Nursing Practice I Past Paper PDF 2024

CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 NURSING PRACTICE I- QUESTIONS 1. Cost-effective health care emphasizes the primary prevention of illness. Which of the following is an example of a primary prevention activity? A. Antibiotic treat...

CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 NURSING PRACTICE I- QUESTIONS 1. Cost-effective health care emphasizes the primary prevention of illness. Which of the following is an example of a primary prevention activity? A. Antibiotic treatment of a suspected urinary tract infection B. Occupational therapy to assist a client in adapting his or her home environment following a stroke C. Nutrition counseling for young adults with a strong family history of high cholesterol D. Removal of tonsils for client with recurrent tonsillitis 2. A client needs a low-fat, low-salt diet because of his hypertension. He should be referred to a: A. dietitian B. nutritionist C. physician D. paramedical technologist 3. Surveillance of infectious diseases is governed by: A. Provincial or state government B. National Institute of Health C. Public health services D. Centers for Disease Control and Prevention 4. The case manager for the oncology unit is a professional nurse responsible for: A. arranging home care B. assisting with financial arrangements C. coordinating all aspects of client care D. prescribing client outcomes 5. Which of the following is true about discharge planning? A. Discharge plans involve referral to community resources B. Basic discharge plans involve referral to community resources C. Simple referral involves use of a discharge planner D. Complex referral involves interdisciplinary collaboration 6. “At risk” groups are identified in a community so that: A. all residents can be alerted to possible problems B. health care workers can be trained to deal with health and social problems C. measures can be taken to prevent problems or deal with them in the early stages D. health and economic matters are given adequate funds for solution of those problems 7. A bilateral amputee is assisted by his wife and children from the wheelchair to the commode for bowel evacuation. This example best demonstrates the family’s assistance to meet which needs? A. Nutrition and metabolism B. Activity C. Health perception and health maintenance D. Elimination CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 8. The nurse asks a client to describe his community. Such assessment focuses discharge planning on: A. maximizing individual and family potentials and reducing healthcare costs B. a method the client finds acceptable and a method using community resources maximally C. an individual method of client education and a method of quick referral D. minimizing of hospitalization and reducing family stress 9. Understanding family dynamics and the community context will assist the nurse in planning care that is: A. compatible with the client’s everyday life and therefore has the greatest chance of success B. regimented according to predetermined medical and social regulations and policies C. in harmony with the financial resources of the family and community D. reasonable, inexpensive, current, and compatible with high technology 10. One role of the nurse in a community-based setting focuses on primary intervention. An example of primary intervention would be: A. Screening children for vision in a preschool B. Teaching bicycle safety in an after- school program C. Identifying head lice in a child in elementary school D. Exploring financial help for a client in a home setting 11. One role of the nurse in a community-based setting focuses on secondary intervention. An example of secondary intervention would be: A. Screening children for hearing loss in a preschool B. Teaching bicycle safety in an after-school program C. Recommending a group home setting for an adolescent D. Administering immunizations to infants in a clinic 12. One role of a nurse in a community-based setting focuses on tertiary intervention. An example of tertiary intervention would be: A. Screening children for hearing loss in a preschool B. Teaching bicycle safety in an after-school program C. Administering immunizations to infants in a clinic D. Exploring financial help for a client in a home setting 13. The concept of homeostasis is most like the concept of: A. equilibrium B. holism C. needs D. exchange 14. In Maslow’s hierarchy of needs, the self-actualized person: A. is other-directed B. Possesses above-normal intelligence C. has a future-time orientation D. has realized his/her full potential CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 15. A major sociologic risk factor developing health problem is: A. poverty B. adolescent mothers C. lack of daily exercise D. genetic predisposition to disease 16. Patients may move among different care settings to: A. Maintain psychologic integrity B. Adhere to physician orders for treatment C. Maximize dependence on health care providers D. Ensure the physical, emotional and psychological needs are met 17. Mr. Mateh Lopez, age 24, has been admitted to a medical unit with the diagnosis of hepatitis A and placed in contact isolation. The purpose of this is to: A. Prevent transmission of infectious microorganisms B. Control the environment of the patient C. Protect the patient form infectious microorganisms D. Protect only the family 18. Mr. Alphaphi, R.N. is working on a clinical medical area with a census of 15. Each patient has a different illness. The most important method Mr. Alphaphi can use to protect each patient from microorganisms is: A. Wearing a gown B. Placing each patient in isolation C. Handwashing D. Wearing gloves 19. Identification of the chain of infection allows health care providers to: A. Test patients for resistance to communicable diseases B. Request more money for building isolation hospitals C. Work with the physician to identify the most appropriate antibiotic D. Determine points at which the infection can be stopped or prevented 20. Mr. Pineda, age 45, was admitted to the hospital with cellulites of the right foot. Three days later he developed bacterial pneumonia. This type of an infection is classified as: A. Acute primary B. Nosocomial C. Interstitial D. Mycoplasmic 21. A patient is admitted with herpes zoster. The nurse should plan to administer which type of medication on a frequent basis? A. Zovirax B. Ceclor C. Tylenol D. Tagamet CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 22. The most common symptom of patients with scabies is: A. nausea B. nocturnal pruritus C. localized pain D. skin paresthesia 23. The nurse must observe Ms. Hannah for a symptom of tetanus that could be life threatening. The nurse should assess Ms. Hannah for: A. Muscle rigidity B. Spastic voluntary muscle contractions C. Restlessness and irritability D. Respiratory tract spasms 24. The nurse is reviewing Mr. McDonald’s physical examination and laboratory test. An important finding in malaria is: A. Splenomegaly B. Leukocytes C. Elevated sedimentation rate D. Erythrocytes 25. A serious complication of acute malaria is: A. Anemia and cachexia B. Congested lungs C. Changes in water and electrolyte balance D. Impaired peristalsis 26. The nurse understands that gonorrhea is highly infectious and: A. is easily cured B. can produce sterility C. occurs very rarely D. is limited to the external genitalia 27. The drug of choice for the treatment of gonorrhea is: A. Ceftriaxone B. Actinomycin C. Chloramphenicol D. Colistin 28. Which would most likely confirm Mr. John’s diagnosis of tuberculosis (TB)? A. Creatinine kinase (CK) test B. Chest X-ray C. Sputum smear and culture D. White blood cell count 29. Which clinical manifestations would the nurse expect in a patient with TB? A. Hemoptysis and weight gain B. Drug cough and blood – streaked sputum C. Productive cough and afternoon elevated temperature CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 D. Night sweats and urticaria 30. Tess, 19 years old, came to the clinic because of fever and appearance of vesicular skin eruptions on her chest and face. The physician gave a diagnosis of chicken pox. The nursing diagnosis to be considered in the presence of the vesicles is/are the following: A. Disturbance in body image and impairment of skin integrity B. Disturbance in body image C. Alteration of fluid volume D. Actual impairment of skin integrity 31. A viral infection characterized by red blotchy rash and Koplik’s spots in the mouth is: A. Rubeola B. Rubella C. Chicken pox D. Mumps 32. Loy, 1-month old child is brought to the health center for consultation. Assessment findings are as follows: temperature – 35.5 0C, respiratory rate – 60 breaths per minute, chest indrawing is present; child does not feed well and is always sleepy. These signs indicated that Loy has A. cold but no pneumonia B. mild pneumonia C. bronchiolitis D. severe pneumonia 33. Nursing care of the patient with diphtheria should include the following: A. Encouragement of fluids B. Omission of bath in severe cases C. Planned nursing care to conserve patient’s energy D. Early ambulation 34. The most effective measure of controlling schistosomiasis is: A. case finding and prompt treatment of cases B. provision of sanitary toile C. environment sanitation and environmental control D. practice personal hygiene 35. The most commonly used model that assists in the understanding of the patient’s place on the wellness/illness continuum is: A. Abraham Maslow B. Dorothea Dix C. Clara Barton D. Theodor Fliedner 36. A patient is fearful concerning upcoming surgery. Which of the following statements by the nurse would be most therapeutic? A. “Sometimes anxiety is not easy to deal with. Can you tell me what is bothering you the most?” B. “Don’t worry. Everybody has some anxiety about having surgery.” C. “Just try to think about the positive results from the surgery. You’ll recover quickly.” D. “I had surgery once and it still scares me to think about it, so I know how you feel. CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 37. The patient states, “I’m so nervous about being hospitalized.” Which of the following statements would be the nurse’s best response best response to get the patient to elaborate? A. “It’s normal to be nervous, but we’ll take good care of you.” B. “You’re feeling especially nervous?” C. “How many times have you been hospitalized?” D. “There will be nurses here all the time to check on you.” 38. Abdominal surgery has revealed that Mrs. Gonzales, a young mother, has advanced metastatic colon cancer. While the nurse is changing her dressing, Mrs. Gonzales begins to cry and states, “If I had just gone to the doctor sooner, my kids wouldn’t have to grow up without a mother.” Which of the following responses by the nurse would be most therapeutic? A. “It’s natural to blame yourself in situations like this.” B. “Is their father available to care for the children?” C. “Don’t give up. The chemotherapy and radiation might be very effective.” D. “You feel that if you had been diagnosed earlier, the situation might be different?” 39. During his admission interview Mr. James, an older patient, states, “I can’t hear you very well.” After determining that Mr. James does not have a hearing aid, the nurse should: A. Speak in a higher-pitched voice B. Speak loudly into his “good” ear C. Exaggerate lip movement while speaking D. Face Mr. James and speak slowly and distinctly 40. A patient is admitted with severe hypertension. The nurse assesses the patient and gathers the following data: statements of blurred vision, headache, and numbness of the left side of the face and blood pressure of 180/120. Which of these is an objective cue? A. Statements of blurred vision B. Statements describing the headache C. Statements indicating the facial numbness D. Blood pressure measurements of 180/120 41. Basing your answers on Maslow’s hierarchy, which of the following nursing diagnosis labels has the highest priority? A. Risk for aspiration B. Deficient fluid volume C. Acute pain D. Stress incontinence 42. Which patient outcome statement meets the necessary criteria? A. The patient will identify the types of foods to include in a high-fiber diet B. The nurse will teach the patient about constipation prevention C. The nurse will increase total fluids during hospitalization D. The patient will have a soft, formed bowel movement on the third day after nursing interventions 43. A patient who describes his illness is providing: A. Subjective data B. Objective data CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 C. Overt data D. Signs of his illness 44. Documentation is part of what phase of the nursing process? A. Assessment B. Planning C. Implementation D. Evaluation 45. When documenting care and observations in a patient record: A. Approved medical terms and abbreviations can be used B. Any locally used abbreviations can be used C. To prevent errors no abbreviations should be used D. A nurse does not worry about the use of abbreviations 46. Mr. Winner, 52 years old, is being transferred to the surgical unit from the recovery room following extensive surgery as the result of trauma from an automobile accident. As the nurse assigned to complete his care you know that an important principle to remember when admitting, transferring, or discharging a patient is that: A. The patient is a human being deserving dignity, courtesy, and respect B. The patient is ill and unable to make decisions or give accurate information C. The nurse knows best and should tell the patient what to do D. Families get in the way and should be encouraged not to get involved in the patient’s care 47. Ms. Bautista, 45-years-old, has been recently diagnosed and hospitalized for type I diabetes mellitus. The multidisciplinary health care team has been preparing her for dismissal. The nurse knows the purpose of discharge planning is to: A. Make certain she takes her medication as prescribed B. Provide medical treatment C. Provide ongoing patient education D. Ensure continuity of care 48. Mr. Peralta, 84-years-old, has been hospitalized for 6 days with a diagnosis of a stroke. The nurse knows planning for Mr. Peralta’s dismissal should begin: A. When his condition has stabilized B. On his admission to the hospital C. When he begins to ask questions D. When his family asks for information 49. Mr. Vergara is determined to leave the hospital. His physician is not aware of his intent to leave, nor is it within his best interest to be dismissed at this time. The nurse recalls that when a patient chooses to leave a health care facility without a physician’s written order, the nurse should: A. Call the family so they can expect the patient at home B. Allow the patient to leave because no one can be held against his or her will C. Call security because there must be a physician’s order before a patient may leave D. Explain the risk of leaving and request that the patient sign a paper accepting responsibility for problems that may occur 50. Mr. Jimenez, age 44, is undergoing antibiotic therapy for pneumonia. His rectal temperature reading is 101.6ºF. His oral temperature would be considered as: CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 A. 101.6º F B. 100.6ºF C. 99.6ºF D. 97.6ºF 51. Ms. Rosario, age 30, develops a postpartum temperature that is elevated in the evening but returns to a normal reading in the morning. This has occurred for several days. This pattern of fever would be classified as: A. Constant B. Intermittent C. Remittent D. Relapsing 52. Mr. Salvador, age 66, has a 10-year history of coronary artery disease. He is presently recovering from a myocardial infarction. The most accurate assessment of pulse rate would be to obtain a (n): A. Carotid pulse B. Radial pulse C. Apical pulse D. Brachial pulse 53. Ms. Jharliemagne is 48-years-old. During a routine physical her blood pressure is noted a 180/90. She fears she is hypertensive. The nurse would explain that the diagnosis of hypertension is made when there is a sustained elevated blood pressure of over: A. 160/100 B. 140/90 C. 130/70 D. 120/80 54. Mr. Zamora, RN, has been assigned several patients. Which one of the following patients would most likely have a higher than normal temperature? A. The depressed, apathetic patient B. The patient assessed with hemorrhage C. The patient who is recovering from surgery D. The patient experiencing strong emotions 55. Ms. Marbs, a 16-year-old, has been admitted after suffering a motorcycle accident. The nurse is assessing his pulse pressure. His blood pressure reading is 140/102. Which of the following is the correct pulse pressure? A. 40 B. 38 C. 140 D. 102 56. The nurse is preparing to assess a 2-day-old infant’s pulse rate. Which of the following sites should be used? A. The brachial artery B. The femoral artery C. The apex of the heart D. The radial site CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 57. The physician has ordered an orthostatic blood pressure measurement. Which of the following is correct concerning the orthostatic method of assessing blood pressure? A. The measurement is taken in the lying position, then sitting up and last when the patient is standing. B. The measurement is taken first with the patient sitting up and then lying down. C. The nurse should wait 5 minutes between assessing the blood pressure in the sitting position from the lying position. D. The patient should be lying down for at least 10 minutes before the nurse performs the procedure. 58. The nurse is directed to obtain a type C fire extinguisher. A type C fire extinguisher is required for which type of the following types of fire? A. Paper B. Cloth C. Grease D. Electrical 59. Ms. Gregorio is an 82-year-old patient who has had a right total hip replacement. On the first postoperative day, the nurse repositions Ms. Gregorio to her left side, placing a pillow between legs and another to her back. The nurse assesses the proper placement of Ms. Gregorio’s body to evaluate: A. Base support B. Body alignment C. Head/chin tilt D. Gluteal pressure 60. The nurse explains to the patient that the logrolling technique will be used to help the patient change position by stating: A. “Logrolling will keep your hips slightly flexed toward your chest.” B. “By having you dangle your legs at the bedside, you will be more comfortable.” C. “Because of your injury, it is extremely important that the head of your bed remain up at all times.” D. “It is important to keep your neck and spine in straight alignment while we help you move onto your side.” 61. The patient’s ask the nurse about different herbal therapies that may promote physical endurance and reduce stress. Information may be provided on: A. Ginseng B. Ginger C. Echinacea D. Chamomile 62. A method of stimulating certain points on the body by the insertion of special needles to modify the perception of pain, normalize physiologic functions, or treat or prevent disease is called: A. Acupressure B. Magnet therapy CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 C. Acupuncture D. Chiropractic therapy 63. Which of the following patients assigned to the nurse for A.M. care would be at greatest risk for skin impairment? A. Child on bed rest B. Infant with cool skin temperature C. Young man with diarrhea D. 60-year-old patient in a body cast 64. A sputum specimen has been ordered for Mr. Buenaventura; a 75-year-old patient admitted with possible pneumonia of the right lower lobe. Mr. Buenaventura is not able to cough. The nurse is aware that for patients who cannot expectorate sputum from deep in the bronchial tree, the specimen must be collected by: A. Pharyngeal suctioning B. Tracheal suctioning C. Oropharyngeal suctioning D. Percussion and vibration 65. To obtain a 24-hour urine specimen, the patient should be given which of the following instructions? A. Collect each voiding in separate containers for the next 24 hours B. Discard the first voided specimen and then collect the total volume of each voiding for 24 hours C. For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided D. Keep a record of the time and amount of each voiding for 24 hours 66. Ms. Cristobal, age 72, has an indwelling urinary catheter. A sterile urine specimen has been ordered for a culture and sensitivity. The sterile specimen should be obtained by: A. Obtaining 60 ml of urine from the collection bag B. Removing the present catheter, having the patient void, and then re-catheterizing C. Disconnecting the tubing from the catheter and draining 2 ml of urine D. Aspirating 10 ml of urine with a sterile syringe from the tubing port 67. A patient performing a finger stick for blood glucose determination asks why the side of the fingertip is advised as the preferred site. The nurse is aware that it is because: A. The blood supply is greater in this area B. It is easier for the self-determination method C. The side of the finger is less responsive to pain D. It leaves more room for other site selection 68. The patient tells the nurse, “I have a very hard time getting a drop of blood from my finger for the blood sugar test.” The nurse: A. Asks the physician to order a different type of blood glucose monitoring system B. Suggests that the patient use warm water on the finger just before using the blood lancet C. Instructs the patient to use the same puncture site several times in a row for best results D. Reminds the patient that it is acceptable to skip blood glucose monitoring once in a while CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 69. After inserting a nasogastric tube, the nurse can be certain it is in the proper place if: A. The patient no longer complains of pain or nausea B. 30 ml of normal saline can be injected with ease C. Bubbles occur when the tube is submerged into water D. Gastric contents are aspirated with cone tipped syringe 70. Mr. Aragon, diagnosed with throat cancer, is a 2-day postoperative patient with a tracheostomy. Which part of the tracheostomy tube is removed by the nurse for cleaning? A. Outer cannula B. Inner cannula C. Single-lumen tube D. Double-lumen tube 71. If, when suctioning Mr. Aragon, the nurse finds it necessary to repeat the interventions, it is recommended that the nurse wait at least 3 minutes. This is to allow for: A. Overcoming fatigue B. Numbing of mucous membranes C. Replenishing oxygen D. Subsiding of pain 72. Preoperatively the physician orders “enemas until clear.” The maximum number of enemas the nurse should give is: A. Two B. Three C. Five D. Unlimited 73. Ms. Javier has just returned from the PAC unit. During a report the nurse is told Ms. Javier has a Penrose drain in the LLQ. The purpose of a Penrose drain is: A. To instill solution for wound irrigation B. To prevent blockage of a passageway C. To drain the wound area by suction D. To drain the wound area by gravity 74. A nurse is attending a cardiopulmonary resuscitation training to review her previous CPR training as a requirement in the new hospital where she was recently employed. This is an example of: A. Continuing education B. Advanced training C. In-service training D. Professional training 75. A nurse believes that health is a fundamental right of every individual. He believes in the worth and dignity of each human being and recognizes the primary responsibility to preserve health at all costs. These statements are part of the: A. Philippine Nursing Act of 2002 B. Code of Ethics for Registered Nurses C. Code of Good Governance for the Professions D. Standards of Nursing Practice CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 76. The nurse is attending to a client brought to the Emergency Department for treatment of acute abdominal pain. Which of the following actions of the nurse demonstrates respect of client’s autonomy? A. Complying when the physician attempts to delegate obtaining informed consent B. Facilitating and supporting client’s choices regarding treatment options C. Describing the risks and benefits of the reasonable alternative treatments D. Notifying appropriate parties if a patient has not given adequate information 77. Which of the following statements is correct regarding informed consent? A. Nurse may not be legally liable if they know that informed consent was not obtained B. It is ethical or legal for nurses to obtain informed consent for procedures are to be performed by a physician C. It is an ethical responsibility of nurses to provide client with opportunities to give informed consent D. It is not within a nurse’s domain of responsibility to notify the health team if a client has not given an informed consent for the procedure 78. Which of the following is the most appropriate for the researcher to study if she would do a correlational study? A. Humor experienced by hospitalized patients B. Humor, a basis for reducing anxiety among hospitalized patients C. Effect of humor on anxiety of hospitalized patients D. Anxiety among hospitalized patients experiencing humor 79. To obtain 30 appropriate samples for the study, the researcher decided to use simple random sampling. Which of the following should the researcher do? A. Include post-operative clients only B. Select every 3rd hospitalized client in the list C. Pick out 30 from the list of hospitalized clients D. Choose 15 male and 15 female hospitalized clients 80. While teaching colostomy clients to do ostomy care, the nurse does problem solving when she: A. Discusses diet and nutrition with the client with colostomy B. Gives equal number of supplies to all the colostomy clients C. Requests suppliers to give lowest price to her clients D. Observes which among the supplies work best for the clients 81. The treatment plan has been implemented. Which of the following is the MOST appropriate action based on clinical decision? A. Ask the client what he feels about the treatment B. Conduct physical assessment and gather more data C. Evaluate how effective the clinical decision is with the client D. Generate more information by doing literature search CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 82. A 70-year-old client is admitted to the hospital for difficulty of breathing and chest pain. He is accompanied by his son who asks the nurse what he should do about his father’s hearing problem. Which of the following responses by the nurse reflects therapeutic communication? A. “I will ask your father for more information” B. “What kind of hearing problems does your father have?” C. “Your father will be referred to a specialist after a hearing test is done.” D. “Hearing problems occur as people get older.” 83. While conducting nursing rounds, the nurse found a 30-year-old, post mastectomy client lying on her side facing the wall. When the nurse approached her, she says “leave me alone, I need rest.” The nurse responds by saying: A. “I understand you.” B. “I will be back.” C. “You sound upset.” D. “Don’t worry you can cover up the loss.” 84. An order to discontinue catheterization of the client was implemented. She complains of difficulty in her first attempt to urinate. The nurse explains that this is due to: A. Attempt of the body to adjust to normal reflex mechanism B. Fluid and electrolyte imbalance C. Irritation of the urethra D. Irritation of the urinary bladder 85. The nurse is correctly performing the removal of the inner cannula when he/she: A. Rinses the neck plate of the tracheostomy tube then pulling the inner cannula gently in line with its curvature B. Pulls gently the inner cannula clockwise C. Unlocks inner cannula by turning counterclockwise and gently withdrawing in line with its curvature D. Picks up the inner cannula with glove that is considered sterile. 86. A client on bed rest is rolled to a lateral position by the nurse. The nurse is negotiating the move correctly when he: A. Positions himself at the midpart of the bed and places both hands at the back of the client and roll client onto side. B. Places one hand on the client’s far hip and the other on the client’s far shoulder rock backward and roll onto side of the body facing him. C. Assumes a broad stance with the foot nearest the bed placing his arms under the client’s thighs and shoulder and roll client onto side D. Supports the back and buttocks of the client and shifts his own weight from the forward to the backward foot and roll onto his side. 87. Which of the following interventions must be carried out by the nurse to improve the client’s sensory stimulation during isolation? A. Provide a telephone inside the isolation room B. Maintain a clean and pleasant environment and allow recreational activities CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 C. Talk with family members to avoid expression of disgust D. Provide all the personal items needed by the client 88. When he enters the room, he finds the client in bed. She says that she is “afraid to choke on her medications because she sometimes has a hard time swallowing.” Which nursing action is most appropriate? A. Mix the medication in client’s soup B. Put the client in supine position C. Ask the client to assume sitting position D. Mix the capsule in a banana for her to chew 89. The nurse will next administer an intramuscular injection preparation to another client. The nurse safely administers the drug using the Z track technique of injection for the following reasons EXCEPT: A. This method leaves a zigzag path to seal the needle track B. The skin is pulled sideways and the needle is injected at 45-degree angle C. This technique is best when medication for IM injection is irritating to tissue D. This technique requires that the medication be injected slowly to allow it to disperse evenly in muscle tissue 90. The nurse prepares Penicillin for skin test. He uses a tuberculin syringe with gauge 25 needle and performs the procedure correctly by: A. Withdrawing needle quickly to minimize bleeding B. Stretching skin over site and inserting needle slowly at 10 to 15-degree angle C. Massaging the injection site D. Pinching the skin over site and injecting medication slowly 91. The process in the community health nursing assessment is very essential to be able to accurately diagnose the contemporary conditions within the community. A very vital part of the process is? A. Carrying out nursing procedures as per plan of action B. Coordination with other sectors in relation to health concerns C. Evaluation structures and qualifications of health concerns D. The application of professional judgment in estimating the importance of facts to family and community 92. The public health bag contains basic medications and articles, which are necessary for giving care. Which of the following best describes the Public Health Bag? A. The public health bag is an essential and indispensable equipment of the PHN. B. The public health bag is used to minimize if not totally prevent the spread of infection. C. The public health bag is a tool-making use of a public health bag through which the nurse can perform nursing procedure. D. The public health bag is used to render effective nursing care to clients and or members of the family. CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 93. In the implementation of Reproductive Health, the nurse is guided by the following principles: 1. Partnership and Networking 2. Family-Centered 3. Gender Sensitive 4. Evidence-Based 5. Life Course Approach A. all except 4 B. all except 5 C. 2, 3, and 5 D. 1, 2, 3, 4, and 5 94. Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of the DOH? A. Target Client list B. Output record C. Family treatment record D. Reporting forms 95. Nurse Hannah is caring for a family with a 5-year-old child with scabies. Nurse Hannah should include in the health teaching the treatment of scabies using what herbal plant? A. Bayabas B. Niyog-niyogan C. Akapulko D. Lagundi 96. Which information about recommended adult immunizations is accurate to include in health teaching? A. Influenza A and B vaccine are given one time, unless the client is high risk. B. Measles and mumps vaccines are given to college-age students only. C. Tetanus and diphtheria booster are needed at least every 5 years. D. Pneumococcal pneumonia vaccine may be given once for lifetime protection. 97. A new mother verbalizes her concern about being afraid for her infant to feel pain during vaccination that is why she will just continue breastfeeding her infant. The appropriate response of the nurse is? A. Most protection comes from colostrum just after birth and is enough to protect the infant. B. Breastfeeding will only give temporary protection to the infant against diseases. C. Vaccinations are not needed if breastfeeding is continued until 12 months. D. The infant still needs to be vaccinated against DPT, measles, and polio before the infant is 6 months old. 98. The occurrence of an unusually large number of cases in a relatively short period of time is called: A. Endemic B. Pandemic CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024  CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 C. Sporadic D. Epidemic 99. In the newborn care interventions under the Essential Newborn Care program, after thorough drying the newborn, early skin-to-skin contact should be initiated to provide warmth and bonding. Which intervention should be included? A. Counseling the mother regarding positioning in breastfeeding B. Placing an identification on the wrist C. Not removing the vernix D. Cutting the cord clamp 100. When teaching the mother about potential adverse reactions of immunization for her child who was just given his scheduled vaccination, the nurse should instruct the mother to quickly report A. mild temperature elevation. B. local swelling at the injection site. C. generalized urticaria. D. pain at the injection site. CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024 CHEAT CODES: WALKTHROUGH TO ACE THE NLE 08/06/2024 CHEAT CODES: WALKTHROUGH TO ACE THE NLE ALVIZ 2024