RECALLS 1.pdf

RECALLS 1 C. C. organization of medical and nursing services for the early diagnosis and preventive treatment of di...

RECALLS 1 C. C. organization of medical and nursing services for the early diagnosis and preventive treatment of disease D. D. education of the individual in personal hygiene NP1 4. Public health nursing is strongly built on theories of health promotion and Situation: disease prevention. This model found that information alone is rarely enough to Public Health Nursing in the Philippines evolved alongside the institutional motivate people to act for their health. Individuals must know what to do and development of the Department of Health, the government agency mandated to how to do it before they can take action. protect and promote people's health and the biggest employer of health A. A. Health Belief Model workers including public health nurses. INDIVIDUALS HAVE THEIR OWN PERCEPTION BEFORE THEY DO THEIR ACTION. SOOO CONSIDER THEIR PERCEPTION KNOWLEDGE AND USE 1. In response to above trends, the global community, represented by the IT TO PROMOTE GOOD HEALTH TO THEM Nations General Assembly, decided to adopt a common vision of poverty B. B. Health Promotion Model – PEOPLE INTERACT reduction and sustainable development in September 2000. This vision is C. C. Social Learning theory – LEARN FROM ONE ANOTHER, exemplified by the Millennium Development Goals (MDGs) which are based on OBSERVING AND MODELING the fundamental values of freedom, equality, solidarity, tolerance, health, D. D. General Systems Theory – NOT ONLY IN HEALTH. MAY IBANG respect for nature, and shared responsibility. Which among these is not a OUTPUT THROUGHPUT AND SUBSYSTEMS Millennium Development Goal? A. A. Improve maternal health B. B. Combat HIV/AIDS, malaria and other diseases C. C. Ensure environmental sustainability D. D. Promote gender equity and empower women SHOULD BE EQUALITY 5. It is based on the assumption that behavior change takes place over time, and progresses through stages. Each stage is stable and is open to change; meaning one may stop in one stage, progress to the next stage or return to a previous stage. A. A. General Systems Theory B. B. Transtheoretical Model – REASONS WHY PEOPLE ARE RESISTANT TO CHANGE C. C. PRECEDE-PROCEED Model USED IN COMMUNITY DIAGNOSIS PRECEDE → PREDISPOSING, REINFORCING, AND ENABLING PROCEED → DITO MO NA IMPLEMENT YUNG MGA PROBLEM NA 2. Factors or things that make people healthy or not, known as determinants NAKUHA MO SA PRECEDE of health are listed by the World Health Organization to include all except one: D. D. Milo’s Framework for Prevention – ECONOMIC, POLITICAL, A. A. Genetics ENVIRONMENTAL HEALTH DETERMINANTS RATHER THAN B. B. Gender INDIVIDUAL PERCEPTIONS; SOCIETAL MILIEU C. C. Location D. D. Culture WHITE BOOK, MAGLAYA, FAMORTA Situation: WHO defines PHC as essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country can afford at every stage of development. 6. What is considered the legal basis of PHC in the Philippines? A. A. LOI 949 B. B. LOI 497 C. C. LOI 789 D. D. LOI 747 3. According to C. E. Winslow, “Public health is the science and art of (1) preventing disease, (2) prolonging life, and (3) promoting health and efficiency 7. This is signed by which President of the Philippines?t through organized community effort.” Which is considered as the key phrase A. A. Pres. Ferdinand Marcos definition of public health? B. B. Pres. Gloria Aquino A. A. development of the social machinery to ensure everyone a C. C. Pres. Ramon Magsaysay standard of living adequate for the maintenance of health D. D. Pres. Ferdinand Marcos Jr. B. B. through organized community effort PUBLIC HEALTH – KEY PHRASE IN PHN EVERYONE SHOULD BE INCLUDED 8. The PHC has 8 essential health services in which it aims to improve. All of 13. People at Brgy. Kagalingan often complains having pain in their joints after these are included, except: eating so much internal organs and beans. What can he advise to the people to A. A. Maternal and Child health take? B. B. Nutrition A. A. Sambong – edema C. C. Exclusive Program for Immunization – EXPANDED PRGRAM B. B. Bayabas – pakulo ang leaves and use as antiseptic. bayawash D. D. Education for health C. C. Ulasimang bato – uric acid, gout 8 ESSENTIAL HEALTH SERVICES (ELEMENTS) D. D. Akapulco – antifungal, makati na pabilog EDUCATION FOR HEALTH LOCALLY ECONOMIC DISEASE CONTROL 14. This medicinal plant is used to help lower hypertension and blood EXPANDED PI cholesterol. MATERNAL AND CHILD HEALTH A. Ampalaya – dm t2 ESSENTIAL DRUGS B. Bawang – lower htn and blood cholesterol NUTRITION C. Akapulko TREATMENT FOR COMMUNICABLE AND NONCOM DISEASE D. Sambong SANITATION 15. Type II diabetes is also rampant in the barangay. He conducts group 9. Considerations are made regarding the health services being provided to the health teachings to include which plant into their diet? people. These have to be to be available acceptable, affordable and accessible A. A. Ampalaya to the people to reach the success of Primary Health Care. Which criteria B. B. Bawang questions whether the health service is offered in health care facilities or is C. C. Akapulco provided on a regular and organized manner? D. D. Sambong A. A. Acceptability - healthcare services are compatible to cultures and tradition of the people Situation: B. B. Affordability – population afford services The Centers for Disease Control and Prevention (CDC) established an office in C. C. Accessibility – distance (w/i 30 mins) to the community the Philippines in 2022 to strengthen and expand existing partnerships with the D. D. Availability – MADE AVAILABLE TO THE COMMUNITY Philippines Department of Health (DOH). 16. This vital statistics indicate the natural decrease in population. 10. The PHC uses multisectoral approaches to communicate, collaborate, and A. A. Crude birth rate – natural increase convene to achieve universal health care. When the doctor has to refer the B. B. Crude death rate victim of VAW to DSWD, what referrals or linkages will they use? C. C. Prevalence Rate – ALL new and old case A. A. Intrasectoral linkages - w/i health sectors D. D. Incidence rate – case in certain period B. B. Intersectoral linkages – collab with hospital to pso, labas ng health sector 17. Nurse Caloy wants to determine the health status of a population and infer C. C. Interfacility linkages their longevity of life and lifestyle by using statistics. What vital statistics D. D. Intrafacility linkages shall he use? A. A. Prevalence Rate Situation: B. B. Swaroop’s Index – how many yung nakarating sa 50 years King Kong is learning to use the available resources in Brgy. Kagalingan in old or more providing care to his patients. He firmly believes in the efficiency in using C. C. Maternal Pregnancy Rate traditional and alternative medicine in his plan of care so that it will be easier for D. D. Case Fatality Ratio – killing power of the disease, sa lahat ng the people to accept and follow. nagkasakit sino ang namatay 11. A 7-year old kid is being accompanied by his mother to the clinic. The child 18. This statistics indicate the health status of the community. has been experiencing abdominal pain, and is presenting with a round belly. A. A. Fetal death rate His mother said that he did drink any “pampurga” when he was young. What B. B. Neonatal mortality rate medicinal plant should he give? C. C. Infant mortality rate – 1st year of their lives and they are A. A. Lagundi – cough, cold vulnerable ; very sensitive to environmental conditions B. B. Yerba Buena – for pain D. D. Mortality rate C. C. Tsaang Gubat – for diarrhea and stomach ache D. D. Niyog-niyogan 19. This is also known as the index of pregnancy wastage. A. A. Fetal death rate 12. How would King Kong tell the mother to prepare and administer the B. B. Neonatal mortality rate medicinal plant? C. C. Infant mortality rate A. A. Decoction D. D. Mortality rate B. B. Leaves are eaten C. C. Poultice D. D. Seeds are used – niyog niyogan → niyOg. 20. Retrieving this number, this will help direct the efforts to improve maternal 24. You have also observed that the local government does not make health post partum care in the community. This also shows that an improvement in as their priority thus leaving their BHCs and RHUs lacking of resources and environmental factors must be promoted to improve the numbers. manpower. There is also a lack health program implementation as no A. A. Fetal death rate support is received. This is classified as: B. B. Neonatal mortality rate – emphasize post partum care ( devotes herself in performing her best in the maternity ward. HCG D. D. Estrogen stimulates uterine growth to create a conducive 21. During an assessment of a mother who recently gave birth to a healthy environment for the fetus and primes the breasts for lactation. newborn, where should the nurse anticipate finding the fundus positioned? A. A. On the right side of the abdomen – BLADDER DISTENTION 27. She is preparing to conduct a class on testicular self-examination (TSE) B. B. Level with the umbilicus at a local high school, should incorporate which guidance for the attendees? C. C. Above the umbilicus – BLOOD CLOTS THAT NEEDS TO BE A. A. Conduct the self-examination every two months. – SHOULD BE EXPELLED 1 A MONTH D. D. One finger's breadth above the symphysis pubis B. B. Perform the self-examination following a cold shower. – WARM SHOWER 22. A new mother received an intramuscular injection of methylergonovine C. C. Anticipate slight discomfort during the self-examination. - maleate following delivery. The nurse comprehends that this medication was SHOULD NOT BE PAINFUL administered for what purpose? D. D. Gently roll the testicle between the thumb and forefinger. – A. A. To decrease uterine contractions. NORMAL, FIRM NOT HARD AND SMOOTH B. B. To prevent postpartum hemorrhage. METHYLERGONOVINE MALEATE SIMILAR TO OXYTOXIN 28. She is teaching a group of females how to prevent pelvic inflammatory C. C. To sustain normal blood pressure. disease (PID). What instruction should the nurse include? D. D. To diminish the amount of lochia drainage. A. A. To douche monthly B. B. To avoid unprotected intercourse 23. Methylergonovine maleate is prescribed for a woman who has just PID CAUSES STDS delivered a healthy newborn. Which is the priority assessment to complete C. C. To use only ultra-low dose oral contraceptive pills before administering the medication? D. D. To consult with a gynecologist regarding the placement of an A. A. Lochia intrauterine device (IUD) B. B. Uterine tone C. C. Blood pressure – IT CAN INCREASE BP SO DONT GIVE SA 29. She is providing discharge teaching to a client after a vasectomy. Which MAY HTN statement by the client indicates the need for further teaching? D. D. Deep tendon reflexes A. A. “I can use a scrotal support if I need to.” B. B. “I don’t need to practice birth control any longer.” – HINDI 24. A registered nurse is a preceptor for a new nurse and is observing the new EFFECTIVE AGAD nurse organize the client assignments and prioritize daily tasks. The registered C. C. “I can resume sexual intercourse whenever I want.” – PWEDE nurse should intervene if the new nurse implements which action? BASTA MAY IBANG METHODS OF BIRTH CONTROL A. A. Provides times for staff meals D. D. “I can use an ice bag and take an analgesic for pain or swelling.” B. B. Gathers the supplies needed for a task C. C. Combines all tasks for clients in one list 30. She asks a student to identify risk factors for and methods of preventing D. D. Documents task completions at the end of the day prostate cancer. Which statement by the student indicates the need for further teaching? 25. When the nurse manager encourages staff to provide input in the A. A. “Smoking increases the risk for this type of cancer.” decision making-process, which leadership style is being demonstrated? B. B. “A high-fat diet will assist in preventing this type of cancer.” A. A. Autocratic C. C. “A history of a sexually transmitted infection is a risk for this B. B. Situational disease.” C. C. Democratic D. D. “Men more than 50 years old should be monitored with a yearly D. D. Laissez-faire – PEOPLE WORK ON THEIR OWN digital rectal exam.” Situation: D. D. Folding of a portion of the intestine into the lower bowel – Preterm newborns are considered high risk because of their immaturity to INTUSSUSCEPTION adapt to the extrauterine life. 37. Which nursing assessment findings indicate normal vital signs in a 31. On assessment of a newborn being admitted to the nursery, Nurse Angel newborn infant? palpates the anterior fontanel and notes that it feels soft. She determines A. A. Pulse, 112; respiratory rate, 24 that this finding indicates which condition? B. B. Pulse, 124; respiratory rate, 28 A. A. Dehydration C. C. Pulse, 144; respiratory rate, 48 B. B. A normal finding – IT CLOSES 12 TO 18 MONTHS DIAMOND PR 160 C. C. Increased intracranial pressure – BULGING RR < 60 D. D. Decreased intracranial pressure D. D. Pulse, 164; respiratory rate, 55 32. Nurse Angel is assessing a postterm infant. Which physical characteristic 38. Nurse Adolf teaches nursing students about mumps. Which clinical should the nurse expect to observe? manifestation will the specialist identify as the most common complication of A. A. Peeling skin – CRUSTY NA, LEATHER LIKE SKIN/ this disease? DESQUAMATION A. A. Pain B. B. Smooth soles without creases B. B. Nuchal rigidity – ASEPTIC MENINGITIS, STIFF NECK C. C. Lanugo covering the entire body C. C. Impaired hearing D. D. Thick layer of vernix covering the body D. D. A red swollen testicle 33. A postterm infant delivered vaginally is showing signs of tachypnea, 39. Nurse Adolf is assigned to care for an infant on the first postoperative day grunting, retractions, and nasal flaring. Angel interprets these findings as after a surgical repair of a cleft lip. Which nursing intervention is appropriate indicative of which condition? when caring for this child’s surgical incision? A. A. Hypoglycemia A. A. Rinsing the incision with sterile water after feeding – TO B. B. Respiratory distress syndrome – MORE ON PRETERM, NOT MAKE SURE NA WALANG MILK SA INCISION YET FULLY DEVELOPED; GIVE SURFACTANT OR B. B. Cleaning the incision only when serous exudate forms DEXAMETHASONE C. C. Rubbing the incision gently with a sterile cotton-tipped swab C. C. Meconium aspiration syndrome – POST TERM NA SIYA D. D. Replacing the Logan bar carefully after cleaning the incision D. D. Transient tachypnea of the newborn 40. He is caring for a child diagnosed with Reye’s syndrome. He monitors for 34. The nurse is evaluating a 3-day-old preterm neonate diagnosed with manifestations of which condition associated with this syndrome? respiratory distress syndrome (RDS). Which assessment finding suggests A. A. Protein in the urine improvement in the neonate's respiratory condition? B. B. Symptoms of hyperglycemia A. A. Edema of the hands and feet – LOW PROTEIN C. C. Increased intracranial pressure – MAY SEIZURE (DUE TO B. B. Urine output of 3 mL/kg/hour TOO MUCH ASPIRIN OR ANTIPLATELET OR ANTICOAG) C. C. Presence of a systolic murmur – PDA D. D. A history of a staphylococcus infection D. D. Respiratory rate ranging from 60 to 70 breaths per minute – TACHYPNEA Situation: Growth and development refer to the physical, cognitive, emotional, and social 35. A newborn baby whose mother is Rh negative is told to be admitted to changes that occur throughout an individual's lifespan. It encompasses various the nursery by the nurse. Which move should the Angel make in preparation for aspects of human development, from infancy to adulthood. the infant's arrival? A. A. Determine the blood type of the newborn and direct Coombs 41. A 10-year-old child is newly diagnosed with type 1 diabetes mellitus. The results. nurse is planning for home care with the child and the family and DIRECT COOMBS GIVEN IN UMBILICAL CORD determines which is an age-appropriate activity for health maintenance? IF INDIRECT – MOTHERS BLOOD A. A. Administering insulin drawn up by an adult B. B. Acquire from the blood bank the supplies required for an B. B. Self-administering insulin with adult supervision exchange transfusion. TO PROMOTE INDEPENDENCE C. C. Request the installation of a phototherapy unit by calling the C. C. Making independent decisions with regard to sliding-scale maintenance department to be taken to the nursery. coverage of insulin D. D. To avoid isoimmunization, get a vial of vitamin K from the D. D. Having an adult assist in the self-administration of insulin and pharmacy and be ready to give an injection. glucose monitoring Situation: 42. A home care nurse is providing instructions to the mother of a toddler Nurse Adolf loves taking care of pediatric patients. Pediatric nursing care regarding safety measures in the home to prevent an accidental burn injury. demands a thorough assessment so that good management may be provided. Which statement by the mother indicates a need for further instruction? 36. A newborn baby has been diagnosed with imperforate anus. How should A. A. “I need to use the back burners for cooking.” Nurse Adolf explain this condition to the parents? B. B. “I need to remain in the kitchen when I prepare meals.” A. A. The occurrence of fecal incontinence – ENCOPRESIS C. C. “I need to be sure to place my cup of coffee on the counter.” B. B. Inadequate development of the anus POSSIBLE MAHULOG PA RIN! C. C. Difficulty passing infrequent, dry stools – CONSTIPATION D. D. “I need to turn pot handles inward and to the middle of the stove.”  48. You are sending an arterial blood gas (ABG) specimen to the laboratory 43. The nurse is reviewing the results of the rubella screening (titer) with a for analysis. What information should be included on the laboratory requisition? pregnant client. The test results are positive, and the client asks if it is safe for Select all that apply. her toddler to receive the vaccine. Which response by the nurse is most I. Ventilator settings appropriate? II. List of client allergies A. A. “Most children do not receive the vaccine until they are 5 years of III. Client’s temperature - IF THEY ARE HAVING FEVER OR NOT age.” IV. Date and time the specimen was drawn B. B. “You are still susceptible to rubella, so your toddler should receive V. Any supplemental oxygen the client is receiving the vaccine.” VI. Extremity from which the specimen was obtained C. C. “It is not advised for children of pregnant women to be vaccinated A. A. I, II, III during their mother’s pregnancy.” B. B. I, II, IV, V D. D. “Your titer supports your immunity to rubella, and it is safe C. C. I, III, IV, VI for your toddler to receive the vaccine.” D. D. I, III, IV, V 44. The nurse is assigned to care for a hospitalized toddler. Which measure 49. Which arterial blood gas (ABG) values should you anticipate in the client should the nurse plan to implement as the highest priority of care? with a nasogastric tube attached to continuous suction? A. A. Providing a consistent caregiver METABOLIC ALKALOSIS – HINIHIGOP YUNG ACID B. B. Protecting the toddler from injury A. A. pH 7.25, Paco2 55, HCO3 24 MALIKOT AND CURIOUS B. B. pH 7.30, Paco2 38, HCO3 20 C. C. Adapting the toddler to the hospital routine C. C. pH 7.48, Paco2 30, HCO3 23 D. D. Allowing the toddler to participate in play and diversional D. D. pH 7.49, Paco2 38, HCO3 30 activities 50. For ensuring client safety, which assessment should you prioritize before 45. A mother of a 3-year-old child asks the nurse what personal and social transitioning a client from liquid to solid food? developmental milestones she can expect to see in her child. The nurse should A. A. Bowel sounds tell the mother to expect which findings? Select all that apply. B. B. Chewing ability I. Begins problem-solving C. C. Current appetite II. Exhibits sexual curiosity D. D. Food preferences III. May begin to masturbate IV. Notices gender differences Situation: V. Develops a sense of initiative 4 TO 5 An adult client is admitted to the emergency department after a burn injury. VI. Develops positive self-esteem through skill acquisition - TO 8 Y/O A. A. I, II, III 51. The burn initially affected the upper half of the client’s anterior torso, and B. B. II, IV there were circumferential burns to the lower half of both of the arms. The C. C. II, III, IV client’s clothes caught on fire, and the client ran causing subsequent burn D. D. II, III, V injuries to the entire face (anterior half of the head), and the upper half of the posterior torso. Using the rule of nines, the extent of the burn injury would be Situation: what percent? You have recently passed the PNLE and is now hired in a hospital. You started A. A. 27% to review the fundamentals B. B. 48.5% C. C. 54% 46. What action should you take before performing a venipuncture to start D. D. 31.5% continuous intravenous (IV) therapy? A. A. Apply a cool compress to the area. 52. You are anticipating rapid fluid replacement therapy for the patient. With B. B. Inspect the IV solution and check the expiration date. the previously identified percentage of burn injury, how much fluid should be C. C. Secure a padded armboard above the IV site. administered over the first 24 hours if the patient weighs 72 kg? D. D. Apply a tourniquet below the venipuncture site. A. A. 9,072 mL – PARKLAND FORMULA 4XKGXTSBA FIRST AT 8 HRS AND SECOND HALF IS AT NEXT 16 HRS 47. The doctor prescribes acetaminophen liquid 450 mg orally every 4 hours B. B. 7,776 mL PRN for pain. The medication label reads 160 mg/5 mL. You prepare how C. C. 13,968 mL many milliliters (mL) to administer one dose? D. D. 15,552 mL A. A. 12 ML B. B. 15ML 53. A client who is brought to the emergency department has experienced a C. C. 13ML burn covering greater than 25% of his total body surface area (TBSA). D. D. 14ML When reviewing the laboratory results drawn on the client, which value should DESIRED/ONHAND X VEHICLE you most likely expect to note? 450/160 X 5 A. A. Hematocrit 65% (0.65) DEHYDRATED NA YUNG TAO, HEMOCONCENTRATION, FVD (FIRST 24 HRS OCCUR) B. B. Albumin 4.0 g/dL (40 g/L) C. C. Sodium 140 mEq/L (140 mmol/L)  D. D. White blood cell (WBC) count 6000 mm3 (6 × 109/L) 58. This type of attachment or complex is present among pre-school children wherein the strong emotional attachment of a preschool boy is present towards 54. The client is scheduled for hydrotherapy for a burn dressing change. the mother, and they usually tend to hate the father. Which action should you take to ensure that the client is comfortable during the A. A. Electra complex procedure? B. B. Oedipus complex A. A. Ensure that the client is appropriately dressed. C. C. Persephone complex B. B. Administer an opioid analgesic 30 to 60 minutes before D. D. Adolphus complex therapy. HYDROTHERAPY – MASAKIT 59. The nurse observes an 8-year old child for any signs of psychosexual C. C. Schedule the therapy at a time when the client generally takes a development. What should they expect from this stage? nap. A. A. a time in which children’s libido appears to be diverted into D. D. Assign an unlicensed assistive personnel (UAP) to stay with the concrete thinking → LATENT PERIOD, FOCUS ON CONCRETE client during the procedure. THINKING B. B. at the age where they want to fulfill their intimate desires 55. He receives a prescription for a regular diet. Which is the best meal for you C. C. at the age where they are ready to learn how to defecate by to provide to the client to promote wound healing? themselves HIGH PROTEIN FOR TISSUE REPAIR D. D. at the time where they will explore their own genitals A. A. Peanut butter and jelly sandwich, apple, tea B. B. Chicken breast, broccoli, strawberries, milk 60. The nurse understands that Freud's phallic stage of psychosexual C. C. Veal chop, boiled potatoes, Jell-O, orange juice development, which compares with Erikson's psychosocial phase of initiative D. D. Pasta with tomato sauce, garlic bread, ginger ale versus guilt, is seen best at: A. A. Adolescence Situation: B. B. 6 to 12 years In every developmental stage, there are different psychosexual stages a child C. C. 3 to 5 1/2 years must go through and fulfill to meet its needs. As a healthcare professional who D. D. Birth to 1 year values the holistic development of every individual, nurse Jen provides appropriate interventions for each life stage. 61. The nurse understands that problems with dependence versus independence develop during the sage of growth and development known as: 56. She was asked by a first-time mom how she can provide and meet the A. A. Infancy needs of her 3-MONTHS old infant. She tries to fill the crib with toys, but B. B. School age her infant is not responding to it very well. What should she do? C. C. Toddlerhood – AUTONOMY VS GUILT A. A. Place large, colorful teddy bears around the infant’s crib D. D. Preschool age B. B. Provide safe and washable toys such as pacifier ORAL NEEDS NG INFANTS 62. When planning to teach about the stages of growth and development, what C. C. Give brightly-colored building blocks to the infant – stage does the nurse indicate as basically concerned with role PRESCHOOL, PALMAR GRASP AT 5 MONTHS PALMAR–PIVE identifications? D. D. Give her infant a rattle for her to shake A. A. Oral stage B. B. Genital stage IDENTITY VS ROLE CONFUSION 57. Toddlers exhibit signs of readiness for toilet training. Which among C. C. Oedipal stage the following are not included as its criteria? D. D. Latency stage A. A. Child is able to stay dry for 2 hours B. B. Child is waking up dry from a nap 63. The nurse incorporates play in interactions with preschool-aged C. C. Child is able to sit, squat, and walk children, recognizing that play is essential for their emotional development in D. D. Child is able to wear clothing by themselves the areas of: A. A. Projection B. B. Introjection – PERIOD FOR INTERNALIZATION C. C. Competition D. D. Independence 64. The nurse understands that the resolution of the Oedipus complex occurs when the child: A. A. Rejects the parent of the same sex B. B. Adopts behaviors of both parents C. C. Identifies with the parent of the same sex D. D. Identifies with the parent of the opposite sex ADAPT ROLE YUNG SAME SEX PARA MA ATTRACT YUNG OPPOSITE SEX 65. Surgery can be a very traumatic even for a child. The nurse, when B. B. Urine output of 12 cc/hr. performing preoperative preparation, knows that according to Piaget's stages of MAG SUL IS MUSCLE RELAXANT, SOBRANG BABA NG UO NORMAL IS cognitive development, children will experience the greatest fear during the: 30CC/HR A. A. Sensorimotor stage C. C. BP 110/80. B. B. Preoperational stage – AT PRESCHOOL, 2 TO 7 Y/O – D. D. DTR of 2+ DIFFICULT DISTINGUISH REALITY VS FANTASY. MAGICAL THINKING 70. In case toxicity occurs, what emergency item must Nurse Nina prepare at C. C. Formal operational stage bedside? D. D. Concrete operational stage A. A. Protamine sulfate B. B. Atropine sulfate 66. Nurse Nina further assesses May. When BP was taken at 11:00 am, the C. C. Kalcinate – CALCIUM GLUCONATE reading was at 140/80 mmHg. She knows that the physician may confirm that D. D. Vitamin K May is developing PIH when which criterion is satisfied? A. A. BP is at 130/90 mmHg at 12nn. Situation: B. B. A BP reading is read to be 140/90 at 1:30 pm Health teaching is an essential nursing action to ensure the continuity of care C. C. 30/15 mmHg is added to the baseline BP at 7:00 pm. beyond the borders of the institution. This helps promote independence to each D. D. BP is at 90/60 mmHg at 11:00 pm patient in managing their own health. 67. May asks Nurse Nina to explain the reason why PIH occurs. Nurse Nina's 71. Nurse Kate teaches a preoperative patient about the nasogastric (NG) most appropriate answer would be: tube that will be inserted before surgery. She concludes that the patient A. A. "An increase in blood volume to support the growing child understands when the tube will be removed postoperatively based on caused an increased pressure in the arteries causing damage which statement by the patient? to the walls. This led to the blood vessels in the body to A. A. “When my doctor says so.” suddenly tighten up or get narrower, thus causing the blood B. B. “When I can tolerate food without vomiting.” pressure to shoot up." C. C. “When my gastrointestinal (GI) system is healed.” EASIEST TO COMPREHEND D. D. “When my bowels start working again and I begin to pass B. B. "Blood volume is increased by 40-50% in pregnancy, which gas.” usually peaks at the 2nd trimester due to an increase in plasma UMOOKAY ANG GI KAPAG MAY FLATUS SIYA volume. That caused an increase in pressure in the endothelial lining of the arteries eventually leading to vasospasm. Hypertension 72. A patient is receiving intravenous lipid (fat emulsion) therapy at home, occurs due to the narrowing of the blood vessels due to the managed by the patient's spouse. During a visit, the Nurse Kate discusses the spasms." potential side effects and adverse reactions of the therapy with both the patient C. C. "The precise etiology revolves around aberrations in vascular and the spouse. After the discussion, she expects the spouse to understand homeostasis, with dysregulation of endothelial function and vascular that the priority action in case of a suspected adverse reaction is to: tone modulation being paramount. This intricate cascade A. A. Stop the infusion. encompasses the intricate dance between ADVERSE REAC LIMITATION FIRST vasoconstriction-promoting factors and vasodilation-mediating B. B. Contact the nurse. substances, leading to an imbalance favoring heightened vascular C. C. Take the patient’s blood pressure. resistance and augmented systemic arterial pressure." D. D. Contact the local emergency response team. D. D. "I am not sure if I am allowed to give details about that diagnosis. I will ask your physician to explain it to you instead." 73. Nurse Kate suspects that a client's spouse may be experiencing caregiver strain. Which action should the nurse take to assess this condition? 68. The nurse further assesses May for any other signs while she interviews A. A. Refer the family to a social services agency. her in the clinic as she documents the findings in May's chart. Which statement B. B. Gather information from both the caregiver and the client. from May would she record as possible evidence that May is developing ASSESS OR GET DATA BEFORE IMPLEMENTING CARE pre-eclampsia instead? C. C. Wait for the caregiver to mention the stress. A. "I'm struggling to slip on my bedroom slippers because my feet are D. D. Obtain feedback from the client about the caregiver. so puffy at night." B. "My mom taught me a lot of things about being pregnant, but she 74. Nurse Kate is educating a client newly diagnosed with diabetes mellitus never warned me that I would always feel so tired." about blood glucose monitoring. The nurse should instruct the client to C. "I've been having the desire to really take care of how I look like report glucose levels that consistently exceed which value? these past few weeks." A. A. 150 mg/dL (8.57 mmol/L) D. "The puffy feet are tolerable, but the swollen hands and wrists B. B. 200 mg/dL (11.42 mmol/L) are not." // “HINDI NA KASYA YUNG RING” HINDI NA NORMAL C. C. 250 mg/dL (14.28 mmol/L) – THRESHOLD D. D. 350 mg/dL (20.0 mmol/L) 69. Eventually, May's physician ordered magnesium sulfate to be infused on NORMAL IS 70-100 OR 70 TO 110 piggyback with a loading dose of 5g to be infused slowly over 30 minutes and a maintaining dose of 2 g/hr. Which of the following symptoms, when observed 75. A client diagnosed with gastritis asks the Nurse Kate about analgesics that by Nurse Nina, would warrant her to discontinue the drug and notify the won't cause epigastric distress. She should recommend which medication? physician? A. A. Aspirin – GASTRIC IRRITANT A. A. An RR of 16 breaths per minute. B. B. Naproxen  C. C. Ibuprofen 80. She is preparing to educate a teenage client about sexuality. How will she D. D. Acetaminophen (MILDEST SE) start the teaching? A. A. Inform the teenager about the risks associated with pregnancy. Situation: B. B. Build a relationship and assess the teenager's existing It is fulfilling for Nurse Violet to be a maternal and child nurse. From health knowledge. education to emergency care interventions, in different stages of of pregnancy, C. C. Counsel the teenager to abstain from sexual activity until labor and delivery, she performs her skills effectively. marriage. D. D. Offer written materials concerning sexually transmitted infections. 76. When should Nurse Violet she plan to begin discharge planning to a mother with a preterm infant? Situation: A. A. When the mother is in labor Diabetes is one of the common, but also dangerous diseases in life. It can also B. B. When the discharge date is set be present among pregnant women. C. C. After the infant is stabilized during the early stages of hospitalization 81. Charlotte is reviewing home care instructions with a client who has type 1 D. D. When the parents feel comfortable with and can demonstrate diabetes mellitus and a history of diabetic ketoacidosis (DKA). The client's adequate care for the infant spouse is present during the instruction. Which statement by the spouse indicates that further teaching is needed? 77. Nurse Violet is performing an assessment on a primigravida client who has A. A. “If he is vomiting, I shouldn’t give him any insulin.” been a marathon runner for several years. The client verbalizes concern EVEN IF MAY DKA, NEED PA RIN NG INSULIN. INFECTIN AND LESS because she is no longer able to run in marathons and is concerned about INSULIN CAN AGGRAVATE DKA the brown discoloration on her face and her increasing size. Which B. B. “I should bring him to the doctor if he develops a fever.” statements by the Nurse Violet are therapeutic? Select all that apply. C. C. “If our grandchildren are sick, they probably shouldn’t come to I. “I can see you’re disappointed at not being able to run.” visit.” II. “Tell me how you are feeling about the changes in your body.” D. D. “I should call the doctor if he has nausea or abdominal pain III. “Don’t worry. Your body will go back to normal after delivery.” lasting for more than 1 or 2 days.” IV. “You need to ask your obstetrician about whether or not you can run.” V. “Wait and see. You will be back to marathon running after delivery before 82. Nurse Charlotte has conducted a class for pregnant clients with diabetes you know it.” mellitus about the signs and symptoms of potential complications. She VI. “Some of the changes in pregnancy are permanent and that is the price that determines that the teaching was effective if a client makes which statement? you have to pay for that bundle of joy.” A. A. “I should not have ultrasounds done because I am diabetic.” A. A. I, II B. B. “I’m glad I don’t have to worry about developing hypoglycemia B. B. II, III, IV while I am pregnant.” C. C. I, III, V C. C. “I need to watch my weight for any sudden gains because I D. D. I, V, VI could develop gestational hypertension.” D. D. “My insulin needs should decrease during the last 2 months 78. Which goal is most appropriate for postpartum client who is at risk for because I will be using some of the baby’s insulin supply.” uterine infection? A. A. The client will verbalize a reduction of pain. 83. Nurse Charlotte met with a postpartum patient who is recovering from B. B. The client will report how to treat an infection. disseminated intravascular coagulation. They will need to take low dosages C. C. The client will be able to identify measures to prevent of anticoagulant medication. She advises them to avoid: infection. A. A. Brushing her teeth THEY SHOULD KNOW IT B. B. Taking acetylsalicylic acid (aspirin) – INCREASE RISK FOR D. D. The client will identify the presence of Braxton Hicks BLEEDING; TOO MUCH ANTICOAGULANT AND contractions. ANTIPLATELET NA C. C. Walking long distances and climbing stairs 79. Nurse Violet transfers to the NICU. She teaches handwashing techniques D. D. All activities due to the risk of bruising injuries to the parents of an infant who is receiving antibiotic treatment for a neonatal infection. She determines that the parents understand the primary purpose 84. Nurse Charlotte is educating a mother diagnosed with diabetes mellitus of handwashing if they make which statement? who gave birth to a large-for-gestational-age (LGA) infant about infant care. A. A. “It is primarily done to reduce their fears.” She explains that LGA infants may appear more mature due to their size but B. B. “It is primarily done to minimize the spread of infection to other often require stimulation for feeding and attachment. Which statement by the siblings.” mother suggests the need for further teaching about infant care? C. C. “It is primarily done to allow them an opportunity to communicate A. A. “I will talk to my baby when he is in a quiet, alert state.” with each other and staff.” B. B. “I will allow my baby to sleep through the night because he D. D. “It is primarily done to reduce the possibility of transmitting needs his rest.” an environmental infection to the infant.” BABY SHOULD BE AWAKE TO DEVELOP RELATIONSHIP. LGA ARE DIFFICULT TO AROUSE C. C. “I will breast-feed my baby every 2½ to 3 hours and will use arousal techniques.” D. D. “I will watch my baby closely because I know that he may not be as mature in his motor development.” 85. She is observing a client with type 1 diabetes mellitus. Today's blood work 90. A 47-year-old patient inquires to you whether she is entering menopause reveals a glycosylated hemoglobin level of 10%. Based on this result, she after not having a menstrual period for 3 months. What would be a suitable formulates a teaching plan, understanding that it signifies which outcome? response? A. A. A normal reading, indicating effective management of blood A. A. "Have you considered hormone replacement therapy?" glucose control. B. B. "Many women experience some sadness when entering B. B. A reading devoid of information concerning the client's disease menopause." management. C. C. "What was your menstrual cycle like before your periods C. C. A low reading, indicating inadequate management of blood ceased?" glucose control. MENOPAUSE IS NOT BIGLAAN SO ASSESS BASELINE PATTERN D. D. A high reading, indicating inadequate management of blood D. D. "Given your age in the mid-40s, it's probable that you're glucose control. experiencing menopause." NORMAL IS