Recalls 3
Recalls 3
Recalls 3
Total points51/100
Situation
You are a nurse caring for patients in an emergency and disaster situation at Brgy. Amolo. The
following questions apply:
1.The emergency and disaster nurse knows that which among the following population
groups have the greatest risk during a disaster?
i. Health care providers
ii. Single parent families
iii.Children
iv. Low income families
*
1/1
a. i, ii
b. i, ii, iii
c. i, iv
d. iii, iv
2.During burn therapy, morphine is primarily administered IV for pain management because
this route:
*
1/1
Situation
Nurse Cathy is working as a principal investigator on a research project sponsored by their hospital.
She must be knowledgeable about research concepts so that their study results will be successfully
executed. The following questions apply:
1/1
a. Evidence-based practice
b. Research utilization
c. Research dissemination
d. Cochrane Collaboration
4.This refers to the integration of research findings where the practical application is related
to the original research. It starts with a clinical question rather than a research problem.
*
1/1
a. Research utilization
b. Research dissemination
c. Evidence-based practice
d. Cochrane Collaboration
5.You are a nurse and you wanted to study the relationship between post-traumatic growth of
soldiers and social support from their families, what is the independent variable?
*
1/1
a. Social support
b. Post-traumatic growth
c. Soldiers
d. Families
6.Based on the question above, which is the outcome variable?
*
0/1
a. Social support
b. Post-traumatic growth
c. Soldiers
d. Families
Correct answer
b. Post-traumatic growth
7.A research is being conducted to study the the effect of 3 different generations of oral
contraceptives (OC) to the development of myocardial infarction (MI). Which of the
following is the independent variable?
*
1/1
a. Oral contraceptives
b. Myocardial infarction
c. 3 generations of oral contraceptives
d. 3 generations
8.Based on the above situation, does the research need to establish a control group to
determine which among the 3 generations of OC is most likely to cause the development of
MI?
*
1/1
1/1
a. 82.3
b. 329
c. 1, 166
d. 322
10. A nurse research conducts case control study on the association of long-term use of
tamoxifen and breast cancer, and found out an odds ratio of 0.99. The nurse correctly infers
that:
*
1/1
d. 99% of patient who have COPD have history of chronic cigarette smoking.
11. In a research proposal, a nurse mentioned that purposive sampling will be used as a
sampling method. The nurse understands that they will select samples by:
*
1/1
a. Asking early sample members to refer other people who meet the eligibility criteria.
b. Dividing the population into subsets from which elements are selected at random.
c. Using the researcher’s knowledge about the population to hand-pick sample members.
d. Establishing a sampling frame where the sample members are chosen at random.
12. A public health nurse recorded 10 new cases of measles for the months July to
December 2017. Currently, 15 are being treated at the health center since the start of the year.
What is the incidence considering a population of 125,000?
*
1/1
Situation
The community health nurse plays an important role in the community as the primary agent of
information and dissemination on certain infectious diseases. The following questions apply:
13. An important role of the community health nurse in the prevention and control of Dengue
Hemorrhagic-fever includes:
*
1/1
14. Community health nurses should be alert in observing a Dengue suspect. The following is
NOT an indicator for hospitalization of H-fever suspects?
*
1/1
15. The community health nurse’s primary concern in the immediate control of hemorrhage
among patients with dengue is:
*
1/1
16. Which of these signs may NOT be REGARDED as a truly positive signs indicative of
Dengue H-fever?
*
1/1
17. Which of the following is the most important treatment of patients with Dengue H-fever?
*
0/1
Situation
The community health nurse of Barangay Jose, Nurse Ian, performed a rapid appraisal of their
community. After assessment, she concludes that there is a high prevalence of alcoholism among their
community's youth. She decided to start a program entitled "PAG-INOM BAWASAN, UPANG
BUHAY AY MADAGDAGAN":
18. During the initial planning of the program, Nurse Ian knows that he can collaborate with
which of the following persons?
1. Chief of police
2. Municipal health officer
3. Guidance counselor of the public high school
4. SK Chairman
5. Parish priest
6. NGO representative
*
0/1
a. All but 1
b. All but 1 & 6
c. All but 5
19. Nurse Ian knows that his advocacy will best work and will be effective if the following
principle is used as a guide:
*
0/1
a. Self-help
b. Individual therapy
c. Group-help
d. Group therapy
Correct answer
d. Group therapy
20. Nurse Ian makes a plan for the program. He constructs the program aim as:
*
0/1
21. After making a program plan, Nurse Ian decides that a seminar on the legal implications
of substance abuse must be implemented. He knows that the person with the ability to handle
and implement the activity is the:
*
0/1
a. Municipal mayor
b. Guidance counselor
c. Municipal health officer
d. Chief of police
Correct answer
d. Chief of police
22. Before making the program plan, Nurse Ian knows that he must understand the factors
leading to this behavior of the youth. He understands that the person/s with the most
influence on the development of alcoholism among the youth is/are the:
*
0/1
a. Parents
b. Friends
c. Teachers
d. Environment
Correct answer
b. Friends
Situation
Nurse Shakira is a newly hired staff nurse in Polilan General Hospital. She is learning about the
guidelines in their hospital regarding documentation. The following questions apply:
23. The nurse is documenting nursing care for the morning shift. She writes the patient’s
normal findings, the problems, and the routine nursing interventions and evaluation measures
she performed using paragraphs. Which of the following documentation systems did the
nurse use?
*
1/1
a. SOAPIE documentation
b. Narrative charting
24. A nurse is charting her nursing care for a patient in their ward who has been admitted for
20 days already. She documents abnormal and significant findings only. Which
documentation system did she use?
*
0/1
a. Focus charting
b. Problem-oriented medical record
c. Charting by exception
d. Narrative charting
Correct answer
c. Charting by exception
25. A nurse is documenting her patient care using focus charting. Which of the following is
appropriate documentation using focus charting?
*
1/1
26. Most agencies have specific policies about telephone orders. Which of the following is
not true about telephone orders?
*
0/1
Correct answer
b. While the physician gives the order, the nurse listens carefully and writes order.
Situation
As a community health nurse, it is our primary task to ensure that every child is well equipped with
the necessary materials against known infections. You are handling Barangay Urasan in Amorsolo,
Pagadian with a total population of 3,200. The following questions apply:
27. It was noted that there were 700 infants in the area. How many patients can be computed
as part of the eligible population for vaccine requirement?
*
1/1
a. 20 patients
b. 19 patients
c. 18 patients
d. 17 patients
28. Given the eligible population, what would be the computed vaccine requirement for the
year for DPT?
*
0/1
a. 100 vaccines
b. 90 vaccines
c. 95 vaccines
d. 96 vaccines
Correct answer
c. 95 vaccines
29. A group of pregnant women was also noted to be of low immunization to Tetanus. The
total population of all pregnant women were 368. How many were eligible?
*
1/1
a. 13 patients
b. 14 patients
c. 15 patients
d. 16 patients
30. Given the eligible population, what would be the computed vaccine requirement for the
year for Tetanus?
*
0/1
a. 110 vaccines
b. 108 vaccines
c. 105 vaccines
d. 100 vaccines
Correct answer
b. 108 vaccines
31. What is the wastage multiplier of Tetanus given that an ampule can give 20 doses and
that the number of doses used is 3?
*
0/1
a. 7
b. 8
c. 9
d. 10
Correct answer
a. 7
Situation
You are the public health nurse of Barangay Panungyan. You have just finished implementing the
programs for the identified community health problems last month. You are now preparing to check if
the target goals and objectives were met. The following questions apply.
1/1
a. Observation
b. Exploration
c. Measurement
d. A and C
33. Which of the following phases of the PRECEDE-PROCEED Model correspond to the
evaluation if the objectives and sub-objectives have been met?
*
0/1
a. Impact Evaluation
b. Process Evaluation
c. Outcome Evaluation
d. Effect Evaluation
Correct answer
a. Impact Evaluation
34. Which of the following is evaluated by the outcome evaluation?
*
1/1
a. Strategy Objectives
b. Objectives
c. Goal
d. Sub-objectives
35. Which of the following evaluation indicators is described by the statement, “what
proportion of those who need something are actually receiving it”?
*
1/1
a. Accessibility
b. Efficiency
c. Coverage
d. Effort
0/1
a. Community competence
b. Community self-actualization
c. Community organization
d. Community integration
Correct answer
a. Community competence
Situation
Mr. Dencio, a lawyer, has been under medical treatment for multiple gastric ulcer for the last 5 years
and has been advised surgery by his doctor.
37. The patient has to undergo a Billroth II surgical operation. Which of the following is
done in this procedure?
*
0/1
a. A partial removal of the upper 1/3 of the stomach and anastomosis to lower esophageal sphincter.
b. Half of stomach is removed. Entire jejunum is excluded from GI tract. Duodenum is disconnected.
c. A partial removal of the distal 2/3 of the stomach and anastomosis of the stump to the duodenum
d. A partial removal of the distal 2/3 of the stomach and anastomosis of the stump to the jejunum
Correct answer
d. A partial removal of the distal 2/3 of the stomach and anastomosis of the stump to the jejunum
38. Prior to surgery, you were asked by Mr. Dencio why atropine sulfate is ordered, your
BEST response is:
*
0/1
a. "Anesthetic agents can increase mucus secretion and atropine will counteract this effect"
b. “Atropine can decrease the rate of forming stools and chances of defecating during the surgery.”
c. “It will help you relax and keep you from feeling the pain from the procedure.”
39. You just finished your pre-operative teaching to Mr. Dencio. Which of the following
statements indicates that further teaching is needed?
*
0/1
a. “I will place my hand or a pillow on my abdomen whenever I have to cough or exert force.”
b. "I can ambulate as soon as I am transferred to the recovery room to prevent blood clot in my legs.”
c. “I must lie down for 30 minutes after eating.”
40. Which of the following assessment would be your indication that Mr. Dencio has
recovered from anesthesia. A sense of?
*
1/1
d. Humor
41. After Billroth II surgery, Mr. Dencio reported that he was having diarrhea after meals.
What should the nurse recommend to prevent this condition?
*
1/1
Situation
Nurse Dora handles various patients with elimination problems. She always performs her best nursing
care to these patients.
42. Nurse Dora teaches an incontinent patient bowel training. Which among the following
would Dora not include in her health teaching?
*
0/1
43. An enema to provide relief from gaseous distention is prescribed to a patent. Dora knows
that this is a/an:
*
0/1
Correct answer
b. Carminative enema
44. After inserting a nasogastric tube, Dora checks its placement by measuring the pH of the
aspirate. Dora knows that proper placement has likely been made if the aspirate has a pH of:
*
1/1
a. pH 3.0
b. pH 7.0
c. pH 9.0
d. pH 7.4
Situation
An infant was born 12 hours ago. Nurse Katrina has been instructed to collect blood by heel stick for
newborn screening (NBS) for congenital hypothyroidism before the baby will be discharged.
45. Nurse Katrina questions the order of the Pediatrician because 12 hours after birth in not
the optimum time to collect this specimen for which reason?
*
1/1
46. At 4 months, the child was diagnosed with hypothyroidism. The mother asks symptoms
consistent with the diagnosis. Select those that apply:
*
0/1
a. 1,4 and 5
b. 3, 4 and 5
c. 1, 2 and 3
d. 2, 3 and 4
Correct answer
b. 3, 4 and 5
47. What will be the PRIORITY Nursing Diagnosis for this child?
*
0/1
Correct answer
a. High risk for ineffective health maintenance.
48. If not diagnosed early, irreversible damage can occur to what major organ of the body?
*
0/1
a. Brain
b. Gastrointestinal tract
c. Liver
d. Thyroid gland
Correct answer
a. Brain
1/1
a. Blood pressure
b. Respiratory rate
c. Temperature
d. Pulse rate
Situation
Municipality “A” made it to a local newspaper headline because of the occurrence of some unusual
events in just 10 days: 2 pregnant woman died giving birth at home; 2 children died of dehydration
and 2 elderly died of pneumonia. The mayor of the town called for a meeting of the municipal health
office personnel. Public Health Nurse Maria was assigned to make the action plan to prevent another
similar event to happen.
50. Which of the following could have been the TOP contributors to the situation? Select all
that apply.
1. Postponement of people in seeking medical care
2. Adherence to cultural practices and beliefs
3. Lack of ambulance and drivers
4. Delay in receiving appropriate and adequate care
*
1/1
a. 2 and 3
b. 1 and 2
c. 1 and 4
51. Nurse Maria presented the plan in a community assembly for acceptance and approval.
Which of the following is the MOST important criterion for the plan’s acceptance and
approval manifested by the people?
*
0/1
Correct answer
b. Volunteerism and willingness of the community people
Situation
The family is the unit of service in Community Health Nursing (CHN). Public Health Nurse Mina
takes care of the Cruz family. Emman works as janitor in the municipal hall. His wife Lynn tends a
small variety store in front of their house. Their children are Llonel (6 yrs. old), Everly (5 yrs. old),
Jam (4 years old) and Manilyn (3 yrs. old).
52.Based on the characteristics of the Cruz family, Nurse Mina can easily categorize which of
the family’s developmental stage?
*
1/1
53. In this particular stage, which of the following is a most basic concern?
*
1/1
Situation
Mr. and Mrs. Salungkit have eight children who are all boys. They would like to be counselled on
family planning methods by Nurse Ram.
54. Nurse Ram explains the two forms of hormonal contraception which are the pill or the
Oral Contraceptive (OC) or the combination of Oral Contraceptive (COC). The COC’s
compositions and the corresponding actions are, select the TWO correct answers.
1. Estrogen acts to suppress the Follicle Stimulating Hormone (FSH) and Luteinizing
Hormone (LH), thus suppressing ovulation.
2. Progesterone complements the action of estrogen causing the decrease in the permeability
of cervical mucus, thereby limiting sperm motility and access to ova.
3. Estrogen acts to increase FHS and LH, thus suppressing ovulation.
4. Progesterone when combined with estrogen causes the increase in the permeability of
cervical mucus thereby decreasing the possibility of tubal transport and implantation.
*
1/1
a. 3 and 4
b. 1 and 4
c. 1 and 2
d. 2 and 3
55. Which of the following are the side effects of COC’s? Select the CORRECT answers.
1. Weight gain
2. Headache
3. Depression
4. Breast tenderness
*
0/1
a. 3 and 4
b. 1 and 2
c. 1, 2, 4
d. 1, 2, 3, 4
Correct answer
c. 1, 2, 4
56. Nurse Ram advises that the BEST way to lessen the side effects of COC’s is by
__________.
*
0/1
57. Mrs. Salungkit expressed fear in choosing OC or COCs. She asks about the advantages of
using chemical barriers as methods of contraception. Which of the following are the
advantages of this type of contraception?
1. It interferes with sexual enjoyment
2. When used with another contraceptive, they increase the other method’s effectiveness
3. Various preparations are available in the market
4. They can be purchased without a prescription
*
0/1
a. 1 and 2
b. 3 and 4
c. 1, 2, 3
d. 2, 3, 4
Correct answer
d. 2, 3, 4
Situation
Lem, Kid, Emma, Gliz, and Trix are close friends because they are almost of the same age (8-9 years
old), orphans, and out-of-school youths. Nurse Cess from the Department of Social Welfare and
Development (DSWD) is tasked to attend to them.
58. What could be the number ONE health threat for these children?
*
0/1
a. Infection
b. Depression
c. Malnutrition
d. Injury
Correct answer
d. Injury
59. What should be the PRIMARY goal of Nurse Cess for these street children? To
___________.
*
0/1
Situation
Lyka, 20 years old, G3P4, has just delivered to a baby boy one hour ago. Nurse Hanz is the nurse
assigned to the newborn.
60. Which of the following senses are already developed at birth? Select those that apply.
1. Hearing.
2. Vision.
3. Taste.
4. Smell.
*
0/1
a. 1, 2, 3, 4
b. 1, 3, 4
c. 1, 2
d. 1, 2, 3
Correct answer
a. 1, 2, 3, 4
61. One day, Baby Boy did not want to suck from the mother’s breast. The doctor ordered
intravenous fluids. Which among these complications will Nurse Hanz anticipate to occur
ALMOST IMMEDIATELY?
*
1/1
a. Cellulitis
b. Infiltration
c. Phlebitis
d. Burns
62. Later, the pediatrician orders Baby Boy to undergo exchange blood transfusion because
of ABO blood incompatibility. What should be the BEST equipment to use in as much as
50mL of blood is ordered?
*
0/1
a. Syringe pump
b. Soluset with microdip
c. Pulse oximeter
d. Infusion pump
Correct answer
c. Pulse oximeter
63. Pediatric patients are prone to falls from hospital beds which may result to additional cost
on the part of the hospital. Which safety measures should be instituted to prevent such
incidents?
1. Restraining them
2. Having their mothers or any significant adult with them
3. Advising watchers to put up the bedrails at all times
4. Telling them they will be given injection if they will get out of bed alone
*
1/1
a. 3 and 4
b. 2 and 3
c. 1 and 2
d. 1 and 4
64. As a young manager, Nicka knows that conflict occurs in any organization. Which of the
following statements regarding conflict is NOT true?
*
0/1
Correct answer
c. It is not beneficial; hence, it should be prevented at all times.
65. Which of the following is the BEST action that she must take?
*
1/1
66. Which of the following nursing strategies would be most likely encouraging an ill child to
eat?
*
1/1
a. Feed the child to be sure she eats all the food on the tray
b. Take the child to the play room for all meals.
c. Offer the child food and fluids she likes.
67. Which of the following observations of a mother who had a healthy baby 48 hours ago
would alert a nurse’s concern about the mother’s attachment with the newborn?
*
0/1
Correct answer
c. She stares out at the window while feeding the newborn.
Situation
Nurse Jayson is at the Labor and Delivery Room caring for 5 pregnant women experiencing labor in
their various stages.
68. Mrs. Ahya is a primiparous woman. The nurse expects that the average range of her labor
would be?
*
1/1
a. 8 – 14 hours
b. 14 – 20 hours
c. 1 – 8 hours
d. 20 – 24 hours
69. Mrs. Regine is a multiparous woman. She has been on labor for the past 16 hours and she
is still 6cm dilated. This can be noted as?
*
1/1
a. Normal Labor
b. Extended Labor
c. Prolonged Labor
d. Precipitous Labor
70. Which among the following stages of labor is deemed to be the most critical stage?
*
0/1
a. 1st Stage
b. 2nd Stage
c. 3rd Stage
d. 4th Stage
Correct answer
d. 4th Stage
Situation
At 32 weeks gestation, patient Marjorie, a 16-year-old primigravid, 5 feet tall, gained a total of 20
pounds, with one-pound gain in the last 2 weeks. Urinalysis reveals negative for glucose and a trace of
protein. She came to the clinic for consultation.
0/1
a. Proteinuria
b. Short stature
c. Total weight gain
72. After instructing Marjorie how to keep a record of daily fetal movement counting
(DFMC) at home, the nurse determines that the teaching has been effective when Marjorie
says she will count the number of times the baby moves during which of the spans?
*
0/1
73. When teaching Marjorie about nutritional needs, the nurse should emphasize
___________.
*
0/1
74. The nurse mentions some of the conditions associated with preeclampsia. Which among
the feedbacks by Marjorie to the nurse would warrant further explanation?
*
0/1
a. Iron deficiency
b. Physical disability
c. Multiple pregnancy
d. Diabetes mellitus
Correct answer
b. Physical disability
75. Marjorie was brought to the labor room for magnesium sulfate medication. The
PRIMARY purpose for its administration is to:
*
1/1
Situation
The pediatric nurse is preparing necessary research for her case presentation at the Pediatric Nurses
Association of the Philippines. Her case is an 8-month-old patient with phenylketonuria, the following
questions apply.
1/1
a. Autosomal Dominant
b. Autosomal Recessive
c. Autosomal Dormant
d. Autosomal Reflexive
77. The nurse was asked what milk should be given to the child. What would be her best
answer?
*
0/1
78. As part of her long-term nursing care, she was preparing some of her health teaching
plans for the patient. Which among the following should be included in her teaching plan?
*
1/1
79. Which among the following is known to be the end point of a patient with PKU if let
untreated?
*
1/1
a. Death
b. Mental Retardation
c. Blindness
d. Lethargy
1/1
81. A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal
bleeding following the use of cocaine 1 hour earlier. Which complication is most likely
causing the client’s complaint of vaginal bleeding?
*
0/1
a. Placenta previa
b. Abruptio placentae
c. Ectopic pregnancy
d. Spontaneous abortion
Correct answer
b. Abruptio placentae
82. A pregnant woman arrives at the emergency department (ED) with abruptio placentae at
34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias?
*
1/1
a. Thrombocytopenia.
b. Idiopathic thrombocytopenic purpura (ITP).
c. Disseminated intravascular coagulation (DIC).
83. A maternity nurse is caring for a client with abruptio placentae and is monitoring the
client for disseminated intravascular coagulopathy. Which assessment finding is least likely
to be associated with disseminated intravascular coagulation?
*
0/1
84. A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted
to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following
assessment findings would the nurse expect to note if this condition is present?
*
0/1
Correct answer
c. Uterine tenderness/pain
0/1
Situation
The Ebola Virus causes an acute serious illness which is often fatal if untreated. Ebola Virus first
appeared in 1976 in two simultaneous outbreaks, one was in Sudan and one was in Congo. The
outbreak which occurred in 2014 in West Africa was the largest and most complex Ebola outbreak
since the virus was first discovered.
86. The following are signs and symptoms of the Ebola Virus Disease. Select all that apply:
(i) Sudden onset of fever
(ii) Splenomegaly
(iii) Fatigue and muscle pain
(iv) Bleeding (Internal and external)
(v) Tinnitus
(vi) Decreased level of consciousness
*
1/1
a. i, iii, iv, v
b. ii, iv, v, vi
c. iii, iv, v, vi
d. i, iii, iv, vi
87. The following basic nursing interventions can aid increase the chances of survival
EXCEPT:
*
0/1
Correct answer
b. Strictly follow the schedule for the prescribed antibiotics.
Situation
Nurse Kevin is reviewing concepts and practicing skills on intravenous transfusions.
88. Nurse Kevin is selecting a vein for an intravenous transfusion in a 62-year-old patient.
He wants to dilate and distend the veins for easier insertion. He does the following methods,
except:
*
0/1
Correct answer
a. Tapping the selected vein multiple times
89. Which among the following catheters is used for less than 24 hours?
*
1/1
a. Butterfly needle
b. Midline catheter
c. Plastic indwelling cannula
d. Angiocath
90. How often should Nurse Kevin observe a patient with intravenous infusions?
*
1/1
a. Every 2 hours
b. Every 6 hours
c. Every 8 hours
d. Every 12 hours
91. Six hours after initiating an IV line in a patient, Nurse Kevin noticed that the IV site was
red and warm. The patient complained that it was painful. Nurse Daniel would suspect which
of the following?
*
1/1
a. Phlebitis
b. Extravasation
c. Infiltration
d. Clot formation
92. What should be the size/gauge of the needle Nurse Kevin would use in administering IV
infusions for trauma patients?
*
1/1
a. 18
b. 22
c. 20
d. 24
Situation
The community health nurse in Sta. Rosa Health Center is teaching a group of women who are
consulting in the health facility. The following questions apply:
93. A patient 3 days postpartum asks the nurse when her menses will return considering that
she is doing exclusive breastfeeding. The nurse’s best response is:
*
1/1
a. 5-6 weeks
b. 6-8 weeks
c. 4-6 months
d. 1-2 months
94. You are a nurse teaching a female client about congenital rubella. Which of the
following is not part of your teaching?
*
0/1
d. Congenital rubella syndrome is characterized by deafness, eye problems, brain defects, and patent
ductus arteriosus.
Correct answer
b. Congenital rubella can be prevented by receiving rubella vaccine within the 1st trimester.
95. A couple approached the nurse in the health center with plans to get pregnant. The nurse
will advise the couple with basis on the knowledge that the egg cell lasts for up to:
*
0/1
a. 24-48 hours
b. 6-12 hours
c. 12-24 hours
d. 48-72 hours
Correct answer
a. 24-48 hours
0/1
97. The following are correct positioning and latching when the baby is being breastfed
except:
*
0/1
98. A pregnant mother who was diagnosed as having diabetes mellitus Type 1 is already at 24
weeks’ gestation. Which of the following statements by the nurse is relevant for the client?
*
0/1
a. You need to have optimal glycemic control to keep your blood sugar low.
99. The mother consulted to Sta. Rosa Health Center as she suspects that she is pregnant
after having no menstruation this month. She told the nurse that she had her menses last
February 14, 2018. The mother asked when she will deliver the baby. The nurse correctly
replies:
*
1/1
a. December 3, 2018
b. October 29, 2018
c. November 14, 2018
d. November 21, 2018
100. Which of the following is the FIRST step that Nurse X must consider in preparing a
health teaching plan? To know _____________.
*
1/1
RECALLS 3 - NP2
Total points50/100
Situation
Lovely is a newly hired nurse at the Neonatal Intensive Care Unit (NICU). She received an
endorsement that Baby Boy A and Baby Girl B are ready for discharge. At 5:15 in the afternoon she
gave the babies to their mothers. Two days after, the mother of “Baby Boy A” came back to complain
that she got the wrong baby because she got a baby girl instead of a boy.
1. Which of the following should Lovely, being professional nurse, understand as the
primary outcome should she be proven guilty of gross incompetence?
*
1/1
2. Which among the statements are TRUE about health promotion? It is the process of
__________.
1. Enabling individuals and communities to increase their abilities to control and improve
their health
2. Enhancing the individuals physical, psychologic and spiritual well-being
3. Engaging in correcting the people’s health behavior
4. Preventing disease from occurring and treating it when it occurs
*
0/1
a. 1 only
b. 3 and 4
c. 2 only
d. 1 and 2
Correct answer
d. 1 and 2
Situation
Mrs. Fabricon, 28 years old, has been married for 4 years. She postponed pregnancy to pursue her
career as a lawyer. One day, she went to see an obstetrician because of vaginal spotting and to find
ways of getting her pregnant. After a series of diagnostic examinations, she was found to have
endometriosis.
3. The nurse performs an assessment on Mrs. Fabricon. Which of the findings would be
indicative of endometriosis? Select all that apply.
1. Spotting after intercourse
2. Persistent dysmenorrhea
3. Dyspareunia
4. Menorrhagia
*
1/1
a. 1, 4
b. 3, 4
c. 1, 2, 3
d. 2, 3, 4
4. The physician prescribes Danazol (Danocrine) for Mrs. Fabricon. The nurse should tell
her that while taking this drug she will experience all these symptoms, EXCEPT
____________.
*
0/1
a. Anovulation
1/1
Situation
The nursing director assigned Glenn in the orthopedic ward to care for patients with mobility
problems.
6. Glenn Mapalo is teaching a patient with crutches how to go up the stairs. Which among
the following should he instruct the patient with?
*
0/1
a. When moving the affected leg up, the body weight should be on the crutches.
b. The unaffected leg goes up the step after the affected leg.
c. Patient should keep his feet together at the bottom of the stairs
d. The crutches and the affected leg go up the step together.
Correct answer
d. The crutches and the affected leg go up the step together.
7. Glenn is assisted by another staff nurse in lifting a patient. Which among the following
actions will prevent injury to Glenn?
*
0/1
8. Nurse Glenn asks two more nurses to help him logroll a patient. Where should Glenn
place the patient’s arms prior to logrolling?
*
1/1
c. Overhead, extended
d. Behind the hips
0/1
a. Half-bow
b. Surgical tie
c. Double knot
d. Two-throw knot
Correct answer
a. Half-bow
Situation
One of the legal responsibilities of nurses is to ensure proper documentation of patient care.
10. Julius, a staff nurse in the medical unit, understands that his charting must consist of the
following information excluding:
*
1/1
11. Julius shares to a Dagupan Hospital staff nurse the importance of proper documentation.
This includes:
1. Reflects quality and timeliness of nursing care
2. Evidence of care provided by doctors and nurses
3. Facilitates interprofessional communications
4. Utilized as a legal document in a court litigation
5. Holds vital information about the patient
*
1/1
12. What should be the size/gauge of the needle Nurse Kevin would use in administering IV
infusions for trauma patients?
*
1/1
a. 18
b. 22
c. 20
d. 24
Situation
An Obstetric Nurse is currently handling patients who are undergoing various pregnant clients for
certain laboratory and diagnostic tests. The following questions apply.
13. The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction should the nurse provide?
*
1/1
d. A fever is expected after the procedure because of the trauma to the abdomen.
14. The nurse asks about a pregnant client who is in the first trimester calls the nurse at a
health care clinic and reports that she has noticed a thin, colorless vaginal drainage. The nurse
should make which statement to the client?
*
1/1
15. The nurse has performed a nonstress test on a pregnant client and is reviewing the fetal
monitor strip. The nurse interprets the test as reactive. How should the nurse document this
finding?
*
1/1
a. Normal
b. Abnormal
c. The need for further evaluation
d. That findings were difficult to interpret
Situation
Karla is a nurse in the maternity unit. Here, she takes care of gravidomorbid clients. It is essential to
know the normal and abnormal changes in pregnancy in order to deliver the best nursing care. The
following questions apply.
16. During the night shift, a woman is hospitalized for the treatment of severe preeclampsia.
Which of the following represents an unusual finding for this condition?
*
1/1
a. Convulsions.
17. As a nurse in the maternity unit, Charm knows that the action of hormones during
pregnancy affect the body by?
*
1/1
18. A 28-year-old woman has had diabetes mellitus since she was an adolescent. She is 8
weeks pregnant and is admitted under the care of Nurse Charm. Hyperglycemia during her
first trimester will have what effect on the fetus?
*
1/1
a. Hyperinsulinemia.
b. Excessive fetal size.
c. Malformed organs.
d. Abnormal positioning.
0/1
a. Hypotension
b. Hypothyroidism
c. Diabetes mellitus
20. What resources should a nurse use in teaching her postpartum client? Select all that apply.
1. Pamphlets
2. Audiotapes
3. Nurse specialist
4. Videotapes
*
0/1
a. 1, 2, 3, 4
b. 1 and 3
c. 1, 2, 4
d. 2 and 4
Correct answer
c. 1, 2, 4
21. Dina is a pregnant mother living in Sta. Ana, Manila. She has given birth to a twin, one
child, and had an abortion. Which of the statements below CORRECTLY applies, given the
obstetrical history of Dina?
*
0/1
Situation
The medical nurse has been assigned as a floater nurse in the pediatric hematology ward for a night
shift.
22. Which of the following would the nurse identify as the priority nursing diagnosis during
a toddler’s vaso-occlusive sickle cell crisis?
*
1/1
23. Which statements by the mother of a toddler would lead the nurse to suspect that the child
has iron-deficiency anemia? Select all that apply.
1. “He drinks over 3 cups of milk per day.”
2. “I can’t keep enough apple juice in the house; he must drink over 10 ounces per day.”
3. “He refuses to eat more than 2 different kinds of vegetables.”
4. “He doesn’t like meat, but he will eat small amounts of it.”
5. “He sleeps 12 hours every night and take a 2-hour nap.”
*
0/1
a. 1
b. 2
c. 1 and 2
d. 3 and 4
Correct answer
c. 1 and 2
Situation
A nurse is caring for several patients in the LR/DR complex. The following questions apply:
24. What is the primary presenting symptom in a client with abruption placentae?
*
0/1
a. Concealed hemorrhage
b. Oliguria
c. Abdominal pain
d. Rupture of membranes
Correct answer
c. Abdominal pain
25. A pregnant mother, 32 weeks gestation, was admitted to the OB ward for significant
bleeding in different mucosal areas. The physician found out that she has dead fetus
syndrome. What could be the reason for the bleeding?
*
0/1
a. HELLP syndrome
b. Placenta previa
26. The nurse in the labor room monitors a patient in her transitional phase for interval of
contractions. She measures this:
*
1/1
d. From the beginning of one contraction to the end of the next contraction.
27. In the labor room, a pregnant patient was being assessed for cervical dilation and uterine
contraction. Which of the following findings tells the nurse that the patient is on the active
phase?
*
1/1
28. When PROM occurs, which of the following provides evidence of the nurse's
understanding of the client's immediate needs?
*
1/1
a. The chorion and amnion ruptures 4 hours before the onset of the labor.
b. PROM removes the fetus most effective defense against infection.
29. Dina is now in her second stage of labor; Cervix 8cm. Nurse R puts her in lithotomy
position. One of the dangers of this position that Nurse R should watch for in Dina is
___________.
*
0/1
a. Hyperventilation
b. Hypertension
c. Hypotension
d. Tachypnea
Correct answer
c. Hypotension
30. If Dina has a long second stage of labor and needs to be placed in Lithotomy position for
a long time, Nurse R should implement the following safety measures, EXCEPT
___________.
*
1/1
31. Nurse R understands that Dina needs more support and encouragement during the PEAK
and MOST painful phase of uterine contractions, which is called ____________.
*
0/1
a. Decrescendo
b. Decrement
c. Increment
d. Acme
Correct answer
d. Acme
32. Before the INITIAL vaginal examination commonly referred to as internal examination,
what must Nurse R check FIRST?
*
0/1
Correct answer
c. Abdominal palpitation for signs of fetal distress.
Situation
Nurse Charie is assigned to several patients in the orthopedic ward.
33. A computed tomography (CT) scan is one of the diagnostic evaluations used for
musculo-skeletal function. Which of the following is NOT an indication of the procedure?
*
0/1
c. To identify the location and extent of fractures in areas that are difficult to evaluate.
d. To assess severe trauma to the chest.
Correct answer
a. To measure the girth of an extremity.
34. Which of the following conditions is NOT a factor that will aggravate or increase the
blood pressure of a patient?
*
0/1
35. Another patient of Nurse C is Mrs. D, a 45-year old store owner, with a beginning
thrombophlebitis. Which of the following instructions is BEST to be given to a client with
this condition?
*
0/1
36. In the assessment of peroneal nerve function in relation to movement, instruct the patient
to _______.
*
1/1
b. Prick the skin midway between the thumb and second finger
c. Plantar flex toes and foot
d. Prick the skin midway between the great and second toe
Situation
Nurse Clotilde is a nursing supervisor in the medical ward. Having the adequate knowledge in nursing
management, the following questions apply:
37. Nurse X knows that one of her staff is experiencing burnout. Which of the following is
the BEST thing for to do?
*
1/1
38. She knows that the performance appraisal consists of the following activities, EXCEPT
___________.
*
1/1
Situation
Mr Bagumbaran came to the ER because of sharp troubling pain. After his surgery, he claimed pain is
felt even he is asleep.
39. In order for the nurse to recall the location of pain, he has to_______________.
*
1/1
40. When a client is on prolonged pain therapy, the nurse should watch for____________.
*
0/1
a. Tolerance to drug
b. Allergic reaction to drug
c. Drug resistance
d. Addiction to drug
Correct answer
a. Tolerance to drug
Situation
Mariane Joy, a 42-year old teacher with cardiac ailment, nervously informs the doctor that her goiter
is getting bigger and distracts her while swallowing food. The physician who examined her instructed
the nurse to admit Myreen and to prepare her for surgery after medical clearance.
41. Based on your knowledge, Patient Mariane Joy, who has a history of cardiac illness,
should not be given an enema before surgery. Which of the following reasons inhibits the
order of enema for Patient Mariane Joy? Enema ____________:
*
1/1
a. Paralyzes the peristalsis movement and increases abdominal pain– enema increases peristalsis by
distending the bowel or irritating the intestinal mucosa
b. Produces vagal stimulation that is dangerous to cardiac patient
c. Causes constipation and fecal impaction after the surgery – on the contrary, enemas relieve
constipation
d. Enema results to increased water absorption in the bowels
Situation
Mc Roldan, 16-year old, a foreigner was admitted in the medical ward due to abdominal pain, nausea
and vomiting by Nurse Eclarin.
42. In initiating care for patient Mc Roldan, which of the following would be an
APPROPRIATE question to be asked by Nurse Tessie in her assessment?
*
1/1
a. Since this is doctor’s order, you have to drink ice water, instead of hot tea.
b. Do you have any books I could read about people of your culture?
c. Do you need to set aside your cultural practices, and comply with hospital rules and regulations?
d. Is there anything I am doing that is not acceptable to your culture?
43. Nurse Eclarin respects cultural practices integration in her nursing care plan. Which of
the following nursing action is MOST represented of the culturally competent nurse?
*
0/1
c. Help Patient Kenneth identify ways to relate more to the culture where they now resides
d. Ask patient Kenneth to help Nurse Tessie in knowing more the culture of his origin
Correct answer
d. Ask patient Kenneth to help Nurse Tessie in knowing more the culture of his origin
44. Patient Mc Roldan’s family requests time for spiritual healing process in the hospital.
This is allowed by Nurse Eclarin and hospital because it______________________.
*
1/1
45. Positive Practice Environment (PPE) influences healing process. Which of the following
ways can help Nurse Eclarin create a healing environment?
*
0/1
46. Which of the following PRIORITY nursing actions should the nurse perform?
*
1/1
47. Patient Tisoy has been classified to have a type II Diabetes Mellitus. Which of the
following is NOT a typical manifestation of individuals with this condition?
*
1/1
a. Frequency of urination
b. Increased craving for food
c. Increased thirst
d. Weight loss
Situation
Mr Franky, 58 years old is admitted to the pay ward because of respiratory problem. The nurse
initiated oxygen treatment by mask but the client refuses despite the encouragement by the wife. The
client is aware of the benefits of the treatment.
1/1
49. You are taking care of Mr. Mr Franky who is on the last cycle of radiation therapy for his
lung cancer. You should instruct Mr. Franky to
*
0/1
Situation
A nurse is caring for several patients in a pediatric unit. The following questions apply:
50. What is the appropriate response to a mother who is anxious to have her child undergo
herniotomy?
*
1/1
51. At 4 months, what health teaching must be communicated to parents to promote optimum
safety?
*
0/1
52. A 3-year old client is prescribed with digoxin therapy. His resting heart rate is 60 bpm
and has vomited twice. After taking prescribed doses of digoxin, which of the following
would show toxicity?
*
0/1
a. Bradycardia
b. Vomiting
c. Lethargy
d. Increased appetite
Correct answer
c. Lethargy
53. The parents are planning to give their child ginger candy for cough. How will the nurse
respond best?
*
0/1
a. Let him have some and let’s see what will happen.
b. I will get a prescription for that.
c. It is not prescribed by the physician.
d. It is better to give child natural ginger rather than the candy form
Correct answer
a. Let him have some and let’s see what will happen.
54. A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of
the following statements most accurately describes this stage?
*
0/1
c. The tumor extended beyond the kidney but was completely resected.
d. The tumor has spread into the abdominal cavity and cannot be resected.
Correct answer
c. The tumor extended beyond the kidney but was completely resected.
55. An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur
sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident
occurred, received only minor injuries. The child tells the nurse that his uncle was not to
blame for the accident. He is “the best motorcycle rider in the
world.” The nurse interprets this to mean that the child is exhibiting which defense
mechanism?
*
1/1
a. Denial
b. Repression
c. Hero worship
d. Fantasy
1/1
Situation
Conducting Research is one of the major roles of the nurses both in hospital and community settings.
To be able to develop such competencies, the nurse has to undergo an actual conduct of the research
process.
0/1
Correct answer
b. What is the relationship between relaxation technique and relief of pain of post CABG patients in
the surgical coronary care unit.
58. Weight is taken as a baseline measurement of obese female adolescents as study subjects
for a weight reduction program. This is repeated to note any changes. This pre-test is done
to___________________.
*
0/1
59. A Nurse researcher is using ACCU-CHEK a monitoring kit to test presence of Diabetes
Mellitus among her study subject. How do you classify this type of measurement?
*
0/1
a. Microbial
b. Cytological
c. Physiological
d. Chemical
Correct answer
c. Physiological
60. Nurse Joan, wanted to conduct a study using quasi-experimental design. This design will
need a __________.
*
1/1
a. Retrospective evaluation
b. Field setting for the study
c. Comparable group
d. Manipulation of the independent variable
Situation
Mr See is being prepared for a major surgery. Legal preparation for surgery consists of checking all
the required forms for the operation. Equally important is to make sure that the patient is physically,
psychologically, and emotionally ready for the procedure.
61. Informed consent is a process that gives the patient opportunity involved in his or her
care. As patient advocate, the nurse ensures the following three conditions are present to
make consent valid, EXCEPT:
*
1/1
1/1
a. Slander
b. Invasion of privacy
c. Malpractice
d. Libel
63. One of your patient’s visitors whisper to you, “I hope you will not try to revive my dear
friend if her heart stops as she has already suffered a lot.” The correct response is
___________.
*
1/1
63. According to the Joint Commission, the most frequently cited factor in sentinel
(unanticipated) events that leads to a patient’s serious physical or psychological injury is
______________________.
*
0/1
65. Which of the following is the MOST appropriate action of Nurse Honelette
*
1/1
66. Nurse Honelette has an expired license but promises to renew her license in due time.
Which of the following violation can she be charged if she participated in home health care
activity?
*
0/1
a. Misdemeanor
b. Grave coercion
c. Felony
d. Negligence
Correct answer
a. Misdemeanor
Situation
Health Education is an area of nursing practice when the nurse can be creative and independent in the
work setting. The following questions apply.
67. A nurse is developing a Teaching plan for Patricia 18 year old with Bronchial Asthma.
She has an order for discharge. Which part of the teaching plan should be given PRIORITY?
*
0/1
68. Nurse Karen is teaching Michel, an asthmatic, on how to use the Spirometer. She should
instruct the client to have the mouthpiece________________.
*
0/1
Correct answer
c. Place into the mouth and inhale slowly
69. Nurse Kim is teaching a client on how to use metered dose inhaler to prevent asthmatic
attack while in the hospital. She should instruct the client to do the following
__________________ EXCEPT.
*
1/1
Situation
The TQM nurse reported to their director that there are a lot of medication errors committed by nurses
and doctors in the hospital for the past 3 months. They made a decision to conduct a review of all the
cases with these errors. A clinical enhancement on drug administration was strongly recommended by
going back to the basics. The following questions apply:
70. In order to prevent error in insulin injection which of the following safety measure should
you do?
*
1/1
a. Leave the drug in the client refrigerator and ask it when needed.
b. Double check with your head nurse calculations and consider high “alert” drugs.
c. Compute the drug, proceed to the patient, and administer the drug.
d. Request the dietary department to keep the drug until needed.
Situation
Jayson is a 72 year old who is a smoker and a social drinker. He consulted the OPD because of rectal
bleeding. His tentative diagnosis is colorectal cancer. He was advised by the doctor for admission.
71. Which of the following would you likely expect as a specific complaint of the client
during your initial health history taking?
*
0/1
a. Projectile vomiting
b. Bouts of hematemesis
72. Colonoscopy has been ordered. Which of the following is not advisable for the client to
do?
*
0/1
Correct answer
c. Can have liquid diet before the procedure.
Situation
Ms. Marjorie, 42 years old, has been manifesting thyroid enlargement and bulging of the eyeballs. She
has been complaining of dryness of the cornea even it is not a hot a season. She was advised by a
friend-doctor who is practicing in a nearby hospital to be admitted for further work-up.
73. You plan to conduct physical examination of the enlarged thyroids gland. What is the
MOST APPROPRIATE procedure to be done to examine Ms. Marjorie?
*
1/1
a. Have her drink cold water and measure the size of the thyroid gland
b. Request Ms Janice to sit on the chair and let her hyperextend the neck during palpation
74. You have formulated a nursing diagnosis, "Risk for Corneal Injury R/T Exophthalmos"
for patient Marjorie. Which of the following interventions in the MOST appropriate to
prevent this problem to happen?
*
1/1
Situation
Ashryl, 35 years old, consulted the OPD because of pain and abdominal distention. She also
complained of frequent urination in small amount. Doctor's impression is presence of kidney stone.
75. The client is asked to describe the pain she is experiencing. Which of the following
should the Nurse expect?
0/1
a. 1 and 2
b. 1 only
c. 2 and 3
d. 1,2,3 and 4
Correct answer
d. 1,2,3 and 4
76. Lithotripsy was ordered for Ashryl. She asked the Nurse "What is this procedure all
about? The nurse replied, " It __:
*
1/1
77. Ashryl is preparing to go home. Which of the following is NOT an essential component
of your health instruction?
*
1/1
Situation
Mr. Kerro, a 62-year old male, complains of shortness of breath, dyspnea on exertion, palpitation, and
expectorating frothy, blood-tinged sputum. He was brought to the emergency room of Hospital C.
During the interview, he also complained of easy fatigability and weakness.
78. Mr. Kerro has been diagnosed with heart failure. Nurse Joncel expects this patient to not
exhibit the following signs and symptoms EXCEPT:
*
0/1
79. Nurse Joncel prepares to perform the following interventions for the immediate
management of Mr. Kerro excluding:
*
0/1
Correct answer
a. Establish an IV line and administer PNSS immediately
Situation
Nurse Ayanah was invited to be a member of the ethics committee of Hospital D, a training hospital.
A prerequisite to her formal induction into the committee was for her to complete a research.
80. Before and during the conduct of her research, she is guided by the following ethical
principles excluding:
1. Protect the privacy of the subjects
2. Get the informed consent of the subjects
3. Avoid injury or harm to the subjects
4. Treat the subjects fairly and justly
*
0/1
a. 1 & 2
b. None of the options
c. All but 3
d. All of the options
Correct answer
b. None of the options
81. Another important ethical principle that guides nurse researchers is the principle of
justice. Nurse Ayanah knows that this principle connotes:
*
0/1
82. Apart from the aforementioned ethical guidelines and principles, Nurse Ayanah is aware
that which of the following codes of conduct has endured through the ages?
*
0/1
b. Phairpine Constitution
c. Honor Code
d. Ten Commandments
Correct answer
d. Ten Commandments
83. Getting the informed consent of research participants show that the nurse honors the
principle of autonomy. However, there are instances where participants become incapable of
giving informed consent. These groups of participants exclude which of the following:
*
0/1
Correct answer
a. Jestoni, a 19 year-old male who is paraplegic
Situation
As a staff nurse in a government hospital, you have been exposed to varied cases of clients with
endocrine problems. Your nursing responsibility starts from admission to discharge which is a domain
of your competencies.
84. When the sympathetic nervous system is stimulated in the case of pheochromocytoma,
you expect which of the following signs?
i. Hypertension
ii. Headache
iii. Hyperhidrosis
iv. Hypermetabolism
*
1/1
a. 3 and 4
b. 1 only
c. 1, 2, 3, and 4
d. 2 and 3
85. Which of the following drugs can induce hypertensive crisis in Pheochromocytoma?
*
0/1
a. Tricyclic antidepressant
b. Corticosteroid
c. Respiratory stimulant
0/1
Situation
Janine is the Nurse on duty in the medical ward and many of her patients are suffering from problems
of oxygenation.
87. The following are relevant data to be documented when taking the health history of a
client with anemia EXCEPT:
*
1/1
a. Alcohol intake
b. Fatigue and weakness
c. Dietary intake
d. Episodes of bleeding
88. A client with congenital heart disease is suffering from thickening of the skin under his
fingers due to chronic hemoglobin desaturation. Which of the following specific term should
Ime use to accurately describe MOST the client’s condition in the chart?
*
1/1
a. Peripheral cyanosis
b. Pallor of the finger tips
c. Peripheral neuropathy
d. Clubbing of the fingers
89. Mr. Gabby is with left sided heart failure. Janine’s documentation of her assessment
findings will include the following, EXCEPT______________.
*
0/1
a. Dependent edema
b. Pulmonary crackles
c. Difficulty of breathing
d. Cough
Correct answer
a. Dependent edema
90. A client is on a diuretic therapy. Expected entry in patient’s chart should include the
following information, EXCEPT:
*
1/1
Situation
The Registered Nurses in the practice of the profession are expected to demonstrate an upright and
ethical values inside and outside of their work settings.
91. The primary purpose of the Nurses’ Code of Ethics includes which of the following?
*
1/1
92. The ethical principle which considers the persons unconditional worth in determining his
own destiny is ______
*
1/1
a. Self-determination
b. Fidelity
c. Autonomy
d. Justice
0/1
94. What ethical principle is applied in clinical situation, when respirator is available for two
patients in shock?
*
0/1
a. stewardship
b. inviolability of life
c. justice
d. respect for person's dignity
Correct answer
c. justice
Situation
Miss Ahya and Mister Aaron are province mates and graduated from the same nursing school. After
two years of staff nursing experience they decided to go home to their province. Nurse Ahya was
employed as a school nurse while Mr. Aaron joined a tertiary health facility an infection control
nurse. One day, a group of school children approached Nurse Ahya because of fever, cough and
fatigue.
0/1
96. One of the children was complaining of headache and epistaxis. Which of the following
nursing measures should Nurse Ahya undertake first?
*
1/1
a. Put client on bed in supine position
b. Have the child sit upright with head tilted forward
97. Nurse Ahya conducted a visit to the community where the children live. She found out
that the brother of one of the school children was just newly discharged from the hospital
because of Hepatitis A. Which of the following precautionary measures should she give
HIGHEST PRIORITY to the family members?
*
0/1
98. Nurse Aaron is working with the infection control area and participated admitting
patients affected with suspected Viral Infection. Which of the following action proved to be
effective to prevent incidence of cross contamination in the work setting?
*
0/1
0/1
100. There is a senior student where Nurse Aaron is assigned. Which of the following
infection control activity is APPROPRIATE to be delegated to the senior students?
*
1/1
RECALLS 3 - NP3
Total points49/100
Situation
Mr. Jayson, a 42-year old engineer, was brought to the emergency department of Hospital C. The
nurse accommodating him learned that he complains of sudden, severe headache, numbness of the
right side of his body, and difficulty speaking. The nurse immediately administered oxygen to the
client.
1. Through this intervention, the risk for the following complication is lessened including:
*
1/1
a. Fluid accumulation in the lungs
b. Pulmonary emboli
c. Rebleeding
d. Increased intracranial pressure
2. The attending physician orders that the client undergo a non-contrast CT scan. The nurse
understands that this diagnostic examination is performed to determine:
*
0/1
0/1
Correct answer
a. Prevent hypoxia and hypercapnia
Situation
Nurse Binwag, a newly promoted senior nurse in Obstetrics ward (OB) is attending a seminar on
management and leadership in preparation for her work.
4. Nurse Binwag learns the five principles of goal setting in which the senior nurse must
provide enough time for OB nurse to improve performance. This is called__________
*
1/1
a. Challenge
b. Commitment
c. Feedback
d. task complexity
5. The nurse also learns that continuous training is a personal as well as an organizational
goal. Choose the statements that are true regarding continuous training
1. Training employees is an excellent investment and a cost to an institution
2. Continuous training is more of a personal responsibility than institutional
3. Cross training and job rotation provide on-going part-time learning experience
4. Select the best people when hiring employees and invest their retention through
continuous training
*
1/1
a. 3 and 4
b. 1 and 2
c. 1 and 4
d. 2 and 3
0/1
Situation
You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with
complication
1/1
a. Infants of diabetic mothers are big which can result in more difficult delivery
b. Breastfeeding is highly recommended and insulin use is not contraindicated
c. Achievement of optimal glycemic control is of utmost importance in preventing congenital
anomalies
Situation
Nurse Dory, a nursing staff applicant, passed both written and oral examinations. Because she knows
the head of office, she promised to submit all her credentials after she has “fix things up.” She was
appointed as Nurse I with a temporary status until she submits all her credentials, including her PRC
license. Her evaluation performance was satisfactory. After a year though, she had to renew her PRC
registration and identification (ID) card.
0/1
a. Report the matter to the head of office who had the discretion to appoint the nurse
b. Verify with the Professional Regulation Commission regarding the status of Nurse Dora
c. Confront Nurse Dora and terminate her
d. Write a letter to the Civil Service Commission for proper action to Nurse Dora
Correct answer
a. Report the matter to the head of office who had the discretion to appoint the nurse
9. It was found out that Nurse Dora did not pass the Nurse Licensure Examinations (NLE).
What legal action should be filled against her?
*
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a. Dishonesty
b. Conduct unbecoming of professional
c. Malpractice
d. Misrepresentation
10. In case Dora have medication error during her tour of duty, the head of office can be
liable because of the law called ____________.
*
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a. Unethical conduct
b. Respondeat superior
c. Politicking
d. Res Ipsa Loquitur
11. All Nurses must understand that after graduation they should pass the NLE. To be
registered in the roster, they should take the Professional Oath with a ________, EXCEPT.
*
1/1
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a. Explain to the member, after the meeting, that the group time should be shared.
b. Thank the group member for his contribution and ask the other members for their ideas
c. Ask the group members if they are satisfied with the way the group is working.
d. Remain silent and wait for another group member to speak up.
Situation
Laica, 45 years old, post-menopausal, consulted the physician in the OPD for abdominal pain. She has
been stressed, irritable lately. She is more relaxed when she smokes and drinks alcoholic beverages.
She was advised by the doctor to be admitted for a suspected duodenal ulcer.
13. Ms. Laica was ordered to have blood typing. The nurse is aware that the higher incidence
of duodenal ulcer belongs to what blood type?
*
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a. A
b. B
c. O
d. AB
14. Gastrointestinal endoscopy was ordered in order to have better visualization of the
gastric mucosa. After the procedure, the patient developed high grade fever of 39.8 degrees
Centigrade with acute abdominal pain. What PRIORITY nursing intervention should the
nurse perform?
*
1/1
15. Which of the following conditions is contraindicated for nasogastric tube insertion and
need not be ordered by the physician? Patients ____:
*
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16. Which of the following is an EXPECTED outcome in a patient with duodenal ulcer? The
patient will:
*
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Situation
Jaina is a fourth year nursing student currently having her community immersion in Barangay Sto.
tomas. She, together with her professor, are is conducting a home visit with one of her patients, who is
diagnosed with an open-angle glaucoma.
17. In the middle of their conversation, the client raised a question to Jaina. She mentioned
that she has been prescribed with Latanoprost (Xalatan) by the municipal doctor. She asks
Jaina why she has to take this. Jaina responds that this medication:
*
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Correct answer
b. Ask the mother if what is the problem of the child
Situation
Arlene, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She
said she has regular menses but does not know when ovulation usually occurs. This have something to
do her fertility period during her last sexual intercourse with her husband.
19. As a nurse, what would you tell Arlen regarding ovulation? The ovulation usually
corresponds to the life of the corpus luteum which occurs approximately _______________.
*
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20. The nurse proceeded to take the menstrual history of Arlen to find out if she is likely to
be pregnant. Which of the following determines the date of onset of last menstrual period
(LPM)? It is the ___________.
*
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b. Implantation bleeding
c. Spotting after the LMP
d. Bleeding ceases before the last menstrual period (LMP)
Correct answer
d. Bleeding ceases before the last menstrual period (LMP)
21. The nurse also asked about Arlene’s secondary amenorrhea that would most likely
indicate her pregnancy. Secondary amenorrhea is cessation of menses for more than_______
months, after regular menstrual cycle has been established.
*
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a. Five
b. Three
c. Six
d. four
Situation
The family of Roxas is fond of dogs. A vendor who entered the gate without notice is bitten by one of
the pet dogs named Bert. PHN Cords Attends to the vendor.
22. Which of the part of body of the vendor will be the MOST affected in terms of rabies?
It is the _________.
*
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a. Buttocks
b. Head
c. Feet
d. hand
23. To protect the vendor from the dangers of rabies, PHN Cords advises him to clean the
wound thoroughly with soap and water, consult a physician and receive anti-rabies
vaccination. Which among the following vaccines can provide active immunity?
1. Purified vero cell vaccine
2. Human rabies immunoglobulin
3. Equine rabies immunoglobulin
4. Purified duck embryo vaccine
*
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a. 1 and 4
b. 2 only
c. 3 and 4
d. 1 only
24. The vendor acquired rabies, what will PHN Cords do to protect those who took care of
him? He should administer____________.
*
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25. PHN Cord’s intervention to protect all residents who own pets, especially dogs,
should be done by_______.
*
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Situation
The Field Health Services and Information System (FHSIS) is recording and reporting system in
public health care in the Philippines
1/1
27 As a nurse, you should know the process of how these information are processed and
consolidated. The fundamental block of the FHSIS system is the ______________
*
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b. Output record
c. reporting forms
d. target/client list
28. The monthly field health service activity report is a form used in which of the
components of the FHSIS?
*
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a. Target/client list
b. Output report
c. individual health record
d. tally report
29. In using the tally sheet, the recommended frequency in tallying activities and services
is_______.
*
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a. Weekly
b. Quarterly
c. Monthly
30. To monitor clients client registered in long-term regimen such as the Multi drug
Therapy, which component of the reporting system will be most useful?
*
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a. Output report
b. Tally report
c. target/client list
d. individual health record
Correct answer
c. target/client list
Situation
Nurse Navarrete takes care of the Ramos extended family who resides in the house owned by Nilda’s
mother, Marta. Nilda tends a variety store is married to Ramon, a government employee. They have
four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old.
Lester is a working student of his second year in computer technology course. Gina is a high school
graduate; Alex is in third year high school and Celine is in Grade six. There is one year old baby girl
who is a daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much
as she had multiple sex partners. This angered Ramon.
31. Though he recognizes the remorse of his daughter, Ramon still feels confused regarding
the situation. He said he tried his best to support his family and had always been considerate
and kind. He and his wife would always give them reminders and advice calmly and never in
a nagging manner. But still they failed as parents. The possible nursing diagnosis of Nurse
Oscar of his family is_____________.
*
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b. Impaired parenting
c. Parental role conflict
d. Ineffective role performance
32. Nurse Navarrete ’s conversation with Gina revealed that the young woman still suffers
from a syndrome of failure: failure to complete one’s normal growth and development,
failure to complete education, failure to establish a vocation and become independent and
failure to have a life. The nurse Oscar’s intervention to this problem is_____________.
*
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a. Linear approach with regards to the individual in the context of the family, community and culture
that will combat shame and guilt
b. Lay down the foundation of a future by trusting human association and developing mutual trust
initially with the nurse, then the family, and eventually the whole community
c. Focus on the factors that will help protect Gina towards proximal stimuli for healthy growth and
development to develop her resiliency in confronting current and future problem
d. Transform interactions among family members, strengthen specific roles and functions to
strengthen family system in order to eventually cope
33. In one home visit, Nurse Navarrete was approached by the 15 year old Reuben John. He
was asking about condom use. He said he has a girlfriend with whom he is madly in love
with but does not want her to get pregnant. Nurse Navarrete most practical and best advice
would be__________.
*
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Situation
PHN Ahya works in Barangay A and B in the Municipality of Mendez. One day, a neighbor summons
her to attend to a 7-year old boy with high grade fever.
34. Upon reaching the house, a local herbolaria, Nanay Feds was already attending to the
boy. She said that the boy played near the river and the bad spirits entered his body. The
LEAST appropriate remark the nurse make is _________________.
*
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a. “Go on. Do what you have to do, then I will take over.”
b. “Nanay Feds, your intervention is entirely wrong.”
c. “It’s good you’re here. You can drive away the spirits that entered the boy’s body.”
d. “You have to be sure that all the evil spirits have been driven out of the boy’s body.”
35. After a few minutes, Nanay Feds took a big bowl of soup and gave to the boy. The boy
vomited but Nanay Feds continues to feed him. The BEST remark of the Nurse is
_____________.
*
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a. “I also drink a soup when I get sick. How about you, Nanay Feds, do you do the same?”
b. “The soup could have been better if you put lemon grass on it.”
c. “You have to stop feeding him because he might aspirate the soup.”
d. “That’s correct. Increasing fluid intake will help lower down temperature.”
36. Finally, Nanay Feds took out from her pocket a dried rose flower and place it on the
boy’s forearm. She was about to cut the patient’s forearm. What would Nurse Ahya do
first?
*
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a. Let it go
b. Tap Nanay Feds’s shoulder
c. Ask the herbolaria the rationale for the intervention
d. Explain the possible harm of the procedure
Correct answer
b. Tap Nanay Feds’s shoulder
Situation
The local health board established a reproductive health clinic in the main health center. Two nurses,
Hubert and Irene, were assigned to handle services to address problems related to sexuality,
reproductive health and fertility problems.
37. Nurse Valentin classifies cases according to the major categories of reproductive tract
infections. Which of the following is NOT part of such classification?
*
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a. Iatrogenic infections as aftermath of invasive procedures like catheterization and intra-uterine
device (IUD) insertion
38. Irene handles the screening for gonorrhoea every two weeks among female sex workers
in the implementation of PD 856. In differential diagnosis of discharge among infected
clients, which of the following colors discharge will Irene take note to identify gonorrhoea
from other causes?
*
1/1
39. Nurse Valentin was invited by a women’s group to give a lecture on healthy sexuality.
In the expectation check, he noted that there are previous misconceptions expressed by the
participants. Which of the following statements are correct?
*
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a. It is the obligation of the wife to give in to sex every time he asks for it
b. Sexuality is fluid and may change
40. One of the clients was positive to Gonorrhea. Nurse Irene explained that gonorrhoea
and chlamydia, if left untreated can lead to Pelvic Inflammatory Disease (PID). Such
condition may cause infertility due to ______.
*
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41. Nurse Hannah further explained that a test used to determine tubal patency using a
radiopaque material is the __________.
*
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Situation
Barangay Malanday is a barrio located on the far-east side of the municipality of Unanggapo. Kevin,
the community health nurse, developed an advocacy leaning towards mental health promotion.
42. Nurse Kevin understands that using the public health model, his patient is the:
*
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a. Individual
b. Family
c. Community
d. Country
43. To grasp the community's overall mental health status - the incidence and prevalence of
mental illnesses – Kevin Feir employed epidemiological studies. In this situation, incidence
refers to the number of:
*
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a. New cases of mental illness over a specified period of time in the population at risk
b. New cases of mental illness in the total population
c. People at risk to develop mental illnesses
d. All existing cases of mental illness over a specified period of time in the population
Correct answer
a. New cases of mental illness over a specified period of time in the population at risk
44. Nurse Kevin understands that primary prevention is a very important concept especially
in terms of his advocacy. He applies this concept through:
*
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45. Primary prevention entails mental health promotion. This activity can be considered
consistent with the principle of:
*
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a. Autonomy
b. Interdisciplinary care
c. Multidisciplinary care
d. Self-help
Situation
Sexuality is a major issue in psychosocial health that is often not emphasized or considered taboo by
many nurses. Good thing you are a nurse who is nonjudgmental when it comes to issues in sexuality.
46. Joeven, 25, admits to you that he has multiple sexual partners. Which among the
following will you do regarding this?
*
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a. Counsel him that it is shameful for men to have multiple sexual partners.
b. Educate him regarding safe sex practices.
c. Terminate care right away for it is dangerous to be dealing with people like him.
d. Refer him to a psychiatrist.
47. Marjorie comes to a clinic to complain of involuntary vaginal spasms that make it
difficult for her to have intercourse. This is referred to as:
*
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a. Dyspareunia
b. Vaginismus
c. Vulvodynia
d. Vestibulitis
48. Which among the following medications can decrease sexual desire?
*
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a. Phenytoin
b. Morphine
c. Atenolol
d. All of the above
Correct answer
d. All of the above
49. Homosexuality, heterosexuality, and bisexuality are varieties of which of the following:
*
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a. Sexual orientation
b. Transgenderism
c. Gender identity
d. Intersex condition
Situation
Leadership and management are significant concepts for nurses. Being the head nurse of the medical
unit of Hospital A, Nurse Ivee applies various techniques of nursing management.
50. As Florence Nightingale theorized, nurses must utilize the environment of the patient to
assist him/her towards recovery. Nurse Ivee is aware that the biggest problem of hospitalized
clients is:
*
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a. Ventilation
b. Hospital bed
c. Lighting
d. Noise
Correct answer
d. Noise
51. Nurses must ensure an infection-free environment for their clients. Ivee mentions to her
staff that the protocol that serves as the first line of defense against infection is:
*
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a. Handwashing
b. Disinfection
c. Cleansing
d. Sterilization
52. Nurse Charlton Jao handles 16 patients during her shift.She delegated the routine
morning care of Patient X to Ashryl, a nursing aide. In this case, you are aware that the
person most accountable for the performance of care is:
*
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a. Ashryl
b. Ivee
c. Charlton Jao
d. All of the above
Correct answer
c. Charlton Jao
53. Charlton Jao supervised Ahsryl during provision of morning care and advised him that it
is important that he understands how to provide care in order to:
*
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54. As the week is about to end, Nurse Charlton Jao starts to make the daily case assignment
of her staff for the following week without getting their inputs. he often commands his
subordinates and strictly monitors their activities during their shift. Nurse Sherlyn, the chief
nurse, advises Charlton Jao to consider his staff, seek inputs from them, and to act as a
facilitator rather than a controller. This kind of approach is called:
*
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a. Authoritarian
b. Bureaucratic
c. Laissez-faire
d. Democratic
Correct answer
d. Democratic
Situation
Nurse Angelica Lim is assigned as the charge nurse for the AM shift at the surgical unit. With this,
she knows that she is responsible to lead and manage the unit and the staff.
55. While doing her rounds, head nurse Angelica Lim observes that Yeng, a staff nurse,
performs wound care to her patient without observing aseptic techniques. Angelica Lim
knows that the best approach that she can use to assist the staff nurse is to:
*
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d. Write a memo for Inna and mention that she will get fired if she does not improve her practice
56. Nurse Angelica Lim reviews the unit's record. She notices that Jestoni, another staff
nurse, has been frequently absent for the past 3 weeks, and this has affected the quality of
care received by their patients. Nurse Angelica Lim implements the most appropriate
strategy and:
*
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57.Joncel is a new staff nurse in the surgical unit. He was assigned to care for Mr. Dexter
who is scheduled for craniotomy tomorrow. After administering the scheduled medications
for Mr. Dexter, Joncel knows that he is legally responsible to document on the patient's
chart which of the following:
*
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Situation
Nurse Xander is assigned as the medication nurse for the whole week. Because of overflow of
patients, their ward has recently catered to both adult and pediatric patients.
58. Xander is about to administer cotrimoxazole to a 6-year old pediatric patient. Which
among the following is least likely considered in calculating for pediatric dosages?
*
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a. Weight
b. Height
59. Malou-Ang is a 9-year-old patient diagnosed with Gram- negative sepsis. She was
prescribed with meropenem IV. The usual adult dose of the drug is 500 mg IV q8h.How
much is the approximate dose per day for Vanessa if her body surface area (BSA) is 0.57 m2?
*
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a. 168 mg
b. 503 mg
c. 240 mg
d. 720 mg
Correct answer
b. 503 mg
60 Xander Ford is given a patient with several co- morbidities. Which among the following
drugs has the longest duration of action?
*
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a. Atorvastatin
b. Labetalol
c. Digoxin
d. Captopril
61. Regular insulin and NPH insulin are both ordered for a diabetic client. In mixing the two
insulins in a single syringe, which is an appropriate nursing action?
*
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62. The nurse administered Humulin R to a patient at 6am.At what time does the nurse
expect the patient to exhibit pallor, confusion, hunger, and abdominal pain?
*
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a. 10 am – 1 pm
b. 7 am – 8 am
c. 8 am – 9 am
d. 6:30 am – 7 am
Correct answer
c. 8 am – 9 am
63. The nurse administered NPH to a patient at 12nn. At what time does the nurse expect the
client’s blood sugar to be relatively low?
*
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a. 4 pm – 7 pm
b. 2 pm – 3 pm
c. 1 am – 4 am the next day
d. 1 pm – 2 pm
Correct answer
a. 4 pm – 7 pm
64. What is the appropriate gauge and length of a needle to be used in an obese adult for
insulin administration?
*
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65. A client tells the nurse that the religious preference is Jehova’s Witness. Which is a true
statement regarding the use of blood products for this client?
*
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d. Blood may be accepted if it is taken from a blood relative and used immediately.
Situation
Nurse Clotilde is a head nurse in a medical ward in Hospital X. The following questions apply:
66. You are a staff nurse working in a tertiary hospital. While charting, you see your charge
nurse documenting an administered medication even before it was given. What is your
priority nursing action?
*
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a. Tell the charge nurse that doing so may affect her integrity and may harm the patient.
67. You observed a nurse logging into an account of another nurse in your ward. What is
your initial action?
*
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0/1
a. The nurse did not come to the patient’s room upon turning of the call light. Patient suffered a fall.
b. The patient reported he felt bleeding in his rectal area. The nurse did not respond, and later found
that the patient suffered hypovolemic shock.
c. Two nurses are talking about a patient in a cafeteria when another nurse heard the conversation.
d. A nurse administered 50mg of digoxin when it should be 25mg only.
Correct answer
c. Two nurses are talking about a patient in a cafeteria when another nurse heard the conversation.
69. A nurse should know that for malpractice to occur, six elements should be present.
Which of the following is not an element of malpractice?
*
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a. Duty
b. Modifiability
c. Breach of duty
d. Injury
70. A patient asks the nurse what virtual office visit is. She response correctly by saying:
*
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a. It is the science of using nursing knowledge to create applications and computer software.
b. The technology in which nurses are informed and educated using computers and software.
c. It is the science of information technology applied to computer systems.
Situation
Nurse Harry is a staff nurse in the otorhinolaryngology ward in Hospital Z. The following questions
apply:
72. Upon assessment of the patient’s hearing acuity, the nurse uses Rinne test. The patient
reports that she hears bone-conducted sound longer in the affected ear than the normal ear.
What can the nurse conclude from the patient’s response?
*
0/1
73. A patient was prescribed with hearing aid and has been using it for a week. Which of
the following conditions does the hearing aid problem of whistling noise indicate?
*
0/1
a. Cerumen in ear
b. Dead batteries
c. Loose ear mold
d. Ear infection
Correct answer
c. Loose ear mold
Situation
Patient KZ was admitted with a primary impression of leg fracture and was advised to undergo
surgery. You are the nurse caring for KZ.
0/1
a. Lengthening, circumduction
75. Buck’s traction was ordered for KZ before she undergoes surgery. This
intervention aims to:
*
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d. Place weights on the head of the bed with same weight as on the foot of bed
Correct answer
a. Place KZ in supine position
77. Which of these actions is an appropriate intervention for patients on skin traction?
*
1/1
78. Which is the most important nursing action in caring for KZ with Buck’s traction?
*
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Situation
A 21-year old male is admitted to the burn unit of X hospital. He sustained burns on the chest,
abdomen, right arm and right leg.
79. The nurse assigned to his care anticipates that the client would be particularly
susceptible to which of the following fluid and electrolyte imbalances during the emergent
phase of burn case.
*
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a. Metabolic acidosis
b. Hypernatremia
c. Hypokalemia
d. Metabolic alkalosis
Correct answer
a. Metabolic acidosis
80. The nurse assesses the client for fluid shifting. During the emergent phase of a burn
injury, shifts occur due to fluid moving from the_______________.
*
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81. The nurse understands that the fluid shift results from an increase in
the_____________.:
*
0/1
82. The client receives fluid resuscitation therapy. The nurse adjusts the infusion rate by
evaluating the client’s __________:
*
0/1
83. The client receives total parenteral nutrition (TPN). The nurse understands this therapy
will help the client__________.
*
0/1
Situation
Mr. Arvin is a nurse supervisor of three departments in hospital Baby Shark. She attends an
orientation seminar on hospital records management.
84. Mr. Arvin understands that good client care relies on good record keeping. Which of the
following is NOT a purpose of hospital record keeping?
*
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a. Records provide evidence of a hospital’s accountability.
b. Records are a key source of data for medical research or statistical reports.
85. Mr. Arvin is aware that when a client is readmitted to a hospital, the client’s file is
retrieved from the _______________.
*
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a. physician’s file
b. civil service file
86. Mr. Arvin is aware that when a client is discharged or dies, the following details should
be entered in the client’s record which is the_______________.
*
0/1
a. Final diagnosis
b. Outcomes classification
c. Educational attainment
d. Religion
Correct answer
a. Final diagnosis
87. The following statements are true about patients and hospital records EXCEPT:
*
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a. Confidential records must be protected against loss, damage , unauthorized access, modification
and disclosure
b. Patients have the right to confidential treatment of information they provide to health professional
c. Health records are the property of community where the patient is treated
d. Hospital records maybe released without the patient’s consent when required in investigation for
serious criminal offenses
Correct answer
c. Health records are the property of community where the patient is treated
Situation
Mr. Glenn is a director of the critical care unit of hospital Xavier. She utilizes the nursing process to
communicate care to the client.
0/1
a. Implementation
b. Evaluation
c. Planning
d. Assessment
Correct answer
c. Planning
89. Mr. Glenn calls for a conference with the staff members who are attending to the client.
They decide to obtain a 12-lead ECG for a more definitive picture. They conclude that the
client has no serious cardiac or pulmonary problems. Which step of the nursing is in effect
in this situation?
*
0/1
a. Nursing diagnosis
b. Assessment
c. Evaluation
d. Planning
Correct answer
b. Assessment
90. Ms. Glenn consults with the attending physician and the anesthesiologist. She advises
the primary nurse to proceed with the preparations and to remain alert for any adverse
symptoms. Which step of the nursing process is this?
*
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a. Assessment
b. Nursing diagnosis
c. Planning
d. Evaluation
91. Mr. Glenn confers with the client’s primary nurse the following morning. Together they
determine that the client is ready for surgery. This step of the nursing process is:
*
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a. Evaluation
b. Planning
c. Nursing diagnosis
d. Assessment
Correct answer
a. Evaluation
92. Mr. Glenn applies the human relations approach in this situation. He is aware that the
key to productivity is _________________.
*
0/1
Situation
The nurse in the emergency department admits a 45-year old female for vomiting blood. According to
a family member who accompanied the client, the client had gastric ulcer for a several years. The
nurse assesses that the client is in shock.
0/1
Correct answer
c. Respiratory rate is more than 30 breaths per minute.
94. In the early stages of shock, the nurse expects the result of arterial blood gas (ABG)
analysis to indicate which of the following conditions ____________:
*
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a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic alkalosis
d. Metabolic acidosis
Correct answer
a. Respiratory alkalosis
95. The physician orders intravenous infusion of packed red blood cells and normal saline
solutions. The nurse assesses the client for which of the following _____________:
*
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a. Hypovolemia
b. Anaphylactic reaction
c. Altered level of consciousness
d. Pain
Correct answer
b. Anaphylactic reaction
96. The nurse understands that the best indication that fluid replacement for the client in
hypovolemic shock is adequate is when the ___________:
*
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97. The physician schedules the client for surgery within six hours. The nurse minimizes the
anxiety of the client by answering the client’s questions regarding the surgery in calm
manner, keeps the client warm, advises the client to be on bed rest and dims the lights in the
room. The reason for these interventions is to ________:
*
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Situation
You are a nurse working in a medical ward in Cornelius Medical Center. The following questions
apply:
98. A patient who suffered from multiple trauma in the street was seen by the nurse. She
responds initially by:
*
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a. Positioning properly.
b. Opening the airway.
c. Providing oxygen.
d. Calling emergency medical services.
0/1
0/1
a. i, ii, iv
b. i, iii, iv
c. i, ii, iii
d. ii, iii, iv
Correct answer
c. i, ii, iii
RECALLS 3 - NP4
Total points74/100
1. Which of the following is the best indirect method of measuring blood pressure?
*
1/1
c. Pulse oximeter
d. Intra-arterial catheter
1/1
3. A patient was ordered to have his EKG reading done. As the nurse, you know that the
electrocardiogram (EKG) is performed to assess:
*
0/1
4. During a disaster, which principle is integral in decision-making and providing health care
to those who are victims?
*
1/1
a. Beneficence
b. Non-maleficence
c. Utilitarianism
d. Paternalism
5. A patient admitted to the hospital with myocardial infarction develops severe pulmonary
edema. Which of the following symptoms should the nurse expect the patient to exhibit?
*
1/1
6. A child is seen in the emergency department for scarlet fever. Which of the following
descriptions of scarlet fever is NOT correct?
*
1/1
Situation
You are a staff nurse in a psychiatric unit. You are taking care of Mr. K. who is suffering from heroin-
addiction with suspected complications of HIV.
7. Loh asked you what HIV seropositivity means. Your answer will be:
*
1/1
a. An infected person with HIV is capable of transmitting the virus to sexual partner.
8. In your morning rounds, you noticed in Mr. K. the presence of cough, shortness of breath
and tachypnea. Which of the opportunistic infection is probably causing these
manifestations?
*
1/1
a. Toxoplasmgondii
b. Cytomegalo virus
c. Cryptococcus neoformans
d. Pneumocystis jirovecii
9. Which of the following are the most possible cause of HIV in Mr. K’s case?
*
0/1
10. Another day, Mr. K. was visited by her girlfriend Loh, who admitted she had been having
sex with him. In describing risky sexual practices, which of the following you will tell Loh is
not a risk factor?
*
0/1
11. Mr. K tested positive for HIV. Which of the following explanation can you give him?
*
0/1
Situation
A 60-year old male is admitted to the oncology unit. According to the client, he felt a growth during a
routine digital prostate examination. He complains of pain on urination and frequent urination.
12. The nurse understands that the function of the prostate gland is primarily to ______;
*
1/1
a. Regulate the acidity and alkalinity environment for proper sperm development.
b. Produce a secretion that aids the nourishment and passage of sperm.
13. The nurse analyzes the laboratory values and notes that the serum phosphate level is
elevated. This finding indicates which of the following:
*
1/1
14. The nurse knows that hormone therapy is the mode of treatment for a client with prostate
cancer. The goal of this form of treatment is to ______:
*
1/1
Situation
The nurse cares for a female client who is terminally ill and is experiencing pain.
15. The nurse prepares a care plan for the client. The overall goal for the client is ________.
The client will:
*
1/1
16. The nurse is aware of the document that expresses a client’s wish for life sustaining
treatment in the event of terminal illness or permanent unconsciousness. This document is the
______;
*
1/1
a. No-code order
b. Durable power of attorney
c. Living will
17. The client nears death and requests that no medication be given that would cause a loss of
consciousness, including pain medication. The nurse would promote the best end-of-life care
for the client by which of the following?
*
1/1
a. Discuss the request of the dying client with family members and respect their wishes.
b. Comfort is the highest priority in this situation so give medications as ordered.
c. Respect the client’s wishes and withhold pain medications and other medications ordered.
18. Which of the following statement is TRUE about terminally ill clients?
*
1/1
19. The dying clients wishes to donate her eyes after she dies. Which of the following
statements is NOT TRUE about organ donation?
*
0/1
a. Any individual, at least 15 years old of age and of a sound mind may donate a part of his body to
take the effect after transplantation needed by the recipient.
b. Sharing of human organs or tissues shall be made only through exchange programs duly approved
by the Department of Health.
c. The choice to donate an organ must be a written document.
d. Laws do not require the consent of a family members to retrieve organs if the donor has expressed
his last wish to donate.
Correct answer
a. Any individual, at least 15 years old of age and of a sound mind may donate a part of his body to
take the effect after transplantation needed by the recipient.
Situation
The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the
terms used to describe clinical adjustment.
20. A nursing diagnosis formulated when there is insufficient evidence to support the
presence of the problem but the nurse believes the problem is highly probable and wants to
collect more data is a/an _________:
*
1/1
1/1
1/1
Situation
The nurse provides health education to a group of adolescents about pelvic inflammatory disease
(PID).
23. The nurse explains that prevention of PID in adolescents is important due to which of the
following reasons. PID ________:
*
1/1
24. The nurse explains to the group of adolescents that the most common cause of PID is
_______:
*
1/1
a. Tuberculosis bacilli
b. Gonorrhea
c. Staphylococcus
d. Streptococcus
25. The nurse further explains that PID presents the following signs and symptoms, which
the adolescent should be aware of:
*
1/1
26. Which of the following statements is true when teaching adolescents about gonorrhea?
*
1/1
27. The nurse further explains to the adolescents that gonorrhea is highly infectious and it
____:
*
1/1
c. Is easily treated.
d. Occurs rarely among adolescents.
28. The following are some of the steps to using a male condom. Which comes first?
*
1/1
Situation
A 45-year old female, married with two children, is admitted in the medical department with a
diagnosis of osteoarthritis. The nurse assists in the care of this client.
29. Which of the following signs and symptoms should the nurse correlate with a diagnosis of
osteoarthritis?
*
1/1
30. Which of the following factors would MOST likely increase the joints symptoms of
osteoarthritis?
*
1/1
a. Emotional stress
b. Obesity
c. History of smoking
d. Alcohol abuse
Situation
Venice, is an autistic child who loves to bang her head. One day, while head banging, she
unintentionally hit the wall and briefly loses consciousness.
31. Venice is brought into the emergency department of Malan-dee Medical Center after
suffering a head injury. The first action by the nurse is to determine the Venice’s:
*
1/1
a. Level of consciousness
b. Pulse and blood pressure
c. Respiratory rate and depth
32. The nurse anticipates detecting the occurrence of what common complication of head
injury?
*
0/1
a. Intracranial haemorrhage
b. Diabetes insipidus
c. Diabetes mellitus
d. Basilar skull fracture
Correct answer
b. Diabetes insipidus
0/1
a. Pulse rate
b. Temperature
c. Urine output
d. Oxygen saturation
Correct answer
c. Urine output
34. Venice is ordered to receive desmopressin (DDAVP) for management her condition. The
nurse should check which of the following measurements to determine the effectiveness of
this medication?
*
1/1
a. Daily weight
b. Temperature
c. Apical heart rate
d. Pupillary response
35. The nurse knows that which of the following conditions may alter the effectiveness of
DDAVP (Noctiva)?
*
0/1
a. Increased oral secretions
b. Arterial obstruction
c. Nasal congestion
d. Obesity
Correct answer
c. Nasal congestion
SITUATION
A 30-year old client named Gardo Versosa is admitted to Philippine Lung Center due to sudden onset
of chest pain and dyspnea. He has no history of respiratory disease but had complete femur fracture 3
days ago. The following questions apply.
36. He is diagnosed with pulmonary embolism. The nurse immediately implements which
expected prescription for this client?
*
1/1
37. The doctor ordered ABG analysis for Gardo Versosa. The nurse is now sending the ABG
specimen to the laboratory for analysis. Which of the following pieces of information should
the nurse write on the laboratory requisition?
1 Ventilator settings
2 A list of client allergies
3 The client’s temperature
4 The date and time the specimen was drawn
5 Any supplemental oxygen the client is receiving
6 Extremity from which the specimen was obtained
*
0/1
a. 1, 3, 5, 6
b. 1, 2, 4, 5
c. 1, 2, 3, 4
d. 1, 3, 4, 5
Correct answer
d. 1, 3, 4, 5
38. The nurse is now inserting an oropharyngeal airway to Gardo Versosa. The nurse plans to
use which correct insertion procedure?
*
0/1
39. Gardo Versosa is now intubated and receiving mechanical ventilation. The physician has
added 7 cm of positive end expiratory pressure (PEEP) to the ventilator settings of the client.
The nurse assesses for which of the following expected but adverse effects of PEEP?
*
0/1
SITUATION
Dina is a 50-year old obese patient. She admits that her self-esteem has been progressively becoming
low as her body size increases. She also claimed that her performance in her work has already been
impaired. She electively subjects herself to a bariatric surgery.
40. Rapid emptying of gastric contents into the small intestine may occur postoperatively
due to gastric resection. Dina is at risk for developing dumping syndrome. The nurse
monitors her for:
*
0/1
a. Dizziness
b. Bradycardia
c. Constipation
d. Extreme thirst
Correct answer
a. Dizziness
41. The nurse places Dina in which best position to prevent occurrence of dumping
syndrome?
*
0/1
a. Supine
b. Trendelenburg
c. Fowler’s
d. Prone
Correct answer
a. Supine
42. Dina now ready to resume diet since she now has normal bowel sounds. To minimize
complications from eating, the nurse teaches her to do which of the following?
1/1
a. 1, 3, 5
b. 1, 2, 5
c. 1, 2, 4
d. 1, 3, 4
0/1
Correct answer
c. Limit the fluids taken with meals
SITUATION
Patients with varying diseases always receive medications for them to recuperate. As part of the
dependent functions of a nurse, knowledge in pharmacology is one of the most essential competencies
that she should possess, to be aware when to verify a doctor’s medication order, and to know the side
effects, adverse effects, therapeutic level and nursing consideration for each drug.
44. A nurse in the neuro ward is reviewing the results of a client Rey’s phenytoin (Dilantin)
level that was drawn that morning. The nurse determines he had a therapeutic drug level if
the result was:
*
0/1
a. 3 mcg/mL
b. 8 mcg/mL
c. 15 mcg/mL
d. 24 mcg/mL
Correct answer
c. 15 mcg/mL
45. Client Cyrus Mc Leo has begun medication therapy with Betaxolol (Kerlone). The nurse
determines he is experiencing the intended effect of therapy if which of the following is
noted?
*
1/1
a. Edema present at 3+
b. Weight loss of 5 pounds
c. Pulse rate increased from 58 to 74 beats/ min
d. Blood pressure decreased from 142/94 mm Hg to 128/82 mm Hg
46.The nurse has taught another client named Fedilyn with asthma, who is taking a xanthine
bronchodilator about beverages to avoid. The nurse determines that the client understands the
information if the client chooses which of the following beverages from the dietary menu?
*
1/1
a. Cola
b. Coffee
c. Chocolate milk
d. Cranberry juice
47. Client Roma is ordered to start on Glipizide once daily. The nurse observes for which of
the following intended effect of this medication?
*
1/1
a. Weight loss
b. Resolution of infection
c. Decreased blood glucose
1/1
a. Vitamin K
b. Protamine sulphate
c. Acetylcysteine (Mucomyst)
SITUATION
A nurse working in the hema ward of Bloody hospital for 3 years is assigned to care for pediatric
patients with hereditary condition. One of her patients is named Newden, diagnosed with B-
Thalassemia.
49. The nurse is presenting a clinical conference and discusses the cause of B-Thalassemia.
The nurse informs her audience that the child at greatest risk of developing this disorder is:
*
1/1
50. he nurse added that in B-Thalassemia, which family history may be present in the
development of the condition?
*
1/1
1/1
a. Thalassemia major
b. Thalassemia intermedia
c. Thalassemia trait
d. Thalassemia minor
52. Based from the patient’s manifestations, severe anemia in B-Thalassemia is also known
as:
*
1/1
a. Kleihauer-Betke’s anemia
b. Charcot’s anemia
c. Coumb’s anemia
d. Cooley’s anemia
53. The patient is receiving long-term blood transfusion therapy for the treatment of his
disorder. Chelation therapy is prescribed to prevent organ damage from the presence of too
much iron in the body as a result of the transfusions. The nurse correctly anticipates the
medication used for chelation therapy for the patient which is:
*
1/1
a. Naloxone
b. Calcium Disodium Edetate
c. Deferoxamine
d. Protamine sulfate
54. The nurse is caring for another patient with a hereditary bleeding disorder. The nurse
noted that the patient has increased tendency to bleed from mucous membranes. Most
probably, the physician’s medical diagnosis for this patient would be:
*
1/1
a. Christmas disease
b. Classic hemophilia
c. Von Willebrand disease
d. B-Thalassemia
Situation
Mrs. Lima, a 47-year old married woman with four children, went to the hospital because of joint
pain. Upon reviewing her medical history, the nurse discovers that she was diagnosed with
osteoarthritis.
55. Nurse Kathryn was assigned to care for this patient. She is aware that osteoarthritis is
not associated with the following signs and symptoms:
*
0/1
Correct answer
a. Edema over the affected joints
56. A comprehensive physical assessment and health history was taken by Nurse Kathryn.
She was able to take note of various risk factors present from the patient's lifestyle. Nurse
Kathryn knows that among the following, the factor that most likely aggravates Mrs. Lima's
symptoms is:
*
1/1
d. Dehydration
57. The nurse encourages the patient to have her target weight of:
*
1/1
a. 49.8 kg
b. 61.3 kg
c. 58.5 kg
d. 52 kg
58. Nurse Kathryn is aware that osteoarthritis is a "wear-and-tear" disease. She expects that
the joints most likely affected in this condition are the:
*
1/1
59. As part of health teaching, Nurse Kathryn instructs Mrs. Lima that to effectively decrease
joint pain and stiffness before starting her daily activities, she should not do the following
excluding:
*
0/1
60. Being the patient's primary nurse, Nurse Kathryn collaborates with the healthcare team,
especially with the physical therapist. The physical therapist recommended that Mrs. Lima
undergo a regimen of rest, exercise and physical therapy. Nurse Kathryn explains to the
patient that this regimen will:
*
1/1
Situation
: Nurse Rey receives a call informing the ER department of Hospital X that a bus fell off a cliff.
Several passengers were severely injured and will be brought to the hospital. Nurse Rey informs her
co-staff and starts preparing to cater the injured passengers.
61. Being an ER nurse, Rey knows that triaging is a skill that she must master. She is aware
that triaging is performed in order to:
*
1/1
62. ER nurses in Hospital X uses the 5-level of emergency severity index (ESI). Nurse Rey
received a patient who is conscious but disoriented and complains of pain on the occipital
part of his head. Nurse Rey knows that this patient is classified under:
*
0/1
a. ES 1
b. ES 2
c. ES 3
d. ES 4
Correct answer
b. ES 2
1/1
a. Breathing assistance
b. Stable hemodynamics
c. Airway clearance
d. Infection control
64. Nurse Rey receives and assesses an injured patient. He referred to the resident-on-duty
that the patient is possibly experiencing hypovolemic shock. Which of the findings best
supports this?
*
1/1
65. Another patient rushed into the hospital sustained a concussion during the accident. Nurse
Diosrey assesses that he opens his eyes spontaneously and obeys commands. After
assessment, she gives him a GCS score of 14. Given the circumstances, which among the
following is the priority nursing diagnosis?
*
0/1
a. Acute pain
Situation
A 46-year-old male patient is brought to the emergency department with chief complaint of cervical
lymphadenopathy which started a week prior to consult. The primary impression is Hodgkin’s
Lymphoma.
66. In the later course of the condition, which of these are expected manifestations?
*
1/1
67. The nurse assigned to the patient notes knowledge deficit on self-care and risk prevention.
What should the nurse do to challenge this noted nursing diagnosis?
*
1/1
1/1
a. You may not respond to other drugs. Four drugs ensures that the cancer cells are killed.
b. If you have resistance to one drug, the other drugs will do the chemotherapeutic action.
c. Development to Stages III and IV is prevented.
d. The combination drugs have different and synergistic actions.
69. Which laboratory finding of a patient receiving chemotherapeutic drug will alert the nurse
to contact the physician?
*
1/1
c. Hemoglobin of 14 mg/dL
d. Serum potassium of 5 mE
70. What will be the most appropriate nursing diagnosis for patients undergoing
chemotherapy?
*
1/1
a. Risk for injury r/t radioactive damage to epidermal and dermal layers
b. Fatigue r/t decreased oxygen-carrying capacity
c. Risk for infection r/t immunosuppressive effects of chemotherapy
Situation
Archie has been wearing eyeglasses since he was 5 years old. When he turned 18, he wanted to
dispose of the eyeglasses and started wearing long-wearing contact lenses. Before his 24th birthday,
he was rushed into the emergency department because of severe eye pain. After assessment, he was
diagnosed to have corneal ulcer.
71. Which of the following affects the ability of the eye to clearly focus? A change in
the_______.
*
1/1
a. Stroma
b. Sensory cells of the retina
c. curvature of the cornea
d. epithelium
72. Which of the following is the predisposing factor for Marjorie condition?
*
1/1
a. Bacterial infection
b. Prolonged misuse of contact lenses
c. Malnutrition
d. Viral infection
73. Corneal ulcers are considered medical emergencies. Which of the following nursing
actions will be your PRIORITY?
*
0/1
c. Administer eyedrops
d. Pressure dressing applied to both eyes for comfort
Correct answer
a. Remove the contact lens
Situation
Nurse Alfie works in the oncology unit. She takes care of cancer patients in pain. She is aware that
cancer pain management is one of her responsibility.
74. Nurse Alfie collaborates with the physician in the development of a drug regimen for the
clients. Which of the following medications is least preferred in the treatment of cancer pain?
*
0/1
a. Morphine
b. Acetaminophen (Tylenol)
c. Meperidine (Demerol)
d. Hydrocodone
Correct answer
b. Acetaminophen (Tylenol)
75. When titrating a drug for the client in pain, which of the following action is MOST
appropriate?
*
1/1
76. One of the clients experience severe, intractable pain and complains that the pain
medication is not working for him. Which of the following actions is MOST appropriate for
Nurse Alfie?
*
1/1
a. Suggest to the client to try deep breathing to cope with the pain.
b. Explore the nature of the pain and encourage the client to perceive it in a different way.
c. Support the client emotionally and tell him he will receive the next dose of medication as soon as
possible.
d. Refer the client to the attending physician immediately and report that the pain medication is not
providing adequate pain relief.
77. Nurse Alfie assesses a client complaining of acute pain. The MOST appropriate nursing
assessment would include which of the following?
*
1/1
Situation
Nurse Julia is working as a staff nurse in the neurosciences ward. The following questions apply.
78. A patient who suffered from vehicular accident was intubated due to respiratory arrest. At
which level/s of the spinal cord does the nurse suspect to be affected?
*
0/1
a. C1-C2
b. C3-C4
c. C5
d. C6
Correct answer
a. C1-C2
79. A paraplegic client is for discharge to home. The nurse correctly includes which
instruction for patient education?
*
1/1
80. The nurse who care for a patient with SCI found out that he also has renal calculi. The
nurse knows that patients with SCI are predisposed to developing kidney stones because:
*
0/1
a. Decreased ability to drink water may have led to dehydration, thus concentrating urine particles.
b. Spinal shock from SCI increased serum uric acid levels, causing uric acid stones.
c. SCI and kidney stones have different and separate etiologies.
d. Immobility due to SCI increases calcium resorption.
Correct answer
d. Immobility due to SCI increases calcium resorption.
81. A 5-year old pediatric client was admitted for tuberculous meningitis, and
ventriculoperitoneal shunt (VPS) was surgically applied. The mother asks the nurse why it
was placed. Which of the following is a correct statement by the nurse?
*
1/1
a. The shunt is applied to drain the bacteria from your child’s ventricles.
b. It prevents further crossing of bacteria through the blood brain barrier (BBB).
c. This shunt will provide IV access for the anticipated medications to be given to the child.
d. It gives passageway for the overflow CSF to exit the ventricles.
82. The patient with spinal cord injury and paraplegic asks the primary reason why has to be
turned every 2 hours. The nurse’s best response is:
*
1/1
83. Which of the following is not an expected manifestation from a patient with anterior cord
syndrome?
*
1/1
84. An infant is brought to the clinic by his mother, who has noticed that he holds his head in
an unusual position and always faces to one side. Which of the following is the most likely
explanation?
*
1/1
a. Torticollis
b. Craniosynostosis
c. Plagiocephaly
d. Hydrocephalus
Situation
Avian flu had an epidemic in 2017 in different parts of Luzon. Nurse Bonnie is instructing
communities about this disease.
85. Bird’s flu virus (H5N6) had an outbreak in the provinces of Nueva Ecija and Pampanga
this 2017. Which of the following is true of the disease?
*
1/1
86. The nurse instructs the communities in Nueva Ecija about prevention and treatment of
bird’s flu. Which of the following is not part of her teaching?
*
1/1
a. A separate isolation facility is provided for those who will contract the disease.
Situation
You are a nurse giving care to patients in the Emergency Department in Hospital Borobudur.
87. During a disaster, which principle is integral in decision-making and providing health
care to those who are victims?
*
1/1
a. Beneficence
b. Non-maleficence
c. Utilitarianism
d. Paternalism
1/1
89. A nurse is assisting in the care of a client who is to be cardioverted. The nurse plans to set
the defibrillator to which to which of the following starting energy range levels, depending on
the specific physician order?
*
1/1
a. 50 to 100 joules
b. 150 to 200 joules
90. A nurse has applied the patch electrodes of an automatic external defibrillator (AED) to
the chest of a client who is pulseless. The defibrillator has interpreted the rhythm to be
ventricular fibrillation. The nurse then:
*
1/1
a. Orders any personnel away from the client, charges the machine, and defibrillates through the
console
91. A woman with hypothyroidism asks the nurse why the doctor told her she cannot have a
sedative. The nurse’s response is based on which of the following facts?
*
0/1
92. Nausea and vomiting in which client is of greatest concern to the nurse?
*
0/1
Situation
Gerald, a 26-year old construction worker, arrives in the Ear Clinic riding a Honda Motorcycle. He is
wearing a headset with Mp3 player hooked to his belt. Nelson is for hearing assessment.
93. Pure Tone Audiometry is ordered for Gerald. Which of the following does this procedure
measure?
*
1/1
94. Gerald was found to have Mastoiditis. Which of the following ear structure is affected?
*
1/1
a. Tympanic membrane
b. Pinna
c. Eustachian tube
d. Mastoid air cells
1/1
a. Bone tumor
b. Untreated Otitis Media
c. Meningitis
d. Mastoid diseases
96. Antibiotics have limited use in the actual treatment of Mastoiditis because________.
*
1/1
d. Culture has to be done to identify which antibiotic is most effective for the treatment of Mastoiditis
97. Which of the following is the most common treatment for Mastoiditis?
*
1/1
a. Mastoidectomy only
b. Mastoidectomy with tympanoplasty
Situation
You are a staff nurse at the Neurology unit of the Pediatric Ward.
98. You have a patient for admission who has been diagnosed with Bacterial Meningitis.
Which of the following type of isolation should you implement?
*
1/1
a. Contact precaution
b. Universal precaution
c. Airborne precaution
d. Droplet precaution
99. The attending physician of Mr M who has Cerebral Palsy and a seizure disorder
prescribed Tegretol-XR for him. Master M has a gastrostomy feeding tube. The medication
prescribed is on the hospital’s “No crush list”. Which of the following you should do in order
to administer the medication?
*
1/1
100. You have been observed by your nurse manager that when you gave the I.V. medication,
you disconnected the flush syringe first and then clamped the intermittent infusion device.
Which of the following would be the most effective way to improve this nursing practice?
*
0/1
RECALLS 3 - NP5
Total points66/100
1. You have a newly admitted patient with bulging fontanels, setting-sun eyes, and lethargy.
Which of the following doctor’s order would you question? An order of:
*
1/1
2. A nurse observes a colleague performing a assessment of a child who has a head injury by
using the Glasgow coma scale. Which of the following assessments, if performed by the
colleague, indicates the colleague needs instructions regarding the use of this scale?
*
1/1
a. Motor responses
b. Deep tendon reflex
c. Verbal ability
d. Eye opening
3. A nurse would assess a patient who experiences prolonged vomiting for signs of
*
1/1
a. Hypovolemic shock
b. Metabolic acidosis
c. Water intoxication
d. Potassium excess
1/1
a. Feels sad and alone, his heart is full of sorrow and pain
b. Cries when alone, avoids eye contact, with drooping posture
c. Doesn’t cooperate with the nurse, not having fun in going to group activities
d. Looking for the presence of nurse, interested in nurse-patient interaction
5. The nurse is handling a psychiatric patient. During one of their interactions, the patient told
the nurse, “I am mad.” How would the nurse document this?
*
0/1
1/1
7. Computerized patient records may be used as legal documents. To maintain the legal
standards in computer records, which of the following should be observed?
*
0/1
a. Only the nurse involved in the care can see the patient records.
b. The nurse can get permission from the head nurse if a record has to be altered.
c. Once the data has been input, further changes will not be allowed.
d. The nurse counterchecks the computer input of another nurse if it is valid and appropriate.
Correct answer
c. Once the data has been input, further changes will not be allowed.
8. The family of a dependent psychiatric patient accuses Nurse Minda of negligence of her
nursing responsibilities. Nurse Minda uses the patient’s chart to:
*
1/1
a. Show that she in not the nurse in charge when negligence happened.
b. Serve as an evidence of Nurse Minda’s care given to the client at the time of the event in question
c. Prove the patient’s psychiatric illness and that his accusations are not based on reality.
d. Bring it to the court for Nurse Minda’s defense from patient’s statements
Situation
You are a nurse caring for patients who are victims of child abuse. The following questions apply:
9. A nurse found out that her patient in a medical ward was raped by her grandfather. She
appropriately reports this assessment to which of the following agencies/departments?
*
1/1
a. PNP
b. DSWD
10. The following are signs that child abuse is most likely present in a pediatric client except:
*
1/1
b. Child was brought to the clinic for burn injury that happened 4 days ago.
c. Mother tells that the bruises were due to home accident. The next day she tells that it’s due to a
fight with a neighbor.
d. Recurrent urinary tract infections
1/1
12. If child abuse is suspected in a family, which of the following approaches would a nurse
take when beginning to interview the child?
*
1/1
1/1
Situation
As a professional nurse you take into consideration the ethico-moral principles in providing nursing
care.
14. You released information over the phone to a caller who identified himself as the brother
of your patient. You found out later that the brother was out of town. Which of the following
rights did you violate?
*
0/1
a. Right to privacy
b. Right to continuity of care
c. Right to confidentiality
15. Your patient is having difficulty making decision to undergo hip surgery. Which of the
following nursing actions BEST describes your advocacy roles as a nurse?
*
0/1
Correct answer
a. Protect patient’s autonomy and independence
16. Mrs Go needs to undergo a hip surgery. She refused to have it done even after the
attending surgeon has explained the procedure thoroughly. Which ethical principle applies in
this situation?
*
1/1
a. Autonomy
b. Justice
c. Non-maleficence
d. Beneficence
17. Informed consent is one of the patient’s bill of rights. One of its requirements is the
capacity of the patient to give it. Which of the following elements is/are related to this
capacity? (SELECT ALL THAT APPLY).
1. Patient is an adult
2. He is competent to make a choice
3. He has the freedom to make a choice
4. He can understand the consequences
*
1/1
a. 1, 2, 3
b. 1, 2, 4
c. 1, 2, 3, 4
d. 1, 3, 4
1/1
a. Force
b. Fraud
c. Consequences
d. Deceit
19. A nurse caring for a patient from a different culture notices that the patient did not eat the
food on the meal tray. Which of the following comments by the nurse demonstrate an
understanding of cultural diversity?
*
1/1
20. Nurse Benedict is planning care with Jose. The client believes in “mal ojo” (the evil eye),
and uses treatment by a root healer. The nurse should do which of the following?
*
1/1
Situation
Marie is a new staff nurse in a psychiatric ward reviewing the guidelines on ethical principles.
21. The intervention by a psychiatric nurse that implements the ethical principle of autonomy
is when the nurse______________.
*
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d. Suggest that two clients who are fighting be restricted to the unit
22. The nurse learns that a patient was admitted involuntarily on the shift. What assumption
can the nurse make about the patient?
*
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a. For the first 48 hours, he can be given medication despite his objections
b. He can leave the ward upon demand
c. At the time of admission, he was considered to be an imminent danger to himself or to others
d. He has agreed to accept the treatment and participate fully in care planning
23. A male psychiatric nurse receives a call asking whether a certain person has been a
patient in the facility. How should the nurse respond? Nurse_______________.
*
1/1
24. A patient is about to receive electroconvulsive therapy (ECT) when the nurse sees that the
patient has not signed a consent for treatment. Which of the following facts should determine
the action of the nurse?
*
1/1
25. When the nurse is told by the patient that she consented to ECT out of fear of being
abandoned by her husband, what nursing action is required?
*
1/1
26. What other traits is expected from a client with paranoid personality disorder. The client:
*
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27. The client discusses current problems with the nurse. Which of the following
interventions should have priority in the nursing care plans. Have the client____________.
*
1/1
28. You noticed that the client has impaired social skills. Which of the following short-term
goals is MOST appropriate for the client?
*
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29. The client makes an inappropriate and unreasonable report to you. Which of the following
principles of good communication skill is important for you to use?
*
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30. Which of the following long-term goals is appropriate for this client?
*
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Situation
Cathy is a staff nurse in a psychiatric ward of Hospital Chuprenia. The following questions apply:
31. The outcome that would be most appropriate for the patient who has a diagnosis of
agoraphobia would be that the patient will:
*
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a. Go shopping in town
b. handle money without wearing gloves
32. Which of the following actions should a nurse take when making the first contact with a
paranoid patient?
*
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33. A male patient’s yearly laboratory screening reveals an elevated serum prostate-specific
antigen (PSA) level. To which of the following nursing diagnosis should a nurse give priority
for this patient?
*
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a. Defensive coping
b. Hopelessness
c. Anxiety
d. Social Isolation
Correct answer
c. Anxiety
34. A schizophrenic patient says to a nurse, “You are wearing a pretty red dress. Tomatoes
are red. Vegetables make you healthy. I am not healthy.” A nurse should recognize that these
statements are an example of
*
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a. Echolalia
b. Neologisms
c. Confabulation
d. Looseness of association
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a. Uncontrollable worrying, significant distress or impaired social functioning for at least 6 months.
b. Intense fear and helplessness within 1 month after exposure to traumatic event that lasts 2 days to 4
weeks.
c. Re-experiencing of an extremely traumatic event and numbing of responsiveness within 3 months
to years after the event.
d. Significant anxiety provoked by a specific feared object or situation.
a. Tacrine (Cognex)
b. Bupropion (Wellbutrin)
c. Haloperidol (Haldol)
d. Clomipramine (Anafranil)
Situation
You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were
required to equip yourself by attending the enhancement program on Crisis Intervention. To assess
your knowledge and skills on the subject you were given a pre-test.
37. A crisis that is acute but temporary and due to external source is__________.
*
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a. Developmental
b. Transitional
c. Traumatic
d. Dispositional
Correct answer
d. Dispositional
38. Which of the following nursing interventions is the most appropriate for a client who is in
the early state of crisis?
*
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1/1
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c. Return the person to the root of the crisis to identify the cause
d. Eliminate the stressor
Correct answer
c. Return the person to the root of the crisis to identify the cause
Situation
Nurse Katrina wants to improve in her care for patient EJ, who is an alcoholic. She asks help from her
Head Nurse Chantele
41. Katrina goes to Mar's bedside to greet him. Chantele corrects Katrina of her greeting
which is NOT appropriate to EJ?
*
1/1
1/1
Situation
Tommy is a 7-year old, Grade one kid, who is diagnosed with Attention Deficit/ Hyperactive Disorder
(AD/HD).
43. Manifestations of ADHD are usually identified in what situation or event?. When a child
is
*
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a. At home, by parents
b. With peers, during play
44. The school nurse reports that Tommy frequently exhibits the following behavioral
manifestations of ADHD, except:
*
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45. Tommy tells the nurse, "I don't have friends because I'm stupid." Which of the following
nursing diagnosis would the nurse identify for him?
*
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a. Ineffective coping
b. Anxiety
c. withdrawal syndrome
d. low self esteem
46. The nurse expects Tommy to have impaired social interaction as the child exhibits
excessive talking, short attention span, and low frustration tolerance. Which of the following
nursing interventions is NOT useful in his case?
*
1/1
Situation
Franky Omeley is an 11-year old Grade IV pupil in a private school was diagnosed to have an
attention-deficit hyperactivity disorder (ADHD).
1/1
a. Passivity
b. Inattention
c. Hyperactivity
d. impulsivity
48. His teacher has observed Franky Omeley to have difficulty waiting for his tutor often
batting into conversations and blurts out answers without waiting for questions to be finished.
These are manifestations of_________.
*
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a. Hyperactivity
b. Inattention
c. passivity
d. impulsivity
Situation
You are a staff nurse in the Orthopedic Unit of the Department of Surgery of the Hospital trying to do
research studies.
49. You are assisting in a research study on assessing patient's reactions to the use of new
dressing material. A medical student questions the credibility of the nursing research. Your
response would be:
*
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a. To keep quiet
b. "Nursing research is essential for the development of nursing science"
c. "Doing research is one of the competencies of professional nurses"
50. Which of the following research methods has for its purpose to describe social processes
present within human interactions?
*
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a. Phenomenology
b. Grounded theory
c. Participatory action research
d. Case study
Correct answer
c. Participatory action research
51. In a clinical question, "Is breastfeeding more effective in increasing the birth weight of
preterm infant than adding corn oil to the infant formula?" what is the intervention of
interest?
*
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a. Infant feeding
b. Increasing the birth weight
c. Preterm infant
d. Adding corn oil to the infant formula
Correct answer
a. Infant feeding
52. In a research question, "What is the relationship between wound healing and nutrition
among elderly patient with hip surgery?" which one is the dependent variable?
*
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a. Elderly patient
b. Wound healing
c. hip surgery
d. Nutrition
Situation
You are a nurse in the psychiatric ward caring for several patients.
53. The nurse provides information to a depressed patient and his family about
electroconvulsive therapy (ECT). Which of the following statements would the nurse include
in the teaching?
*
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a. “The patient will have a minimal muscle twitching during the treatment.”
b. The patient must be in restraints following the treatments.”
c. “The patient will remain awake and alert during the treatment.”
d. “The patient must remain flat on his back for one hour after treatment.”
1/1
a. Difficulty swallowing
b. Delirium
c. Muscle stiffness
d. Respiratory depression
55. Jose spends most of the day lying in bed with the sheet pulled over his head. Which of the
following approaches by Nurse Benedict is most therapeutic?
*
1/1
1/1
57. A patient express many physical complaints during the first two weeks on the alcohol
rehabilitation unit. The result of the physical examinations have been negative. The patient
frequently approaches staff members to request for medication for her discomfort. Based on
the patient’s members to request for medication for her discomfort. Based on the patient’s
behavior, which of the following interpretations is correct?
*
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Situation
Terrence Romeo is a 21-year old Volleyball varsity player in a leading university. He was admitted
for eye trauma after a Volleyball game.
58. Terrence has a bluish discoloration in his right eye. This condition is caused by:
*
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a. skin irritation
b. the impact of the blow
c. tissue swelling around the eye
d. rupture of a blood vessel in the conjunctiva
59. A potential result of blunt eye trauma is bleeding into the anterior chamber if the eye.
This condition is termed of:
*
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a. Chemosis
b. Hyphemia
c. conjunctival hemorrhage
d. ecchymosis
60. Which of the following is the PRIORITY nursing diagnosis for a patient with eye trauma?
*
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61. When teaching Terrence in relation to eye injuries, which of the following would be your
focus?
*
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Correct answer
b. Prompt treatment of the injury
62. Another cause of eye trauma is a chemical burn. Which of the following measures would
you advise when it happens in the home?
*
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Situation
You are an advocate for women's rights. You were invited as a resource speaker on "Violence against
women and their children." the following questions relate to this.
63. Women and their children are protected against violence under this law:
*
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a. R. A. 7610
b. R.A. 8353
c. R.A. 7160
d. R.A. 9262
64. One of the violent acts is sexual violence. Which of the following does NOT constitute
sexual violence?
*
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a. Sexual Abuse
b. Incest
c. Economic abuse
d. Drug-facilitated sexual assault
65. The health worker's Main concern when abused, maltreatment or neglect is suspected
should be:
*
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a. Verbalization of feelings
b. Airway
c. Reporting to the legal authorities
d. safety and welfare of the client
66. Which of the following is the most common clinical manifestation of a child neglect?
*
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67. Which of the following should be the focus of care for client who are suspected to be
abused, maltreated or neglected?
*
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a. Proper documentation
Situation
Nurse Camille is a nurse for several clients in the National Center for Mental Health. The following
questions apply:
68. A patient has just attempted to commit suicide by hanging. To prevent the patient from
attempting this again, which of the following is appropriate for the nurse to do?
*
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d. Remove one’s clothing to make sure no other items are with the patient.
Correct answer
a. Ask a nurse to watch the patient constantly.
69. A client with a diagnosis of antisocial personality disorder was given a 2-hour pass to
leave the hospital. The client returned to the unit 15 minutes past curfew and did not sign in.
The next day, this behavior is brought up in a group meeting. The client says, "It's all the
nurse's fault. The nurse was right there and did not remind me to sign in." What is the best
response by the nurse?
*
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d. “You were late coming back from your pass. Is that why you did not sign in?"
70. A patient is experiencing acute dystonic reaction. All of the following PRN medications
are prescribed. Which of the following medication should the nurse administer?
*
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Situation
A nurse is attempting other biobehavioral nursing interventions when taking care of her patients.
71. Use of touch as part of nursing care for geriatric clients is generally considered as
therapeutic. Which of the following is true about use of touch?
*
1/1
0/1
c. Through hypnosis as well, you can absolutely go back into your past and heal things.
d. Ability that allows humans to be constantly aware of the past and the future and not only for
recollection of past personal experiences
Correct answer
d. Ability that allows humans to be constantly aware of the past and the future and not only for
recollection of past personal experiences
Situation
Glenda is a married female who was admitted to the health psychiatric unit because of substance
abuse.
73. Which of these initial assessments would indicate presence of withdrawal?
*
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b. Drowsiness
c. Hypotension, bradycardia
d. Apathy
1/1
a. Methadone
b. Disulfiram
c. Naloxone
d. Lorazepam
75. Glenda’s spouse comes to you to tell you that he has to care for Glenda because the
patient is in denial of her substance abuse issues. A nursing diagnosis was made:
Dysfunctional family processes: Alcoholism r/t codependency, as evidenced by the spouse’s
rescuing behavior. Which goal would indicate an understanding of the current situation and
the connection between the diagnosis and outcome?
*
0/1
Correct answer
b. Glenda’s admission of being an alcoholic
76. Glenda was admitted to the facility to treat her alcohol treatment. This was insisted by the
spouse. During interview, Glenda tells you, “I may drink everyday but my habit is controlled
and non-destructive.” You recognize this as denial of the current situation. How would you
best respond?
*
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77. Glenda has completed one week of treatment for her alcohol dependency. She exclaims,
“I will not resort to alcohol drinking now, but there seems nothing left for me.” How would
you best respond?
*
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b. “You still have your family who is always there for you.”
c. “I will give you this prescribed medication to help you with the withdrawal.”
d. “What did your addiction mean to you emotionally?”
Correct answer
d. “What did your addiction mean to you emotionally?”
1/1
a. Disulfiram (Antabuse)
b. Methadone (Dolophine)
c. Lorazepam (Ativan)
d. Naloxone (Narcan)
79. Which of the following suggestions should a nurse make to a known poly substance-
abusing woman who is 18 weeks pregnant?
*
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a. “If you cannot stop taking drugs, you might consider terminating the pregnancy.”
b. “You should stop using all drugs immediately before your baby develops birth defects.”
c. “If you enter a drug treatment program now, your baby will be born healthy.”
d.”It may not be possible for you to stop drugs completely, but you should consider limiting the drugs
you use during pregnancy.”
Correct answer
b. “You should stop using all drugs immediately before your baby develops birth defects.”
Situation
A nurse in San Bernardino Hospital is caring for an HIV-positive patient.
80. The patient is prescribed with Zidovudine (Retrovir). What should the nurse instruct the
patient to do?
*
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81. What is the major problem the nurse should be cautious of when taking care of a patient
taking Zidovudine
*
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d. Patient education
82. Which among the following laboratory findings is the MOST significant in an HIV-
positive patient?
*
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b. Decreased RBCs
c. Increased AST/ALT
d. Decreased WBCs
83. Headache, impaired cognition, and loss of vision are early manifestations of which of the
following?
*
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84. The nurse came up with the nursing problem “Imbalanced Nutrition: Less than body
requirements”. Her intervention for this would focus on:
*
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d. Allowing the patient to have small meals evenly spread throughout the day
Correct answer
d. Allowing the patient to have small meals evenly spread throughout the day
Situation
Marilou, a head nurse in the OB ward is managing her staff and personnel. She must be guided by the
principles of leadership and management. The following questions apply:
85. The nurse entered a patient’s room to perform tepid sponge bath. The patient refused the
attempt but the nurse responded, “I need to bathe you or else I will have to tie you down.”
The nurse has committed what tort?
*
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a. Assault
b. Battery
c. False imprisonment
d. Invasion of privacy
Correct answer
a. Assault
86. During a meeting with the staff, the head nurse involves the group in decision making
regarding the scheduling of ward classes. The group was divided into two decisions. What
must the head nurse do?
*
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Correct answer
c. Come up with a majority vote.
87. According to RA 9173, the following are the guidelines to be observed by registered
nurses, except:
*
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a. Preserve life, respect human rights, and promote health environment at all times.
b. Be equipped with the knowledge of health resources within the community, and take active roles in
primary health care.
c. Actively participate in programs, projects, and activities that respond to the problems of the society.
d. Project an image that will uplift the nursing profession at all times.
Correct answer
a. Preserve life, respect human rights, and promote health environment at all times.
88. The head nurse is starting quality improvement in their ward using the Six Sigma
approach. What is the proper sequence to follow?
i. Analyze
ii. Define
iii. Control
iv. Measure
v. Improve
*
0/1
89. ISBAR is a verbal communication tool that provides structured, orderly approach in
providing accurate, relevant information in emergent patient situations and handoffs. Which
of the following is not parts of ISBAR?
*
1/1
a. Situation
b. Background
c. Analysis
d. Recommendation
Situation
A nurse in the hospital is teaching a new staff nurse about the guiding principles and policies of
PhilHealth.
90. Which of the following are not included in the mandate and functions of PhilHealth?
*
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Correct answer
c. Rich subsidizes the poor.
91. The following diseases treated at the outpatient department are covered by PhilHealth
except:
*
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a. Cardiac diseases
b. Tuberculosis
c. Renal failure
d. Cancer
92. Which of the following PhilHealth benefit packages is not included in the case payment
scheme?
*
0/1
Correct answer
b. Pneumonia I (Low risk)
Situation
You are the nurse in the emergency room. A 22 year old male is brought in with an apparent head
injury after being involved in a serious car accident. He is unconscious on arrival and exhibits signs of
increasing intracranial pressure.
93. When the client arrives at the ER, which of the following should you consider a priority
care?
*
1/1
94. You continue to assess the client. Which of the following respiratory signs would indicate
increasing intracranial pressure in the brain stem?
*
1/1
95. You assess the client frequently for signs of increasing intracranial pressure which is
______.
*
1/1
a. Decreasing systolic pressure.
b. Decreasing body temperature.
c. Tachycardia
d. Unequal pupil size.
96. You position the client. Which position would be MOST appropriate?
*
1/1
97. You are aware that early indication of deterioration in the neurologic status of client is a
_________.
*
1/1
Situation
Glenda is a married female who was admitted to the health psychiatric unit because of substance
abuse.
1/1
1/1
a. Methadone
b. Disulfiram
c. Naloxone
d. Lorazepam
100. Glenda’s spouse comes to you to tell you that he has to care for Glenda because the
patient is in denial of her substance abuse issues. A nursing diagnosis was made:
Dysfunctional family processes: Alcoholism r/t codependency, as evidenced by the spouse’s
rescuing behavior. Which goal would indicate an understanding of the current situation and
the connection between the diagnosis and outcome.
*
0/1
Correct answer
b. Glenda’s admission of being an alcoholic