RECALL 6: NURSING PRACTICE II

SITUATION
5 of 5 points

Julia, 29 years old, has just given birth 3 hours ago. She asked Nurse Robin to help
her cope post— partially. One of the discussions was about the postpartum vaginal
discharge called lochia.

1. The nurse assesses Julia's perineum and notices that the lochia discharge is moderate in amount
and red in color. What type of lochia is this? Lochia .
*
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a.fireum
b.serosa
C.rubra

D. alba

2. When Julia was helped for ambulation for the first time, she mentioned that she had heavy lochial
discharge. Which of the following assessment findings would BEST help the nurse decide that the
flow is within normal limits?
*
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a.Her flow is over 500 ml.
b.The color of the flow is red.

c.Her uterus is soft to your touch.

d.The flow contains large clots.

3. What is the condition of Julia if pinkish red or reddish brown—colored vaginal discharge continues
to occur after 3 to 4 weeks after birth with fever, pain, and abdominal tenderness?
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a.Vaginitis
b.Cervicitis
c.Mastitis
d.Endometritis

4. It is difficult to judge the amount of lochial flow based only on observation of perineal pads. Which
among the following factors should be considered as an IMPORTANT indicator of complete and
accurate measurement of lochia?

The number of perineal pads saturated and .

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a.time

b.smell
c.consistency
d.Color
5. Which of the following findings would make Nurse Robin think that Julia is developing a postpartum
complication?
*
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a.An absence of lochia

b.Lochia that is the color of menstrual blood

c.Red—colored lochia for the first 24 hours
d.Lochia appearing brown on the third day

SITUATION
5 of 5 points
Elli, a newly registered nurse, is assigned to the pediatric unit. She is aware of the
legal implications of giving nursing care to patients.

6. A 9 year-old boy refuses to take his medication. Nurse Elli threatened the boy that he would be
restrained. Which of the following will Nurse Elli be accused of committing?
*
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A. Assault

b. Battery
C. Malpractice
D. Negligence

7. A child fell off the bed and injures himself. Which of the following can the nurse be sued for?
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a.Battery
b. Malpractice
C. Negligence

D. Assault

8. Nurse Elli recalled 'that the criteria for negligence are the following, EXCEPT .
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a.There exists a duty
b.Breach of duty
c.Exceeding a limit of one's duty

Injury or damage result

9. The patient sued the nurse for negligence. The patient's lawyer's trust proves the following
elements for professional negligence were satisfied. Which of the following elements must the lawyer
prove for professional negligence?
*
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a.Duty, breach of duty and damages.
b.Breach of duty, damage and causation
c.Duty, breach of duty, damages and causation

d.Duty, damages and causation

10. While the nurse is preparing the articles needed for the procedure, she overheard the medical
technologist telling the patient in a derogatory manner that the nurse doesn't know anything about the
procedure " What can the MedTech be sued for?
*
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A. Slander

B. Battery
C. Assault
D. Libel

SITUATION
4 of 5 points
Patient Hailey, 23 years old, G2 PI and is in her 9th month of pregnancy. First, she
calls the hospital to receive validation that it is alright for her to come for evaluation
or admission.

11. During the first contact of the patient with the nurse, the latter should demonstrate the following
behavior, with the EXCEPTION of .
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a.Caring
b.Comforting
c.encouraging
d.compelling

12. Patient Hailey asks how she could distinguish between true and false labor? Which is NOT
INCLUDED among the factors in which the nurse should base her answers from?
*
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a.Contractions
b.Cervix by vaginal examination
c.Vital signs

D. Engagement of fetus

13. Patient Hailey comes to the perinatal unit of Hospital X. Nurse Maru does a thorough
SCREENING assessment. Which is the LEAST screening assessment to be used by the nurse?
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a.Physical examination
b.Interview
c.Radiologic procedures

d.Laboratory review

14. During admission, the nurse needs to take the patient's obstetrical data. Which of the following the
MOST important?
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a.Laboratory results
b.prenatal check—up records

c.Previous pregnancy experience.

d.Diagnostic test results

15. Every pregnant woman preparing for labor and delivery has a birth plan. What is the PRIMARY
objective of a birth plan? It describes .
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a.the repertoire of comfort and relaxation measures
b.options on her wish.es and preferences about her labor, delivery, and puerperium

c.the cultural and religious requiEricaent related to care of mother, newborn

d.her psychosocial data that is necessary in her hospitalization

SITUATION
0 of 5 points
Petra is a newly registered nurse who is assigned to conduct a lecture on fertility
awareness among young women.

16. Petra discussed the signs and symptoms of ovulation. Which of the following is NOT included?
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a. Rise in basal temperature
b.Weight gain
c.Breast tenderness
d.Increased quantity and ph of cervical secretions

17. One of the participants asks, "when does ovulation take place?" Petra's answer Will MOST likely
be .
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a.on the 14th day before the next menstruation
b.on the 4th day of her cycle

c.as soon as menstruation stops

d.at the time her basal body temperature drops steadily.

18. Bea, one of the participant asks how many days is her menstrual cycle if she had her previous
menstrual flow last March 26—30 and her last menstrual period last April 24th. MOST likely, the
nurse's response will be

days.
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a.30
b.28
C. 29

D. 31

19. The function of estrogen hormone is, which of the following?

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a.Promotes lactation

b.Promotes female secondary sex characteristics

c.Inhibit uterine contractility
d.Elevates body temperature during ovulation

20. The space of the menstrual cycle that promotes the uterine lining to grow and thicken to an 8-10-
fold rate is, which of the following?
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a.Menstruation
b.Proliferative
c.Ischemic
d.Secretory

SITUATION
5 of 5 points
Through health practitioners such as the nurse, provision of quality health care and
patient safety is made possible. Hence, there is a need to properly manage human
resources. Nurse Kye is the Chief Nurse of a 100—bed capacity private hospital.
Lately, her head nurses have been complaining of short staffing, especially in the
Pediatric Ward. The ideal staffing in her ward cannot be attained as nurses frequently
leave for abroad for a greener pasture despite having signed a contract.

21. When the staff nurses In the Pediatric Ward work more than they can handle, thus losing their
enthusiasm in their work, which of the following consequences is referred to?
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a.Lower patient care
b.Medical error
c.Low quality patient care
d.Burnout

22. Pediatric nurses need to organize their workload to facilitate patient's safety. Which of the.
following indicators would validate that they have organized their workload? Select all that apply.

1. Determination of resources needed to deliver patient care.

2. Accomplishment of tasks on time.

3. Identification of activities to be done.

4. Prioritization of plans in accomplishing activities to be done.

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A. 1, 2, 3, 4

B. 1, 2, & 3
C. 2, 3, & 4
D. 1, & 2

23. Despite the short staffing, Nurse Kye also has the responsibility to maintain a safe environment for
her pediatric patients. The following are the indicators that Nurse Kye has achieved this goal,
EXCEPT, .
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a.proper disposal of waste according to color coding
b.adherence to policies, protocols and procedures in the prevention and control of infection
prevention
c.assessing the competencies of a staff before delegating a task

d.observance of protocols in cases of earthquakes, fire, and other emergencies

24. Chief Nurse Kye has identified common reasons for the fast turn-over of staff nurses not only in
the hospital she works in but in other hospitals all over the country. Which of the following factors that
have contributed to the fast turn—over should be addressed immediately?

1. Low salary

2. Working condition

3. Work overload

4 . Continuing professional Development

*
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A.1 & 3
B.1 & 3
C.1, 2 & 3

D.1, 2, 3, & 4

25. Chief Nurse Kye formulates strategies to address the short staffing in her hospital. Which of the
following strategies is the BEST?
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a.Continuing Professional Development such as post—graduate study.
b.Entry salary of nurses to be at par with that of government nurses.
c.Research engagement.
d.Evaluation and recognition for good performance thru reward system.

SITUATION
5 of 5 points
Kim, student, 18 years old, primigravida, delivered to a baby boy forty hours ago.
Transition from being single to being a mat-her entails strengths and courage. The
response to change may be different for every person.

26. The patient has been seen crying and irritable. As her nurse, you know Kim is experiencing "baby
blues". Which is the BEST description of her condition? It is a condition in which the patient
experiences some feelings of

.
*
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a.Excitement.
b.Euphoria
c.Sadness

d.Anxiety

27. Which of the following is TRUE about baby blues? It is .

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a.a condition that begins 6 to 12 months post—partum
b.a serious condition that would warrant antidepressant therapy
c.related to hormonal changes.

d.related to childhood poverty

28. In planning to help Kim, the nurse has explained to her the cause of baby blues, which ONE is
these?
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a.Total increase in estrogen and progesterone.
b.Status quo in estrogen and progesterone.
c.Total decrease in estrogen and progesterone.

d.Increase or decrease on the levels of estrogen and progesterone.

29. As a nurse, you should know the manifestations that Kim can present anytime. These are the
following:

1. Crying

2. Anorexia

3. Feeling of inadequacy

4. Isolation

5. Disturbed sleep

6. Mood swings
*
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A. 2, 3, 4, 5
B. 1, 2, 3, 5, 6

C. 3, 4, 5, 6
D. 2, 3, 4, 5, 6

30. Which of the following nursing measures can help Kim in her condition?
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a.Counseling
b.Support

c.Psychotherapy
d.Mild anti—depressant.

SITUATION
5 of 5 points
Jimmy, a nurse assigned in Barangay Bagong Buhay, called for mother's class. There
was a group of primiparas and several others bringing along their children.
31. While discussing prenatal care with a group of pregnant women, one of the women asks the
nurse, "What should I eat to ensure normal growth of my baby?" The nurse's response depends on an
understanding of nutritional needs during pregnancy. Which of the following statements is
INCORRECT about nutrition in pregnancy?
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a.Weight is the best way to measure the woman’s nutritional intake.
b.Adequate calcium can be provided by drinking 4 glasses of milk in a day.
c.There is a need to add 300 calories to the non—pregnant caloric intake of 1500 kcal/ day.

d.Nutritional counselling should start with an assessment of the woman's daily intake—take a 24
—day diet history.

32. You encouraged a first—time mother to talk to her child, a 9 month—old girl, who at this age
should be

.
*
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a.saying "dada”

b.cooing when talked to

c.obeying simple commands
d.vocalizing single syllables

33. Another new mother is concerned about the developmental milestone of her son who is 7 months
old. Which of the following statements by the new mother indicates that your health teaching was
effective?
*
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a."He can stand up from a sitting position.
b."My son can sit without support.
c."He can crawl."

d."He can drink from his training cup with minimal spilling."

34. Another concerned baby, 6 months old Ann, is brought because of a delay in development. Upon
assessment, you would expect the infant to .
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a.be able to hold a piece of a small snack with her finger and thumb
b.reach out for her toy.
c.sit upright for a long period
d.hold her feeding bottle for short while

35. A young mother asks you about the attachment behaviors she would expect her 4month—old son
to demonstrate. Which of the following is NOT included in your health teaching?
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a.The infant is friendly to strangers,
b.The infant follows his mother as she moves.

c.The infant greets his mother when she returns.

d.The infant recognizes and responds to his mother's voice.
SITUATION
4 of 5 points
Nurse Christa is a beginning nurse assigned in the Pediatrics Unit In a government
hospital. The Unit has pediatric patients of different ages. Since she will be dealing
with patients of varied ages, she thought it best to review her notes on human growth
and development, specifically, Erikson 's psychosocial theory.

36. The BEST reason why Nurse opted to review Erikson' s psychosocial theory is, which of the
following statements?
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a.Failure to master these tasks leads to feelings of inadequacy.
b.Helps children grow into successful and contributing members society.
c.Completion of task results in a sense of competence and a heal thy personality.

d.We are motivated by the need to achieve competence in certain areas of our lives.

37. Nurse Christa immediately responds to any cry from her pediatric patients because it is, which of
the following reasons?
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a.lessen the noise overload in the Unit.
b.attend to her patients who cannot communicate verbally

c.check if the child is hungry or wet.

d.be a powerful influence over that individual' s interactions with others for the Ericaainder of
his/her life

38. Nurse Christa is attending to a two—year—old Sasha who is admitted due to chronic bronchitis.
Sasha sports long hair that extends up to her shoulder. As part of the morning care, Nurse Taylor
decided to style Sasha' s hair into a ponytail, However, Sasha vehemently resisted her hair being tied
by a rubber band. Christa's BEST thing to do is, which of the following?
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a.Deny Sasha's preference
b.Allow Sasha’s preference
c.Explain that a pony tall would make Sasha more beautiful

d.Assert her authority

39. Falco, who is 17 years old, is admitted due to influenza. He is admitted in a private room. In one of
Nurse Christa's conversations with Falco too, the patient confessed that he is very unhappy with the
program he is taking up in college as this is not his choice but rather the choice of his parents. In
which of Erikson’s stage of development does this case fall?
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a.Autonomy versus shame / doubt
b.Trust versus distrust
c.Integrity versus despair
d.Identity versus role confusion

40. Gabi, 7 years old, is confined in the Pediatric Ward due to diarrhea. She is hooked to an
intravenous Infusion. Gabi and her family were taught to use the buzzer, should they need something.
Gabi pressed the buzzer while her father was sleeping, when her IV was about to be consumed. The
gesture of praising at this age is an example of which of the following?
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a.Generativity
b.Initiative
c.Industry

d.Autonomy

Situation .
7 of 14 points
The family is the unit of service in Community Health Nursing (CHN). Public Health
Nurse Penny takes care of the Hizon family. Manny works as a janitor in the municipal
hall. His wife Liza tends a small variety store in front of their house. Their children are
Lala (6 yrs. old), Lulu (5 yrs. old), Maria (4 years old) and Mario (3 yrs. old).

41. Based on the characteristics of the Hizon family, Nurse Penny can easily categorize which of the
family’s developmental stage?
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a.Families with preschool children

b.Family with school age children

c.Beginning family
d.Early child-bearing

42. In this particular stage, which of the following is a most basic concern?
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a.Emergence of harmony in marital and in-law relations.
b.Child rearing
c.The couple shifts to adult social interests.
d.Balancing time and energy to meet the demands of work and family.

43. As a young manager, Penny knows that conflict occurs in any organization. Which of the following
statements regarding conflict is NOT true?
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a.It may result to poor performance of the staff.
b.It can be destructive; hence, it should not reach the highest level.
c.It is not beneficial; hence, it should be prevented at all times.
It may create a new leader from among the staff

44. Penny tells one of the staff: “I don’t have time to discuss the matter with you now”, when the latter
asks if they can talk about an issue. Which of the conflict resolution strategies did she use?
*
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a.Avoidance

b.Smoothing
c.Compromise
d.Restriction
45. Which of the following is the BEST action that she must take?
*
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a.Disregard what she feels and continue to work independently.
b.Identify the source of conflict and understand the source of friction.

c.Seek help from the Director of Nursing.

d.Restriction

46. Penny knows that one of her staff is experiencing burnout. Which of the following is the BEST
thing to do?
*
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a.Ericaind her to show loyalty to the institutions.
b.Ignore her observations; it will be resolved even without intervention.
c.Let her staff ventilate her feelings and ask how she can be of help.

d.Advise her staff to go on vacation.

47. She knows that the performance appraisal consists of the following activities, EXCEPT
___________.
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a. Setting specific standards and activities for individual performance.

b.Using agency standards as a guide

c.Focusing activity on the correction of identified behavior
d.Determine areas of strengths and weaknesses

48. Betsy 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
Betsy?
*
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a.Since there has been a twin, Betsy is G4P4
b.Since there was an abortion, Betsy is G4P3

c.Betsy is Gravida 3 Para 2 (G3P2)

d.Betsy is Gravida 4 Para 2 (G4P2)

49. Betsy is now in her second stage of labor; Cervix 8cm. Nurse Janette puts her in a lithotomy
position. One of the dangers of this position that Nurse Janette should watch for in Betsy is
___________.
*
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a.Hyperventilation
b.Hypertension
c.Hypotension

d.Tachypnea
50. If Betsy has a long second stage of labor and needs to be placed in Lithotomy position for a long
time, Nurse Janette should implement the following safety measures, EXCEPT ___________.
*
0/1
a.Wrap legs with elastic bandages
b.Put 2 pillows under her head

c.Place a small pad under her sacral area

d.Put a rolled towel under the Betsy’s right hip

51. Nurse Janette understands that Betsy needs more support and encouragement during the PEAK
and MOST painful phase of uterine contractions, which is called ____________.
*
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a.Decrescendo
b.DecEricaent
c.IncEricaent
d.Acme

52. Before the INITIAL vaginal examination commonly referred to as internal examination, what must
Nurse Janette check FIRST?
*
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a.Blood pressure for hypotension or hypertension
b.Heart rate of Betsy for chest compression.
c.Abdominal palpitation for signs of fetal distress.
d.Abdominal palpitation for fetal lie and position, and fetal heart tone.

53. Which of the following is the FIRST step that Nurse Janette must consider in preparing a health
teaching plan? To know _____________.
*
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a.Certain factors that may affect the client’s learning.
b.The client’s personal values and expectations
c.The client’s age and educational status
d.The postpartum client’s needs

54. What resources should Nurse Janette 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
SITUATION
5 of 5 points

Nurse Judy is a staff nurse in the Maternity Ward of Samson Hospital. While working
as a staff nurse, she also pursues graduate studies for a master's degree in nursing.
She plans to conduct a study in her unit.

55. Nurse Judy understands that the main objective in conducting a research in nursing is to
*
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a.A. develop the nursing profession
b.B. improve nursing care

c.C. ensure accountability for nursing practice

d.D. document the cost effectiveness of nursing care

56. Nurse Judy decides to do a phenomenological study. What is the characteristic of a

phenomenological study?
*
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a.Was initially developed by anthropologists to study the way a human. being react within or
experience a natural setting.
b.Enables the investigator to discover the theory from systematically obtained data.
c.Provides an in—depth description of the phenomenon of interest to the investigator.
D.Examines maternal experience as they are lived and understood as really as human beings

57. Nurse Judy is aware that phenomenological method of research is ____

*
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a.that it uses primary and secondary sources.
b.a description of events from the past
c.that truth is a lived experience

d.that it involves field work

58. To collect data for her study, Nurse Judy interviews six patients who has experienced
complications during pregnancy and after delivery. She interviews the patient two or three times until
the point of saturation has been reached. To what does the term "saturation" in qualitative research
refer to?
*
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a.Sample size
b.Data repetition

c.Subject exhaustion
d.Researcher exhaustion

59. Nurse Judy drafts a title for her proposed study. Which of the following would be the
APPROPRIATE title for her study?
*
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a."Caring Behaviors of Nurses Toward Maternity Patients with Complications "
b."Lived Experiences of Maternity Patients with Complications"

c."Quality of life of Maternity Patients with Complications "

d."Competencies of Nurses in the Maternity Unit as Perceived by Patients "

SITUATION
6 of 9 points

Norman, 18 years old, is admitted due to Human Immunodeficiency Virus (HIV)

manifesting signs and symptoms of fever, headache, malaise, enlarged lymph nodes,
and loss of appetite. Norman and family are so worried due to fear of being
discriminated against, receiving judgmental attitudes from the hospital staff and
disclosure of his admitting diagnosis.

60. A part of Nurse Rossa's orientation upon admission is presenting the Patient's Bill of Rights.
When Nurse Rossa requests the parents to sign the admission form, which of the following Patient's
Bill of Rights is referred to?
*
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a.Right to be informed of his rights and responsibilities as a patient.
b.Right to informed consent.

c.Right to information.
d.Right to privacy and confidentiality.

61. In signing the admission form, which of the following persons may sign the document (in the order
of priority)?

1. Either parent

2. Second degree relative

3. Brother or sister of legal age

4. Legal Guardian
*
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a.1, 2, 4 & 3
b.1, 3, 2 & 4
c.1, 3, 4 & 2
d.1, 4, 3 & 2

62. To validate that Norman’s family have understood HIV and the discharge plan made by Nurse
Rossa, to include the doctor's orders of medications to be taken at home, which of the following
statements is INCORRECT?
*
1/1
a."HIV during adolescence are infected through sex. "
b."HIV may also can be contracted by mosquito bites, saliva, tears or sweat.

c.Medication adherence can be especially difficult for adolescents because they may skip HIV
medicine to hide their HIV—positive status from others.
d." Many adolescents infected with HIV do not know that they are HIV positive.”
63. Nurse Rossa knows that Norman will not be subjected to any procedure without his family' s
written informed consent, EXCEPT
*
0/1
a.when disclosure of material information to patient will jeopardize the success of treatment, in
which case, third party disclosure and consent shall be in order.
b.when Norman's family does not waive its right in writing
c.when the patient is either a minor, or legally incompetent, in which case, a third-party consent
is required.
d.in emergency cases when the patient is at imminent risk of physical injury

64. The MOST APPROPROPRIATE nursing diagnosis for Norman's case who is an adolescent is,
which of the following nursing diagnoses?
*
1/1
a.Social isolation.
b.Compromised family coping.
c.Anxiety related to stigma of his admitting diagnosis.

D.Risk for compromised human dignity

65. The body system of the newborn moves through periods of irregular adjustment in the first six (6)
hours of life. It has two periods namely, the first and the second periods of reactivity. The FIRST
period of reactivity consists of the following characteristics. Select all those that apply.

1. Alertness

2. Making sucking sounds

3. Slow heartbeat

4. Slow respiratory rate (RR

*
1/1
a.1, 2

b.3, 4
c.1 only
d.3 only

66. Which among the following describes Palmar Grasp Reflex of the baby? When he ____________.
*
1/1
a.Is startled as his crib is shaken
b.Grasps an object and placed on his toes
c.Gets an object placed on his hand by closing his fingers

d.Seems to spit out anything placed in his mouth

67. 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 Chari anticipate to occur ALMOST
IMMEDIATELY?
*
1/1
a.Cellulitis
b.Infiltration

c.Phlebitis
d.Burns

68. Later, the pediatrician orders Baby Boy to undergo 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

SITUATION
8 of 12 points
Tonette 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.

69. What are the elements that will prove that Nurse Tonette committed gross negligence? Select all
that apply.

1. That Nurse Tonette has a duty

2. That Nurse Tonette failed to perform that duty

3. Due to that duty an injury occurred to her patient

4. Causal relationship as regards the failure of the nurse to perform her duty and the resulting injury.
*
1/1
a.1, 2, 3
b.3 and 4
c.1 and 2

d.1, 2, 3, 4

70. What could have been done to prevent the occurrence of switching of babies?
*
1/1
a.Calling out the name of the mother
b.Proper identification of the baby using name tags

c.Checking the genitalia

d.Identifying the baby by checking their footprints

71. What is the number one element that can prove that Tonette is incompetent? Tonette was not able
to perform her job _______________.
*
0/1
a.Because she is newly hired nurse

b.According to the orientation

c.Because she lacks supervision
d.According to a set standard

72. Which of the following should Tonette, being professional nurse, understand as the primary
outcome should she be proven guilty of incompetence?
*
1/1
a.That she can be delisted as member of the APO
b.That she can be terminated from work by her employer
c.That she can be charged in the civil court
d.That her license to practice nursing can be suspended or revoked for a period of time by the
PRC

73. 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

74. Which of the following health behavior choices are ESSENTIAL to promoting health and
preventing disease?
*
1/1
a.Taking prescribed medications at the right time and dosage.
b.Eating the right kind of food, adequate sleep, physical exercise and effective handling of stress

c.Refraining from travelling to countries with high prevalence of infectious diseases.

d.Smoking cessation and drinking alcohol regularly.

75. What are the ESSENTIAL factors in the integrative models of human health?
*
1/1
a.Intertwined and interactive, with multiple components such as physical, psychological and
social

b.Effective only when combined and integrated with alternative therapies

c.Generally being attributed to psychological problems in individuals
d.Derived solely from physical phenomenon
76. Which is MOST likely be the tentative diagnosis?
*
1/1
a.Threatened abortion

b.Incomplete abortion
c.Missed abortion
d.Inevitable abortion

77. A few hours after admission, Client Joyce begins to experience bearing-down sensations and
expels the products of conception in bed. What should Nurse Maxine do FIRST?
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a.Notify the midwife of the hospital
b.Administer a sedative according to physician’s order
c.Check the client’s fundus for firmness

d.Transport her to the Delivery Room

78. Client Joyce asks what is the cause of abortion? The MOST appropriate response that Nurse
Maxine gives is that it is due to _____________.
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0/1
a.Unresolved stress

b.Physical trauma
c.Congenital defects
d.Embryonic defects

79. Which is the number ONE microorganism that is responsible for infection after a miscarriage?
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a.Escherichia coli
b.Staphylococcus
c.Streptococcus

d.Pneumococcus

80. What is the MOST important advice that Nurse Maxine should give Client Joyce? It is on risk of
____________
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1/1
a.Massive bleeding
b.Rupture of the uterus
c.Ectopic pregnancy
d.Infection

SITUATION
2 of 4 points
Nurse Chrisy is a clinical instructor (CI) of AL University in the North. She is assigned
at the OR in a government provincial hospital. Chrisy is aware of the scope of nursing
and her responsibilities to the school and the hospital
81. What is the FIRST STEP that Chrisy should do upon reporting to the OR with her students? She
should __________.
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a.Orient the students to the policies of the OR

b.Introduce herself and coordinate with the head nurse

c.Greet the surgeons and anesthesiologists
d.Orient her students to the set-up of the Operating Room (OR)

82. Chrisy understands her responsibilities to the school she represents and the hospital she and her
students are affiliated with. Which of the following is an INCORRECT statement about student
nurses?
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a.clients

b.Although student nurses are not yet licensed they are expected to adhere to the same
standards as the licensed nurse
c.The student nurses are the sole responsibility of the CI and school.
d.Hospitals or health care agencies may impose limitations on student nurses’ practice and
coordination and collaboration by the CI and the student nurses must always be practiced.

83. When giving case assignments to student nurses at the OR, the CI should inform which of the
following OR personnel? Choose all that apply.

1. OR supervisor

2. Chief nurse

3. Scrub nurse

4. Circulator
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a.1, 2, 4
b.3 and 4

c.1 and 4
d.1 and 2

84. If a student nurse commits a break in asepsis while an operation is on-going, who among the
following persons can call the attention of the student nurse and the entire team?
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1/1
a.The CI only, in as much as she is the one directly responsible over the students.
b.The surgeon being the captain of the ship.
c.Any member of the surgical team who saw the infraction.

d.The scrub nurse or the circulating nurse on-going surgery even if she did not see the infraction.

SITUATION
3 of 5 points
Mr. and Mrs. Dela Cruz have eight children who are all boys. How they would like to be
counseled on family planning methods by Nurse Erica.
85. Nurse Erica explains the two forms of hormonal contraceptives 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.
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1/1
a.3 and 4
b.1 and 4
c.1 and 2

d.2 and 3

86. 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
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a.3 and 4
b.1 and 2
c.1, 2, 4
d.1, 2, 3, 4

87. Nurse Erica advises that the BEST way to lessen the side effects of COC’s is by __________.
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a.Changing the routine activities
b.Consulting the physician for the side effects

c.Not minding it because it will just subside

d.Using different brands of contraceptives

88. Nurse Erica also advises Mrs. Dela Cruz to notify the health center physician/nurse for the
following symptoms, EXCEPT ______________.
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a.Severe leg pain
b.Shortness of breath
c.Earache

d.Chest pain

89. Mrs. Dela Cruz 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 increases the other method’s effectiveness

3. Various preparations are available in the Norman

4. They can be purchased without a prescription

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1/1
a.1 and 2
b.3 and 4
c.1, 2, 3
d.2, 3, 4

SITUATION
3 of 4 points
Mrs. Suzie, 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.

90. Which statement BEST describes endometriosis?

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1/1
a.It is caused by growth of endometrial tissues outside the uterus.

b.It is an infection of the endometrium.

c.It is caused by abnormal proliferation of the endometrial lining.
D. It is a major cause of primary dysmenorrhea

91. The nurse performs an assessment on Mrs. Suzie. Which of the findings would be indicative of
endometriosis? Select all that apply.

1. Spotting after intercourse

2. Persistent dysmenorrhea

3. Dyspareunia

4. Menorrhagia

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1/1
a.1, 4
b.3, 4
c.1, 2, 3
d.2, 3, 4

92. The physician prescribes Danazol (Danocrine) for Mrs. Suzie. The nurse should tell her that while
taking this drug she will experience all these symptoms, EXCEPT ____________.
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0/1
a.Anovulation

b.Weight gain and edema

c.Diminished menstrual flow
d.Cessation of her menses

93. What is the rationale behind endometriosis interfering with fertility? It is because ____________.
*
1/1
a.Pressure on the pituitary that leads to decreased FHS levels.
b.Of total blockage of endometrial tissues

c.The uterine cervix becomes inflamed and swollen

d.The ovaries stop producing adequate estrogen

SITUATION
0 of 4 points
Essential Newborn Care is one of the best strategies to improve newborn care and
help reduce neonatal morbidity and mortality.

94. Which of the following describes the Essential Newborn Care protocol?

1. Series of time – bond , chronologically – ordered, standard procedures that babies receive at birth

2. Strategy to improve the health of the newborn through interventions before conception, at soon
after birth and in postnatal period

3. It aims to reduce global mortality and morbidity associated with the major causes of diseases in
children and to contribute to healthy growth and development of children

4. Provides an evidence- based, low cost low technology package of interventions that will save
thousands of lives.
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0/1
a.1,2,3

b.1,3,4
c.1,2,4
d.1,2,3,4

95. Interventions carried out that are done within a prescribed period would include all except one.
Which should not be included in this category?
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a.Suctioning the Infant
b.Drying the infant
c.Early skin to skin contact
d.Non- separation from the mother
96. Essential Newborn Care (ENC) gets away with the usual conscientious use of evidence
incorporated into practice. Which intervention is/are removed from practice?

1. Early Bathing

2. Routine suctioning

3. Bandaging the cord

4. Application of antiseptic in the cord stump

*
0/1
a.3, 4.
b.2,3,4

c.1,2,3
d.1,2,3,4

97. The Philippines is one of the 42 countries that account for 90 % of Under Five Mortality worldwide.
More than 82,000 Filipino children under five years old die every year .Which strategy by the
department of health is sought to attain the objectives of h Essential Newborn Care?
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a.Integrated management on childhood Illness
b.Unang Yakap Campaign
c.Expanded program on Immunization

d.Basic Emergency Obstetric Care

SITUATION
1 of 1 points
Nurse Madeline is assigned at the Maternity Clinic of Hospital G. Every Wednesday is
pre-natal day. From 8:00 o’clock to 9:00 o’clock in the morning, she conducts a health
education program for pregnant women. The topic for that day was signs and
symptoms that should be reported throughout pregnancy.

98. True labor is differentiated from failure labor because in true labor, contractions will
____________.
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a.Be relieved in the side lying position
b.Bring about progressive cervical dilatation

c.Stop when the client is encouraged to walk

d.Occur immediately after rupture of bag of water

SITUATION
1 of 1 points

Jelly, Lali, Margarette, Liz, and Karina are close friends because they are almost of the
same age (8-9 years old), orphans, and out-of-school youths. Nurse Paula from the
Department of Social Welfare and Development (DSWD) is tasked to attend to them
99. The nurse’ responsibility is to check on the children’s status/pattern. Which of the following should
be the nurse’ PRIORITY?
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1/1
a.Interaction patterns
b.Health status

c.Adaptation status
d.Developmental patterns

SITUATION
0 of 1 points
The birth process affects the holistic aspects of the mother, to include physiologic
changes to both the mother and the fetus. Nursing students are now assigned at the
OB Admitting Section of the National Hospital.

100. A nursing student is preparing a class on the process of fetal circulation. The instructor asks the
student specifically to describe the process through the umbilical cord. Which of the following
statements from the student is correct?
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a.“The one artery carries freshly oxygenated blood and nutrient-rich blood back from the
placenta to the fetus”
b.“The two arteries carry freshly oxygenated blood and nutrient-rich blood back from the
placenta to the fetus.”
c.“The two arteries in the umbilical cord carry blood that is high in carbon dioxide and other
waste products away from the fetus to the placenta.”
d.“The two veins carry deoxygenated blood away from the fetus to the placenta while a single
artery carries oxygenated blood to the fetus.”

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