement by the nurse is correct? Induction is a A. local anesthesia used for blocking pain during episiotomy B. deliberate initiation of uterine contractions that stimulates labor 25 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN C. medication injected into the subarachnoid space and has a rapid onset of action D. procedure per formed by artificial rupture of the membranes 198. Which of the following statement is NOT an indication for any uterine stimulants (Oxytocin)? A. Pre inducting cervical ripening B. Controlling postpartum bleeding C. Inducing or augmenting labor D. Manages an incomplete abortion 199. Oxytocin drip was started to induce labor. Which assessment findings should cause the nurse to IMMEDIATELY discontinue the oxytocin infusion? (Select all that apply) I. Fatigue and drowsiness II. Early decelerations, of the total heart rate III. Uterine hyperstimulation IV. Late decelerations of the fetal heart rate A. III and IV C. I and III B. II and III D. I and II 200. Simultaneous with the oxytocin drip left arm) is the prescribed intravenous (IV) lidocaine (Xylocaine). Nurse Aurora should dilute the concentrated solution of 1idocaine (right arm) with which solution? A.5 percent Dextrose in water B. Normal saline 0.99 percent C. Normal saline 0.45 percent D. Lactated Ringer' s 201. Take home medications given to Patient Lily includes digitalis therapy which was given to patient since she was pregnant. Which of the following would the nurse anticipate with patient's drug therapy? A. Switching to a more potent drug. B. Continuation of the same dosage. C. Need for change in medication. D. Addition of diuretic to the regimen. Situation -The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Robert is taking care of admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Robert is quite anxious in taking care of Patient Irma, an eight-year-old female child, who was this patient being her first day o£ duty in the Pediatric Ward. 202. When preparing the patient for suctioning, what is the FIRST step? A. Perform hand hygiene B. Gather equipment C. Assess lung sounds, heart rate and rhythm D. Check physician's order and patient care plan 203. Patient Irma will be placed in which of the following position? Select all that apply- 1. Fowler 2. Semi-Fowler 3.Supine 4. Sim A. 1, 2& 3 C.1&2 B. 2 only D.1 only 204. Usually the common indication (s) for the tracheostomy in Patient Irrna' s condition is which of the following? (Select all that apply.) 26 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 1.Prolonged intubation 2. Sepsis 3.Hypoventilation associated with neurologic disorders 4. Severe Sleep Obstructive Apnea Syndrome (SOAS) A.2 only C. 1, 2, 3 & 4 B.1 & 2 D.1 only 205. The PRIORITY nursing objective when caring a patient with a tracheostomy is _________. A. To increase tissue oxygenation B. To provide patent airway C. To decrease tissue oxygenation D. To improve ventilation 206. The TOP nursing expected outcome when performing suctioning is _______. A. Lessened amount of secretions leading to decreased frequency of suctioning. B. Secretions removed without complication. C. Tube-fed patient does not aspirate feeding D. Prevention of Occurrence of hypoxemia and bradycardia Situation -Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms: Cough, production of mucus (Sputum), yellowish in color, fatigue, shortness of breath, slight fever and chills and chest discomfort. The physician Orders 4L/min oxygenation 207. The first standard step in oxygen therapy that the nurse should do is________. A. assess client's condition B. gather all the equipment and supplies C. prepare the client for the oxygen treatment D. check the chart for ordered flow rate and oxygen delivery method 208. In planning for Sonny's oxygen therapy, the nurse should consider which of the following, EXCEPT A. need for a humidifier. B. length of tubing. C. determine the age of Excel. D. manner of administering oxygen, continuous or intermittent. 209. Which of the following is the PRIORITY action of the nurse for Sonny who is on Oxygen therapy? A. Check the flow. B. Connect the flow meter to the pipe in oxygen outlet C. Turn on the oxygen. D. Attach the humidifier and connecting tubing to the oxygen delivery device. 210. What PRIORITY precautionary measure should be done by the nurse during the oxygen therapy? A. Humidifier's water should be checked regularly. B. No Smoking sign. C. Oxygen tank should have belt. D. Limit visitors. 211. One evening, Sonny complained of dyspnea despite continuous oxygen therapy. What should be the FIRST action of the nurse? A. Reassess the client. B. Give PRN medication. 27 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN C. Assess the patency of the tubing. D. Refer client to the physician. Situation - The senior nurse Reese, 1s planning to revisit and implement a change in the management system for the 0bstetric unit. This would be a pilot unit as planned by the administration. Many problems have occurred one of which is the present documentation system, and the charge nurse determines that a change is required. 212. What should be the INITIAL S'TEP in the process of change for the senior nurse A. set goals and priorities regarding the change process. B. Plan strategies to implement the change. C. Identify potential solutions and strategies for the change. D.Identify the inefficiency that needs improvement or correction 213. Nurse Reese is preparing the patient assignment t for the day and needs to assign patients to a midwife and nursing assistant. Which patient should the nurse assign to the midwife because of patient needs that cannot be met by the nursing assistant? A patient requiring________. A. dressing change of post caesarian Surgery B. Collecting of urine specimen for urinalysis testing C. performing range-of-motion exercises twice a day D. taking of vital signs measurement every hour 214. Because of the scarcity of nurses in the hospital settings, different service delivery models were proposed. Which Situation represents the primary nursing care delivery model? A. The nursing aide is assigned to make beds and other errands while the nurse is to give medications. B. The nurse develops a plan of care for patients and collaborates with other team members. C. The nurse performs all tasks needed by the individual patient to optimize health. D. The nurse provides care to 4 patients while the nursing aide is to care for 2 patients. 215. One of the post-caesarian patients has a private duty nurse and is responsible for providing holistic care to her patient during the shift. What modality of nursing care is implemented? A. Primary C. Total care B. Team D. Functional 216. At which stage of Lewin ' s planned change indicates the nurse identifying, planning, and implementing appropriate strategies ensuring that driving forces exceed restraining forces? A. refreezing C. movement B. unfreezing D. in activism Situation - Raman, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying. The father is very much depressed. 217. In what way wil1 the nurse handles the situation? A. Tell her to trust on God's love and mercy. B. Te1l her that death is a reality. C. Encourage her to keep calm because the health care team I doing their best to help Ramon recover D. Encourage the mother to express more about her thoughts and feelings 218. The APPROPRIATE nursing diagnosis to protect the patient from further injury is, which of the following? A. Altered mucous membrane related to chemotherapy. 28 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Interrupted family processes related to life threatening i1lness of a family member. C. Fatigue related to disease process. D. Risk for injury related to thrombocytopenia 219. Mouth sores have developed in the child's mouth. The father asked the nurse the reasons for this. The MOST AP PROPRIATE response of the nurse is _________ A. "The child 's oral hygiene needs to be improved. " B."There s no need to worry as all kids receiving chemotherapy tend to have them. " C. "He is allergic to the drug so I will report this to the doctor and suggest à change of drug." D. "Mouth sores result because the cells of the mouth are sensitive to chemotherapy. " 220. Ramon died at 10:00 PM. His father cried much and refused to move Ramon 's body. What is the APPROPRIATE approach of the nurse? A. Talk about the reality of death. B. Leave the mother and the child for the last time. C. Silence to allow the mother to grieve. D. Cry with the mother as you remember your own experience of death in family. 221. The nurse's MAIN responsibility in preparing Ramon 's discharge is, which of the following? A. Assist the mother to pay the hospital bill B. Prepare Ramon 's cadaver C. Prepare the death certificate. D. Extend condolences to the bereaved family. Situation - Asst Chief for Education & Training, Nurse Mendoza, is planning to conduct an in- service training program on intravenous therapy for the staff nurses. 222. To be able to justify the conduct of any in service training program in any hospital, which of the following should be the bases for the implementation of the program? 1.Needs assessment 2. Needs analysis 3.Per recommendation by the Chief Nurse 4.Incident Reports A. 1, 2 &4 C. 1 only B. 1, 3 &4 D. 1, 2, 3 & 4 223. The BEST rationale for the conduct of the program is which of the following? A. Ensure safe practice in the hospital B. Improve nursing practice in general C. Provide knowledge and skills to all nursing staff in IV Therapy D. De1iver safe and quality nursing care to patients on intravenous therapy 224. One of the lecturers discussed the complications that patients may have while on IV therapy. Which of the following is the most common Complication that IV patients may contract while on IV therapy? A. Embolism C. Phlebitis B. Cardiac Overload D. Aneurysm 225. The participants may avail of Continuing Professional Development (CPD) units if Nurse Mendoza had filed the program to be CPD accredited to which of the following? A. Professional Regulatory Board of Nursing B. Professional Regulation Commission C.Continuing Professional Development D. Commission on Higher Education 29 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 226. The participants should know the way by which they may obtain CPD units aside from attending in service training programs, which are, EXCEPT _______. A.Professional seminar and conferences B.graduate studies C.Short course training for specialization D. Joining nursing service committees Situation -The concept of Reproductive Health is introduced as early as Primary and secondary levels with different degrees of concentration. Students, interested to continue health courses were asking questions on human sexuality. 227. Nurse Hailey discusses the 2020 National Health Goals. Which of the following statements is an EXCEPTION in planning sexual health programs. A. Make sexual education programs voluntary. B.increase the proportion of adolescents who have never engaged in sexual intercourse. C.Reduce deaths from cancer resulting from uterine myomas D. Reduce deaths from cancer of the uterine cervix. 228. Maternal and child Nursing is a concept under the National Goals. Which objective should Nurse Pailey emphasize to support the program? A. Avoid having misdirected children and become street children. B. Promote the well-being of the mother 's family 1ife and family planning. C.Consider that every child has love, security, and a better future. D. Avoid complications of pregnancy and promote vaginal deliveries 229. Which of the following topics should the patient feel MORE comfortable when reproductive anatomy and physiology is discussed with the nurse? A. Sexual health education C.Varied sexual positions B. Gender reassignment D. Gender identity 230. When can the patient tell all information to the nurse? A. All diagnostic laboratory tests performed had been completed B. Once the feeling of security is established in the nurse-patient relationship C. A change in physical appearance occurs D. The nurse knows the genogram of the patient 231. Which nursing diagnosis is NOT RELEVANT to sexual health? A. Anxiety-related inability to conceive after six months. B. Health-seeking behaviors related to reproductive functioning C. Sexual dysfunction related to an unknown cause. D. Risk for infection related to high-risk. sexual behaviors. Situation - Ruby, a pregnant patient 37 weeks' gestation is admitted due to fever, painful swelling of hands, feet, joints. and in labor pain who has a diagnosis of sickle cell anemia? 232. Nurse Sophie administers oxygen to patient Ruby and implements additional measures to prevent a sickling crisis from occurring? A Maintain strict asepsis. B. Maintain s adequate hydration. C. Monitors the temperature. D. Reassures the patient. 233. Nurse Sophie hooks a 1000 mL intravenous (IV) Solution of D5 Water as Ordered by the physician at 9 am to infuse 80 ml/hr. Via macro drop nruslon set (20 qtts = 1 ml). On the assessment of the infusion at what would be the level of the remaining amount in the TV bag at 2 pm? 30 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN A. 500 C. 400 B. 200 D. 300 234. The patient began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. The patient complains of difficulty of breathing, itching and a tight sensation in the chest. Which is the IMMEDIATE action of the nurse? A. Recheck the unit of blood for compatibility. B. Call the physician. C. Check the patient 's temperature. D. Stop the infusion. 235. Norse Sophie checks the gauge of the patient ' s intravenous catheter. Which is the smallest gauge catheter that the nurse can use to administer blood? A. 22-Gauge C. 20-Gauge B. 18-Gauge D. 12-Gauge 236. The nurse reviews the patient 's plan of care. Which of the following nursing diagnose will be the PRIORITY? A. Fluid volume, deficit B. Risk for pain, acute C. Coping, ineffective D. Body image, disturbed Situation - Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best to review her notes on human growth and development, specifically Erikson 's psychosocial theory. 237. The BEST reason why Nurse Nilda opted to review Erikson's psychosocial theory is, which of the following statements? A. Completion of task results in a sense of competence and a healthy personality. B. Failure to master these tasks leads to feelings of inadequacy C.. Helps children grow into successful, contributing members of society. D. We are motivated by the need to achieve competence in certain areas of our 1ives. 238. Nurse Nilda immediately responds to any cry from her pediatric patients because it is, which of the following reasons? A. to attend to her patients who cannot communicate verbally B. to check if the child is hungry or wet C. to lessen the noise overload in the Unit D. a powerful influence over that individual's interactions with others for the remainder of his/her 1ife 239. Nurse Nilda is attending to a two-year-old Neneng who was admitted due to chronic bronchitis. Neneng sports a long hair that extends up to her shoulder. As part of the morning care, Neneng's hair into a pony tail. However, Neneng vehemently resisted her hair being tied by a rubber band. The BEST thing that Nurse Nilda should do is, which of the following? A.Nurse Nilda decided to style B.Assert her authority. C.Deny Neneng'S preference that a pony tail would make Neneng's more beautiful. D. Allow Neneng ' preference. 240. Joji, l7 years old, is admitted in a private room due to influenza. In one of Nurse Nilda's conversations with Joji, the patient expressed is unhappiness with the program he is taking up in college. This is not his choice but rather the choice of his parents. In which of Erikson 31 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN 's stage of development does this case fall? A. Autonomy versus shame/ doubt B. Integrity versus despair C. Identity versus role Confusion D. Trust versus distrust 241. When a 3-year-old patient of Nurse Nilda asserts to choose the pants and shirt to wear to include food preference. Based on Erikson 's developmental tasks, the child' s such behavior is attributed to them which of the following? 1. struggling to acquire a sense of autonomy 2 discovering they have a will of their own 3. awareness that they cannot control others 4. learning which behavior gains approval A. 1,2 & 3 C. 1,2, 3& 4. B. 2, 3 & 4 D. 1,2& 4 Situation - Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During the interview, the applicant was asked 5 questions. 242. When a patient is admitted to the OB ward with complains of dizziness and body weakness, this is an example of______. A. secondary source C. objective data B. primary source D. Subjective data 243. What are the possible cases that need informed consent? A. Administering skin testing B.Subjecting the patient to an invasive procedure C. Hair shampooing of patient D. Performing a laboratory procedure 244. The applicant was further asked about an incident report. Which of the following is a PRIORITY Case for an incident report be accomplished? A. Patient fell from the bed. B. Refusal to go to the physical therapy session. C. A visitor encourages a patient on bed rest to ambulate. D. Nurse left before his duty ends. 245. On which occasion would a nurse can be charged with negligence? A. Giving the patient the wrong medication. B. Giving competent care. C. Following standards of care. D. Communicating with another health team. 246. What tasks can be delegated to his nursing assistant during his tour of duty. A. Changing wound dressings. B. Administering analgesic drug. C. Performing a physical assessment. D. Taking vital sign Situation- A patient with hyperthyroidism is admitted to your unit. She asks the nurse about the endocrine functions. 247. To begin your discussion, you explain to her that the endocrine glands include, which of the following? A. Pituitary, thyroid, parathyroid, adrenals, pancreaticislets, and hypothalamus 32 COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN B. Pituitary, thyroid, parathyroid, pancreatic islets, ovaries, and testes C. Pituitary, thyroid, parathyroid, adrenals and pancreatic islets D. Pituitary, thyroid, parathyroid, adrenals, pancreatic islets, ovaries and testes 248. The __________ is link between the nervous system and the endocrine system A. Spinal cord C. Pituitary gland B. Hypothalamus D. Thyroid gland 249. This endocrine disorder is a severe form of hypothyroidism characterized by an accumulation of mucopolysaccharide in subcutaneous and other interstitial tissues A. Myxedema C. Cushing`s syndrome B. Thyrotoxicosis D. Hashimoto`s disease 250. The patient asks you about goiter. You describe this disorder as ___________-. A. A condition produced by excessive endogenous or exogenous thyroid hormone B. The enlargement of the thyroid gland and usually caused by an iodine-deficient diet C. None of the choices D. Inflammation of the thyroid gland that may lead to chronic hypothyroidism 251. The patient asks what is a normal thyroid state? The best response is __________. A. Euthyroid C. Hyperthyroid B. Parathyroid

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