tag:blogger.com,1999:blog-26116032142279699682024-03-28T07:53:28.793+08:00Nursing Board/Licensure Exam Answer KeyUnknownnoreply@blogger.comBlogger46125tag:blogger.com,1999:blog-2611603214227969968.post-64185492536697032172013-04-21T23:39:00.003+08:002013-04-21T23:48:50.598+08:00Number 1 Success Coach Raymond Aaron is coming to the Philippines. Hurry! Buy your Tickets now @ cheap price<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">Would you like to hear from one of the most sought-after speakers in North America who is also the author of 8 books and co-author of the New York Times bestselling Chicken Soup for the Canadian Soul™ and Chicken Soup for the Parent’s Soul™? (See attached to read more about his profile.) This coming May 11, 2013, Saturday, get a chance to shake his hand as we will be having a Success Forum at the PICC. Meet also our local and international millionaires (hundreds of them) and be inspired from their stories…</span><br />
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<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;"> Ticket costs P500 only, but surely the learnings you can get from this forum is PRICELESS. J How many tickets shall I reserve for you? Appreciate your confirmation on or before May 3, 2013, Friday, as tickets get easily sold out.</span><br />
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<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;"> Time: Registration starts at 1pm. Attire: Business</span><br />
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<a href="http://64.19.142.12/www.wealthcreatorsource.com/india/RaymondAaron.jpg_hyuncompressed" imageanchor="1" style="background-color: white; clear: left; color: #4d469c; float: left; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 1em; margin-right: 1em; text-decoration: none;"><img border="0" src="http://64.19.142.12/www.wealthcreatorsource.com/india/RaymondAaron.jpg_hyuncompressed" style="-webkit-box-shadow: rgba(0, 0, 0, 0.2) 0px 0px 0px; background-color: transparent; background-position: initial initial; background-repeat: initial initial; border-bottom-left-radius: 0px; border-bottom-right-radius: 0px; border-top-left-radius: 0px; border-top-right-radius: 0px; border: 1px solid transparent; box-shadow: rgba(0, 0, 0, 0.2) 0px 0px 0px; padding: 8px; position: relative;" /></a><span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">Raymond Aaron, the nation's #1 Thought Leader and Success Coach, has committed his life to teaching people how to dramatically change their lives for the better. Raymond transforms lives by helping people tap into their own potential.</span><br />
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<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">Today, Raymond is helping people achive greater wealth, branding, recognition, confidence, respect and authority. Raymond teaches hos cllients how to beacome respected authorities and experts in their fields.</span><br />
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<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">Raymond Aaron has shared his vision and wisdom on radio of 8 best-selling books, including Branding Small Business for Dummies, Double Your Income Doing What you love and the co-author of New York Times best-seller Chicken Soup for the Canadian Soul. He is also an avid adventurer having completed one of the toughest races, Polar Race (a 350 mile foot race to the Magnetic North Pole). This trek to the North Pole has inspired his newest title, How You Can Get Rich Without Getting Cold.</span><br />
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<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">Raymond Aaron remains one of the most sought-after speakers in North America.</span><br />
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<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">For more details and how to avail your ticket kindly contact:</span><br />
<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">Rose Ann F. Sajol</span><br />
<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">0908-8729305</span><br />
<span style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 18px;">0916-7075205</span>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2611603214227969968.post-43783944521038607552012-10-21T20:53:00.003+08:002013-04-21T23:40:48.196+08:00How to Measure your Antioxidants level in your Body that will protect you against Cancer?<br />
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<a href="http://blog.smu.edu/quitsmoking/files/2012/06/fruits-and-veggies-border.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="186" src="http://blog.smu.edu/quitsmoking/files/2012/06/fruits-and-veggies-border.jpg" width="400" /></a></div>
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<a href="http://www.viaviente.com/images/photo_Richard_Cutler.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.viaviente.com/images/photo_Richard_Cutler.jpg" /></a>According to <a href="http://draft.blogger.com/blogger.g?blogID=2586237461912173723" name="OLE_LINK2"></a><a href="http://draft.blogger.com/blogger.g?blogID=2586237461912173723" name="OLE_LINK1">Dr. Richard Cutler </a>: “ The amount of antioxidants that you maintain in your body is directly proportional to how long you will live.” <i>(Dr. Richard Cutler is Anti-Aging Research Department Director National Institute of Health (NIH) <st1:place w:st="on"><st1:city w:st="on">Washington</st1:city> <st1:state w:st="on">D.C.</st1:state></st1:place> Antioxidant Health)</i></div>
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At these modern times, many people realized the significance of antioxidants in our body’s optimum health defence against free radicals. Science has known that Free radicals can damage cells, and may play a role in aging, many chronic diseases, including heart disease, stroke, diabetes, Alzheimer’s, Parkinson’s, cataracts, and other diseases and the dreading disease CANCER. Antioxidants are found abundant in beans, grain products, fruits and vegetables. Yet, Japan Food Standardized Ingredients List stated that nowadays natural foods lose most of the nutrients due to environmental factors, soil destruction, and addictive processing. For examples: amounts of Vit. C in 100g of Spinach. 1950 – 150mg, 1963 – 100mg, 1982 – 63mg, 1994 – 13mg.</div>
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Dr. Lester Packer stated that it is very difficult for us to take all the essential nutrients through our daily diet alone. <i>( Dr. Lester Packer is the father of antioxidant and the world’s foremost antioxidant researcher.)</i> A publication in the Journal of American Medical Association (JAMA) released in June 2002 stated: <b>“Therefore, supplementation is necessary. Besides, knowing our Body Antioxidant Index can determine the state of our health, that allows us to regulate our diet, lifestyle and supplementation.”<o:p></o:p></b></div>
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Thus, there is avalanche of antioxidant-rich foods and antioxidant-rich dietary supplements. But how can we validate if the food supplements we’re taking are working and can effectively increase our antioxidants in our body or simply an expensive junk that pass into our urine? How can we know also if the fruits and vegetables in our diet are more than enough to maintain our anti-oxidants for our body’s defence mechanism?</div>
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The ability to Measure is the basis of Science. </div>
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Today, there is another breakthrough in Science that revolutionizes the health care system, the <b>Biophotonic scanner</b>. The Biophotonic scanner is invented by <st1:place w:st="on"><st1:placetype w:st="on">University</st1:placetype> of <st1:placename w:st="on">Utah</st1:placename></st1:place>, the same institution responsible for the artificial heart for the 21st century. (<a href="http://healthcare.utah.edu/publicaffairs/spotlight/Artificial%20Heart%20for%2021st%20Century.html">http://healthcare.utah.edu/publicaffairs/spotlight/Artificial%20Heart%20for%2021st%20Century.html</a>)<br />
<a href="http://www.nuskin.com/content/dam/nse/images/mediaCenter/scannhand2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="261" src="http://www.nuskin.com/content/dam/nse/images/mediaCenter/scannhand2.jpg" width="320" /></a></div>
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This Biophotonic scanner is the world’s first non-invasive tool that effectively measures the level of antioxidant inside your skin. Simply placing your hand in front of a low energy blue laser light, you can measure your skin carotenoid level and obtain your Skin Carotenoid Score. Carotenoids are powerful antioxidants that found in fruits and vegetables. The Measurement of skin carotenoid levels by the Biophotonic scanner is a conventional and useful indication of carotenoid concentrations and provides an accurate and reliable biomarker of your body’s overall antioxidants status – SCS color zones help you determine whether you are consuming adequate amount of antioxidant containing nutrients. Unlike other biomarkers, SCS does not predict or diagnose disease. Biophotonic scanner was featured in Dr. Oz Medical Show in tv.</div>
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For those who wanted to know their antioxidants score, the Biophotonic Scanner is available here in the Philippines. Call me if interested to schedule a scan.<br />
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Rose Ann F. Sajol, RMT, RN</div>
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<a href="mailto:roseannsajol@yahoo.com">roseannsajol@yahoo.com</a></div>
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0908-8729305</div>
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0916-7074205<br />
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-69347873433997563682012-09-08T18:57:00.000+08:002012-09-08T18:57:14.616+08:00Ageloc R2. The FOUNTAIN of YOUTH<b>Do you want to be 15 years younger?</b><br />
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We are launching this amazing product for those who wanted to look 10-20 years younger than his/her age. Far effective than stem cells but not as expensive.<br />
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For the first time in the world, through the research of Lifegen Technologies (The institution behind Cloning), Pharmanex and Stanford University, the first natural genetic product that TARGETS AGING AT IT'S SOURCE - OUR GENES, is here. The product works by resetting genetic expression thereby making your body think young again. Because it works at it's source, there are too many benefits. It recharges and renews. (See pictures attached for the testimonials.)<br />
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Incidentally, this product is also one of the rare natural products found in the PDR now - Physicians Desk Reference. Meaning it's good even for doctors internationally. This product has been proven so effective that DISCOVERY CHANNEL will feature this product this December.<br />
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Bad news is, supply for this product will only be available next year due to inadequate production capacity for the high demand. The US launch sales was so successful that the product run out in the first 2 hours... Good news! The Philippines is given a limited 15-day only pre-launch this September10-24. And stocks are only limited.<br />
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As you know, never before has there been a product so profound and effective in naturally renewing your youth. We owe it to ourselves and to our loved ones to experience an effective 10 month detox program from all the years of abuse. It is suggested for those who are interested to get a 10 month supply (1 set or 10 bottles).<br />
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Let me know if you know someone who's interested to order or supply so I can reserve. Have a good day and keep a healthy lifestyle.<br />
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<a href="http://www.facebook.com/photo.php?fbid=318592288164403&set=a.318591478164484.82439.177267815630185&type=1&theater">http://www.facebook.com/photo.php?fbid=318592288164403&set=a.318591478164484.82439.177267815630185&type=1&theater</a><br />
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Rose Ann F. Sajol, RMT, RN<br />
0908-8729305 / 0933-6387947<br />
Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-2611603214227969968.post-41419475132645104472012-08-26T20:46:00.001+08:002012-08-26T20:46:11.235+08:00Effective Weight Loss Program: No Diet No Exercise No Rebound<br />
We have two kinds of fat in our body, the Subcutaneous Fat and the Visceral Fat.<br />
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<b>Subcutaneous Fat</b> is the fat we find under the skin. It can be removed by liposuction but it will rebound.<br />
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<a href="http://64.19.142.12/drpinna.com/wp-content/uploads/2010/10/1070397_f520.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="visceral fat" border="0" height="300" src="http://64.19.142.12/drpinna.com/wp-content/uploads/2010/10/1070397_f520.jpg" width="400" /></a><b>Visceral Fat</b> is the fat that envelop our organs. Unfortunately, visceral fat predisposes humans to many types of serious illneses. The most serious illnesses are Diabetes and Cardio-Vascular (or Heart) Disease.<br />
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The reason for this predisposition towards these serious diseases is the fact that visceral fat releases large quantities of triglycerides and low density lipoproteins into the blood stream.This fact is so important that physicians around the world advise their patients to keep their weight low in order to have less visceral fat.<br />
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Dieting may decrease your visceral fat but it is not the best way. Exercise can decrease visceral fat but with our busy lifestyle most of us don't have time to exercise. Exercise causes elevated aerobic metabolism, which in turn increases the production of killer molecules known as free radicals, prompting concern about enhanced damage to muscles and other tissues.<br />
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Whatever weight loss program, diet, pills and surgery you undergo in order to bring back that sexy figure you had, as long as it won't decrease your visceral fat you won't permanently loss that stubborn fat. You're just wasting your money.<br />
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I have a good news for you. A weight loss, I mean Fat loss program that will bring back your sexy figure you've been longing for without hassle, the healthy and effective way.<br />
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A patented 3-month weight management product system composed of world class premium supplements. Together with right nutrition, the TRA Transformation Pack can help one achieve their weight management goals in the most comprehensive, effective and safest approach.<br />
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These are my friends who took the Weight Loss program (No Diet No Exercise and No Rebound) and very happy with their transformation. Their body age, body fat, and visceral fat dramatically decreased in just 30 Days.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9zlrW3nAzuu38a46dWMX2DKQMI8vQPeGAtQWDiBz7q0nfzSeM-wJlHBS1vJTpmzkQItaJewbyc1RjFFbCfBF21h-qRfJuiPp5Pxh-sRZ-L0ZlH4plylDRTPWsBNYGGtxSgkMv5FyMHZZL/s1600/294667_2330929443497_227517685_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9zlrW3nAzuu38a46dWMX2DKQMI8vQPeGAtQWDiBz7q0nfzSeM-wJlHBS1vJTpmzkQItaJewbyc1RjFFbCfBF21h-qRfJuiPp5Pxh-sRZ-L0ZlH4plylDRTPWsBNYGGtxSgkMv5FyMHZZL/s400/294667_2330929443497_227517685_n.jpg" width="400" /></a><br />
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If you want to know your visceral fat, body age and body fat percentage, I can give you a free scan using Karada scan made by Omron from Japan or FREE Consultation to weight loss. <span style="line-height: 16.78333282470703px;">For appointment you may call <b>Rose Ann F. Sajol, RMT, RN 0908-8729305 / 0933-6387947 / roseannsajol@yahoo.com</b></span><br />
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Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-2611603214227969968.post-64098676411652419432010-06-27T16:40:00.000+08:002010-06-27T16:40:41.194+08:00NP5 Nursing Board Exam November Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice V – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
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PART 2 Board Exam test questions 51 - 100<br />
<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 9: Clients with Bipolar disorder receives a very high nursing attention due to the increasing rate of suicide related to illness.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">51. The nurse is assigned to care for a recently admitted client who has attempted suicide. What should the nurse do?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Search the client’s belongings and room carefully for items that could be used to attempt suicide.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Express trust that the client won’t cause self-harm while in the facility.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Respect the client’s privacy by not searching any belongings<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Remind all staff members to check on the client frequently<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">52. In planning activities for the depressed client, especially during the early stages of hospitalization, which of the following plan is best?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Provide an activity that is quiet and solitary to avoid increased fatigue such as working on a puzzle and reading a book.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Plan nothing until the client asks to participate in the milieu<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Offer the client a menu of daily activities and ask the client to participate in all of them<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Provide a structured daily program of activities and encourage the client to participate<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">53. A client with a diagnosis of major depression, recurrent with psychotic features is admitted to the mental health unit. To create a safe environment for the client, the nurse most importantly devises a plan of care that deals specifically with the clients:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Disturbed thought process<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Self Care Deficit<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Imbalanced Nutrition<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Deficient Knowledge<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">54. The client is taking a Tricyclic anti depressant. Which of the following is an example of TCA?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Paxil<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Zoloft<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Nardil<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Pamelor<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">55. A client visits the physician’s office to seek treatment for depression, feeling of hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and difficulty making decisions. The client states that these symptoms began at least 2 years ago. Based on this report, the nurse suspects:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. cyclothymic disorder <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Major depression<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Bipolar disorder<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Dysthymic disorder<o:p></o:p></span></b></div><div class="MsoNormal"><a name='more'></a><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">56. The nurse is planning activities for a client who has bipolar disorder, which aggressive social behaviour. Which of the following activities would be most appropriate for this client?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Ping Pong<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Linen Delivery<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Chess<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Basketball<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 418.5pt; text-indent: -418.5pt;"><span style="font-family: Verdana; font-size: 8pt;">57. The nurse assesses a client with admitted diagnosis of bipolar affective disorder mania. The symptom <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 418.5pt; text-indent: -418.5pt;"><span style="font-family: Verdana; font-size: 8pt;">presented by the client that requires the nurse’s immediate intervention is the client’s:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Outlandish behaviour and inappropriate dress<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Grandiose delusion of being a royal descendant of King Arthur<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Nonstop physical activity and poor nutritional intake<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Constant incessant talking that includes sexual topic and teasing. <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">58. A nurse is conducting a group therapy session and during the session. A client with mania consistently talks and dominates the group. The behaviour is disrupting the group interaction. The nurse would initially:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Ask the client to leave the group session.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Tell the client that she will not be allowed to attend any more group sessions.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Tell the client that she needs to allow other client in a group time to talk.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Ask another nurse to escort the client out of the group session.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">59. A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the last 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb. (8.2 kg). Based on Maslow’s hierarchy of needs, what should the nurse provide this client with first?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. The opportunity to explore family dynamics<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Help with re-establishing a normal sleep pattern.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Experiences that build self-esteem.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Art materials and equipment.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">60. The physician orders lithium carbonate (Lithonate) for a client who’s in the manic phase of bipolar disorder. During lithium therapy, the nurse should watch for which adverse reactions?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Anxiety, restlessness, and sleep disturbance<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Nausea, diarrhea, tremor, and lethargy<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Constipation, lethargy, and ataxia<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Weakness, tremor, and urine retention <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 10 – Annie has a morbid fear of heights. She asks the nurse what desensitization therapy is:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">61. The accurate information of the nurse the goal of desensitization is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. To help the clients relax and progressively work up a list of anxiety provoking situations through imagery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. To provide corrective emotional experiences through a one-to-one intensive relationship<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. To help clients in a group therapy setting to take on specific roles and reenact in front of an audience, situations in which interpersonal conflict is involved.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. To help clients cope with their problems by learning behaviors that we are more functional and be better equipped to face reality and make decisions.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">62. It is essential in desensitization for the patient to:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> A. Have a rapport with therapist<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. Use deep breathing or another relaxation technique<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. Assess one’s self for the need of anxiolytic drug<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. Work through unresolved unconsciousness conflicts <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">63. In this level of anxiety, cognitive capacity diminishes. Focus becomes limited and client experiences turned vision. Physical signs of anxiety become more pronounced.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> A. Severe anxiety<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. Panic<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. Mild anxiety<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. Moderate anxiety<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">64. Anti-anxiety medication should be used with extreme caution because long term use can lead to.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. Parkinsonian like syndrome<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. Hypertensive crisis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. Hepatic failure<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> D. Risk of addiction<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">65. The nursing management of anxiety related with post traumatic stress disorder includes all of the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. Encourage participation in recreation or sport activities <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> B. Reassurance client’s safety while touching client<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. Speak in calm soothing voice<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. Remain with the client while fear level is high<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">SITUATION 11: You are fortunate to be chosen as part of the research team in the hospital. A review of the following IMPORTANT nursing concepts was made.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">66. As a professional, a nurse can do research for varied reason except:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Professional advancement through research participation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. To validate results of new nursing modalities<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. For financial gains<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. To improve nursing care<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">67. Each nurse participants was asked to identify a problem. After the identification of the research problem, which of the following should be done?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Methodology<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Review of related literature<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Acknowledgement<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Formulate hypothesis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">68. Which of the following communicate the results of the research to the readers. They facilitate the description of the data.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Hypothesis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Statistics<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Research Problem <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Tables and Graphs<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">69. In Quantitative date, which of the following is described as the distance in the scoring unites of the variable from the highest to the lower?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Frequency<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Mean<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Median<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Range<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">70. This expresses the variability of the data in reference to the mean. It provides as with a numerical estimate of how far, on the average the separate observation are from the mean:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Mode<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Standard deviation<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Median<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Frequency<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 12: Survey and Statistics are important part of research that is necessary to explain the characteristics of the population.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">71. According to the WHO statistics on the Homeless population around the world. Which of the following groups of people in the world disproportionately represents the homeless population?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Hispanics<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Asians<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. African Americans<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Caucasians<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">72. All but one of the following is not a measure of Central Tendency?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Mode<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Variance<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Standard Deviation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Range<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">73. In the value: 87, 85, 88, 92, 90: What is the mean?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. 88.2 <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. 88.4 <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 87<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 90<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">74. In the value: 80, 80, 80, 82, 82, 90, 90,100. What is the mode?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 80<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 82<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 90<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 85.5.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">75. In the value 80, 80, 10, 10, 25, 65, 100, 200: What is the median?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. 71.25<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 22.5<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 10 and 25<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. 72.5<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">76. Draw Lots, Lottery, Table of random numbers or a sampling that ensures that each element of the population has an equal and independent chance of being chosen is called:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Cluster<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Simple<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Stratified<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Systematic<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">77. An investigator wants to determine some of the problems that are experienced by diabetic clients when using an Insulin pump. The investigation went into a clinic where he personally knows several diabetic clients having problem with insulin pump. The type of sampling done by the investigator is called:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Probability<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Purposive<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Snowball<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Incidental<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">78. If the researcher implemented a new structured counselling program with a randomized group of subject and a routine counselling program with another randomized group of subject, the research is utilizing which design?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Quasi experimental<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Experimental<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Comparative<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Methodological<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">79. Which of the following is not rue about a Pure Experimental Research?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. There is a control group<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. There is an experimental group<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Selection of subjects in the control group is randomized<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. There is a careful selection of subjects in the experimental group<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">80. The researcher implemented a medication regimen using a new type of combination of drugs to manic patients while another group of manic patient receives the routine drugs. The researcher however hand picked the experimental group for they are the clients with multiple episodes of bipolar disorder. The researcher utilized which research design?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Quasi-experimental <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Pure experimental <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Phenomenological<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Longitudinal<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 13: As a nurse you are expected to participate in initiating or participating in the conduct of research students to improve nursing practice. You to be updated on the latest trends and issues affected the profession and the best practices arrived at by the profession.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">81. You are interested to study the effects of medication and relaxation on the pain experienced by the cancer patients. What type of variable is pain?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Dependent<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Correlational<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Independent<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Demographic<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">82. You would like to compare the support system of patient with chronic illness to those with acute illness. How will you best state your problem?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. A descriptive study to compare the support system of patients with chronic illness and those with acute illness in terms of demographic data and knowledge<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. The effects of the types of support system of patients with chronic illness and those with acute illness<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. A comparative analysis of the support system of patients with chronic illness and those with acute illness<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. A study to compare the support system of patients with chronic illness and those with acute illness.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">E. What are the differences of the support system being received by patient with chronic illness and patients with acute illness?<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">83. You would like to compare the support system of patients with chronic illness to those with acute illness. Considering that the hypothesis was: “Clients with chronic illness have lesser support system than clients with acute illness.” What type of research is this?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Descriptive<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Experimental<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Correlational, Non experimental<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Quasi Experimental<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">84. In any research study where individual persons are involved, it is important that an informed consent of the study is obtained. The following are essential information about the consent that you should disclose to the prospective subject except:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Consent to incomplete<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Description of benefits, risks and discomforts<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Explaining of procedure<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Assurance of anonymity and confidentiality<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">85. In the hypothesis: “The utilization of technology in teaching improves the retention and attention of the nursing students.” Which is the dependent variable?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Utilization of technology<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Improvement in the retention and attention<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Nursing students<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Teaching<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 14: You are actively practicing nurse who has just finished your graduate studies. You learned the value of research and would like to utilize the knowledge and skills gained in the application of research to the nursing service. The following questions apply to research.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">86.Which type of research inquiry investigates the issue of human complexity (e.g. understanding the human expertise)?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. logical position <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. <b>natural inquiry</b> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. positivism <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D<b>. </b>quantitative research<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">87. Which of the following studies is based on quantitative research?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. A study examining the bereavement express in spouse or clients with terminal cancer<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. A study exploring the factors influencing weight control behaviour<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. A study measuring the effects of sleep deprivation on patients healing<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. A study examining client’s feeling before, during and after bone marrow aspiration.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">88. Which of the following studies is based on the qualitative research?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. A study examining client’s reaction to stress after open heart surgery <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. A study measuring nutrition and weight loss/gain in clients with cancer<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. A study examining oxygen levels after endotracheal suctioning<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. A study measuring differences in blood pressure before, during and after procedure<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">89. An 85 year old client in a nursing home tells a nurse, “ I signed the papers of that research study because the doctor was so insistent and I want him to continue taking care for me. “Which client right is being violated?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Right of self determination<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Right to privacy and confidentiality<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Right to self disclosure<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Right not to be harmed<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">90. A supposition or system of ideas that is proposed to explain a given phenomenon best defines:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Paradigm<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Concept<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. A theory<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. A conceptual framework<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 15: Mastery of research design determination is essential in passing the NLE.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">91. Ana wants to know if the of time she will study for the board examination is proportional to her board rating. During the June 2008 board examination. She studied for 6 months and gained 60%. On the next board exam, she studied for 6 months again for a total of 1 year and gained 74%. On t third board exam, She studied for 6 months for a total of 1 and a half year and gained 82%. The research she used is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Comparative<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Correlational<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Experimental<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Qualitative<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">92. Anton was always eating high fat diet. You want to determine if what will be the effect of high cholesterol food to Anton in the next 10 years. You will use:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Comparative<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Correlational<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C<b>. </b>Historical<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Longitudinal<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">93. Community A was selected randomly as well as community B, nurse Edna conducted teaching to Community A and assess if community A will have a better status than community B. This is an example of:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Comparative<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Correlational<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Experimental<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Qualitative<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">94. Ana researched on the development of a new way to measure intelligence by creating a 100 item questionnaire that will assess the cognitive skills of an individual. The design best suited for this study is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Historical<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Methodological<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Survey<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Case study<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">95. Gen is conducting a research study on how mark, an AIDS client lives his life. A design suited for this is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Historical<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Case Study<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Phenomenological<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Ethnographic<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">96. Marco is to perform a study about how nurses perform surgical asepsis during World War II. A design for this study is:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Historical<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Case Study<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Phenomenological<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Ethnographic<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">97. Tonyo conducts sampling at barangay 412. He collected 100 random individuals and determine who is their favourite comedian actor. 50% said Dolphy, 20% said Vic Sotto, while some answered Joey de Leon, Allan K, Michael V. Tonyo conducted what type of researched study?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Methodological<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Case Study<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Non experimental<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Survey<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">98. June visited a tribe located somewhere in China, it is called the Shin Jea tribe. She studied the way of life, tradition and the societal structure of these people. Jane will best use which research design?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Historical<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Case Study<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Phenomenological<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Ethnographic<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">99. Anjoe researched on TB. Its transmission, Causative agent and factors, treatment, sign and symptoms as well as medication and all other in depth information about tuberculosis. This study is best suited for which research design?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Historical<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Case Study<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Phenomenological<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Ethnographic<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">100. Diana is to conduct a study about the relationship of The number of family members in the household and the electricity bill. Which of the following is best research design suited for this study?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">1. Descriptive<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">2. Exploratory<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">3. Explanatory<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">4. Correlational<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">5. Comparative<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">6. Experimental<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><b><span style="font-family: Verdana; font-size: 8pt;">A. 1, 4</span></b><span style="font-family: Verdana; font-size: 8pt;"> B. 2, 5 C. 3,6 D. 1, 5 E. 2, 4</span><br />
<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np5-nursing-board-exam-november-answer.html">CLICK HERE PART 1 (1 - 50) 'NP5 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-52563724645388157802010-06-27T16:36:00.004+08:002010-06-27T16:45:03.213+08:00NP5 Nursing Board Exam November Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice V – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
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<div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Nov. ’08 NP 5<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 1: Understanding different models of care is a necessary part of the nurse patient relationship.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">1. The focus of this therapy is to have a positive environmental manipulation, physical and social to effect a positive change.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Milieu<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Psychotherapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Behaviour<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Group<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">2. The client asks the nurse about the Milieu therapy. The nurse responds knowing that the primary focus of milieu therapy can be best described by which of the following?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. A form of behaviour modification therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. A cognitive approach of changing the behaviour<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. A living learning or working environment<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. A behavioural approach to changing behaviour<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">3. A nurse is caring to client with phobia who is being treated for the condition. The client is introduced to short periods of exposure to the phobia object while in relaxed state. The nurse understands that this form of behaviour modification can be best described as:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Systematic desensitization <o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Aversion therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Self-control therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Operant conditioning<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">4. A client with major depression is considering cognitive therapy. The client say to the nurse, “how does this treatment works?” The nurse responds by telling the client that:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. “This type of treatment helps you examine how your thoughts and feelings contribute to your difficulties”<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. “This type of treatment helps you examine how your past life has contributed to your problems.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. “This type of treatment helps you confront your fears by exposing you to the feared objects abruptly.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. “This type of treatment will help you relax and develop new coping skills.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">5. A client state, “I get down on myself when I make mistake.” Using Cognitive therapy approach, the nurse should:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Teach the client relaxation exercise to diminish stress<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Provide the client with Mastery experience to boost self esteem<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Explore the client’s past experiences that causes the illness<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Help client modify the belief that anything less than perfect is horrible.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">6. The most advantageous therapy for a preschool age child with a history of physical and sexual abuse would be:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Play<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Psychoanalysis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Group<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Family<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">7. An 18 year old client is admitted with the diagnosis of anorexia nervosa. A cognitive behavioural approach is used as part of her treatment plan. The nurse understands that the purpose of this approach is to:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Help the client identify and examine dysfunctional thoughts and beliefs.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Emphasize social interaction with clients who withdraw<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Provide a supportive environment and a therapeutic community<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Examine intrapsychic conflicts and past events in life<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">8. The nurse is preparing to provide reminiscence activity for a group of clients. Which of the following clients will the nurse select for this group?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. A client who experiences profound depression with moderate cognitive impairment<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. A catatonic, immobile with moderate cognitive impairment<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. An undifferentiated schizophrenic client with moderate cognitive impairment<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. A client with mild depression who exhibits who demonstrates normal cognition <o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">9. Which intervention would be typical of a nurse using cognitive-behavioral approach to a client experiencing stress disorders?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Use of unconditional positive regard<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Classical conditioning <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Analysis of free association<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Examination of negative thought patterns<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">10. Which of the following therapies has been strongly advocated for the treatment of post traumatic stress disorders?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. ECT<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Group Therapy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Hypnotherapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Psychoanalysis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">11. The nurse knows that in group therapy, the maximum number of members to include is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. 4<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. 8<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. 10<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. 16<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">12. The nurse is providing information to a client with the use of disulfiram (antabuse) for the treatment of alcohol abuse. The nurse understands that this form of therapy works on what principle?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Negative Reinforcement<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Aversion Therapy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Operant Conditioning<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Gestalt therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">13. A biological or medical approach in treating psychiatric patient is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Million therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Somatic therapy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Behavioral therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Psychotherapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">14. Which of these nursing actions belong to the secondary level of preventive intervention?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Providing mental health consultation to health care providers<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Providing emergency psychiatric services<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Being politically active in relation to mental health issues<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Providing mental health education to members of the community<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">15. When the nurse identifies a client who has attempted to commit suicide the nurse should:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. call a priest <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Counsel the client<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. refer the client to psychiatrist<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. refer the matter to the police<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 2: Rose seeks psychiatric consultation because of intense fear of flying in an airplane which has greatly affected her chances of success in her job.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">16. The most common defense mechanism used by phobic client is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Supression<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Rationalization<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Denial<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Displacement<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">17. The goal of the therapy in phobia is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Change her lifestyle<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Ignore reaction producing situation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Change her reaction towards anxiety<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Eliminate fear producing situation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">18. The therapy most effective for clients with phobia is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Hypnotherapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Group therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Cognitive therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Behavior therapy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">19. The fear and anxiety related to phobia is said to be abruptly decreased when the patient exposed to what is feared through:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Guided imagery<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Systematic desensitization<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Flooding<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Hypotherapy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">20. Based on the presence of symptom. The appropriate nursing diagnosis is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Self esteem disturbance<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Activity intolerance<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Impaired adjustment<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Ineffective individual coping <o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 3: Mang Jose, 39 year old farmer, unmarried, had been confined in the National center for mental health for three years with a diagnosis of schizophrenia.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">21. The most common defense mechanism used by a paranoid client is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Displacement<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Suppression<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Rationalization<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Projection<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">22. When Mang Jose says to you: “The voices are telling me bad things again!” The best response is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. “Whose voices are those?”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. “I doubt what the voices are telling you.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. “I do not hear the voice you say you hear.”<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. “Are you sure you hear these voices?”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">23. A relevant nursing diagnosis for clients with auditory hallucination is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Sensory perceptual alteration<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Altered thought process<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Impaired social interaction<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Impaired verbal communications<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">24. During mealtime, Jose refused to eat telling that the food was poisoned. The nurse considers the following except:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Ignore his remark<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Offer him food in his own container<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Show him how irrational his thinking is<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Respect his refusal to eat.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">25. When communicating with Jose. The nurse considers the following except:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Be Warm and enthusiastic<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Refrain from touching Jose<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Do not argue regarding his hallucination and delusion<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Use simple, clear language <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 4: Gringo seeks psychiatric counselling for his ritualistic bahavior of counting his money as many as 10 times before leaving home.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">26. An initial appropriate nursing diagnosis is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Impaired social interaction<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Ineffective individual coping<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Impaired Adjustment<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Anxiety Moderate<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">27. Obsessive compulsive disorder is BEST described by:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Uncontrollable impulse to perform an act or ritual repeatedly:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Persistent thoughts<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Recurring unwanted and disturbing thoughts alternating with a behaviour.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Pathological persistence of unwilled thought, feeling or impulse<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">28. The defense mechanism used by persons with obsessive compulsive disorder is undoing and it is best described in one of the following statements:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Unacceptable feeling or behaviour are kept out of awareness by developing the opposite behaviour or emotion.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Consciously unacceptable instinctual drives are diverted into personally and socially acceptable channels<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Something unacceptable already done is symbolically acted in reverse.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Transfer of emotions associated with a particular person, object or situation to another less threatening person, object or situation.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">29. TO be more effective, the nurse who cares for persons with obsessive compulsive disorder must possess one of the following qualities:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Compassion<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Consistency<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Patience<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Friendliness<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">30. Person with OCD usually manifest:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Fear<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Apathy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Suspiciousness<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Anxiety<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 3<b>:</b></span><span style="font-family: Verdana; font-size: 8pt;"> The patient who is depressed will undergo electroconvulsive therapy.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">31. Studies on biological depression support electroconvulsive therapy as a mode of treatment. The rationale is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. ECT produces massive brain damage which destroys the specific area containing memories related to the events surrounding the development of psychotic condition<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. The treatment serves as a symbolic punishment for the client who feels guilty and worthless<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. ECT relieves depression psychologically by increasing the norepinephrine level<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. ECT is seen as a life-threatening experience and depressed patients mobilize all their bodily defenses <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">to deal with this attack.<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">32. The preparation of a patient for ECT ideally is MOST similar to preparation for a patient for:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. electroencephalogram <b><o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. X-ray <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. general anesthesia</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. electrocardiogram<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">33. Which of the following is a possible side effect which you will discuss with the patient?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. hemorrhage within the brain <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. robot-like body stiffness <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. encephalitis<b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. confusion, disorientation and short term memory loss<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">34. Informed consent is necessary for the treatment for involuntary clients. When this cannot be obtained, permission may be taken from the:<b><o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. social worker <b> </b><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. doctor <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. next of kin or guardian</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. chief nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">35. After ECT, the nurse should do this action before giving the client fluids, food or medication:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. assess the gag reflex </span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. assess the sensorium <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. next of kin or guardian<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. check O2 Sat with a pulse oximeter<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 6: Mrs. Ethel Agustin 50 y/o, teacher is affected with myasthenia gravis <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">36. Looking at Mrs. Agustin, your assessment would include the ff except:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Nystagmus<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Difficulty of hearing<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Weakness of the levator palpebrae<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Weakness of the ocular muscle<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">37. In an effort to combat complications which might occur relatives should be taught:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Checking cardiac rate<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Taking blood pressure reading<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Techniques of oxygen inhalation<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Administration of oxygen inhalation<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">38. The drug of choice for her condition is:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Prostigmine<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Morphine<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Codeine<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Prednisone<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">39. As her nurse, you have be cautious about administration of medication, if she is undermedicated this can cause:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Emotional crisis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Cholinergic crisis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Menopausal crisis<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Myasthenia crisis<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">40. If you are extra careful and by chance you give over medication, this would lead to:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Cholinergic crisis<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Menopausal crisis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Emotional crisis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Myasthenia crisis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 7: Rosanna 20 y/0 unmarried patient believes that the toilet for the female patient in contaminated with AIDS virus and refuses to use it unless she flushes it three times and wipes the seat same number of times with antiseptic solution.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">41. The fear of using “contaminated” toilet seat can be attributed to Rosanna’s inability to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Adjust to a strange environment <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Express her anxiety<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Develop the sense of trust in other person<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Control unacceptable impulses or feelings<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. Assessment data upon admission help the nurse to identify this appropriate nursing diagnosis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Ineffective denial<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Impaired adjustment<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Ineffective individual coping<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Impaired social interaction<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. An effective nursing intervention to help Rosana is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Convincing her to use the toilet after the nurse has used it first.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Explaining to her that AIDS cannot be transmitted by using the toilet<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Allowing her to flush and clear the toilet seat until she can manage her anxiety<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Explaining to her how AIDS is transmitted.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. The goal for treatment for Rosana must be directed toward helping her to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Walk freely about her past experience<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Develop trusting relationship with other<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Gain insight that her behaviour is due to feeling of anxiety<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Accept the environment unconditionally<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. Psychotherapy which is prescribed for Rosana is described as:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Establishing an environment adapted to an individual patient needs<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Sustained interaction between the therapist and client to help her develop more functional behaviour<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Using dramatic techniques to portray interpersonal conflicts<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Biologic treatment for mental disorder<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 8: Dennis 40 y/o married man, an electrical engineer was admitted with the diagnosis of paranoid disorders. He has became suspicious and distrustful 2 months before admission. Upon admission, he kept on saying, “my wife has been planning to kill me.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">46. A paranoid individual who ca not accept the guilt demonstrate one of the following defense mechanism:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Denial <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Projection<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Rationalization<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Displacement<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">47. One morning, Dennis was seen tilting his head as if he was listening to someone. An appropriate nursing intervention would be:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Tell him to socialize with other patient to diverts his attention<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Involve him in group activities<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Address him by name to ask if he is hearing voices again <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Request for an order of antipsychotic medicine<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">48. When he says, “these voices are telling me my wife is going to kill me.” A therapeutic communication of the nurse is which one of the following:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. “I do not hear the voices you say you hear.”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. “Are you really sure you heard those voices?”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. “I do not think you heard those voices?”<br />
D. “Whose voices are those?”<br />
<br />
<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">49. The nurse confirms that Dennis is manifesting auditory hallucination. The appropriate nursing diagnosis she identifies is:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Sensory perceptual alteration <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Self esteem disturbance<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Ineffective individual coping<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Defensive coping<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">50. Most appropriate nursing intervention for a client with suspicious behaviour is one of the following:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Talk to the client constantly to reinforce reality<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Involve him in competitive activities<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Use of Non Judgemental and Consistent approach<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Project cheerfulness in interacting with the patient<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="text-align: justify;"><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np5-nursing-board-exam-november-answer_27.html">CLICK HERE PART 2 (51 - 100) 'NP5 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-6891802870399697782010-06-27T16:30:00.000+08:002010-06-27T16:30:18.027+08:00NP4 Nursing Board Exam November Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice IV – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 2 Board Exam test questions 51 - 100<br />
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<div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">51. The MOST effective method of delivering pain medication during the emergent phase is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. intramuscularly<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. subcutaneously<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. orally<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. intravenously<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">52. When a client accidentally splashes chemicals to his eyes. The initial priority care of the following the chemical burns is to:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. irrigate with normal saline for 1 to 15 minutes<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. transport to a physician immediately<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. irrigate with water for 15 minutes or longer<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. cover the eyes with a sterile gauze<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">53. Which of the following can be fatal complication of upper airway burns?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. stress ulcers<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. hemorrhage<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. shock<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. laryngeal spasm and swelling<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">54. When a client will rush towards you and he has burning clothes on, it is your priority to do which of the following first?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. log roll on the grass/ground<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. slap the flames with his hands<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Try to remove the burning clothes<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Splash the client with 1 bucket of cool water<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">55. Once the flames are extinguished, it is most important:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. cover client with warm blanket<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Give him sips of water<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Calculate the extent of this burns<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Assess the Sergio’s breathing<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">56. During the first 24 hours after thermal injury, you should assess Sergio for:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. hypokalemia and hypernatremia <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. hypokalemia and hyponatremia<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. hyperkalemia and hyponatremia<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. hyperkalemia and hypernatremia<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">57. A client who sustained deep partial thickness and full thickness burns of the face, whole anterior chest and both upper extremities two days ago begins to exhibit extreme restlessness . You recognize that this most likely indicates that the client is developing:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Cerebral hypoxia<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Hypervolemia <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Metabolic acidosis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Renal failure<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">58. A 165 lbs trauma client was rushed to the emergency room with full thickness burns on the whole face, right and left arm, and at the anterior chest sparing the abdominal area. He also has superficial partial thickness burn at the posterior trunk and at the half upper portion of the left leg. He the emergent phase of burns using the parkland’s formula, you know that during the first 8 hours of burn the amount of fluid will be given is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. 5, 400ml<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. 10,500 ml<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. 9,450 ml<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. 6,750 ml<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">59. The doctor incorporated insulin on the client’s fluid during the emergent phase. The nurse knows that insulin is given because:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Clients with burn also develops Metabolic Acidosis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Clients with burn also develops hyperglycemia<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Insulin is needed for additional energy and glucose burning after the stressful incidence to hasten wound healing, regain of consciousness and rapid return of hemodynamic stability.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. For hyperkalemia<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">60. The IV fluid of choice for burn as well as dehydration is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. 0.45% NaCl<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. NSS<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Sterile water<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. D5LR<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation:</span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"> ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">61. You plan to teach Fermin how to irrigate the colostomy when:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">The perineal wound heals And Fermin can sit comfortably on the commode<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Fermin can lie on the side comfortably, about the 3rd postoperative day<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">The abdominal incision is closed and contamination is no longer a danger<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">The stools starts to become formed, around the 7th postoperative day<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">62. When preparing to teach Fermin how to irrigate colostomy, you should plan to do the procedure:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">When Fermin would have normal bowel movement<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">At least 2 hours before visiting hours<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Prior to breakfast and morning care<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">D. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">After Fermin accepts alteration in body image<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">63. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if Fermin:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Lubricates the tip of the catheter prior to inserting into the stoma<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Hangs the irrigating bag on the bathroom door cloth hook during fluid<o:p></o:p></span></b></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">insertion<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Discontinues the insertion of fluid after only 500 ml of fluid has been instilled<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">D. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Clamps of the flow of fluid when felling uncomfortable<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">64. You are aware that teaching about colostomy care is understood when Fermin states, “I will contact my physician and report:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">If I have any difficulty inserting the irrigating tub into the stoma.”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">If I noticed a loss of sensation to touch in the stoma tissue.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">The expulsion of flatus while the irrigating fluid is running out.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">D. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">When mucus is passed from the stoma between the irrigations.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">65. You would know after teaching Fermin that dietary instruction for him is effective when he states, “It is important that I eat:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Soft food that are easily digested and absorbed by my large intestines.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Bland food so that my intestines do not become irritated.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Food low in fiber so that there is less stool.”<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt; vertical-align: baseline;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Everything that I ate before the operation, while avoiding foods that<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">cause gas.”</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation: Based on studies of nurses working in special units like the intensive care unit and coronary care unit it is important for nurses to gather as much information to be able to address their needs for nursing care.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">66. Critically ill patient frequently complain about which of the following when hospitalized?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Hospital report<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Lack of blankets<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Lack of privacy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Inadequate nursing staff<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">67. Who of the following is at greatest risk of developing sensory problem?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Female patient<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Adolescent<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Transplant patient<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Unresponsive patient<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">68. Which of the following factors may inhibit learning in critically ill patients?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Gender<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Medication<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Educational level<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Previous knowledge of illness<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">69. Which of the following statements does not apply to critically ill patients?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Majority need extensive rehabilitation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. All have been hospitalized previously<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Are physically unstable<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Most have chronic illness. <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">70. Families of critically ill patients desire which of the following needs to be met first by the nurse?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Provision of comfortable space<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Emotional support<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Updated information on the client’s status<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Spiritual counselling<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situatuon: Johnny, sought consultation to the hospital before<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">71. His diagnosis was hyperthyroidism, the following are expected symptoms except:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Anorexia<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Palpitation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Fine tremors of the hand<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Hyper alertness<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">72. He has to take drugs to treat hyperthyroidism, which of the following will you not expect that the doctor will prescribe?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Colace (Docusate)<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Cytomel (Llothyronine)<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Tapazole (<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. (Levothyroxine)<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">73. The nurse knows that Tapazole has which of the following side effect that will warrant immediate withholding of the medication?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Death<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Sore throat<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Hyperthermia<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Thrombocytosis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">74. You asked questions as soon as she regained consciousness from thyroidectomy primarily to assess the evidence of:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Thyroid storm<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Mediastinal shift<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Damage to the laryngeal nerve<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Hypocalcemia tetany<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">75. Should you check for haemorrhage, you will:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Slip your hand under the nape of her neck<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Check for hypotension<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Apply neck collar to prevent haemorrhage<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Observe the dressing if is soaked with blood<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">76. Basal Metabolic rate is assessed on Johnny to determine his metabolic rate. In assessing the BMR using the standard procedure, you need to tell Johnny that:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Obstructing his vision<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Restraining his upper and lower extremities<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Obstructing his hearing<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Obstructing his nostril with a clamp<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">77. The BMR is based on the measurement that:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Rate of respiration under different condition of activities and rest<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Amount of oxygen consumption under resting condition over a measured period of time<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Amount of oxygen consumption under stressed condition over a measured period of time<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Ratio of respiration to pulse rate over a measured period of time<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">78. Her physician ordered lugol’s solution in order to:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Decrease the vascularity and size of the thyroid gland<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Decrease the size of the thyroid gland only<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Increase the vascularity and size of the thyroid gland<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Increase the size of the thyroid gland only<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">79. Which of the following is a side effect of lugol’s solution?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Hypokalemia<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Nystagmus<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Enlargement of the Thyroid gland<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Excessive salivation<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">80. In administering Lugol’s solution, the precautionary measure should include:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Administer with glass only<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Dilute with juice and administer with a straw<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Administer it with milk and drink it<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Follow it with milk of magnesia<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation: Pharmacological treatment was not effective for Johnny’s hyperthyroidism and now he is scheduled for Thyroidectomy.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">81. Instruments in the surgical suite for surgery is classified as either CRITICAL, SEMI CRITICAL and NON CRITICAL. If the instrument are introduced directly into the blood stream or into any normally sterile cavity or area of the body it is classified as:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Critical<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Semi critical<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Non critical<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Ultra critical<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">82. Instruments that do not touch the patient or have contact only to the intact skin is classified as:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Critical<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Semi critical<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Non critical<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Ultra critical<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">83. If an instrument is classified as Semi Critical an acceptable method of making the instrument ready for surgery is through:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Sterilization<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Decontamination<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Disinfection<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Cleaning<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">84. While critical items and should be:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Clean<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Decontaminated <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Sterilized<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Disinfected<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">85. As a nurse, you know that intact skin as an effective barrier to most microorganisms. Therefore, items that come in contact with the intact skin or mucous membranes should be:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Disinfected<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Sterile<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Clean<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Alcoholized<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">86. You are caring for Johnny who is scheduled to undergo total thyroidectomy because of a diagnosis of thyroid cancer. Prior to total thyroidectomy, you should instruct Johnny to:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Perform range and motion exercise on the head or neck<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Apply gentle pressure against the incision when swallowing<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Cough and deep breathe every hours<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Support head with the hands when changing position</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – Andrea is admitted to the ER following an assault where she was hit on the face and head. She was brought to the ER by a police woman. Emergency measures were stated.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">96. Andrea’s respiration is described as waxing and waning. You know that this rhythm of respiration is defined as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Biot’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Kussmaul’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Cheyne Stokes<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Eupnca<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">97. What do you call the triad of sign and symptoms seen in a client with increasing ICP?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Virchow’s Triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The Chinese triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Cusching’s Triad<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Charcot’s Triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">98. Which of the following is true with the Cushing’s Triad seen in head injuries?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Narrowing of Pulse Pressure, Cheyne strokes respiration, Tachycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Widening Pulse pressure, Irregular respiration, Bradycardia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Hypertension, Kussmaul’s respiration, Tachycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Hypotension, Irregular respiration, Bradycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">99. In a client with a Cheyne stokes respiration, which of the following is the most appropriate nursing diagnosis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Ineffective airway clearance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Ineffective breathing pattern<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Impaired gas exchange<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Activity Intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">100. You know the apnea is seen in client’s with cheyne stoke respiration, APNEA is defined as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Inability to breath in a supine position so the patient sits up in bed to breathe.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The patient is dead, the breathing stops<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. There is an absence of breathing for a period of time usually 15 seconds or more<o:p></o:p></span></b></div><span style="font-family: Verdana; font-size: 8pt;"> D. A period of hypercapnea and hypoxia due to cessation of respiratory effort inspite of normal respiratory functioning</span><br />
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<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np4-nursing-board-exam-november-2008.html">CLICK HERE PART 1 (1 - 50) 'NP4 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2611603214227969968.post-68391118891113544602010-06-27T16:29:00.001+08:002010-06-27T16:31:47.599+08:00NP4 Nursing Board Exam November 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice IV – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
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<div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Nov. 08 NP4<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 1: After abdominal surgery, the circulating and scrub nurses have critical responsibility about sponge and instrument count.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">1. Counting is performed thrice: During the preincision phase, the operative phase and closing phase. Who counts the sponges, needles and instruments?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. The scrub nurse only <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. The circulating nurse only<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. The surgeon and the assistant surgeon<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. The scrub nurse and circulating nurse.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">2. The layer of the abdomen is divided into 5. Arrange the following from the first layer going to the deepest layer:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">1. Fascia <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">2. Muscle<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">3. Peritoneum<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">4. Subcutaneous/Fat<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">5. Skin<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">5,4,3,2,1<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">5,4,2,1,3<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">5,4,1,3,2,<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: Verdana; font-size: 8pt;">5,4,1,2,3<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">3. When is the first sponge instrument count reported?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Before closing the subcutaneous layer<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Before peritoneum is closed<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Before closing the skin<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Before the fascia is sutured<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">4. Like any nursing intervention, counts should be documented. To whom does the scrub nurse report any discrepancy of counts so that immediate and appropriate action is instituted?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Anaesthesiologist<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Surgeon<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. OR nurse supervisor<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Circulating nurse<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">5. Which of the following are 2 interventions of the surgical team when an instrument was confirmed missing?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. MRI and Incidence report<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. CT Scan, MRI, Incidence Report<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. X-ray, and Incidence Report<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. CT scan and Incidence Report<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 2: An entry level nurse should be able to apply theoretical knowledge in the performance of the basic nursing skills.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">6. A client has an indwelling urinary catheter and she is suspected of having urinary infection. How should you collect a urine specimen for culture and sensitivity?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Clamp tubing for 60 minutes and insert a sterile needle into the tubing above the clamp to aspirate urine.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Drain urine from the drainage bag into the sterile container<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Disconnect the tubing from the urinary catheter and let urine floe into a sterile container<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Wipe the self sealing aspirations port with antiseptic solution and insert a sterile needle into the self sealing self-sealing port.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">7. To obtain specimen for sputum culture and sensitivity, which of the following instruction is best?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Upon waking up, cough deeply and expectorate into container<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Cough after pursed lip breathing<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Save sputum for two days in covered container<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. After respiratory treatment, expectorate into a container<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">8. The best time for collecting the sputum specimen for culture:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Before retiring at night<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Upon waking up in the morning<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Anytime of the day.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Before meal<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">9. When suctioning the endotracheal tube, the nurse should:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Explain procedure to patient: Insert catheter gently applying suction. Withdrawn using twisting motion.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Insert catheter until resistance is met; then withdraw slightly, applying suction intermittently as catheter is withdrawn.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Hyperoxygenate client insert catheter using back and forth motion<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Insert suction, catheter four inches into the tube, suction 30 seconds using twirling motion as catheter is withdrawn.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">10. The purpose of NGT IMMEDIATELY after operation is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. For feeding or gavage<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. For gastric decompression<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. For lavage, or the cleansing of the stomach content<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. For the rapid return of peristalsis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 3 – Mr. Santos, 50, is to undergo cytoscopy due to multiple problems like scantly urination, hematuria, and dysuria.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">11. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during cys</span><span style="font-family: Verdana; font-size: 8pt;">toscopy, you will enumerate as follows:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Urethra, Kidney, Bladder<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Urethra, Bladder wall, trigone, urethral opening<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Bladder wall, uterine wall and urethral opening<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Urethral opening, urethral opening bladder.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">12. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during cys</span><span style="font-family: Verdana; font-size: 8pt;">toscopy in:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Supine<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Lithotomy<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Semi-fowler<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Trendelenburg<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">13. After </span><span style="font-family: Verdana; font-size: 8pt;">cystoscopy, Mr. Santos asked you to explain why there is no incision of any kind. What do you yell him?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Cystoscopy is direct visualization and examination by urologist<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Cystoscopy is done by x-ray visualization of the urinary tact<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Cystoscopy is done by using lasers on the urinary tract<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Cystoscopy is an endoscopic procedure of the unrinary tract <o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">14. Within 24-48 hours post cystoscopy, it is normal to observe one of the following:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Pink-tinged urine<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Distended bladder<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Signs of infection<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Prolonged hematuria<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">15. Leg cramps are NOT uncommon post cystoscopy. Nursing intervention includes:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Bed rest<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Warm moist soak<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Early ambulation<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Hot sitz bath<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 4 – Mang Felix, a 79 year old man who is brought to the Surgical Unit from PACU after a transurethral resection. You are assigned to receive him. You noted that he has a 3-way indwelling catheter for continuous fast dip bladder irrigation which is connected to a straight drainage. <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">16. Immediately after surgery, what would you expect his urine to be?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Light yellow<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Amber<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Bright red<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Pinkish to red<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">17. The purpose of the continuous bladders irrigation is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Allow continuous monitoring of the fluid output status<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Provide continuous flushing of clots and debris from the bladder<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Allow for proper exchange of electrolytes<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Ensure accurate monitoring of intake and output<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">18. Mang Felix informs you that he feels some discomfort on the hypogastric area and he has to void. What will be your most appropriate action?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Remove his catheter then allow him to void his own<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Irrigate his catheter<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Tell him “Go ahead and void. You have an indwelling catheter”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Assess color and rate of outflow, if there is a change refer to urologist for possible irrigation<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">19. You decided to check on Mang Felix’s IV fluid infusion. You noted in flow rate, pallor and coldness around the insertion site. What is your assessment finding?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Phlebitis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Infiltration to subcutaneous tissue<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Pyrogenic reaction<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Air embolism<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">20. Knowing that proper documentation of assessment findings and interventions share important responsibilities of the nurse during first post operative days, which of the following is the LEAST relevant to document in the case of Mang Felix?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Chest pain and vital signs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Intravenous infusion rate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Amount, color and consistency of bladder irrigation drainage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Activities of daily living started<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation 5: Melamine contamination in milk has brought world wide crisis both in the milk production sector as well as the health and economy. Being aware of the current events is one quality that a nurse should possess to prove that nursing is a dynamic profession that will adapt depending on the patient’s needs.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">21. Melamine is a synthetic resin used for whiteboards, hard plastics and jewellery box covers due to its fire retardant properties. Milk and food manufacturers add melamine </span><span style="font-family: Verdana; font-size: 8pt;">in order to:</span><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">It has a bacteriostatic property leading to increase food and milk life as a way of preserving the foods.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Gives a glazy and more edible look on foods<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Make milks more tasty and creamy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Create an illusion of a high protein content on their products<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">22. Most of the milks contaminated by melamine came from which country?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. India<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. China<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Philippines<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Korea<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">23. Which government agency is responsible for testing the melamine content of foods and food products?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. DOH<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. MMDA<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. NBI<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. BFAD<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">24. Infants are the most vulnerable to melamine poisoning. Which of the following is NOT a sign of melamine poisoning?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Irritability, Back ache, Urolithiasis<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. High blood pressure, fever<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Anuria, Oliguria or Hematuria<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Fever, Irritability and a large output of diluted urine<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">25. What kind of renal failure from melamine poisoning cause?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Chronic Pre-renal<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Acute, Postrenal<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Chronic, Intrarenal<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Acute, Prerenal<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation: Leukemia is the most common type of childhood cancer. Acute Lymphoid Leukemia is the cause of almost 1/3 of all cancer that occurs in children under age 15.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">26. The survival rate for Acute Lymphoid Leukemia is approximately:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. 25 %<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. 40 %<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. 75 %<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. 95 %<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">27. Whrereas acute nonlymphoid leukaemia has survival rate of:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. 25 %<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. 40 %<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. 75 %<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. 95 %<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">28. The three main consequence of leukaemia that cause the most danger is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Neutropenia causing infection, anemia causing impaired oxygenationand thrombocytopenia leading to bleeding tendencies.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Central nervous system infiltration, anemia causing impaired oxygenationand thrombocytopenia leading to bleeding tendencies.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Splenomegaly, hepatomegaly, fractures<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Invasion by the leukemic cells to the bone causing severe bone pain <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">29. Gold standard in the diagnosis of leukaemia is by which of the following?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Blood culture and sensitivity<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Bone marrow biopsy<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Blood biopsy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">30. Adriamycin, Vincristine, Prednisone and L asparaginase are given to the client for long term therapy. One common side effect, especially of adriamycin is alopecia. The child asks: “ Will I get my hair back once again?” The nurse respond is by saying:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. “Don’t be silly, of course you will get your hair back.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. “We are not sure, let’s hope it’ll grow.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. “This side effect is usually permanent, but I will get the doctor to discuss it for you.”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. “Your hair will regrow in 3 -6 months but of different color, usually darker and of different texture.”<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation: Breast cancer is the 2nd most common type of cancer after lung cancer and 99% of which, occurs in woman. Survival rate is 98% if this is detected early and treated promptly. Carmen is a 53 year old patient in the high risk group for breast cancer was recently diagnosed with Breast Cancer.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">31. All of the following are factors that said to contribute to the development of breast cancer EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Prolonged exposure to estrogen such as an early menarche or late menopause, nulliparity and children after age 30.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Genetics<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Increasing age<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Prolonged intake of Tamoxifen (Nolvadex)<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">32. Protective factors for the development of breast cancer includes which of the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Exercise<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Prophylactic Tamoxifen<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Breast Feeding<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Alcohol intake<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">33. </span><span style="font-family: Verdana; font-size: 8pt;">A patient diagnosed with breast cancer has been offered the treatment choices of breast conservation surgery with radiation or a modified radical mastectomy. When questioned by the patient about these options, the nurse informs the patients that the lumpectomy with radiation.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Reduces the fear and anxiety that accompany the diagnosis and treatment of cancer<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Has about the same 10 years survival rate as the modified radical mastectomy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Provides shorter treatment period with a fewer long term complications<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Preserves the normal appearance and sensitivity of the breast<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">34. Carmen, is asking the nurse the most appropriate time of the month to do her self-examination of the breast. The MOST appropriate reply by the nurse would be:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. the 26th day of menstrual cycle<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. 7 – 8 days after conclusion of the menstrual period<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. During her menstruation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. the same day each month<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">35. Carmen being treated with radiation therapy. What should be included in the plan of care to minimize skin damage from the radiation therapy?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Cover the areas with thick clothing materials<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Apply a heating pad to the site<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Wash skin with water after therapy<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Avoid applying creams and powder to the area.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">36. Based on the DOH and World Health Organization (WHO) guidelines, the mainstay for early detection method for breast cancer that is recommended for developing countries is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><b><span style="font-family: Verdana; font-size: 8pt;">A. a monthly breast self examination (BSE) and an annual health worker breast examination (HWBE)<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">B. an annual hormone receptor assay<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">C. an annual mammogram<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">D. a physician conduct a breast clinical examination every 2 years<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><br />
</div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">37. The purpose of performing the breast self examination (BSE) regularly is to discover:<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">A. fibrocystic masses <o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">B. cancerous lumps <b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">C. areas of thickness or fullness<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><b><span style="font-family: Verdana; font-size: 8pt;">D. changes</span></b><b><span style="font-family: Verdana; font-size: 8pt;"> from previous BSE</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><br />
</div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">38. If you are to instruct a postmenopausal woman about BSE, when would you tell her to do BSE:<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><b><span style="font-family: Verdana; font-size: 8pt;">A. on the same day of each month </span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">B. right after the menstrual period <o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">C. on the first day of her menstruation <o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">D. on the last day of her menstruation<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><br />
</div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">39. During breast self-examination, the purpose of standing in front of the mirror it to observe the breast for:<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">A. thickening of the tissue <o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">B. axillary <o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><span style="font-family: Verdana; font-size: 8pt;">C. lumps in the breast tissue<o:p></o:p></span></div><div class="MsoNormal" style="margin-right: -5.4pt;"><b><span style="font-family: Verdana; font-size: 8pt;">D. change in size and contour</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">40. When preparing to examine the left breast in a reclining position, the purpose of placing a small folded towel under the client’s left shoulder is to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. bring the breast closer to the examiner’s right hand<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. tense the pectoral muscle<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C.</span></b><b><span style="font-family: Verdana; font-size: 8pt;"> balance the breast tissue more evenly on the chest wall<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. facilitate lateral positioning of the breast<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – Radiation therapy is another modality of cancer management. With emphasis on multidisciplinary management you have important responsibilities as a nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">41. Albert is receiving external radiation therapy and he complains of fatigue and malaise. Which of the following nursing interventions would be most helpful for Albert?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Tell him that sometimes these feelings can be psychogenic<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Refer him to the physician<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Reassures him that these feelings are normal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Help him plan his activities<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. Immediately following the radiation teletherapy, Albert is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Considered radioactive fro 24hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Given a complete bath<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Placed on isolation for 6 hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Free from Radiation<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. Albert is admitted with a radiation induced thrombocytopenia. As a nurse you should observe the following symptoms:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Petechiae, ecchymosis, epistaxis<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Weakness, easy fatigability, pallor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Headache, dizziness, blurred vision<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Severe sore throat, bacteremia, hepatomegaly<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. What nursing diagnosis should be the highest priority?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Knowledge deficit regarding thrombocytopenia precautions<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Activity intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Impaired tissue integrity<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Ineffective tissue perfusion, peripheral, cerebral, cardiovascular, gastrointestinal, renal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. What intervention should you include in your care plan?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Inspect his skin for petechiae, bruising, GI bleeding regularly<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Place Albert on strict isolation precaution<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Provide rest in between activities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Administer antipyretics if his temperature exceeds 38 C<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation: Burn is cause by transfer of heat source to the body. It can be thermal, electrical radiation or chemical.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">46. A burn characterized by pale, white appearance, charred or with exposed and painlessness:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Superficial partial thickness burn<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Deep partial thickness burn<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Full thickness burn<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Deep full thickness burn<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">47. Which of the following BEST describes superficial partial thickness burn or first degrees burn?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Structures beneath the skin and damage<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Dermis is partially damaged<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Epidermis and dermis are both damaged<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Epidermis is damaged<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">48. A burn that is said to be “WEEPING” is classified as:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Superficial partial thickness burn<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Deep partial thickness burn<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Full thickness burn<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Deep full thickness burn<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">49. During the Acute Phase of the burn injury, which of the following is a priority?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Wound healing<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Reconstructive surgery<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Emotional support<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Fluid resuscitation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">50. While in the emergent phase, the nurse knows that the priority is to:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Prevent infection<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Control pain<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Prevent deformities and contractures<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Return the hemodynamic stability via fluid resuscitation<o:p></o:p></span></b></div><span style="font-family: Verdana; font-size: 8pt;"></span><br />
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<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np4-nursing-board-exam-november-answer.html">CLICK HERE PART 2 (51 - 100) 'NP4 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2611603214227969968.post-61254480592299002842010-06-27T06:36:00.001+08:002010-06-27T16:22:14.792+08:00NP3 Nursing Board Exam November 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice III – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
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PART 2 Board Exam test questions 51 - 100<br />
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<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 10 – In the OR, there are safety protocols that should be followed. The OR nurseshould be well versed with all these to safeguard the safety and quality of patient delivery outcome.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">51. Which of the following should be given highest priority when receiving patient in the OR?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Assess level of consciousness<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Verify patient identification and informed consent<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Assess vital signs<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Check for jewelry, gown, manicure, and dentures<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">52. Surgeries like I and D (incision and drainage) and debridement are relatively short procedures but considered ‘dirty cases’. When are these procedures best scheduled?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Last case<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. In between cases<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. According to availability of anaesthesiologist<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. According to the surgeon’s preference<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">53. OR nurses should be aware that maintaining the client’s safety is the overall goal of nursing care during the intraoperative phase. As the circulating nurse, you make certain that throughout the procedure…<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. the surgeon greets his client before induction of anesthesia<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. the surgeon and anesthesiologist are in tandem<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. strap made of strong non-abrasive materials are fastened securely<o:p></o:p></span></b></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">around the joints of the knees and ankles and around the 2 hands around<o:p></o:p></span></b></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">an arm board.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Client is monitored throughout the surgery by the assistant anaesthesiologist<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">54. Another nursing check that should not be missed before the induction of general<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">anesthesia is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. check for presence underwear<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. check for presence dentures<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. check patient’s ID<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. check baseline vital signs<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">55. Some lifetime habits and hobbies affect postoperative respiratory function. If your client<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">smokes 3 packs of cigarettes a day for the past 10 years, you will anticipate increased risk<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">for:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. perioperative anxiety and stress<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. delayed coagulation time<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. delayed wound healing<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. postoperative respiratory function<o:p></o:p></span></b></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 11: Sterilization is the process of removing ALL living microorganism. To be free of ALL living microorganism is sterility.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">56. There are 3 general types of sterilization use in the hospital which one is not included?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Steam sterilization<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Chemical sterilization<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Sterilization by boiling <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">57. Autoclave or steam steam under pressure is the most common method of sterilization in the hospital. The nurse knows that the temperature and time is set to the optimum level to destroy not only the microorganism, but also the spores. Which of the following is the ideal setting of the autoclave machine?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. 10,000 degree Celsius for 1 hour<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. 5,000 degree Celsius for 30 minutes<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. 37 degree Celsius for 15 minutes<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. 121 degree Celsius for 15 minutes<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">58. It is important that before a nurse prepares the material to be sterilized, A chemical indicator strip should be placed above the package, preferably, Muslin sheet. What is the color of the striped produced after autoclaving?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Black<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Blue<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Gray<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Purple<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">59. Chemical indicators communicate that:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. The items are sterile<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. That the items had undergone sterilization process but not necessarily sterile<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. The items are disinfected <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. That the items had undergone disinfection process but not necessarily disinfected<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">60. If a nurse will sterilize a heat and moisture labile instruments, it is according to AORN recommendation to use which of the following method of sterilization?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Ethylene oxide gas<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Autoclaving<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Flash sterilizer<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Alcohol immersion<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 12 – Nurses hold a variety of roles when providing care to a perioperative patient.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">61. Which of the following role would be the responsibility of the scrub nurse?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Assess the readiness of the client prior to surgery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Ensure that the airway is adequate<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Account for the number of sponges, needles, supplies, used during the surgical procedure.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Evaluate the type of anesthesia appropriate for the surgical client<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">62. As a perioperative nurse, how can you best meet the safety need of the client after administering preoperative narcotic?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Put side rails up and ask the client not to get out of bed<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Send the client to OR with the family<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Allow client to get up to go to the comfort room<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Obtain consent form<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">63. It is the responsibility of the pre-op nurse to do skin prep for patients undergoing\ surgery. If hair at the operative site is not shaved, what should be done to make suturing easy and lessen chance of incision infection?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Draped<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Pulled<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Clipped<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Shampooed<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">64. It is also the nurse’s function to determine when infection is developing in the surgical incision. The perioperative nurse should observe for what signs of impending infection?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Localized heat and redness<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Serosanguinous exudates and skin blanching<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Separation of the incision<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Blood clots and scar tissue are visible<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">65. Which of the following nursing interventions is done when examining the incision wound and changing the dressing?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Observe the dressing and type and odor of drainage if any<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Get patient’s consent<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Wash hands<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Request the client to expose the incision wound</span><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 13: The preoperative nurse collaborates with the client significant others, and healthcare providers.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">66. To control environmental hazards in the OR, the nurse collaborates with the following departments EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Biomedical division<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Chaplancy services<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Infection control committee<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Pathology department<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">67. An air crash occurred near the hospital leading to a surge of trauma patient. One of the last patients will need surgical amputation but there are no sterile surgical equipments. In this case, which of the following will the nurse expect?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Equipments needed for surgery need not be sterilized if this is an emergency necessitating life saving measures<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Forwarding the trauma client to the nearest hospital that has available sterile equipment is appropriate<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. The nurse will need to sterilize the item before using it to the client using the regular sterilization setting at 121 degree Celsius in 15 minutes.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. In such cases, flash sterilizer will be use at 132 degree Celsius in 3 minutes.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">68. Tess, the PACU nurse discovered that Malou, who weights 110 lbs prior to surgery, is in severe pain 8 hours after cholecystectomy. Upon checking the chart, Malou found out that she has an order of Demerol 100 mg I.M. prn for pain. Tess should verify the order with:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Nurse supervisor<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Anesthesiologist<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Surgeon<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Intern on duty<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">69. Rosie, 57, who is diabetic is for debridement if incision wound. When the circulating nurse checked the present IV fluid, she found out that there is no insulin incorporated as ordered. What should the circulating nurse do?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Double check the doctor’s order and call the attending MD<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Communicate with the ward nurse to verify if insulin was incorporated or not<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Communicate with the client to verify if insulin was incorporated<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Incorporate insulin as ordered<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">70. The documentation of all nursing activities performed is legally and professionally vital. Which of the following should NOT be included in the patients chart?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Presence of prosthetic devices such as dentures, artificial limbs hearing aid, etc.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Baseline physical, emotional, and psychosocial data<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Arguments between nurses and residents regarding treatment<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Observed untoward signs and symptoms and interventions including contaminant intervening factors.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 14 – Team efforts is best demonstrated in the OR.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">71. If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Who is your internist<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Who is your assistant and anesthesiologist, and what is your preferred<o:p></o:p></span></b></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">time and type of surgery?<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Who are your anesthesiologist, internist, and assistant<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Who is your anesthesiologist<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">72. In the OR, the nursing tandem for every surgery is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Instrument technician and circulating nurse<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Nurse anesthetist, nurse assistant, and instrument technician<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Scrub nurse and nurse anesthetist<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Scrub and circulating nurses<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">73. While team effort is needed in the OR for efficient and quality patient care delivery, we should limit the number of people in the room for infection control. Who comprise this team?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Surgeon, anesthesiologist, scrub nurse, radiologist, orderly<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">74. Who usually act as an important part of the OR personnel by getting the wheelchair or stretcher, and pushing/pulling them towards the operating room?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Orderly/clerk<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Nurse Supervisor<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Circulating Nurse<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Anesthesiologist<b><o:p></o:p></b></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">75. The breakdown in teamwork is often times a failure in:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Electricity<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Inadequate supply<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Leg work<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Communication</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 15: Basic knowledge on Intravenous solutions is necessary for care of clients with problems with fluids and electrolytes.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">76. A client involved in a motor vehicle crash presents to the emergency department with severe internal bleeding. The client is severely hypotensive and unresponsive. The nurse anticipates which of the following intravenous solutions will most likely be prescribed to increase intravascular volume, replace immediate blood loss and increase blood pressure?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. 0.45 % sodium chloride<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Normal saline solution<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. o.33% sodium chloride<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Lactated ringer’s solution<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">77. The physician orders the nurse to prepare an isotonic solution. Which of the following IV solution would the nurse expect the intern to prescribe?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 5 % dextrose in water<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 10 % dextrose in water<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 0.45 % sodium chloride<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 0.5 % dextrose in 0.9% sodium chloride<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">78. The nurse is making initial rounds on the nursing unit to assess the condition or assigned clients. The nurse notes that the client’s IV site is cool, pale and swollen and the solution is not infusing. The nurse concludes that which of the following complications has been experienced by the client?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Infection<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Phlebitis<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Infiltration<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Thrombophlebitis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">79. A nurse reviews the client’s electrolytes laboratory report and notes that the potassium level is 3.2 mEq/L. Which of the following would the nurse note on the lectrocardiogram as a result of the laboratory value?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. U waves<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Elevated T waves<o:p></o:p></span></div><div class="MsoNormal"><st1:street w:st="on"><st1:address w:st="on"><span style="font-family: Verdana; font-size: 8pt;">D. Elevated ST</span></st1:address></st1:street><span style="font-family: Verdana; font-size: 8pt;"> segment<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">80. One patient has a runaway IV of 50 % dextrose. To prevent temporary excess of insulin or transient hyperinsulin reaction what solution you prepare in anticipation of the doctor’s order?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Any IV solution available to KVO<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Isotonic solution<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Hypertonic solution<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Hypotonic solution<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">81. An informed consent is required for:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Closed reduction of a fracture<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Insertion of intravenous catheter<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Irrigation of the external ear canal<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Urethral catheterization<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">82. Which of the following is not true with regards to the informed consent?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. It should describe different treatment alternatives<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. It should contain a thorough and detailed explanation of the procedure to be done<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. It should describe the client’s diagnosis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. It should given an explanation of the client’s prognosis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">83. </span><span style="font-family: Verdana; font-size: 8pt;">You know that the hallmark of nursing accountability is the:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Accurate documentation and reporting<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Admitting your mistakes<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Filing an incidence report<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Reporting a medication error<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">84. A nurse is assigned to care for a group of clients. On review of the client’s medical records the nurse determines that which client is at risk for excess fluid volume?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. The client taking diuretics <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. The client with renal failure<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. The client with an ileostomy<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. The client who requires gastrointestinal suctioning<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">85. A nurse is assigned to care for a group of clients. On review of the client’s medical records, the nurse determines that which client is at risk for deficient fluid volume?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. A client with colostomy<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. A client with congestive heart failure<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. A client with decreased kidney function<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. A client receiving frequent wound irrigation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 16: As a perioperative nurse, you are aware of the correct processing methods for preparing instruments and other devices for patient use to prevent infection. <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">86. As an OR nurse, what are your foremost considerations for selecting chemical agents for disinfection?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Material compatibility and efficiency<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Odor and availability/<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Cost and duration of disinfection process<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Duration of disinfection and efficiency<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">87. Before you used disinfected instrument it is essential that you:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Rinse with tap water followed by alcohol<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Wipe the instrument with sterile water<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Dry the instrument thoroughly<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Rinse with sterile water<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">88. You have a critical heat labile instrument to sterilize and are considering to use high level of disinfectant. What should you do?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Cover the soaking vessel to contain the vapour<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Double the amount of high level of disinfectant<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Test the potency of the high level of disinfectant<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Prolong the exposure time according to manufacturer’s direction<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">89. To achieve sterilization using disinfectants, which of the following is used?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Low level disinfectants immersion in 24 hours<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Intermediate level disinfectants immersion in 12 hours<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. High level disinfectants immersion in 1 hour<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. High level disinfectants immersion in 10 hours<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">90. Bronchoscope, Thermometer, Endoscope, ET tube, Cytoscope are all BEST sterilized using which of the following?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Autoclaving at 121 degree Celsius in 15 minutes<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Flash sterilizer at 132 degree Celsius in 3 minutes<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Ethylene Oxide gas aeration for 20 hours<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. 2% Glutaraldehyde immersion for 10 hours <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 17: The OR is divided in three zones to control traffic flow and contamination.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">91. What OR attires are worn in the restricted area?<br />
A. Scrub suit, OR shoes, head cap<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Head cap scrub suit, mask, OR shoes<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. <st1:place w:st="on"><st1:city w:st="on">Mask</st1:city>, <st1:state w:st="on">OR</st1:state></st1:place> shoes, scrub suit<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Cap, Mask, gloves, shoes<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">92. Nursing intervention for a patient on low dose IV insulin therapy includes the following EXCEPT:<br />
<b>A. Elevation of serum ketones to monitor ketosis</b><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Vital signs including BP<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Estimate serum potassium<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Elevation of blood glucose levels<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">93. The doctor ordered to incorporate 1000 “u” insulin to the remaining on going IV. The strength is 500/ml. How much should you incorporate into the IV solution?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. 10 ml<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. 2 ml<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 0.5 ml<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 5 ml<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">94. Multiple vial-dose-insulin when in use should be:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Kept at room temperature<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Kept in the refrigerator<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Kept in narcotic cabinet<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Store in the freezer<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">95. Insulin using insulin syringe are given using how many degrees of needle insertion?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 45<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 180 <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 90<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 15<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 18: Maintenance of sterility is an important function a nurse should perform in any OR setting.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">96. Which of the following is true with regards to sterility?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Sterility is time related items are not considered sterile after a period of 30 days of being not in use.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. for 9 months sterile items are considered sterile as long as they are covered with sterile muslin cover and stored in a dust proof covers.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Sterility is event related, not time related.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. For 3 weeks, items double covered with muslin are considered sterile as long as they have undergone the sterilization process<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">97. 2 organizations endorsed that sterility are affected by factors other that the time itself, these are:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. The PNA and the PRC<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. AORN and JCAHO<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. ORNAP and MCNAP<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. MMDA and DILG<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">98. All of these factors affect the sterility of the OR equipments, these are the following except: <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. The material used for packaging<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. The handling of the materials as well as its transport<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Storage<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. The chemical or process used in sterilizing the material<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">99. When you say sterile, it means:<br />
A. The material is clean.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. The material as well as the equipments are sterilized and had undergone a rigorous sterilization process<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. There is a black stripe on the paper indicator<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. The material has no microorganism nor spores present that might cause an infection<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">100. In using liquid sterilizer versus autoclave machine, which of the following is true?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Autoclave is better in sterilizing OR supplies verus liquid sterilizer<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. They are both capable of sterilizing the equipments, however, it is necessary to soak supplies in the liquid sterilizer for a longer period of time. <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Sharps are sterilized using autoclave and not cidex.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. If liquid sterilizer sterilization process is used, rinsing it before using is not necessary.<o:p></o:p></span></div><br />
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<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np3-nursing-board-exam-november-2008.html">CLICK HERE PART 1 (1 - 50)'NP3 Nursing Board Exam November 2008 Answer Key Nursing Care of Client with Physiological and Psychosocial Alteration'</a><br />
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-50689758137172973662010-06-27T06:35:00.001+08:002010-06-27T06:39:01.186+08:00NP3 Nursing Board Exam November 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice III – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
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PART 1 Board Exam test questions 1 - 50<br />
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<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 1: Leo lives in the squatter area. He goes to nearby school. He helps his mother gather molasses after school. One day, he was absent because of fever, malaise, anorexia and abdominal discomfort.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">1. Upon assessment, Leo was diagnosed to have hepatitis A. Which mode of transmission has the infection agent taken?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Fecal ora</span></b><span style="font-family: Verdana; font-size: 8pt;">l<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Droplet <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Airborne<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Sexual contact<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">2. Which of the following is concurrent disinfection in the case of Leo?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. In<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Sanitary disposal of feces, urine and blood<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Quarantine of the sick individual<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">3. Which of the following must be emphasized during mother’s class to Leo’s mother?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Administration of immunoglobulin to families<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Thorough hand washing before and after eating and toileting<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Use of attenuated vaccines<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Boiling of food especially meat<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">4. Disaster control should be undertaken when there are 3 or more hepatitis A cases. Which of these measures is a priority?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Eliminate fecal contamination from foods<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Mass vaccination of uninfected individuals<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Health promotion and education to families and communities about the disease it’s cause and transmission.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Mass administration of immunoglobulin<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">5. What is the average incubation period of Hepatitis A?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 30 days<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 60 days<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 50 days<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 14 days<o:p></o:p></span></div><div class="MsoNormal"><br />
<a name='more'></a><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 2: As a nurse researcher you must have a very good understanding of the common terms of concept used in research.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">6. The information that an investigator collects from the subjects or participants in a research study is usually called:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Hypothesis<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Data<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Variable<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Concept<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">7. Which of the following usually refers to the independent variables in doing research?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Result<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Cause<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Output<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Effect<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">8. The recipients of experimental treatment is an experimental design or the individuals to be observed in a non experimental design are called;<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Setting <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Subjects<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Treatment<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Sample<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">9. The device or techniques an investigator employs to collect data is called?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Sample <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Instrument<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Hypothesis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Concept<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">10. The use of another persons ideas or wordings giving appropriate credit results from inaccurate attribution of materials to its sources. Which of the following is referred to when another persons idea is inappropriate credited as one’s own?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Plagiarism<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Quotation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Assumption<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Paraphrase<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 3: </span><span style="font-family: Verdana; font-size: 8pt;">Mrs. Pichay is admitted to your ward. The MD ordered “Prepare for thoracentesis this pm to remove excess air from the pleural cavity.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">11. Which of the following nursing responsibilities is essential in Mrs. Pichay who will undergo thoracentesis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Support and reassure client during the procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Ensure that informed consent has been signed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Determine if client has allergic reaction to local anesthesia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><b><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: Verdana; font-size: 8pt;">Ascertain if chest x-rays and other tests have been prescribed and completed <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">12. Mrs. Pichay who is for thoracentesis is assigned by the nurse to which of the following positions?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Trendelenburg position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Supine position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Dorsal Recumbent position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><b><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: Verdana; font-size: 8pt;">Orthopneic position<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">13. During thoracentesis, which of the following nursing intervention will be most crucial?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; text-transform: uppercase;">a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Place patient in a quiet and cool room<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; text-transform: uppercase;">b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Maintain strict aseptic technique<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><b><span style="font-family: Verdana; font-size: 8pt; text-transform: uppercase;">c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: Verdana; font-size: 8pt;">Advice patient to sit perfectly still during needle insertion until it has been withdrawn from the chest<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; text-transform: uppercase;">d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Apply pressure over the puncture site as soon as the needle is withdrawn<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">14. To prevent leakage of fluid in the thoracic cavity, how will you position the client after thoracentesis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Place flat in bed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Turn on the unaffected side<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Turn on the affected side<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">On bed rest<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">15. Chest x-ray was ordered after thoracentesis. When your client asks what is the reason for another chest x-ray, you will explain:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><b><span style="font-family: Verdana; font-size: 8pt;">to rule out pneumothorax</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">to rule out any possible perforation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">to decongest<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">to rule out any foreign body<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 4: A computer analyst, Mr. Ricardo J. Santos, 25 was brought to the hospital for diagnostic workup after he had experienced seizure in his office.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">16.Just as nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do first?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Ease the patient to the floor<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Lift the patient and put him on the bed<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Insert a padded tongue depressor between his jaws<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Restrain patient’s body movement<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">17. Mr. Santos is scheduled for CT SCAN for the next day, noon time. Which of the following is the correct preparation as instructed by the nurse?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Shampoo hair thoroughly to remove oil and dirt<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. No special preparation is needed. Instruct the patient to keep his head still and stead.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Give a cleansing enema and give until 8 AM<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Shave scalp and securely attach electrodes to it<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">18. Mr. Santos is placed on seizure precaution. Which of the following would be contraindicated?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Obtain his oral temperature <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Encourage to perform his own personal hygiene<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Allow him to wear his own clothing <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Encourage him to be out of bed.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">19. Usually, how does the patient behave after his seizure has subsided?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Most comfortable walking and moving about.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Becomes restless and agitated.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Sleeps for a period of time<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Say he is thirsty and hungry.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">20. Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Low fowler’s <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Modified trendelenburg<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Side Lying<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Supine<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 5: Mrs. Damian an immediate post op cholecystectomy and choledocholithotomy patient, complained of severe pain at the wound site.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">21. Choledocholithotomy is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. The removal of the gallbladder<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. The removal of the stones in the gallbladder <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. The removal of the stones in the common bile duct<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. The removal of the stones in the kidney<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">22. The simplest pain relieving technique is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Distraction<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Taking aspirin <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Deep breathing exercise<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Positioning<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">23. Which of the following statement on pain is true?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Culture and pain are not associated <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Pain accomplished acute illness<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Patient’s reaction to pain varies<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Pain produces the same reaction such as groaning and moaning<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">24. In a pain assessment, which of the following condition is a more reliable indicator?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Pain rating scale of 1 – 10<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Facial expression and gestures<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Physiological responses<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Patients description of the pain sensation<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">25. When a client complains of pain, your initial response is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Record the description of pain<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Verbally acknowledge the pain<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Refer the complaint to the doctor<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Change to a more comfortable position<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 6: You are assigned at the surgical ward and clients have been complaining of post pain at varying degrees. Pain as you know is very subjective.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">26. A one-day post operative abdominal surgery client has been complaining of severe throbbing abdominal pain described as 9 in 1 – 10 pain rating. Your assessment reveals bowel sounds on all quadrants and the dressing is dry and intact. What nursing intervention would you take?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Medicate client as prescribed<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Encourage client to do-imagery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Encourage deep breathing exercise<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Call surgeon stat<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">27. Pentoxidone 5 mg IV every 8 hours was prescribed for post abdominal pain, which will be your priority nursing action?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Check abdominal dressing for possible swelling <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Explain the proper use of PCA to alleviate anxiety<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Avoid overdosing to prevent dependence/tolerance <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Monitor VS, more importantly RR<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">28. The client complained of abdominal distention and pain. Your nursing intervention that can alleviate pain is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Instruct client to go to sleep and relax <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Advice the client to close the lips and avoid deep breathing and talking <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Offer hot and clear soup<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Turn to sides frequently and avoid too much talking<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">29. Surgical pain might be minimized b which nursing action in the O.R.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Skill of surgical team and lesser manipulation<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Appropriate preparation for the scheduled procedure<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Use of modern technology in closing the wound<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Proper positioning and draping of client.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">30. Inadequate anesthesia is said to be one of the common cause of pain both in intra and post-op patients. If general anesthesia is desired, it will involve loss of consciousness. Which of the following are the 2 general types of GA?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Epidural and Spinal<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Subarachnoid block and intravenous<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Inhalation and Regional<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Intravenous and inhalation<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 7: Nurse’s attitudes toward the pain influence the way they perceive and interact with clients in pain.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">31. Nurses should be aware of that older adults are at risk of underrated pain. Nursing assessment and management of pain should address the following beliefs EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Older patients seldom tend to report pain than the younger ones<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Pain is a sign of weakness<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Older patients do not believe in analgesics, they are tolerant.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Complaining of pain will lead to being labelled a bad patient<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">32. Nurses should understand that when a client responds favourably to a placebo, it is known as the placebo effect. Placebos do not indicate whether or not a client has:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Conscience<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Real pain<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Disease<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Drug tolerance<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">33. You are the nurse in the pain clinic where you have client who has difficulty specify the location of pain. How can you assist such client?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. The pain is vague<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. By charting-it hurts all over<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Identifying the absence and presence of pain<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Ask the client to point to the painful are by just one finger.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">34. What symptom more distressing than pain, should the nurse monitor when giving opioids especially among elderly clients who are in pain?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Forgetfulness<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Constipation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Drowsiness<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Allergic reactions like pruritus<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">35. Physical dependence occurs in anyone who takes opiods over a period of time. What do you tell a mother of a ‘dependent’ when asked for advice?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Start another drug and slowly lessen the opioid dosage<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Indulge in recreational outdoor activities<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Isolate opioid dependent to a restful resort<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Instruct slow tapering of the drug dosage and alleviate physical withdrawal symptoms.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 8: The nurse is performing health education activities for Janevi Segovia, a 30 years old Dentist with Insulin dependent diabetes Mellitus.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">36. Janevi is preparing a mixed dose of insulin. The nurse is satisfied with her performance when she:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Draw insulin from the vial of clear insulin first<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Draw insulin from the vial of the intermediate acting insulin first<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Fill both syringes with the prescribed insulin dosage then shake the bottle vigorously<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Withdraw the intermediate acting insulin first before withdrawing the short acting insulin first.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">37. Janevi complains of nausea, vomiting, diaphoresis and headache. Which of the following nursing intervention are you going to carry first?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Withhold the client’s next insulin injection<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Test the client’s blood glucose level<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Administer Tylenol as ordered<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Offer fruit juice, gelatine and chicken bouillon<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">38. Janevi administered regular insulin at 7 A.M. and the nurse should instruct Jane to avoid exercising at around:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 9 to 11 A.M.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. After 8 hours<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Between 8 A.M. to 9 A.M.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. In the afternoon, after taking lunch.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">39. Janevi was brought at the emergency room after four month because she fainted in her clinic. The nurse should monitor which of the following test to evaluate the overall therapeutic compliance of a diabetic patient?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Glycosylated Hemoglobin<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Fasting blood glucose<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Ketone levels<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Uirne glucose level<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">40. Upon the assessment of HbA1C of Mrs. Segovia. The nurse has been informed of a 9 % HbA1C result. In this case, she will teach the patient to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Avoid infection<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Take adequate food and nutrition<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Prevent and recognize hypoglycaemia<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Prevent and recognize hypoglycaemia<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">41. The nurse is teaching plan of care for Jane with regards to proper foot care. Which of the following should be included in the plan?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Soak feet in hot water<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Avoid using mild soap on the feet<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Apply a moisturizing lotion to dry feet but not between the toes<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Always have a podiatrist to cut your toe nails; never cut them yourself<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. Another patient was brought to the emergency room in an unresponsive state and a diagnosis of hyperglycaemic hyperosmolar nonketotic syndrome is made. The nurse immediately prepare to initiate which of the following anticipated physician’s order?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Endotracheal intubation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 100 units of insulin<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Intravenous infusion of normal saline <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Intravenous infusion of sodium bicarbonate<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. Jane eventually developed DKA and is being treated in the emergency room. Which finding would the nurse expect to note as confirming this diagnosis?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Comatose state<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Decreased urine output<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Increased respiration and increase in pH<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Elevated blood glucose level and plasma bicarbonate level<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. The nurse teaches Jane to know the difference between hypoglycaemia and ketoacidosis. Jane demonstrates understanding of the teaching by stating that glucose will be taken of which of the following symptoms develops?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B</span></b><span style="font-family: Verdana; font-size: 8pt;">. <b>Shakiness</b><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Blurred vision<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Foul breath odor<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. Jane has been scheduled to have a FBS taken in the morning. The nurse tells Jane to eat or drink after midnight. Prior to taking the blood specimen, the nurse noticed that Jane is holding a bottle of distilled water. The nurse asked Jane if she drink any, and she said yes. Which of the following is the best nursing action?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Administer syrup of ipecac to remove the distilled water from the stomach.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Suction the stomach content using NGT prior to specimen collection<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Advice to physician to reschedule to diagnostic examination next day<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Continue as usual and have the FBS analysis performed and specimen be taken.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 9: Elderly clients usually produce unusual signs when it comes to different diseases. The ageing process is a complicated process and the nurse should understand that it is an inevitable fact and she must be prepared to care for the growing elderly population.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">46. Hypoxia may occur in the older patients because of which of the following<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">physiologic changes associated with aging.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Ineffective airway clearance<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Decreased alveolar surfaced area<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Decreased anterior-posterior chest diameter<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Hyperventilation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">47. The older patient is at higher risk for incontinence because of:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">dilated urethra<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">increased glomerular filtration rate<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">diuretic use<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">decreased bladder capacity<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">48. Merle, age 86, is complaining of dizziness when she stands up. This may<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">indicate:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">dementia<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">a visual problem<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">functional decline<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">drug toxicity<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">49. Cardiac ischemia in an older patient usually produces:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">ST-T wave changes<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Very high creatinine kinase level<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Chest pain radiating to the left arm<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Acute confusion <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">50. The most dependable sign of infection in the older patient is:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">change in mental status<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">fever<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">pain<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. </span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">decreased breath sounds with crackles<o:p></o:p></span></div><br />
<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np3-nursing-board-exam-november-2008_27.html">CLICK HERE PART 2 (51 - 100)'NP3 Nursing Board Exam November 2008 Answer Key Nursing Care of Client with Physiological and Psychosocial Alteration'</a><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2611603214227969968.post-27441938770740631762010-06-27T06:11:00.003+08:002010-06-27T06:39:43.500+08:00NP2 Nursing Board Exam November 2008 Answer Key 'Community Health Nursing and Care of Mother and Child'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice II – Community Health Nursing and Care of Mother and Child<br />
Community Health Nursing / O.B. (Obstetric)<br />
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PART 2 Board Exam test questions 51 - 100<br />
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<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 7: The infant and child mortality rate in the low to middle income countries is ten times higher than industrialized countries. In response to this the WHO and UNICEF launched protocol Integrated Management of Childhood Illness to reduce the morbidity and mortality against childhood illnesses.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">51. If a child with diarrhea registers two signs in the yellow row in the IMCCI char, we can classify the patient as:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Moderate dehydration<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Some dehydration<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Severe dehydration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. No dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">52. Celeste has had diarrhea for 8 days. There is no blood in the stool, he is irritable, his eyes are sunken, the nurse offers fluid to Celeste and he drinks eagerly. When the nurse pinched the abdomen it goes back slowly. How will you classify Celeste’s Illness?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Moderate dehydration<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Some dehydration<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Severe dehydration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. No dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">53. A child who is 7 weeks has had diarrhea for 14 days but has no sign of dehydration is classified as?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Persistent diarrhea <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Severe dysentery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Dysentery<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Severe Persistent diarrhea<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">54. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home treatment in this case?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Forced fluids<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. When to return<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Give Vitamin A supplement<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Feeding more<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">55. Fever as used in IMCI includes:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Axillary temperature of 37.5 or higher<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Rectal temperature of 38 or higher<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Feeling hot to touch<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. All of the above<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">E. A and C only<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation: Prevention of Dengue is an important nursing responsibility and controlling it’s spread is priority once outbreak has been observed.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">56. An important role of the community health nurse in the prevention and control of Dengue H-fever includes:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Advising the elimination of vectors by keeping water containers covered<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Conducting strong health education drives/campaign directed toward proper garbage disposal<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Explaining to the individuals, families, groups and community the nature of the disease and its causation.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Practicing residual spraying with insectesides<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">57. Community health nurses should be alert in observing a Dengue suspect. The following is NOT an indicator for hospitalization of H-fever suspects?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Marked anorexia, abdominal pain and vomiting<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Increasing hematocrit count<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Cough of 30 days<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Persistent headache<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">58. The community health nurses primary concern in the immediate control of hemmorrhage among patients with dengue is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Advising low fiber and non-fat diet<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Providing warmth through light weight covers<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Observing closely the patient for vital signs leading to shock<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Keeping the patient at rest.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">59. Which of these signs may NOT be REGARDED as a truly positive signs indicative of Dengue H-fever?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Prolonged Bleeding Time<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Appearance of at least 20 petechiae within 1 cm square<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Steadily increasing hematocrit count<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Fall in the platelet count<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">60. Which of the following is the most important treatment of patients with Dengue H-fever?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Give aspirin for fever<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Replacement of body fluids <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Avoid unnecessary movement<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Ice cap over abdomen in case of melena<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 9: Health education and Health Promotion is an important part of nursing responsibility in the community. Immunization is a form of health promotion that aims at preventingthe common childhood illnesses.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">61. In correcting misconception and myths about certain diseases and their management, the health worker should first:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Identify the myths and misconceptions prevailing in the community<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Identify the source of these myths and misconceptions<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Explain how and why these myths came about<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Select the appropriate IEC strategies to correct them.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">62. How many percent of measles are prevented by immunization at 9 months age?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 80 %<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 90%<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 99 %<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 95 %<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">63. After TT3 vaccination a mother is said to be protected to tetanus by around?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. 80 %<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 85 %<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 99 %<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. 90 %<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">64. If ever convulsion occurs after administering DPT, what should nurse best suggest to the mother?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Do not continue DPT vaccination anymore<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Advise mother to come back aster 1 week<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Give DT instead of DPT<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Give pertussis of the DPT and remove DT<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">65. These vaccines are given 3 doses at one month intervals:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. DPT, BCG, TT<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. DPT, TT, OPV<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. OPV, Hep. B, DPT<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Measles, OPV, DPT<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 10: With the increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions apply.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">66. Which among the following is the primary focus of prevention of cancer?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Elimination of conditions causing cancer<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Diagnosis and treatment<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Treatment at early stage<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Early detection <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">67. In the prevention and control of cancer, which of the following activity is the most important function of the community health nurse?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Conduct community assemblies<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Referral to cancer specialist those clients with symptoms of cancer<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Use the nine warning signs of cancer as parameters in our process of detection; control and treatment modalities.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Teach woman about proper/correct nutrition.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">68. Who among the following are recipients of the secondary level of care for cancer cases?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Those under early case</span></b><span style="font-family: Verdana; font-size: 8pt;"> <b>detection</b><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Those under supportive care<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Those scheduled for surgery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Those under going treatment<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">69. Who among the following are recipients of the tertiary level of care for cancer cases?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Those under early treatment<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Those under supportive care<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Those under early detection<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Those scheduled for surgery<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">70. In Community Health Nursing, despite the availability and use of many equipment and devices to facilitate the job of the community health nurse, the nurse should be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This nursing parlance is nothing less than the:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Nursing diagnosis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Nursing protocol<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Nursing research<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Nursing process<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 11 – Two children were brought to you. One with chest indrawing and the other had diarrhea. The following questions apply:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">71. Using Integrated Management and Childhood Illness (IMCI) approach, how would you classify the 1st child?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Brochopneumonia<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. No pneumonia: cough or cold<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Severe pneumonia<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Pneumonia<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">72. The 1st child who is 13 months has fast breathing using IMCI parameters he has:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. 40 breaths per minute or more</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. 50 breaths per minute<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. 30 breaths per minute or more<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. 60 breaths per minute<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">73. Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool. She is irritable and her eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you classify Nina’s illness?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Some dehydration<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Dysentery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Severe dehydration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. No dehydration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">74. Nina’s treatment should include the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Reassess the child and classify him for dehydration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. For infants under 6 months old who are not breastfed, give 100-200 ml clean water as well during this period.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Give in the health center the recommended amount of ORS for 4 hours.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Do not give any other foods to the child for home treatment<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">75. While on treatment, Nina 18 months old weighed 18 kgs and her temperature registered at 37 degrees C. Her mother says she developed cough 3 days ago. Nina has no general danger signs. She has 45 breaths/minute, no chest indrawing, no stridor. How would you classify Nina’s manifestation.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. No pneumonia<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Severe pneumonia<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Pneumonia<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Bronchopneumonia<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">76. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse in charge of Carol, how will you classify her illness?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. a child at a general danger sign <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. very severe febrile disease </span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. severe pneumonia <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. severe malnutrition<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">77. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. their skin is more susceptible to conduction of cold<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. they are preterm so are born relatively small in size<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. they do not have as many fat stored as other infants<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. they are more active than usual so they throw off comes<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">78. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for during this procedure?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. headache and vomiting</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. a swollen tender tongue <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. a high choking voice<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. abdominal bleeding and pain<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">79. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. use plan C if there is bleeding from the nose or gums<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. give aspirin<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. prevent low blood sugar<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">80. In assessing the patient’s condition using the Integrated Management of Childhood Illness approach strategy, the first thing that a nurse should do is to:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. ask what are the child’s problem</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. check the patient’s level of consciousness <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. check for the four main symptoms <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. check for the general danger signs<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">81. A child with diarrhea is observed for the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. how long the child has diarrhea <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. skin Petechiae </span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. presence of blood in the stool <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. signs of dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">82. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home management at this case?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. give drugs every 4 hours</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. continue feeding the child <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. give the child more fluids <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. inform when to return to the health center<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">83. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. beneficence <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. nonmaleficence <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C</span></b><span style="font-family: Verdana; font-size: 8pt;">. <b>respect for person</b> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. autonomy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">84. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. justice and beneficence <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. fidelity and nonmaleficence <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C.</span></b><span style="font-family: Verdana; font-size: 8pt;"> <b>beneficence and nonmaleficence</b><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. fidelity and justice<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">85. Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say/do?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. “Miss, may I get the bread myself because you have not washed your hands”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. All of these<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. “Miss, it is better to use a pick up forceps/ bread tong”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. “Miss, your hands are dirty. Wash your hands first before getting the bread”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 12: The following questions refer to common clinical encounters experienced by an entry level nurse.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">86. A female client asks the nurse about the use of cervical cap. Which statement is correct regarding the use of the cervical cap?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. It may affect Pap smear results<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. It does not need to be fitted by the physician<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. It does not require the use of spermicide<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. It must be removed within 24 hours<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">87. The major components of the communication process are?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">A. Verbal, written, and nonverbal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">B. Speaker, Listener and reply<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">C. Facial expression, tone of voice and gestures<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Message, sender, channel, Receiver and Feedback<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">88. The extent of burns in children are normally assessed and expressed in terms of:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">A. The amount of body surface that is unburned<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Percentages of total body surface area (TBSA)<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">C. How deep the deepest burns are<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">D. The severity of the burns on a 1 to 5 burn scale<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">89. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">always hungry; has no lunch money; and is always tired. When the nurse asks the boy his<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">tiredness, he talks of playing outside until midnight. The nurse will suspect that this child<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">A. Being raised by a parent of low intelligence (IQ)<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. An orphan<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. A victim of child neglect<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. The victim of poverty<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">90. Which of the following indicates the type(s) of acute renal failure?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. One type: Acute<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. <b>Three types: Prerenal, intrarenal, postrenal<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Two types: Acute and subacute<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 13: Mike 16 y/o has been diagnose to have AIDS, he worked as entertainer in a cruise ship:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">91. Which method of transmission is common to contract AIDS:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Syringe and needles<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Body fluids<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Sexual contact<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Transfusion<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">92. Causative organism in AIDS is one of the following:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Fungus<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Bacteria<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Retrovirus<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Parasites<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">93. You are assigned in a private room of Mike. Which procedure should be of outmost importance:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Alcohol wash<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Universal precaution<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Washing isolation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Gloving technique<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">94. What primary health teaching would you give to Mike?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Daily exercise<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Prevent infection<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Reversal Isolation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Proper nutrition<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">95. Exercise precaution must be taken to protect health worker dealing with the AIDS patients, which among these must be done as priority?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Boil used syringed and needles<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Use gloves when handling specimen<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Label personal belonging<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Avoid accidental wound<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 14: Michelle is a 6 year old preschooler. She was reported by her sister to have measles but she was at home because of fever, upper respiratory problem and white sports in her mouth.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">96. Rubeola is an Arabic term meaning Red, the rash appears on the skin in invasive stage prior to eruption. As a nurse, your physical examination must determine complication especially:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Otitis media<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Bronchial pneumonia<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Inflammatory conjunctiva<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Membranous laryngitis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">97. To render comfort measure is one of the priorities, which includes care of the skin, eyes, ears, mouth and nose. To clean the mouth, your antiseptic is in some form of which one below?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Water<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Sulfur<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Alkaline<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Salt<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">98. As a public health nurse, you teach mother and family members the prevention of complication of measles. Which of the following should be closely watched?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Temperature fails to drop<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Inflammation of the conjunctiva<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Inflammation of the nasopharynx<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Ulcerative stomatitis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">99. Source of infection of measles is secretion of nose and throat of infection person. Filterable of measles is transmitted by:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Water supply<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. Droplet<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Food ingestion<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Sexual contact<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">100. Method of prevention is to avoid exposure to an infection person. Nursing responsibility for rehabilitation of patient includes the provision of:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Terminal disinfection<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Injection of gamma globulin<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Immunization<o:p></o:p></span></div><b><span style="font-family: Verdana; font-size: 8pt;">D. Comfort measures</span></b><br />
<br />
<div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np2-nursing-board-exam-november-2008.html">CLICK HERE PART 1 (1 - 50) 'NP2 Nursing Board Exam November 2008 Answer Key Community Health Nursing and Care of Mother and Child'</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2611603214227969968.post-69150682442579215632010-06-27T06:10:00.004+08:002010-06-27T06:38:51.084+08:00NP2 Nursing Board Exam November 2008 Answer Key 'Community Health Nursing and Care of Mother and Child'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice II – Community Health Nursing and Care of Mother and Child<br />
Community Health Nursing / O.B. (Obstetric)<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
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<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 1: Mariah is a 31 year old lawyer who has been married for 6 moths. She consults you for guidance in relation with her menstrual cycle and her desire to get pregnant.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">1. She wants to know the length of her menstrual cycle. Her periodic menstrual period is October 22 to 26. Her LMB is November 21. Which of the following number of days will be your correct response?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. 29 <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. 28<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. 30<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. 31<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">2. You advised her to observe and record the signs of Ovulation. Which of the following signs will she likely note down?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A 1 degree Farenheit rise in basal body temperature<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Cervical mucus becomes copious and clear<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">One pound increase in weight<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Mitteischmerz<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. 1,2,4</span></b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"> B. 1,2,3 C. 2,3,4 D. 1,3,4<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">3. You instruct Mariah to keep record of her basal temperature everyday, which of the following instructions is incorrect?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. If coitus has occured, this should be reflected in the chart<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. It is best to have coitus on the evening following a drop in BBT to become pregnant<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Temperature should be taken immediately after waking and before getting put of bed<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. BBT is lowest during the secretory phase <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">4. She reports an increase in BBT on December 16. Which hormone brings about this change in her BBT?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Estrogen<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Progesterone<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Gonadootrophine<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Follicle Stimulating Hormone<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">5. The following month, Mariah suspects she is pregnant. Her urine is positive for Human Chorionic Gonadotrophin. Which structure produce HCG?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Pituitary Gland<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Trophoblastic cells of the embryo<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Uterine deciduas<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Ovarian follicles<o:p></o:p></span></div><div class="MsoNormal"><br />
<a name='more'></a><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 2: Mariah came back and she is now pregnant.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">6. At 5 moths gestation, which of the following fetal development would probably be expected:<br />
<b>A. Fetal development are felt by Mariah<o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Vernix caseosa covers the entire body <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Viable if delivered within this period<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Braxton hicks contractions are observed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what level of the abdomen can be the fundic height be palpated?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Symphysis pubis <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Midpoint between the umbilicus and the xiphoid process<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Midpoint between the Symphysis pubis the umbilicus<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Umbilicus<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">8. She worries about her small breast, thinking that she probably will incapable to breastfeed her baby. Which of the following responses of the nurse is correct?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. “The size of your breast will not affect your lactation.”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. “You can switch to bottle feeding.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. “You can try to have exercise to increase the size of your breast.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. “Manual expression of milk is possible.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">9. She tells the nurse that she does not take milk regularly. She claims that she does not want to gain too much weight during her pregnancy. Which of the following nursing diagnosis is a priority?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Potential self-esteem disturbance related to physiologic changes in pregnancy<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Ineffective individual coping related to physiologic changes in pregnancy<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Fear related to the effects of pregnancy<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Knowledge deficit regarding nutritional requirements pregnancies related to lack of information sources.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">10. Which of the following interventions will likely ensure compliance of Mariah?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Incorporate her food preferences that are adequately nutritious in her meal plan.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Consistently counsel toward optimum nutritional intake<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Respect her right to reject dietary information if she chooses<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Information of the adverse effects of inadequate nutrition to her fetus<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 3: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">11. Susan tells you she is worried because she develops breast later than most of her friends. Breast development is termed as:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Adrenarche<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Mamarche<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Thelarche<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Menarche<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">12. Kevin, Susan’s husband tells you that he is considering vasectomy. After the birth of their new child. Vasectomy involves the incision of which organ?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. The testes<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. The vas deferens <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. The epididymis<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. The scrotum<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">13. On examination, Susan has been found of having a cystocele. A cystocele is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. A sebaceous cyst arising from the vulvar fold.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Protrusion of intestines into the vagina<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Prolapse of the uterus into the vagina<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Herniation of the bladder into the vaginal wall.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">14. Susan typically has menstrual cycle of 34 days. She told you she had a coitus on days 8, 10 and 20 of her menstrual cycle. Which is the day on which she is most likely to conceive?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. 8</span><span style="font-family: Verdana; font-size: 8pt;">th</span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"> day<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. 10</span><span style="font-family: Verdana; font-size: 8pt;">th</span><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"> day<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Day 15<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Day 20<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">15. While taking with Susan, 2 new patients arrived and they are covered with large towels and the nurse noticed that there are many cameraman and news people outside of the OPD. Upon assessment the nurse noticed that both of them are still nude and the male client’s penis is still inside the female client’s vagina and the male client said that “I can’t pull it.” Vaginismus was your first impression. You know that the psychological cause of Vaginismus is related to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. The male client inserted the penis too deeply that it stimulates vaginal closure<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. The penis was too large that’s why the vagina triggered it’s defense to attempt to close<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. The vagina do not want to be penetrated<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. It is due to learning patterns of the female client where she views sex as bad or sinful.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 4: Overpopulation is one problem in the <st1:country-region w:st="on"><st1:place w:st="on">Philippines</st1:place></st1:country-region> that case economic drain. Most Filipinos are against in legalizing abortion. As a nurse, Mastery of contraception is needed to contribute to the society and economic growth.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">16. Supposed that Dana, 17 years old, tells you she wants to use fertility awareness method of contraception. How will she determine her fertile days?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. She will notice that she feels hot as if she has an elevated temperature <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. She should assess whether her cervical mucus is thin colour, clear and watery.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. She should monitor her emotions fro sudden anger or crying<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. She should assess whether her breast feel sensitive to cool air.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">17. Dana chooses to use COC as her family planning method, what is the danger sign of COC you would ask her to report?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. A stuffy or runny nose<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Arthritis like symptoms<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Slight weight gain<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Migraine headache <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">18. Dana asks about subcutaneous implants and she asks how long will these implants be effective. Your best answer is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. One month<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Twelve month<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Five years<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. 10 years<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">19. Dana asks about female condoms. Which of the following is true with regards to female condoms?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. The hormone the condom releases might cause mild weight gain.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. She should insert the condom before any penile penetration<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. She should coat the condom with spermecide before use<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Female condoms unlike male condoms are reusable.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">20. Dana has asked about GIFT procedure. What makes her a good candidate for GIFT?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. She has patent fallopian tubes, so fertilized ova can be implanted on them.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. She is RH negative, a necessary stipulation to rule out RH incompatibity.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. She has normal uterus, so the sperm can be injected through the cervix into it.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Her husband is taking sildenafil, so all sperms will be motile.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 5 – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Prostaglandins released from the cut fallopian tubes can kill sperm<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Sperm can not enter the uterus because the cervical entrance is blocked.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Sperm can no longer reach the ova, because the fallopian tubes are<o:p></o:p></span></b></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">blocked<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. The ovary no longer releases ova as there is no where for them to go.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. a woman has no uterus<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. a woman has no children<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. a couple has been trying to conceive for 1 year<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. a couple has wanted a child for 6 months<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">23. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. endometrial implants can block the fallopian tubes<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. the uterine cervix becomes inflamed and swollen<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. the ovaries stop producing adequate estrogen<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. pressure on the pituitary leads to decreased FSH levels<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">24. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding this procedure?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. She will not be able to conceive for 3 months after the procedure<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. The sonogram of the uterus will reveal any tumors present<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Many women experience mild bleeding as an after effect<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. She may feel some cramping when the dye is inserted<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">25. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks what artificial insemination by donor entails. Which would be your best answer if you were Nurse Lorena?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Donor sperm are introduced vaginally into the uterus or cervix<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Donor sperm are injected intra-abdominally into each ovary<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Artificial sperm are injected vaginally to test tubal patency<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. The husband’s sperm is administered intravenously weekly<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">Situation 6: You are assigned to take care of a group of patients across the lifespan.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">26. Pain in the elder persons require careful assessment because they:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Experienced reduce sensory perception<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Have increased sensory perception <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Are expected to experience chronic pain<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Have decreased pain threshold<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">27. Administration of analgesics to the older persons require careful patient assessment because older people:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Are more sensitive drugs<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Have increased hepatic, renal, and gastrointestinal function<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Have increased sensory perception<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Mobilize drugs more rapidly<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">28. The elderly patient is at higher risk for urinary incontinence because:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Increased glomerular filtration<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Diuretic use<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Decreased bladder capacity<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">29. Which of the following is the MOST COMMON sign of infection among the elderly?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Decreased breath sounds with crackles <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Fever <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Pain<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Change in the mental status<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">30. Priorities when caring for the elderly trauma patient:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Circulation, airway, breathing<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Disability(Neurologic), airway, breathing<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Airway, Breathing, Disability(Neurologic),<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Airway, breathing, Circulation</span></b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">31. Preschoolers are able to see things from which of the following perspectives?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Their peers<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Their own and their caregivers<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Their own and their mother’s<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Only their own<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">32. In conflict management, the win-win approach occurs when:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. There are two conflicts and the parties agree to each one<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Each party gives in on 50% of the disagreement making the conflict<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Both parties involved are committed in solving the conflict<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. The conflict is settled out of court so the legal system mandates parties win.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">33. According to the social-International perspective of child abuse and neglect, four factors place the family members at risk for abuse, these risk factors are the family members at risk for abuse. These risk factors are the family itself, the caregiver, the child and:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A.</span></b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"> <b>The presence of a family crisis</b><o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Genetics<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. The national emphasis on sex<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Chronic poverty<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">34. Which of the following signs and symptoms would you most likely find when assessing an infant with Arnold-Chari malformation?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Weakness of the leg muscles, loss of sensation in the legs, and restlessness <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Difficulty swallowing, diminished or absent gag reflex and respiratory distress<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Difficulty sleeping, hypervigilant and an arching of the back<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Paradoxical irritability, diarrhea and vomiting<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">35. A parent calls you and frantically reports that her child has gotten into her famous ferrous sulfate pills and ingested a number of these pills. Her child is now vomiting, has bloody diarrhea and is complaining of abdominal pain. You will tell the mother to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Call emergency medical services (<st1:place w:st="on">EMS</st1:place>) and get the child to the emergency room<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Relax because these symptoms will pass and the child will be fine<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Administer syrup of pecac<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Call the poison control center<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">36. A client says she heard from a friend that you stop having periods once you are on the “pill.” The most appropriate response would be:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. “The pill prevents the uterus from making such endometrial lining, that is why period may often be scant or skipped occasionally.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. “If your friend has missed her period, she should stop taking the pills and get a pregnancy test.”<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. “The pill should cause a normal menstrual period every month. It sounds like your friend has not been taking the pills properly.”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Missed period can be very dangerous and may lead to the formation of precancerous cells.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">37. The nurse assessing newborn babies and infants during their hospital stay notice which of the following symptoms as a primary manifestation of Hirschprung’s disorder?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. A fine rash over the trunk<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Failure to pass meconium during the first 24 hours after birth<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. The skin turns yellow and then brown over the first 24 hours to 46 hours after birth.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.5in;"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. High grade fever.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">38. A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa. She is able and has minimal spotting and is being sent home. Which of these instructions to the client may indicate a need for further teaching?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Maintain bed rest with bathroom privileges<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Avoid intercourse for three days<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Call if contractions occur.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Stay on left side as much as possible when lying down.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">39. A woman has been rushed to the hospital with ruptured membrane. Which of the following should the nurse check first?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Check for the presence of infarction.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Assess for Prolapse of the umbilical cord<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Check the maternal heart rate<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Assess the color of the amniotic fluid<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">40. The nurse notes that the infant is wearing a plastic-coated diaper. If a topical medication were to be prescribed and it were to go on the stomachs or buttocks, the nurse would teach the caregivers to:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Avoid covering the area of the topical medication with the diaper <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Avoid the use of clothing on top of the diaper<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Put the diaper on as usual <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Apply an icepack for 5 minutes to the outside of the diaper<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">41. Which of the following factors is most important in determining the success of relationships used in delivering nursing care?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">A. Type of illness of the client<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">B. Transference and counter Transference<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">C. Effective communication<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;">D. Personality of the participants</span></div><div class="MsoNormal"><br />
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</style> </div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. lacerations can provoke allergic responses due to gonadotropic hormone release<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. a woman is less able to keep the laceration clean because of her fatigue<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. healing is limited during pregnancy so these will not heal until after birth<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. increased bleeding can occur from uterine pressure on leg veins<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. In working with the caregivers of a client with an cute or chronic illness, the nurse would:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Teach care daily and let the caregivers do a return demonstration just before discharge<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Difficulty swallowing, diminished or absent gag reflex and respiratory distress<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Difficulty sleeping, hypervigilant and arching of the back<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Paradoxical irritability, diarrhea and vomiting<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. Which of the following roles BEST exemplifies the expanded role of the nurse?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Circulating nurse in surgery<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Medication nurse<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Obstretical nurse <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Pediatric nurse practitioner<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. According to De Rosa and Kochura’s (2006) article entitled “Implement Culturally Health Care in your workplace,” cultures have different patterns of verbal and nonverbal communication. Which difference does NOT necessarily belong?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Personal behaviour<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Eye contact<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Subject Matter<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Conversational style<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">46. You are the nurse assigned to work with a child with acute glomerulonephritis. By following the prescribed treatment regimen, the child experiences a remission. You are now checking to make sure the child does not have a relapse. Which finding most lead you to the conclusion that a relapse is happening?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Elevated temperature, cough, sore throat, changing complete blood count (CBC) with differential count<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. A urine dipstick measurement of 2+ proteinuria or more for 3 days or the child found to have 3-4+ proteinuria plus edema.<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. The urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urine output and a moon face.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. A temperature of 37.8 degrees (100 degrees F) flank pain, burning frequency, urgency on voiding and cloudy urine.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">47. The nurse is working with an adolescent who complains of being lonely and having a lack of fulfilment in her life. This adolescent shies away from intimate relationships at times yet at other times she appears promiscuous. The nurse will likely work with this adolescent in which of the areas?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Isolation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Loneliness<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Lack of fulfilment<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Identity<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">48. The use of interpersonal decision making psychomotor skills and application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety as an example of?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Delegation<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Supervision<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Responsibility<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Competence<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">49. The painful phenomenon known as back labor occurs in a client whose fetus in what position?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Brow position<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Right occipito-Anterior Position<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Breech position<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">D. Left occipito-Posterior Position<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">50. Focus methodology stands for?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Focus, Organize, Clarify, Understand and Solution<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Focus, <st1:place w:st="on">Opportunity</st1:place>, Continuous, Utilize, Substantiate<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Focus, Organize, Clarify, Understand, Substantiate<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Focus, <st1:place w:st="on">Opportunity</st1:place>, Continuous (process), Understand, Solution<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></b></div><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"></span><br />
<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt; vertical-align: baseline;"></span></div><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np2-nursing-board-exam-november-2008_27.html">CLICK HERE PART 2 (51 - 100) 'NP2 Nursing Board Exam November 2008 Answer Key Community Health Nursing and Care of Mother and Child'</a><br />
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Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-2611603214227969968.post-44783213967206544822010-06-27T05:59:00.000+08:002010-06-27T05:59:18.243+08:00NP1 Nursing Board Exam November 2008 Answer Key 'Foundation of Professional Nursing Practice'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice 1 – Foundation of Professional Nursing Practice<br />
Fundamentals of Nursing<br />
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PART 2 Board Exam test questions 51 - 100<br />
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<div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 9: As a nurse, you are aware that proper documentation in the patient chart is your responsibility.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">51. </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Which of the following is NOT a legally binding document but nonetheless very important in the care of all patients in any setting?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Bill of rights as provided in the Philippine Constitution<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Scope of nursing practice as defined in R.A. 9173<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Board of Nursing resolution adopting the Code of Ethics</span><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Patient’s Bill of Rights </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">52. A nurse gives a wrong medication to the client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Incident Report<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Oral report<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Nursing kardex<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Complain report<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">53. Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Fraud<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Assault and Battery <o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Harassment<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Breach of confidentiality<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">54. Which of the following is the essence of informed consent?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. It should have a durable power of attorney<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. It should have coverage from an insurance company<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. It should respect the client’s freedom from coercion<br />
<b>D. It should discloses previous diagnosis, prognosis and alternative treatments available for the client.</b><o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">55. Delegation is the process of assigning tasks that can be performed by a subordinate. The RN should always be accountable and should not lose his accountability. Which of the following is a role included in delegation?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. The RN must supervise all delegated tasks<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. After a task has been delegated. It is no longer a responsibility of the RN.<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. The RN is responsible and accountable for the delegated task in a adjunct with the delegate.<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Follow up with a delegated task necessary only if the assistive personnel is not trustworthy.<o:p></o:p></span></div><div class="NoSpacing"><br />
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</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation<b> </b>10<b> – </b></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">When creating your lesson plan for cerebrovascular disease or STROKE. It is important to include the risk factors of stroke.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">56. The most important risk factor is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Cigarette smoking <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. <b>Hypertension <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. binge drinking <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. heredity<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">57. Part of your lesson plan is to talk about etiology or cause of stroke. The types of stroke based on cause are the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Embolic stroke <b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Hemorrhagic stroke <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. diabetic stroke</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. thrombotic stroke<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">58. Hemmorhagic stroke occurs suddenly usually when the person is active. All are causes of hemorrhage, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. <b>phlebitis</b><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. trauma <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. damage to blood vessel <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. aneurysm<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">59. The nurse emphasizes that intravenous drug abuse carries a high risk of stroke. Which drug is closely linked to this?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Amphetamines <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. <b>Cocaine <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. shabu <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Demerol<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">60. A participant in the STROKE class asks what is a risk factor of stroke. Your best response is:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. “More red blood cells thicken blood and make clots more possible.”<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. “Increased RBC count is linked to high cholesterol.”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. “More red blood cell increases hemoglobin content.”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. “High RBC count increases blood pressure.”<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 11: Recognition of normal values is vital in assessment of clients with various disorders.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">61. A nurse is reviewing the laboratory test results for a client with a diagnosis of severe dehydration. The nurse would expect the hematocrit level for this client to be which of the following?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 60%<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 47%<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 45%<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 32%<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">62. A nurse is reviewing the electrolyte results of an assigned client and notes that the potassium level is 5.6 mEq/L. Which of the following would the nurse expect to note on the ECG as a result of this laboratory value?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. ST depression<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Inverted t wave<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Prominent U wave<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Tall peaked T waves<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">63. A nurse is reviewing the electrolyte results of an assigned client and notes that the potassium level is 3.2 mEq/L. Which of the following would the nurse expect to note on the ECG as a result of this laboratory value?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. U waves<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Absent P waves<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Elevated T waves<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Elevated ST segment<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">64. </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Dorothy underwent diagnostic test and the result of the blood examination are back. On reviewing the result the nurse notices which of the following as abnormal finding?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Neutrophils 60%<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. White blood cells (WBC) 9000/mm<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Erythrocyte sedimentation rate (ESR) is 39 mm/hr<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Iron 75 mg/100 ml</span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">65. </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Which of the following laboratory test result indicate presence of an infectious process?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Erythrocyte sedimentation rate (ESR) 12 mm/hr<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. White blood cells (WBC) 18,000/mm3<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Iron 90 g/100ml<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Neutrophils 67%<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 12: Pleural effusion is the accumulation of fluid in the pleural space. Question to 66 to 70 refer to this?<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">66. Which of the following is a finding that the nurse will be able to assess in a client with pleural effusion?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Reduced or absent breath sound at the base of the lungs, dyspnea, tachypnea and shortness of breath.<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Hypoxemia<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Noisy respiration, crackles, stridor and wheezing<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Tracheal deviation towards the affected side, increased fremitus and loud breath sounds<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">67. Thoracentesis is performed to the client with effusion. The nurse knows that he removal of fluid should be slow. Rapid removal of fluid in thoracentesis might cause:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Pneumothorax<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Pleurisy or Pleuritis<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Cardiovascular collapse<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Hypertension<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">68. 3 Days after thoracentesis, the client again exhibited respiratory distress. The nurse will know that the pleural effusion has reoccurred when she noticed a sharp stabbing pain during inspiration. The physician ordered a closed tube thoracotomy for the client. The nurse knows that the primary function of the chest tube is to:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Restore positive intrathoracic pressure<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Restore negative intrathoracic pressure<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. To visualize the intrathoracic content<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. As a method of air administration <o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">69. The chest tube is functioning properly if:<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. There is an oscillation <o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. There is no bubbling in the drainage bottle<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. There is a continuous bubbling in the water seal.<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. The suction control bottle has a continuous bubbling<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">70. In a client with pleural effusion, the nurse is instructing a appropriate breathing technique. Which of the following is included in the teaching?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Breath normally<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Hold the breath after each inspiration for 1 full minute<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Practice abdominal breathing<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Inhale slowly and hold the breath for 3-5 seconds after each inhalation.<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 13: Health care delivery system affects the health status of every Filipino. As a Nurse, Knowledge of this system is expected to ensure quality of life.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">71. When should rehabilitation commence?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. The day before discharge<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. When the patient desires<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Upon admission <o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 24hours after discharge<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">72. What exemplified the preventive and promotive programs in the hospital?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Hospitals as a center to prevent and control infection<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Program for smokers<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Program for alcoholics and drug addicts<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Wellness Center<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">73. Which makes nursing dynamic?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Every patient is a unique physical, emotional, social and spiritual being<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. The patient participate in the over all nursing care plan <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Nursing practice is expanding in the light of modern development that takes place<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. The health status of the patient is constantly changing and the nurse must be cognizant and responsive to these changes.<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">74. Prevention is an important responsibility of the nurse in:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Hospitals <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Community<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Workplace<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. All of the above<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">75. This form of Health Insurance provides comprehensive prepaid health services to enrollees for a periodic payment.<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Health Maintenance Organization <o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Medicare<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Philippine Health Insurance Act<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Hospital Maintenance Organization <o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">91. Health care reports have different purposes. The availability of patients record to all health ream members demonstrates which of the following purposes:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Legal documentation<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Education<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Research<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Vehicle for communication<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">92. When a nurse commits medication error she should accurately document client’s response and her corresponding action. This is very important for which of the following purposes:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Research<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Nursing Audit<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Legal documentation<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Vehicle for communication<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">93. POMR has been widely used in many teaching hospitals. One of its unique features is SOAPIE charting. The P in SOAPIE charting should include:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Prescription of the doctor to the patient’s illness<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Plan of care for patient<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Patient’s perception of one’s illness <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Nursing Problem and Nursing Diagnosis<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">94. The medical records that are organized into separate section from doctors or nurses has more disadvantages than advantages. This is classified as what type of recording?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. POMR<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. SOAPIE<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Modified POMR<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. SOMR<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">95. Which of the following is the advantage of SOMR or Traditional Recording?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Increase efficiency of Data gathering<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Reinforces the use of the nursing process<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. The caregiver can easily locate proper section for making charting entries<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Enhances effective communication among health care team members<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 17: June is 24 year old client with symptoms of dyspnea, absent breath sounds on the right lung and chest X-ray revealed pleural effusion. The physician will perform thoracentesis<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">96. Thoracentesis is useful in treating which of the following pulmonary disorders except:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Hemothorax<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B.</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>Tuberculosis</b><o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Hydrothorax<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Empyema<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">97. Which of the following psychological preparation is not relevant for him?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Telling him that the gauge of the needle and anesthesia to be used<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Telling him to keep still during the procedure to facilitate the insertion of the needle in the correct place.<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Allow June to express his feeling and concerns <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Physician’s explanation on the purpose of the procedure and how it will be done.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">98. Before thoracentesis, the legal consideration you must check is:<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Consent is signed by the client<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Medicine preparation is correct <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Position of the client is correct<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Consent is signed by relative and physician<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">99. As a nurse, you know that the position for June before thoracentesis is:<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Orthopneic <o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Knee-chest<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Low fowlers<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Sidelying position on the affected side<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">100. Which of the following anesthetic drug is used for thoracentecis?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Procaine 2 %<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Valium 250 mg<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Demerol 75 mg<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Phenobarbital</span><br />
<span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span><br />
<br />
<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np1-nursing-board-exam-november-2008.html">CLICK HERE PART 1(1 - 50) 'NP1 Nursing Board Exam November2008 Answer Key Foundation of Professional Nursing Practice'</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-75799854441751919462010-06-27T05:56:00.004+08:002010-06-27T06:00:23.727+08:00NP1 Nursing Board Exam November 2008 Answer Key 'Foundation of Professional Nursing Practice'100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice 1 – Foundation of Professional Nursing Practice<br />
Fundamentals of Nursing<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
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<div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 1: Nursing is a profession. The nurse should have a background on the theories and foundation of nursing as it influenced what is nursing today.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">1. Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of the individuals, families, communities and population. This is the most accepted definition of nursing as defined by the:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. PNA<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. ANA<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Nightingale<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. <st1:city w:st="on"><st1:place w:st="on">Henderson</st1:place></st1:city><o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">2. Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the following is NOT expanded career role for nurse?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Nurse practitioner<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Clinical Nurse Specialist <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Nurse Researcher<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Nurse anaesthesiologist<o:p></o:p></span></b></div><div class="NoSpacing" style="margin-left: 0.5in;"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">3. The Board of Nursing regulated the Nursing profession in the <st1:country-region w:st="on"><st1:place w:st="on">Philippines</st1:place></st1:country-region> and is responsible for the maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the following EXCEPT:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Issue, suspend revoke certificates of registration<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Issue subpoena duces tecum, ad testificandum<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C<b>. Open and close colleges of nursing</b><o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Supervise and regulate the practice<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">4. A nursing student or a beginning staff nurse who has not yet experienced enough in a situation to make judgments about them is in what stage of Nursing Expertise?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Novice<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Newbie<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Advanced Beginner<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Competent<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">5. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. The ability to organize and plan activities <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Having attained an advanced level of education <o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. A holistic understanding and perception of the client<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Intuitive and analytic ability in new situations<o:p></o:p></span></div><div class="NoSpacing"><br />
<a name='more'></a><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 2: The nurse has been asked to administer an injection via Z TRACK technique. Questions 6 to 10 refer this.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">6. The nurse prepares an IM injection for an adult client using the Z track techniques, 4 ml of medication is to be administered to the client. Which of the following site will you choose?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Deltoid<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Rectus Femoris<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Ventrogluteal <o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Vastus lateralis<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">7. In infants 1 year old and below, which of the following is the site of choice in intramuscular injection?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Deltoid<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Rectus Femoris<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Ventrogluteal <o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Vastus lateralis<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">8. In order to decrease discomfort in Z track administration, which of the <o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Pierce the skin quickly and smoothly at 90 degree angle<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Inject the medication at around 10 minutes per millilitre<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Pull back the plunger and aspirate for 1 minute t make sure that the needle did not hit a blood vessel<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Pierce the skin slowly and carefully at a 90 degree angle<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">9. After injection using the Z track technique, the nurse should know that she needs to wait for few second before withdrawing the needle and this is to allow the medication to disperse into the muscle tissue thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 2 second<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 5 seconds<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 10 seconds<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 15 seconds<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">10. The rationale in using the Z track technique in an intramuscular injection is:<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. It decreases the leakage of discolouring and irritating medication into the subcutaneous tissue.<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. It will allow a faster absorption of the medication<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. The Z track technique prevent irritation of the muscle<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. It is much more convenient for the nurse<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 3: A client was rushed to the emergency room and you are his attending nurse. You are performing a vital sign assessment: <o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">11. All of the following are correct methods in assessment of the blood pressure EXCEPT:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Take the blood pressure reading on both arms for comparison<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Listen to and identify the phases of Korotkoff sound<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Pump the cuff to around 50mmHg above the point where the pulse is obliterated<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Observe procedures for infection control<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">12. You attached a pulse oximeter to the client. You know that the purpose id to:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Determine if the client’s hemoglobin level is low and if he needs blood transfusion<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Check level of client’s tissue perfusion<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Measure the efficacy of the client’s anti-hypertension medications<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">13. After a few hours in the Emergency Room, the client is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Inconsistent <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Low systolic and high diastolic<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Higher than what the reading should be<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Lower than what the reading should be<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 15 minutes<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 30 minutes<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 1 hour<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 5 minutes<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">15. While the client has pulse oximeter on his fingertip, you notice that the sunlight is shining on the area where the oximiter is. Your action will be to:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Set and turn on the alarm of the oximeter<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Do nothing since there is no identified problem<br />
<b>C. Cover the fingertip sensor with a towel or bedsheet<o:p></o:p></b></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Change the location of the sensor every four hours<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">16. The nurse finds it necessary to recheck the blood pressure reading. In case of such reassessment, the nurse should wait for a period of:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 15 seconds<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 1 to 2 minutes<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 30 minutes<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 15 minutes<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">17. If the arm is said to be elevated when taking the blood pressure. It will create a:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. False high reading<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. False low reading<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. True False reading<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Indeterminate<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">18. You are to assessed the temperature of the client the next morning and found out that he ate ice cream. How many minutes should you wait before assessing the client’s oral temperature?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 10 minutes<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 20 minutes<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 30 minutes<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 15 minutes<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">19. When auscultating the client’s blood pressure the nurse hears the following: From 150 mmHg to 130 mmHg: Silence, Then: a thumping sound continuing down to 100 mmHg: muffled sound continuing down to 80 mmHg and then silence. What is the client’s pressure?<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 130/80<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 150/100<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 100/80<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 150/100<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">20. In a client with a previous blood pressure of 130/80 4 hours ago, how long will it take to release the blood pressure cuff to obtain an accurate reading?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. 10 – 20 seconds<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. 30 – 45 seconds<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 1 - 1.5 minutes<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 3 – 3.5 minutes<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 4<b> – </b></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Oral care is an important part of hygienic practices and promoting client<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">comfort.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">21. An elderly client, 84 years old, is unconscious. Assessment of the mouth reveals excessive dryness and presence of sores. Which of the following is BEST to use for oral care?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. lemon glycerine <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. hydrogen peroxide <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Mineral oil<b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Normal saline solution<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">22. When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Put the client on a sidelying position with head of bed lowered<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Keep the client dry by placing towel under the chin<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Wash hands and observe appropriate infection control<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Clean mouth with oral swabs in a careful and an orderly progression<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">23. The advantages of oral care for a client include all of the following, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. decreases bacteria in the mouth and teeth<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. reduces need to use commercial mouthwash which irritate the buccal<o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">mucosa<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. improves client’s appearance and self-confidence<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. improves appetite and taste of food<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">24. A possible problem while providing oral care to unconscious clients is the risk of fluid<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">aspiration to lungs. This can be avoided by:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Cleaning teeth and mouth with cotton swabs soaked with mouthwash to avoid<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">rinsing the buccal cavity<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. swabbing the inside of the cheeks and lips, tongue and gums with dry cotton swabs<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. use fingers wrapped with wet cotton washcloth to rub inside the cheeks, tongue,<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">lips and ums<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. suctioning as needed while cleaning the buccal cavity<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">25. Your client has difficulty of breathing and is mouth breathing most of the time. This causes dryness of the mouth with unpleasant odor. Oral hygiene is recommended for the client and in addition, you will keep the mouth moistened by using:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. salt solution <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. water <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. petroleum jelly<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. mentholated ointment<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 5: Ensuring safety before, during and after a diagnostic procedure is an important responsibility of the nurse.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">26. To help Fernan better tolerate the bronchoscopy, you should instruct him to practice which of the following prior to the procedure:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Clenching his fist every 2 minutes<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breathing in and out through the nose with his mouth open<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Tensing the shoulder muscles while lying on his back<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Holding his breath periodically for 30 seconds <o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">27. Following a bronchoscopy, which of the following complains to Fernan should be noted as a possible complication:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Nausea and vomiting<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Shortness of breath and laryngeal</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>stridor</b><o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Blood tinged sputum and coughing<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Sore throat and hoarseness<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">28. Immediately after bronchoscopy, you instructed Fernan to:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Exercise the neck muscles<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breathe deeply<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Refrain from coughing and talking<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Clear his throat<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">29. Thoracentesis may be performed for cytologic study of pleural fluid. As a nurse your most important function during the procedure is to:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Keep the sterile equipment from contamination<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Assist the physician<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Open and close the three-way stopcock<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Observe the patient’s vital signs<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">30. Right after thoracentesis, which of the following is most appropriate intervention?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Instruct the patient not to cough or deep breathe for two hours <o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Observe for symptoms of tightness of chest or bleeding<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Place an ice pack to the puncture site<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Remove the dressing to check for bleeding<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 6: Knowledge of the acid base disturbance and the functions of the electrolytes is necessary to determine appropriate intervention and nursing actions.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">31. A client with diabetes milletus has glucose level of 644 mg/dL. The nurse interprets that this client is at most risk for the involvement at which type of acid base imbalance?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Respiratory acidosis <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Respiratory alkalosis <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Metabolic acidosis<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Metabolic alkalosis<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">32. In a client in the health care clinic, arterial blood gas analysis gives the following results: pH 7.48, PCO2 32mmHg, PO2 94 mmHg, HCO3 24 mEq/L. The nurse interprets that the client has which acid base disturbance?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Respiratory acidosis<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Respiratory alkalosis<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Metabolic acidosis<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Metabolic alkalosis<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">33. A client has an order for ABG analysis on radial artery specimens. The nurse ensures that which of the following has been performed or tested before the ABG specimen are drawn?<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Guthing test<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Allen’s test<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Romberg’s test<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Weber’s test<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">34. A nurse is reviewing the arterial blood gas values of a client and notes that the pH is 7.31, Pco2 is 500 mmHg, and the bicarbonate is 27 mEq/L. The nurse concludes that which acid base disturbance is present in this client?<o:p></o:p></span></div><div class="NoSpacing" style="margin-left: 0.5in; text-indent: -0.25in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Respiratory acidosis<o:p></o:p></span></b></div><div class="NoSpacing" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Respiratory alkalosis<o:p></o:p></span></div><div class="NoSpacing" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Metabolic acidosis<o:p></o:p></span></div><div class="NoSpacing" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Metabolic alkalosis<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">35. Allen’s test checks the patency of the:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Ulnar artery<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Radial artery<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Carotid artery<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Brachial artery<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 19.95pt; text-indent: -19.95pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">37. </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">After IVP a renal stone was confirmed, a left nephrectomy was done. Her post operative order includes “daily urine specimen to be sent to the laboratory” . Eileen has a foley catheter attached to a urinary drainage system. How will you collect the urine specimen? <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. remove urine from drainage tube with sterile needle and syringe and empty urine from the syringe into the specimen container<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. empty a sample urine from the collecting bag into the specimen container <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. disconnect the drainage tube from the indwelling catheter and allow urine to flow from catheter into the specimen container.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. disconnect the drainage the from the collecting bag and allow the urine to flow from the catheter into the specimen container.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">38. Where would the nurse tape Eileen’s indwelling catheter in order to reduce urethral irritation? <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. to the patient’s inner thigh</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. to the patient’s lower thigh <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. to the patient’s buttocks <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. to the patient lower abdomen <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">39. Which of the following menu is appropriate for one with low sodium diet?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. instant noodles, fresh fruits and ice tea<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. ham and cheese sandwich, fresh fruits and vegetables<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. white chicken sandwich, vegetable salad and tea<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. canned soup, potato salad, and diet soda <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">40. Howe will you prevent ascending infection to Eileen who has an indwelling catheter?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. see to it that the drainage tubing touches the level of the urine <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. change he catheter every eight hours <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. see to it that the drainage tubing does not touch the level of the urine <o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. clean catheter may be used since urethral meatus is not a sterile area <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation 7: Hormones are secreted by the various glands in the body. Basic knowledge of the endocrine system is necessary.<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">41. Somatotropin or the Growth Hormone releasing hormone is secreted by the anterior pituitary gland:<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Hypothalamus<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Anterior pituitary gland <o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Posterior pituitary gland<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Thyroid gland<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">42. All of the following are secreted by the anterior pituitary gland except:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Somatotropin/Growth hormone<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Follicle stimulating hormone<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Thyroid stimulating hormone<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Gonadotropin hormone releasing hormone<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">43. All of the following hormones are hormones secreted by the Posterior pituitary gland except:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Vasopressin<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Oxytocin<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Anti-diuretic hormone<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Growth hormone<o:p></o:p></span></b></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">44. Calcitonin, a hormone necessary for calcium regulation is secreted in the:<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Thyroid gland<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Hypothalamus<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Parathyroid gland<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Anterior pituitary gland<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">45. While Parathormone, a hormone that regulates the effect of calcitonin is secreted by the:<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Thyroid gland<o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Hypothalamus<o:p></o:p></span></div><div class="NoSpacing"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Parathyroid gland<o:p></o:p></span></b></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Anterior pituitary gland<o:p></o:p></span></div><div class="NoSpacing"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation 8 – The staff nurse supervisor requests all the staff nurses to “brainstorm” and<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">learn ways to instruct diabetic clients on self-administration of insulin. She wants to ensure<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">that there are nurses available daily to do health education classes.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">46. The plan of the nurse supervisor is an example of<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. in service education process<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. efficient management of human resources<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. increasing human resources<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. primary prevention<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">47. When Mrs. Guevarra, a nurse, delegates aspects of the clients care to the nurse-aide<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">who is an unlicensed staff, Mrs. Guevarra<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. makes the assignment to teach the staff member<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. is assigning the responsibility to the aide but not the accountability for<o:p></o:p></span></b></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">those tasks<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. does not have to supervise or evaluate the aide<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. most know how to perform task delegated<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">48. Connie, the new nurse, appears tired and sluggish and lacks the enthusiasm she had six<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">weeks ago when she started the job. The nurse supervisor should<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. empathize with the nurse and listen to her<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. tell her to take the day off<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. discuss how she is adjusting to her new job<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. ask about her family life<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">49. Process of formal negotiations of working conditions between a group of registered<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">nurses and employer is<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. grievance<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. arbitration<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. collective bargaining<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. strike<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">50. You are attending a certification on cardiopulmonary resuscitation (CPR) offered and<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">required by the hospital employing you. This is<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. professional course towards credits<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">B. inservice education<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. advance training<o:p></o:p></span></div><div class="NoSpacing"><span style="font-family: Verdana; font-size: 8pt;">D. continuing education</span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="NoSpacing"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p> </o:p></span></div><div class="NoSpacing"><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np1-nursing-board-exam-november-2008_27.html">CLICK HERE PART 2(51 - 100) 'NP1 Nursing Board Exam November2008 Answer Key Foundation of Professional Nursing Practice'</a></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-91555983828807556102010-06-27T05:48:00.000+08:002010-06-27T05:48:18.466+08:00NP5 Nursing Board Exam June 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice V – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 2 Board Exam test questions 1 - 50<br />
<br />
June 2008<br />
<br />
<div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – A vehicle hit some pedestrian while waiting for a bus ride. Some of the victims suffered injuries in different part of the body. The victims were brought to the nearby hospital. One of the victims, Josephine was confirmed to have a fractured left arm. While waiting for plaster cast to be applied, Josephine appears to be anxious.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">51. To reduce anxiety, the nurse teaches the procedure to the client, which of the following topics should NOT be included in the teaching plan?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Leave the cast uncovered to promote drying <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Bear weight on the plaster for one hour. A stockinet will be placed <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> over the left arm to be placed in the cast.<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Handle hardening cast with palm of hands.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Trim and reshape finish cast with knife or cutter.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">52. Cast was applied on Josephine’s left arm. In assessing the neurovascular status of the client, which of the following assessment findings should be reported to the physician?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Pain on the left arm <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Swelling of the fingers<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Skin abrasion on the edges of the plaster cast<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Nail bed capillary refill time of 10 seconds<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">53. One of the victims a sixty year old woman sustained hip fracture. Prior to surgery, a Buck’s extension traction is to be applied. The rationale of traction is primarily based the understanding that Buck’s extension traction:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Reduces muscle spasms and helps to immobilize the fracture<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Allows reduction of the fracture site for bone healing.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Secures the fracture site to prevent damage to the muscle tissues<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Secures the fracture site for rigid immobilization<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">54. Philip was placed in skeletal leg traction with an overbed frame. He is not allowed to move from side to side. Which of the following nursing interventions is useful in maintaining.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Assist the client by holding the trapeze and raising hips of the bed.<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Check the apparatus that weights hang free and knots in the rope <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> are tied securely</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Suspend a trapeze within easy reach of the client<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Support the affected extremity while the weights are removed.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">55. To prevent complication when a child is in Buck’s traction, the nurse should:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Clean the extremity and keep the skin dry<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Assess any skin and circulatory disturbances<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Clean the pin sites as necessary<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Provide high fiber small meals.<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">56. The following concept are true EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Hostility is destructive<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Frustration develops in response to unmet needs, wants and desire<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Anger is incompatible with love<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Aggression can be expressed in a constructive as well as a destructive <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> Manner<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">57. Carlo is acting out hostile and aggressive feeling by kicking the chairs in the room, the MOST effective way to deal with Carlo’s behavior is initially to:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Set limits on the behavior by verbal command <o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Administer PRN tranquilizer <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Remove the chairs from the room<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Restrain the patient and place him in the “Isolation Room”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">58. Mrs. Dizon was visiting her son at the Psychiatry Ward. Which of the following items will the nurse NOT allow to brought inside the ward?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. String rosary bracelet<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Box of cake<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Bottle of coke<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Rubber shoes<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">59. Which of the following will probably be most therapeutic for a patient on a behavioral modification ward?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. If the client is agitated, discuss the feelings especially anger<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Insist to stop obscene language by verbal reprimand<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Give client support and positive feedback for controlling use of <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> obscene language.<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Provide a punching bag as an alternative to express upset emotions.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">60. Which of the following must be considered while planning activities for the depressed client?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Activities which require exertion of energy<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Challenging activities to get him out of his depression<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Structured activities that the client can participate<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Variety of unstructured activities<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">The nurse works with Mina to help her work through termination of the nurse-patient relationship.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">61. Preparation for termination of the nurse-patient relationship begins during the:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. termination phase <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. working phase<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. pre-orientation phase <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>D. orientation phase</b><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">62. Mina’s past reactions to ending relationships is withdrawal. The nurse assists her to practice better ways of coping termination by providing opportunities to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. test new patterns of behavior <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. plan for alternatives <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. conceptualize her problem <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. value and find meaning in experience<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">63. During the early part of the interaction, the nurse asked after a period of silence. “Perhaps we would talk about my leaving”. The nurse utilized which communication technique:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. encouraging <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. suggesting<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. focusing on client <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. understanding<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">64. The longest and the most productive phase of the NPR is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Termination phase<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Working phase<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Pre-orientation phase<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Orientation phase <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">65. The objection of the nurse-patient relationship is to provide an opportunity of the patient to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. clarify problems <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. develop insights <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. have a corrective emotional experience</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. develop interpersonal relationship<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation -</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> As a program manager, the mental health psychiatric nurse is tasked to provide general patient management.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">66. The nurse is aware that identifying the aspects of general patient management and identifying interventions for meeting these basic needs are distinctions of:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. psychotherapy <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. therapeutic milieu </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. pharmacotherapy <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. behavior therapy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">67. In order to get active participation of the clients to carry out the objective of the program, it is BEST for the nurse to conduct a/an:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. community meeting </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. survey <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. observation <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. selective interview of patients<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">68. Through the nurse’s role modeling of effective communication, the clients learned new ways of dealing with authority figures. This gives the clients a venue to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. communicate <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. socialize <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. identify their problems <b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. test new patterns of behavior</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">69. This element of communication facilitates evaluation of the program:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. receiver <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. message <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. sender<b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. feedback</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">70. The nurse’s style of leadership in milieu therapy is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. autocratic <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. laissez-faire <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. democratic</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. benevolent<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation -</span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> Loretta is a 28 years old, unemployed patient, admitted to the psychiatric unit with a diagnosis of chronic undifferentiated schizophrenia. She described herself as the “Virgin Mary” and her mission is to propagate peace. She was observed laughing and talking to herself. Her thought processes were profoundly disorganized. She was also fearful and suspicious of others.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">71. Loretta’s claim of being the “Virgin Mary” is a/an:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. imagination <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. delusion</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. hallucination <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. obsession<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">72. Her mission to propagate peace is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. a serious call for a need of transformation <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. an attempt to overcome low self-esteem</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. realistic and laudable <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. an advocacy that she can participate in<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">73. Which of this intervention would NOT be therapeutic in decreasing Loretta’s anxiety?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. joke about her thought to help her feel at ease<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. listen to her thoughts and feelings<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. simply accept<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. do not convince her that her perception is unreal <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">74. The nurse evaluates that Loretta’s ready for a rehabilitation program when she:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. approaches the nurse at frequent intervals<b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. ceases to talk about “Virgin Mary” <o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. goes to the coffee shop alone more often<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. carries a book “The Purpose Driven Life”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">75. The nurse is leading a group meeting of patients to prepare them to be discharged. An appropriate goal for the group members is to develop:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. attitudes of society towards the mentally ill<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. skills for maintaining daily living<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. awareness of interpersonal patterns of interactions<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. insight into personal problems<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation -</span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A group of adult chronic schizophrenic patients were recommended to undergo social skills training.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">76. The following are the objectives of a social skills training program EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. explore deep seated intrapsychic conflicts</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. practice skills in relating with people <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. help build self esteem and self confidence<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. develop and practice general coping skills<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">77. Social skills training is NOT primarily indicated for psychiatric patients who are:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. in acute stage of illness<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. having difficulties starting and maintaining interpersonal relationships<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. having chronic episodes of stress and anxiety while interacting with others<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. experiencing recurrence of symptoms in front of particular people or among <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> people in general<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">78. The focus of the group interaction is “here and now”. An appropriate topic would be:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. ways to celebrate Valentine’s Day in February<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. how to spend the summer vacation<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. an unforgettable experience as a child<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. how to tell a joke<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">79. An appropriate technique for the participants to practice how to communicate effectively is through/a:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. lecture <b> </b><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. seminar <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>C. role play</b> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. psychodrama<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">80. Considering that it is BEST to learn by example, it is MOST practical to:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. model good social skills throughout the session<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. relate successful past experiences<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. invite a resource person<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. watch a movie<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation<b> - </b></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Andy, 30 years old, was admitted to the Psychiatric Ward because of religious preoccupation, deterioration in self-care and disturbed thoughts. He believes that he has committed a lot of sins. He is threatened by people reaching out to him. His fasting for several days was not sufficient for him to feel forgiven.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">81. Andy is demonstrating:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. religious delusion</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. delusion of grandeur <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. somatic delusion <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. delusion of being controlled<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">82. A delusion is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. psychomotor disturbance <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. mood disturbance <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. disturbance of thought</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. disturbance of perception<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">83. The nursing goal for Andy is to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. have him see a priest for confession<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. encourage him to pray to atone for his sins<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. help him develop a positive self image<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. socialize him with a group to keep him in touch with reality<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">84. As Andy talks about his sins that he believes make people look down upon him. It is BEST to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. agree with him and sympathize how sinful he has really been<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. explore the nature of his sins<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. explain that he is depreciating himself too much <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. acknowledge how he feels and focus on reality oriented topics<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">85. Which of the following drugs will most likely to decrease Andy’s hallucination?</span><span lang="EN-US" style="font-family: Tahoma; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Chlorpromazine (Thorazine)<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Chlomipramine (Anafranil)<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Fluoxetine (Prozac)<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Carbamazepine (Tegretol)<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">86. Which of this client situation appropriately illustrate horticulture therapy?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. the therapist brings bongos, tambourine, and bells and encourages client <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> participation<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Tommy, Karen, Jon and Pia play scrabble every night after supper<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. every afternoon, Vic goes in the garden where he work with plants, <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> seedlings, tree planting and watering them<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Paul finds sketching relaxing and rewarding<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">87. The beginning professional nurse can do mental health counseling with the following clients EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Actively psychotic patients<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Out of school adolescents<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Parents with child rearing concerns<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. School children with behavioral problem<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">88.</span><span lang="EN-US" style="font-family: Tahoma; font-size: 8pt;"> </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A professional responsibility of the mental health psychiatric nurse is to provide a safe and therapeutic environment. This is BEST reflected in:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. restraining patients who violates policies and do not follow schedule of <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> activities.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. maintaining a closed door policy to prevent patients from absconding.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. keeping a restrictive environment to prevent patients from becoming <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> assaultive and hostile<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. ensuring physical safety and maintaining therapeutic attitude <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> towards the patients<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">89.</span><span lang="EN-US" style="font-family: Tahoma; font-size: 8pt;"> </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">The foundation of the therapeutic process is the therapeutic relationship. What is the essential component that the nurse must bring to the relationship?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. humor <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. empathy </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. reframing <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. confrontation<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">90. Which of these people, the highest in population groups that would need priority mental health therapy?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. adults going through active skills <b> <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. single elderly with no social support <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. young professionals entering the workplace</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. women preparing for overseas employment<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - The nurse observed that Marie, age 28 years old had not been participating in activity therapies.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">91. Which of the following remarks from the nursing attendants indicates a need for further teaching and observation?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Marie made no response to an invitation to play<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Marie preferred to sit at the bench and watch the ballgame<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Marie is aloof and indifferent to co-patients<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Marie read a book while other patients played a ballgame<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">92. Marie said “I don’t like to be a part of it. Look, they are being laughed at because they are singing and acting like children”. The nurse notes that in order for the activity therapy to be therapeutic:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. the staff should decide solely what activities to be done and what rules <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> apply<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. patients should be allowed solely to decide what they want to do on their <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> own<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. ballgames should be limited to male patients only<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. age and needs of patient should be considered in the choice of <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> games<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">93. To encourage active participation among patients, it is BEST to plan activities they can engage in through a:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. one to one interaction</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. community meeting <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. checklist<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. feedback evaluation forum<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">94. In planning activities for the patients, it is essential to consider FOREMOST:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. safety and security</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. variety and fun <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. novelty and creativity <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. excitement and challenge<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">95. Adults, “ singing and acting like children” is a form of:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. displacement <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. regression </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. sublimation <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. compensation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation </span><span style="font-family: Verdana; font-size: 8pt;">– Nursing care for the elderly<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">96. In planning care for a patient with Parkinson’s disease, which of these nursing diagnoses should have priority?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">potential for injury<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">altered nutritional state<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">ineffective coping<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">altered mood state<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">97. The frequent use of the older client’s name by the nurse is MOST effective in alleviating which of the following responses to old age?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Loneliness<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Suspicion<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Grief<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Confusion<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">98. An elderly who has lots of regrets, unhappy and miserable is experiencing:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Crisis<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Despair <o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Loss<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Ambivalence</span><span lang="EN-US" style="font-family: Tahoma; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">99. The pre-morbid personality of a schizophrenic elderly client is:<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">A. Schizoid<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Extrovert<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">C. Ambivert<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">D. Cycloid<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">100. Schizophrenia is a/an:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">A. Anxiety disorder<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">B. Neurosis<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">C. Psychosis<o:p></o:p></span></b></div><span style="font-family: Verdana; font-size: 8pt;">D. Personality disoder</span><br />
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<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np5-nursing-board-exam-june-2008-answer.html">CLICK HERE PART 1 (1 - 50) 'NP5 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-68048080790109217102010-06-27T05:45:00.002+08:002010-06-27T05:49:33.721+08:00NP5 Nursing Board Exam June 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice V – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
June 2008<br />
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<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Tahoma; font-size: 8pt;">NURSING PRACTICE V - NURSING CARE OF CLIENT WITH PHYSIOLOGICAL AND PSYCHOSOCIAL ALTERATIONS (Part C)<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><i><span lang="EN-US" style="font-family: Tahoma; font-size: 8pt;"><o:p> </o:p></span></i><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - Felisa has a ritualistic pattern of constantly washing her hands with soap and water followed by rubbing alcohol.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">1. This behavior is categorized as:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. delusional <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. normal <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. neurotic</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. psychotic<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">2. A therapeutic intervention in this situation is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. avoid limits on her behavior to release her anxiety<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. call attention to her ritualistic pattern<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>C. provide alternative behaviors to deal with increased anxiety<o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. ignore her behavior totally<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">3. The anxiety of Felisa is disabling and interferes with her job performance, interpersonal relationships and other activities of daily living. To minimize such problems, she is likely to be given:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>A. diazepam ( Valium ) </b> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. haloperidol ( Haldol ) <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. imipramine Hcl ( Tofranil )<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. chlorpromazine ( Thorazine )<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">4. Felisa understands the effects of her medicine when expresses:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. “I should watch out for signs of sore lips or sore throat”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. “I might have constipation”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. “I might feel changes in my body temperature”<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. “ I should not drive or operate machines”<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">5. The level of anxiety that Felisa is experiencing is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Panic <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>B. Severe <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Mild<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-size: 8pt;"> </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Moderate<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation <b>- </b></span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">The nurse recognizes the need to learn to cope with stress and change. She becomes interested to practice natural ways to enhance well being.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">6. Lifestyle modification begins with:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. minimizing eating in fast food restaurants<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. having an exercise regimen to follow regularly<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. recognizing the impact of unhealthy habits<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. avoiding pollutants in the environment<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">7. All of these are the behavior intervention to stress management. EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. guided imagery <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>B. pharmacotherapy</b> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. meditation <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. progressive muscle relaxation <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">8. Basic to progressive muscle relaxation is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. focusing on an image to relax <b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B relaxing muscles from tension</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. use of industrial equipment<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. stopping disturbing thoughts<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">9. Dietary practices are very important to the health of the Filipino family. The nurse needs to assess this lifestyle because:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. the nurse wants to change the eating patterns of the Filipino family<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. the nurse knows that being overweight is a major health hazard<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. the nurse wants to stop all the mainstream weight-loss diets<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. the nurse has to find out what people are eating<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">10. A young overweight adult smokes 5-10 sticks of cigarettes/day, ambitious, looks at life as challenging and perfect and never considers change in his lifestyle, initially needs:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. commitment <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. information</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. skills to attempt change <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. motivation<b> <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation<b> -</b></span><i><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> </span></i><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Bernie and John in their late 40’s have been married for 20 years and at the peak of their careers. Suddenly, Bernie discovered that her husband was falling in love with another woman. Shaken by this situation, she started to have problems sleeping and could not function well at work and at the risk of losing her job. John asked forgiveness and regret very much the hurt his wife was going through and suffered guilt feelings:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">11. Bernie and John are going through a:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. situational crisis </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. developmental crisis <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. anticipated crisis<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. both developmental and situational crisis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">12. All of these are characteristics of crisis EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. a hazardous or threatening event occurs<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. it has a growth promoting potential<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. usual problem solving methods and coping mechanisms produce a <o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> solution<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. anxiety or depression continue to increase <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">13. The nurse employs this approach in crisis intervention:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. problem-solving </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. behavior modification <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. role-playing <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. nurse-patient relationship<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">14. Assessment data of the nurse include all the following EXCEPT: <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. coping mechanisms <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. situational support <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. perception of the event<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>D. repressed problems<o:p></o:p></b></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">15. The duration of crisis usually lasts several days and usually:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. 2 – 4 weeks <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. 1 – 2 weeks <b> <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. 1 – 2 months<b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. 4 – 6 weeks<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation -</span><i><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> </span></i><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">The community health nurse encounters special children in the community.<i><o:p></o:p></i></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">16. An individual with antisocial personality disorder lacks remorse, shame and guilt in going against the norms of society. Psychodynamically, this defect in the personality reflects a disturbance of the:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. ego <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. super ego</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. ego ideal <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. id<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">17. The nurse teaches parents about children’s beginning concepts of right and wrong by emphasizing child rearing attitude and practices during the:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. school age <b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. toddler age</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. infancy period<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. latency period<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">18. It is BEST for parents to teach healthy interpersonal relationships to their children by:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. modeling to their children<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. encouraging their children to attend secondary school<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. encouraging their children at home to behave properly<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. teaching their children good manners and right conduct<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">19. An important principle for the nurse to follow in interacting with retarded children is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. seen that if the child appears contented, his needs are being met<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. provide an environment appropriate to their development task as scheduled<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. treat the child according to his chronological age<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. treat the child according to his developmental level<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">20. Mental retardation is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. a delay in normal growth and development caused by an inadequate environment<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. a lack of development of sensory abilities<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>C. a condition of subaverage intellectual functioning that originates during the developmental period and is associated with impairment in adaptive behavior</b><o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. a severe lag in neuromuscular development and motor abilities<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - </span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">As a professional, it is imperative that the nurse is accountable to oneself hence the importance of personal and professional development.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">21. Nurse: “ I feel personally involved with my client’s problems” demonstrates:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>A. counter transference</b> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. empathy <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. transference <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. sympathy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">22. The nurse has achieved self-awareness in which of the following verbalizations?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. every time people around me yell, I feel upset and withdrawn<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. when the patient yelled at me I became speechless<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 19.95pt; text-indent: -8.55pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. with the patients tone of voice and stare, I got reminded of how my father would be so angry and this made me anxious<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. I thought it was rude for the patient to yell hence I kept quiet <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">23. An accepting attitude requires being:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. aware of ones biases </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. tolerant of the faults of others <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. non judgmental <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. in control of tendency to blame <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">24. Self-awareness, knowledge and understanding of human behavior and communication skills define what is essential in caring for every nurse to be able to demonstrate:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. positive self-projection <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. assertiveness<b> <o:p></o:p></b></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. therapeutic use of self<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. self-mastery <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">25. Considering that man is by nature social, it is BEST for the nurse to gain self-awareness by:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>A. participating in intensive group experiences<o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. individual psychotherapy <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. hypnotherapy<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. writing an autobiography for self introspection <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Ninety year old Purita is confined at the medical unit for respiratory ailment for which a breathing apparatus is prescribed for her to use while she sleeps. She refuses to wear continuously though she full understands the medical indication for it:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">26. Which of these ethical principles can guide the nurse in her action?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Beneficence<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Fidelity<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Autonomy<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Nonmaleficence<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">27. Purita has six children who already adults. They differ in their opinion whether or not to allow their mother to decide for her. The nurse would encourage family conference for:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. The eldest child’s opinion to be given priority.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Majority of the children to decide<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Allowing the medical staff to decide in their behalf<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Consensus building<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">28. Breathing treatments are to be given to Purita. In anticipation that Purita might refuse. Dinio, one of the children requests that he be the one to sign the consent in behalf of their mother. The nurse explains that Purita is rational in her thinking and which of this client’s right must be regarding?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Right to refuse treatment<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Right to privacy<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Right to informed consent<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Right of habeas consent<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">29. Which of these would be the nurse’s priority following the treatment principle of least restrictive alternative?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. One on one staffing<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Use of on site guard/watcher<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Physical restraint<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Seclusion<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">30. Purita talks about her joy in having responsible and accomplished children and recalls challenging career as a lawyer. She is demonstrating a sense of:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Ego integrity<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Industry<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Generativity<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Autonomy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – The supervising nurse received report that a staff nurse is displaying frequent irritation, anger, and even indifference toward clients and co-workers.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">31. The initial action of the supervisor would be to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Post guidelines on proper decorum of nurse in the bulletin board.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Write a memo of warning to the house<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Request anecdotal report from the nurse’s co-workers<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Call the nurse for a one on one conference<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">32. The nurse expressed increasing feelings of dissatisfaction. The supervising nurse intervenes therapeutically by taking the role of:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Administrator by relieving her of responsibilities<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Therapist by delving into the nurse’s internal conflict<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Counselor by actively listening <o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Educator by reorienting her of role as a nurse.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">33. Coupled with poor work performance, mental and physical fatigue and actual withdrawal from client contact and nursing duties. The nurse can be said to be suffering from:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Psychotic anxiety<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Staff burn-out<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Personality maladjustment<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Neurotic depression<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">34. A priority in the nurse’s personal development would be to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Address her physical well-being<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Boost her self-confidence<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Provide social support<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Help her find value and meaning in her work<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">35. The most relevant professional program for her would be:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Assertiveness training <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Stress management<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Group dynamics and team building<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Behavior modification<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – A nurse assigned in the neurologic unit is taking of clients with varying degrees of generative disorders.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">36. Mr. A with Myasthenia Gravis is having difficulty speaking. What communication strategies should the nurse avoid when interacting with Mr. A?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Repeating what the client says for better understanding<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Using paper and pencil in communicating with the client <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Encouraging the client to speak slowly<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Encouraging the client to speak quickly<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">37. When planning for nursing care for Mr. B who has Parkinson’s disease. Which of the following goals would be most appropriate?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. To improve muscle tone <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. To start rehabilitation as much as possible<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. TO treat the disease<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. TO maintain optimal body function<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">38. For the past 10 years, <st1:city w:st="on"><st1:place w:st="on">Alma</st1:place></st1:city>, 42 years old has had multiple sclerosis. Client with multiple sclerosis experience many different symptoms. As part of the rehabilitation planned for Alma, the nurse suggested therapy and hobbies to help her.<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Strengthen muscle coordination<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Establish routine <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Develop perseverance and motivation<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Establish good health habits<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">39. On his second day of hospitalization, Mr. Santos was unable to stand and is having difficulty swallowing and talking. Which of the following is the priority of the nurse in assisting Mr. Santos?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. To prevent bladder distention<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. To prevent decubitus ulcer<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. To prevent contracture<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. To prevent aspiration pneumonia<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">40. The wife of a seventy two year old man with a diagnosis of Alzheimer’s disease begins to cry and tells the nurse, “I could not understand my husband anymore. He has changed drastically.” “Which of the following responses of the nurse is MOST appropriate?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. The physician and the staff will make sure that your husband will be comfortable and safe here.<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. This has been a difficult time for you. Let us walk and find a quiet place where we can talk.<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. He will soon recover in his condition.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. You need not worry, we are doing the best we could.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Annie has a morbid fear of heights. She asks the nurse what desensitization therapy is:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">41. The accurate information of the nurse the goal of desensitization is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. To help the clients relax and progressively work up a list of anxiety provoking situations through imagery<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. To provide corrective emotional experiences through a one-to-one intensive relationship<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. To help clients in a group therapy setting to take on specific roles and reenact in front of an audience, situations in which interpersonal conflict is involved.<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. To help clients cope with their problems by learning behaviors that we are more functional and be better equipped to face reality and make decisions.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">42. It is essential in desensitization for the patient to:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Have a rapport with therapist<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Use deep breathing or another relaxation technique<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Assess one’s self for the need of anxiolytic drug<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Work through unresolved unconsciousness conflicts <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">43. In this level of anxiety, cognitive capacity diminishes. Focus becomes limited and client experiences turned vision. Physical signs of anxiety become more pronounced.<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Severe anxiety<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Panic<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Mild anxiety<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Moderate anxiety<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">44. Anti-anxiety medication should be used with extreme caution because long term use can lead to.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Parkinsonian like syndrome<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Hypertensive crisis<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Hepatic failure<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Risk of addiction<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">45. The nursing management of anxiety related with post traumatic stress disorder includes all of the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. Encourage participation in recreation or sport activities <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. Reassurance client’s safety while touching client<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. Speak in calm soothing voice<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. Remain with the client while fear level is high<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – The nurse is often met with the following situations when clients become angry and aggressive individual, the nurse should:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">46. </span><span style="font-family: Verdana; font-size: 8pt;">To maintain a therapeutic eye contact and body posture while interacting with angry and aggressive individual, the nurse should:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> A. </span><span style="font-family: Verdana; font-size: 8pt;">keep an eye contact while staring at the client<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> B. </span><span style="font-family: Verdana; font-size: 8pt;">keep his/her hands behind his/her back or in one’s pockets<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> C. </span><span style="font-family: Verdana; font-size: 8pt;">fold his/her arms across his/her chest<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;"> D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">keep an “open” posture, e.g. Hands by sides but palms turned outwards<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">47. During the pre-interaction phase of the N-P relationship, the nurse recognizes thisnormal INITIAL reaction to an assaultive or potentially assaultive person.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> A. </span><span style="font-family: Verdana; font-size: 8pt;">To remain and cope with the incident<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> B. </span><span style="font-family: Verdana; font-size: 8pt;">Display empathy towards the patient<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;"> C. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">To call for help from other members of the team<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> D. </span><span style="font-family: Verdana; font-size: 8pt;">To stay and fight or run away<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">48. Which of the following is an accurate way of reporting and recording an incident?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> A. </span><span style="font-family: Verdana; font-size: 8pt;">“When asked about his relationship with his father, client became anxious.”<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;"> B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">“When asked about his relationship with his father, client clenched his jaw/teeth, made a fist and turned away from the nurse.”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> C. </span><span style="font-family: Verdana; font-size: 8pt;">“When asked about his relationship with his father, client was resistant to<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> respond”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> D. </span><span style="font-family: Verdana; font-size: 8pt;">“When asked about his relationship with his father, his anger was suppressed”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">49. To encourage thought, which of the following approaches is NOT therapeutic?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;"> A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">“Why do you feel angry?”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> B. </span><span style="font-family: Verdana; font-size: 8pt;">“When do you usually feel angry?”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> C. </span><span style="font-family: Verdana; font-size: 8pt;">“How do you usually express anger?”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">What situations provoke you to be angry?”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">50. A patient grabs and about to throw it. The nurse best responds saying.<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Arial; font-size: 8pt;"> A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">“Stop! Put that chair down.”<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> B. </span><span style="font-family: Verdana; font-size: 8pt;">“Don’t be silly.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> C. </span><span style="font-family: Verdana; font-size: 8pt;">“Stop! The security will be here in a minute.”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Arial; font-size: 8pt;"> D. </span><span style="font-family: Verdana; font-size: 8pt;">“Calm down.”</span><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np5-nursing-board-exam-june-2008-answer_27.html">CLICK HERE PART 2 (51 - 100) 'NP4 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a></div><br />
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-40885259110106220972010-06-27T05:35:00.001+08:002010-06-27T05:40:49.051+08:00NP4 Nursing Board Exam June 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice IV – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 2 Board Exam test questions 51 - 100<br />
<br />
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<div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"><o:p> </o:p>Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– As a member of the health and nursing team you have a crucial role to play in ensuring that all the members participate actively is the various tasks agreed upon.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">51. While eating his meal, Matthew accidentally dislodges his IV lines and bleeds. Blood oozes on the surface of the over-bed table. It is most appropriate that you instruct the housekeeper to clean the table with:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Acetone<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Alcohol<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Ammonia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Bleach<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">52. You are a member of the infection control team of the hospital. Based on a feedback during the meeting of the committee there is an increased incidence of pseudomonas infection in the Burn Unit (3 out of 10 patients had positive blood and wound culture). What is your <b>priority </b>activity?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Establish policies for surveillance and monitoring<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Do data gathering about the possible sources of infection (observation,<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">chart review, interview).<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Assign point persons who can implement policies.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Meet with the nursing group working in the burn unit and discuss problem with<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">them.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">53. Part of your responsibility as a member of the diabetes core group is to getreferrals from the various wards regarding diabetic patients needing diabetes education. Prior to discharge today, 4 patients are referred to you. How would you <b>start prioritizing </b>your activities?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Bring your diabetes teaching kit and start your session taking into consideration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">their distance from your office<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Contact the nurse in-charge and find out from her the reason for the referral<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Determine their learning needs then prioritize<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Involve the whole family in the teaching class<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">54. You have been designated as a member of the task force to plan activities for the Cancer Consciousness Week. Your committee has 4 months to plan and implement the plan. You are assigned to contact the various cancer support groups in your hospital. What will be your <b>priority </b>activity?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Find out if there is a budget for this activity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Clarify objectives of the activity with the task force before contacting the<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">support groups<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Determine the VIPs and Celebrities who will be invited<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Find out how many support groups there are in the hospital and get the contact<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">number of their president<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">55. You are invited to participate in the medical mission activity of your alumni association. In the planning stage everybody is expected to identify what they can do during the medical mission and what resources are needed. You thought it is also your chance to share what you can do for others. What will be your <b>most important </b>role where you can demonstrate the impact of nursing in health?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Conduct health education on healthy life style<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Be a triage nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Take the initial history and document findings<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Act as a coordinator<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– One of the realities that we are confronted with is our mortality. It is important for us nurses to be aware of how we view suffering, pain, illness, and even our death as well as its meaning. That way we can help our patients cope with death and dying.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">56. Irma is terminally ill, she speaks to you in confidence. You now feel that Irma’s family could be helpful if they knew what Irma has told to you. What should you do <b>first</b>?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Tell the physician who in turn could tell the family<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Obtain Irma’s permission to share the information in the family<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Tell Irma that she has to tell her family what she told you<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Make an appointment to discuss the situation with the family<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">57. Ruby who has been told she has terminal cancer, turns away and refuses to respond to you. You can <b>best </b>help her by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Coming back periodically and indicating your availability if she<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">would like you to sit with her<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Insisting that Ruby should talk with you because it is not good to keep<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">everything inside<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Leaving her alone because she is uncooperative and unpleasant to be<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">with<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Encouraging her to be physically active as possible<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">58. Leo, who is terminally ill and recognizes that he is in the process of losing everything and everybody he loves, is depressed. Which of the following would <b>best </b>help him during his depression?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Arrange for visitors who might cheer him<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Sit down and talk with him for a while<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Encourage him to look at the brighter side of things<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Sit silently with him<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">59. Which of the following statements would <b>best </b>indicate that Ruffy, who is dying, has accepted his impending death?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">“I’m ready to go.”<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">“I have resigned myself to dying.”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">“What’s the use?”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">“I’m giving up”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">60. Marla, 90 years old has planned ahead for her death-philosophically, socially, financially and emotionally. This is recognized as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Acceptance that death is inevitable<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Avoidance of the true situation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Denial with planning for continued life<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Awareness that death will soon occur<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Andrea is admitted to the ER following an assault where she was hit on the face and head. She was brought to the ER by a police woman. Emergency measures were stated.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">61. As Andrea’s nurse, what will be your priority interventions?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Insert and intravenous catheter <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Insert an oral or nasopharyngeal airway<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Obtain arterial blood gases<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Give 100% oxygen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">62. Andrea’s arterial blood gases respiratory acidosis. This most likely related to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Partially obstructed airway<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Ineffective breathing pattern<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Head injury<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">63. Andrea loses consciousness. You should prepare for which of the following FIRST?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Placement of nasogastric tube<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Placement of a second IV line<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Endotracheal intubation or surgical airway placement<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. CT scan of head<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">64. Andrea’s physician gives an order of Mannitol 0.25 g/kg IV bolus for increased ICP. This is given to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Promote cerebral-tissue fluid movement<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Promote renal perfusion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Correct acid-base imbalances<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Enhance renal-excretion of drugs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">65. As Andrea’s nurse your goal is to prevent increased Intracranial Pressure (ICP). Which of the following independent nursing interventions is NOT suited for her?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Do oropharyngeal suction every 15 minutes to prevent pulmonary aspiration?<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Keep ahead of bed 30-35 degrees elevated<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Maintain Andrea’s head in straight alignment and prevent hip flexion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Prevent constipation and increases in intra-abdominal pressure<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">66. Andrea’s respiration is described as waxing and waning. You know that this rhythm of respiration is defined as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Biot’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Kussmaul’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Cheyne Stokes<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Eupnca<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">67. What do you call the triad of sign and symptoms seen in a client with increasing ICP?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Virchow’s Triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. The Chinese triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Cusching’s Triad<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Charcot’s Triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">68. Which of the following is true with the Cushing’s Triad seen in head injuries?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Narrowing of Pulse Pressure, Cheyne strokes respiration, Tachycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Widening Pulse pressure, Irregular respiration, Bradycardia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Hypertension, Kussmaul’s respiration, Tachycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Hypotension, Irregular respiration, Bradycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">69. In a client with a Cheyne stokes respiration, which of the following is the most appropriate nursing diagnosis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Ineffective airway clearance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Ineffective breathing pattern<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Impaired gas exchange<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Activity Intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">70. You know the apnea is seen in client’s with cheyne stoke respiration, APNEA is defined as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Inability to breath in a supine position so the patient sits up in bed to breathe.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. The patient is dead, the breathing stops<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. There is an absence of breathing for a period of time usually 15 seconds or more<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. A period of hypercapnea and hypoxia due to cessation of respiratory effort inspite of normal respiratory functioning<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Specific surgical interventions may be done when lung cancer is detected early. You have important peri-operative responsibilities in caring for patients with lung cancer.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">71. Horace underwent lobectomy. Which of following is the purpose of Horace’s closed chest drainage post lobectomy:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> a. expansion of the remaining lung<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> b. facilitation of coughing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> c. prevention of mediastinal shift<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> d. promotion of wound healing<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">72. Which of the following observations indicates that the closed chest drainage system is functioning properly? <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. absence of bubbling in the suction-control bottle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. the fluctuating movement of fluid in the long tube of the water-seal bottle during inspiration<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. intermittent bubbling through the long tube of the suction control bottle.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. less than 25 ml drainage in the drainage bottle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">73. Following lobectomy, you can BEST help Horace to reduce pain during the deep breathing and coughing exercises by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. placing the patient on his/her operative side during exercises<b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>B. splinting the patient’s chest with both hands during the exercises<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. administering the prescribed analgesic immediately prior to exercises<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. providing rest for 6 hours before exercises<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">74. Peter underwent pneumonectomy. During the immediate post operative period, deep tracheal suction should be done with extreme caution because:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Peter will not be able to tolerate coughing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. the tracheobronchial trees are dry<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. the remaining normal lung needs minimal stimulation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. the bronchial suture line maybe traumatized<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">75. On which of the following positions should you place Peter who just underwent pneumonectomy?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Prone position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. On his abdomen or on the side opposite the surgery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. On his back or on the side of surgery<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Any position is acceptable<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Mang Felix, a 79 year old man who is brought to the Surgical Unit from PACU after a transurethral resection. You are assigned to receive him. You noted that he has a 3-way indwelling catheter for continuous fast dip bladder irrigation which is connected to a straight drainage. <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">76. Immediately after surgery, what would you expect his urine to be?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Light yellow<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Amber<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Bright red<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Pinkish to red<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">77. The purpose of the continuous bladders irrigation is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Allow continuous monitoring of the fluid output status<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Provide continuous flushing of clots and debris from the bladder<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Allow for proper exchange of electrolytes<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Ensure accurate monitoring of intake and output<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">78. Mang Felix informs you that he feels some discomfort on the hypogastric area and he has to void. What will be your most appropriate action?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Remove his catheter then allow him to void his own<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Irrigate his catheter<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Tell him “Go ahead and void. You have an indwelling catheter”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Assess color and rate of outflow, if there is a change refer to urologist for possible irrigation<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">79. You decided to check on Mang Felix’s IV fluid infusion. You noted in flow rate, pallor and coldness around the insertion site. What is your assessment finding?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Phlebitis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Infiltration to subcutaneous tissue<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Pyrogenic reaction<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Air embolism<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">80. Knowing that proper documentation of assessment findings and interventions share important responsibilities of the nurse during first post operative days, which of the following is the LEAST relevant to document in the case of Mang Felix?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Chest pain and vital signs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Intravenous infusion rate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Amount, color and consistency of bladder irrigation drainage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Activities of daily living started<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Many hospitals from bioethical review committees to ensure quality of life of patients. You are invited by the nursing service departments to participate in their bioethical review committee. You are expected to know the purpose and apply bioethical principles.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">81. Which of the following is the purpose of the ethical review committee?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Promote implementation of general standards<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Enhance health care providers liability<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Increase individuals responsibility<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Decrease Public security of health care provider’s action<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">82. Daria who is admitted to the hospital with autoimmune thrombocytopenia and a platelet count of 20,000/ml develops epistaxis and melena. Treatment with corticosteroid and immunoglobulin has not been successful. Her physician recommend splenectomy. Daria states “I don’t need surgery. This will go away on its own”.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Beneficence<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Autonomy<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Advocacy <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">83. Zorayda is terminally ill and is experiencing sever pain. She has bone and liver metastasis. She has been on morphine for several months now. Zorayda is aware that they are having financial problems. She decides to sign DNR form,. What ethical principle did Zorayda and her family utilize as basis for their decision to sign a DNR.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B.</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>Autonomy</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Advocacy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Beneficence<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">84. Tricia, a staff nurse working in a cancer unit, is considered a role model not only by her colleagues but also by her patients. She goes out of her way to help other. She is very active in their professional organization and he practices what she teaches. What ethical principles is she practicing?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Beneficence<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Autonomy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Advocacy <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">85. You are commuting to work riding the LRT. An older person collapsed and nobody seems to notice her. The security guard tried to make ker sit down but she remained unconscious. You saw what happened and you decided to help. With help, you brought the patient to the nearest hospital. You learned later that woman was diabetic. She was on her way To the diabetes clinic to have fasting blood sugar tested. She developed hypoglycemia. You were able to save a life. You felt good. What principle was applied?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Advocacy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">. <b>Beneficence<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Autonomy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">86. To help Fernan better tolerate the bronchoscopy, you should instruct him to practice which of the following prior to the procedure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Clenching his fist every 2 minutes <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breathing in and out through the nose with his mouth open<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Tensing the shoulder muscles while lying on his back<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Holding his breath periodically for 30 seconds<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">87. Following bronchoscopy, which of the following complains to Fernan should be noted as possible complication:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Nausea and vomiting<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Shortness of breath and laryngeal stridor<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Blood tinged sputum and coughing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Sore throat and hoarseness<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">88. Immediately after bronchoscopy, you instructed Fernan to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Exercise the neck muscles<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breathe deeply<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Retrain from coughing and talking<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Clear his throat<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">89. Thoracentesis may be performed for cytologic study of pleural fluid. As a nurse your most important function during procedure is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Keep the sterile equipment from contamination<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Assist the physician<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. open and close the three-way stopcock<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Observe the patient’s vital signs<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">90. Right after thoracentesis, which of the following is most appropriate intervention?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Instruct the patient not to cough or deep breathe for two hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Observe for symptoms of tightness of chest or bleeding<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Place an ice pack to the puncture site<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Remove the dressing to check for bleeding<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– Brain tumor, whether malignant or benign, has serious<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">management implications. As a nurse, you should be able to understand the consequences of the disease and the treatment.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">91. You are caring for Conrad who has a brained tumor and increased Intracranial Pressure (ICP). Which intervention should you include in your plan to reduce ICP?<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Administer bowel softener<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Position Conrad with his head turned toward the side of the tumor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Provide sensory stimulation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Encourage coughing and deep breathing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">92. Keeping Conrad’s head and neck alignment results in:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">increased inthrathoracic pressure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">increased venous outflow<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">decreased venous outflow<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">increased intrabdominal pressure<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">93. Which of the following activities may increase intracranial pressure (ICP)?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Raising the head of the bed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Manual hyperventilation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Use of osmotic diuretics<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Valsalva’s maneuver<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">94. After you asses Conrad, you suspected increased ICP. Your <b>most appropriate </b>respiratory goal is to:<b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">maintain partial pressure of arterial O2 (PaO2) above 80 mmHg<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">lower arterial pH<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">prevent respiratory alkalosis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">promote CO2 elimination<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">95. Conrad underwent craniotomy. As his nurse, you know that drainage on a craniotomy dressing must be measured and marked. Which findings should you report immediately to the surgeon?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Foul-smelling drainage <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Yellowish drainage <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Greenish drainage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Bloody drainage<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – As a nurse you are expected to be competent in utilizing the nursing process in the care of your clients.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">96. Getty is receiving chemotherapy for cancer. You review Getty’s laboratory report and note that he has anemia. To which nursing diagnosis should you give the highest priority?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Activity intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Impaired oral mucous membrane<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Impaired tissue perfusion, cerebral, cardiovascular, gastrointestinal<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Impaired tissue integrity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">97. An immediate objective for nursing care of an overweight mildly hypertensive client with ureteral colic and hematuria is to decrease:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Hypertension<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Pain<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Hematuria<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Weight<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">98. A difficult problem to deal with when caring for a patient with a partial thickness burns sustained 3 days ago is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Alteration in body image<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Maintenance of sterility</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Frequent dressing change<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Severe pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">99. Which outcome criterion would be appropriate for a client with a nursing diagnosis of effective airway clearance?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Continued use of oxygen when necessary<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breath sound clear on</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>auscultation</b><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Respiratory rate of 24/min<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Presence of congestion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">100. Which assessment would be most supportive of the nursing diagnosis, impaired skin integrity related to purulent drainage?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Heart rate of 88 beats/min<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Dry and intact wound dressing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Oral temperature<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Wound healing by first intention<o:p></o:p></span></div><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np4-nursing-board-exam-june-2008-answer.html">CLICK HERE PART 1 (1 - 50) 'NP4 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-14600718755831456672010-06-27T05:32:00.002+08:002010-06-27T05:36:39.462+08:00NP4 Nursing Board Exam June 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice IV – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
June 2008<br />
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<div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– Ensuring safety is one of your most important responsibilities. You will need to provide instructions and information to your clients to prevent complications.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">1. Randy has chest tubes attached to a pleural drainage system. When caring for him you should:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">empty the drainage system at the end of the shift<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">clamp the chest tube when suctioning<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">palpate the surrounding areas for crepitus<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">change the dressing daily using aseptic techniques<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">2. Fanny, came in from PACU after pelvic surgery. As Fanny’s nurse you know that the sign that would be indicative of a developing thrombophlebitis would be:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">a tender, painful area on the leg<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">a pitting edema of the ankle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">a reddened area at the ankle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">pruritus on the calf and ankle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">3. To prevent recurrent attacks on Terry who has acute glumerulonephritis, you should instruct her to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. seek early treatment for respiratory infections<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. take showers instead of tub bath<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. continue to take the same restrictions on fluid intake<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. avoid situations that involve physical activity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">4. Herbert had a laryngectomy and he is now for discharge. He verbalized his concern regarding his laryngectomy tube being dislodged. What should you teach him <b>first</b>?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Recognize that prompt closure of the tracheal opening may occur<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Keep calm because there is no immediate emergency<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Reinsert another tubing immediately<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Notify the physician at once<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">5. When caring for Larry after an exploratory chest surgery and pneumonectomy, your <b>priority </b>would be to maintain:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">supplementary oxygen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">ventilation exchange<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">chest tube drainage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">blood replacement<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– As a nurse you need to anticipate the occurrence of complications of stroke so that life threatening situations can be prevented.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">6. Wendy is admitted to the hospital with signs and symptoms of stroke. Her Glasgow Coma Scale is 6 on admission. A central venous catheter was inserted an I.V. infusion was started. As a nurse assigned to Wendy what will be your <b>priority </b>goal?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Prevent skin breakdown<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Preserve muscle function<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Promote urinary elimination<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Maintain a patent airway<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">7. Knowing that for a comatose patient hearing is the last sense to be lost, as Judy’s nurse, what should you do?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Tell her family that probably she can’t hear them<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Talk loudly so that Wendy can hear you<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Tell her family who are in the room not to talk<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Speak softly then hold her hands gently<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">8. Which among the following interventions should you consider as the highest priority when caring for June who has hemiparesis secondary to stroke?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><st1:address w:st="on"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Place June</span></st1:address><span style="font-family: Verdana; font-size: 8pt;"> on an upright lateral position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Perform range of motion exercises<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Apply antiembolic stockings<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Use hand rolls or pillows for support<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">9. Ivy, age 40, was admitted to the hospital with a severe headache, stiff neck and photophobia. She was diagnosed with a subarachnoid hemorrhage secondary to ruptured aneurysm. While waiting for surgery, you can provide a therapeutic environment by doing which of the following?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">honoring her request for a television<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">placing her bed near the window<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">dimming the light in her room<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">allowing the family unrestricted visiting privileges<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">10. When performing a neurologic assessment on Walter, you find that his pupils are fixed and dilated. This indicated that he:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">probably has meningitis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">is going to be blind because of trauma<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">is permanently paralyzed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">has received a significant brain injury<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – With the improvement in life expectancies and the emphasis in the quality of life it is important to provide quality care to our older patients. There are frequently encountered situations and issues relevant to the older patients.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">11. During a meal a client with hepatitis B dislodge her IV line and bleeds on the surface of the over-the-bed table. It would be most appropriate for the nurse to instruct a housekeeper to clean the table with:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Alcohol<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Acetone<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Ammonia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Bleach<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">12. Nino is being treated with radiation therapy. What would be included in the plan of care to minimize skin damage from the radiation therapy?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Cover the areas with thick clothing materials<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Apply a heating pad to the site<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Wash skin with water after the therapy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Avoid applying creams and powders to the area<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">13. You are assigned to the following patients. Which of the following patients is most at risk for metabolic alkalosis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Grace, 30 years old post surgical patient who has continuous nasogastric suction<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Rachel, 55 year old who has just experienced a stroke<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Helen, 70 year old with altered level of consciousness who is unable to access water freely.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Mary Jane a 2 year old infant receiving isotonic sodium chloride IV solution<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">14. Studies have shown that the highest incidence of Hodgkin’s disease is common among young adults. Juana, 20 years old approaches you and tells you “I am worried about the mass on my neck. What should you do as a nurse?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Tell her there is nothing to worry if it does not bother her<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Palpate Juana’s neck and explain the possible cause<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Tell her Hodgkin’s disease is common among young adults like her<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Tell her to see a doctor<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">15. As a nurse, you accidentally administer 40mg of Propanolol (Inderal) to a client instead of 10mg although the client exhibits no adverse reactions to the larger dose, you should:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Complete an incident report<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Call the hospital attorney<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Inform the client’s family<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Do nothing because the client’s condition is stable<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Radiation therapy is another modality of cancer management. With emphasis on multidisciplinary management you have important responsibilities as a nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">16. Albert is receiving external radiation therapy and he complains of fatigue and malaise. Which of the following nursing interventions would be most helpful for Albert?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Tell him that sometimes these feelings can be psychogenic<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Refer him to the physician<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Reassures him that these feelings are normal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Help him plan his activities<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">17. Immediately following the radiation teletherapy, Albert is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Considered radioactive fro 24hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Given a complete bath<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Placed on isolation for 6 hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Free from Radiation<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">18. Albert is admitted with a radiation induced thrombocytopenia. As a nurse you should observe the following symptoms:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Petechiae, ecchymosis, epistaxis<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Weakness, easy fatigability, pallor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Headache, dizziness, blurred vision<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Severe sore throat, bacteremia, hepatomegaly<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">19. What nursing diagnosis should be the highest priority?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Knowledge deficit regarding thrombocytopenia precautions<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Activity intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Impaired tissue integrity<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Ineffective tissue perfusion, peripheral, cerebral, cardiovascular, gastrointestinal, renal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">20. What intervention should you include in your care plan?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Inspect his skin for petechiae, bruising, GI bleeding regularly<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><st1:address w:st="on"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Place Albert</span></st1:address><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> on strict isolation precaution<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Provide rest in between activities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Administer antipyretics if his temperature exceeds 38 C<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation -</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> You are assigned to take care of four patients with different conditions.<i><o:p></o:p></i></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">21. KJ, who is to have a kidney transplant asks you how long will he take azathioprime (Imuran), cyclosporine and prednisone? You recognized that KJ understood the teaching when he states, “I must take these medications:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. until the anastomosis heals <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. during the preoperative period<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. until the supply is over<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>D. for the rest of my life</b><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">22. After the kidney transplant, you must observe KJ for signs of rejection which includes:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. fever and weight gain</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. hematuria and seizure <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. polyuria and jaundice <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. moon face and muscle atrophy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">23. FB, 28 years old with chronic renal disease plans to receive a kidney transplant. Recently, FB was told by his physician that he was a poor candidate for transplant because of his hypertension and diabetes mellitus. Now, FB tells you “I want to go off dialysis, I’d rather not live than to be in this treatment the rest of my life”. How would you respond to him?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. leave the room and allow him to collect his thoughts<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. tell FB that “ We all have days when we don’t feel like going on”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. tell FB that “ Treatments are only three times a week, you can live with that”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>D. take a sit next to him and sit quietly<o:p></o:p></b></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">24. DS signed a consent form for participation in a clinical trial for implantable cardioverter defibrillators. Which statement by DS indicates the need for further teaching before true informed consent can be obtained?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. “a wire from the generator will be attached to my heart”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. “the physician will make a small incision in my chest wall and place the generator there”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>C. “I wonder if there is another way to protect these bad rhythms”<o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. “this implanted defibrillator will protect me from those bad rhythms my heart goes into”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">25. KP is participating in a cardiac study in which his physician is directly involved. Which statement by KP indicates a lack of understanding about his rights as a research study participant?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. “My confidentiality will not be compromised in this study”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. “ I understand the risk associated in this study”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. “I can withdraw from the study anytime”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>D. “ I’ll have to find a new physician if I don’t complete this study”<o:p></o:p></b></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Foot care<i> </i>among patients with peripheral vascular problems is very important.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">26. When teaching a client with peripheral vascular disease about foot care, you should include which instructions:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>A. avoid wearing canvas shoes </b> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. avoid using a nail clipper to cut toe nails <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. avoid use of cornstarch on the foot <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. avoid wearing cotton socks<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">27. FT, who has no known history of peripheral vascular disease, comes to the emergency room complaining of sudden onset of lower leg pain. Inspection and palpation reveal absent pulses, paresthesia and a mottled, cyanotic, cold, cadaverous left calf. While the physician determines the appropriate management, you should:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. shave the affected leg in anticipation of surgery <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. place a healing pad around the calf<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. keep the affected leg level or slightly dependent</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. elevate the affected calf as high as possible <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">28. Peripheral neuropathies primarily affect:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. sensory functions</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. vascular functions <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. optic functions<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. motor functions<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">29. Peripheral neuropathy can BEST be controlled by:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. good glucose control</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. steroid therapy <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. vitamin supplement <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. nothing, there is no slowing the process<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">30. In addition to clients with diabetes mellitus you must be aware that acute hypoglycemia can also develop in a client with:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. hypertension <b> </b><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. hyperthyroidism <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. liver disease</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. diabetes insipidus<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation -</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> The physician has ordered 3 units of whole blood to be transfused to WQ following a repair of a dissecting aneurysm of the aorta.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">31. You are preparing the first unit of whole blood for transfusion. From the time you obtain it from the blood bank, how long should you infuse it?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. 6 hours <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. 1 hour <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. 4 hours</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. 2 hours<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">32. What should you do FIRST before you administer blood transfusion?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. verify client identity and blood product, serial number, blood type, cross matching results, expiration date<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. verify client identity and blood product serial number, blood type, cross matching results, expiration date with another nurse <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. check IV site and use appropriate BT set and needle <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>D. verify physician’s order<o:p></o:p></b></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">33. As WQ’s nurse, what will you do AFTER the transfusion has started?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. add the total amount of blood to be transfused to the intake and output<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. discontinue the primary IV of Dextrose 5% Water<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. check the vital signs every 15 minutes<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. stay with WQ for 15 minutes to note for any possible BT reactions<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">34. WQ is undergoing blood transfusions of the first unit. The EARLIEST signs of transfusion reactions are:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. oliguria and jaundice <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. urticaria and wheezing <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. hypertension and flushing<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. headache, chills, fever</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">35. In case WQ will experience an acute hemolytic reaction, what will be your PRIORITY intervention?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. immediately stop the blood transfusion, infuse Dextrose 5% in Water and call the physician<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. stop the blood transfusion and monitor the patient closely<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. immediately stop the BT, infuse NSS, call the physician, notify the blood bank<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. immediately stop the BT, notify the blood bank and administer antihistamines<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - The kidneys have very important excretory, metabolic, erythropoietic functions. Any disruptions in the kidney’s functions can cause disease. As a nurse it is important that you understand the rationale behind the treatment regimen used.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">36. PL, who is in acute renal failure, is admitted to the Nephrology Unit. The period of oliguria usually lasts for about 10 days. Which assessment parameter for kidney function will you use during the oliguric phase?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. urine output directly related to the amount of IV fluid infused<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. urine output is less than 400 ml/24 hours<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. urine output of 30-60 ml/hour<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. no urine output, kidneys in a state of suspension<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">37. During the shock phase, what is the effect of the rennin-aldosterone-angiotensin system on renal function?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. increased urine output, increased absorption of sodium and water<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. decreased urine output, decreased absorption of sodium and water <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. increased urine output, decreased absorption of sodium and water <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. decreased urine output, increased absorption of sodium and water <o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">38. As you are caring for PL who has acute renal failure, one of the collaborative interventions you are expected to do is to start hypertonic glucose with insulin infusion and sodium bicarbonate to treat:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>A. hyperkalemia</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. hypercalcemia <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. hypokalemia <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. hypernatremia<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">39. BN, 40 year old with chronic renal failure. An arteriovenous fistula was created for hemodialysis in his left arm. What diet instructions will you need to reinforce prior to his discharge?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. drink plenty of water <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. restrict your salt intake <o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. monitor your fruit intake and eat plenty of bananas<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 49.5pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. be sure to eat meat every meal <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">40. BN, is also advised not to use salt substitute in the diet because:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. salt substitute contain potassium which must be limited to prevent arrhythmias<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. limiting salt substitutes in the diet prevents a buildup of waste products in the blood<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. fluid retention is enhanced when salt substitutes are included in the diet<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. a substance in the salt substitute interferes with fluid transfer across the capillary membrane<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– With the improvement in life expectancies and the emphasis in the quality of life it is important to provide quality care to our older patients. There are frequently encountered situations and<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">issues relevant to the older patients.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">41. Hypoxia may occur in the older patients because of which of the following<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">physiologic changes associated with aging.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Ineffective airway clearance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Decreased alveolar surfaced area<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Decreased anterior-posterior chest diameter<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Hyperventilation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. The older patient is at higher risk for incontinence because of:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">dilated urethra<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">increased glomerular filtration rate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">diuretic use<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">decreased bladder capacity<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. Merle, age 86, is complaining of dizziness when she stands up. This may<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">indicate:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">dementia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">a visual problem<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">functional decline<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">drug toxicity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. Cardiac ischemia in an older patient usually produces:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">ST-T wave changes<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Very high creatinine kinase level<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Chest pain radiating to the left arm<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Acute confusion<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. The most dependable sign of infection in the older patient is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">change in mental status<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">fever<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">decreased breath sounds with crackles<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– A “disaster” is a large-scale emergency—even a small emergency left unmanaged may turn into a disaster. Disaster preparedness is crucial and is everybody’s business. There are agencies that are in charge of ensuring prompt response. Comprehensive Emergency Management (CEM) is an integrated approach to the management of emergency programs and activities for all four emergency<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">phases (mitigation, preparedness, response, and recovery), for all types of emergencies and disasters (natural, man-made, and attack) and for all levels of government and the private sector.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">46. Which of the four phases of emergency management is defined as “sustained action that reduces or eliminates long-term risk to people and property from natural hazards and their effects.”?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Recovery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Mitigation<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Response<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Preparedness<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">47. You are a community health nurse collaborating with the Red Cross and working with disaster relief following a typhoon which flooded and devastated the whole province. Finding safe housing for survivors, organizing support for the family, organizing counseling debriefing sessions and securing physical care are the services you are involved with. To which type of prevention are these activities included:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Tertiary prevention<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Primary prevention<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Aggregate care prevention<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Secondary prevention<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">48. During the disaster you see a victim with a green tag, you know that the person: <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">has injuries that are significant and require medical care but can wait hours with<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">threat to life or limb<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">has injuries that are life threatening but survival is good with minimal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">intervention<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">indicates injuries that are extensive and chances of survival are unlikely even<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">with definitive care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">has injuries that are minor and treatment can be delayed from hours to<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">Days<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">49. The term given to a category of triage that refers to life threatening or potentially life threatening injury or illness requiring immediate treatment:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Immediate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Emergent<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Non-acute<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Urgent<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">50. Which of the following terms refer to a process by which the individual receives education about recognition of stress reaction and management strategies for handling stress which may be instituted after a disaster?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Clinical incident stress management<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Follow-up<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Debfriefing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Defusion<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– As a member of the health and nursing team you have a crucial role to play in ensuring that all the members participate actively is the various tasks agreed upon.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">51. While eating his meal, Matthew accidentally dislodges his IV lines and bleeds. Blood oozes on the surface of the over-bed table. It is most appropriate that you instruct the housekeeper to clean the table with:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Acetone<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Alcohol<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Ammonia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Bleach<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">52. You are a member of the infection control team of the hospital. Based on a feedback during the meeting of the committee there is an increased incidence of pseudomonas infection in the Burn Unit (3 out of 10 patients had positive blood and wound culture). What is your <b>priority </b>activity?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Establish policies for surveillance and monitoring<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Do data gathering about the possible sources of infection (observation,<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">chart review, interview).<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Assign point persons who can implement policies.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Meet with the nursing group working in the burn unit and discuss problem with<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">them.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">53. Part of your responsibility as a member of the diabetes core group is to getreferrals from the various wards regarding diabetic patients needing diabetes education. Prior to discharge today, 4 patients are referred to you. How would you <b>start prioritizing </b>your activities?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Bring your diabetes teaching kit and start your session taking into consideration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">their distance from your office<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Contact the nurse in-charge and find out from her the reason for the referral<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Determine their learning needs then prioritize<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Involve the whole family in the teaching class<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">54. You have been designated as a member of the task force to plan activities for the Cancer Consciousness Week. Your committee has 4 months to plan and implement the plan. You are assigned to contact the various cancer support groups in your hospital. What will be your <b>priority </b>activity?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Find out if there is a budget for this activity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Clarify objectives of the activity with the task force before contacting the<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">support groups<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Determine the VIPs and Celebrities who will be invited<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Find out how many support groups there are in the hospital and get the contact<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">number of their president<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">55. You are invited to participate in the medical mission activity of your alumni association. In the planning stage everybody is expected to identify what they can do during the medical mission and what resources are needed. You thought it is also your chance to share what you can do for others. What will be your <b>most important </b>role where you can demonstrate the impact of nursing in health?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Conduct health education on healthy life style<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Be a triage nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Take the initial history and document findings<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Act as a coordinator<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– One of the realities that we are confronted with is our mortality. It is important for us nurses to be aware of how we view suffering, pain, illness, and even our death as well as its meaning. That way we can help our patients cope with death and dying.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">56. Irma is terminally ill, she speaks to you in confidence. You now feel that Irma’s family could be helpful if they knew what Irma has told to you. What should you do <b>first</b>?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Tell the physician who in turn could tell the family<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Obtain Irma’s permission to share the information in the family<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Tell Irma that she has to tell her family what she told you<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Make an appointment to discuss the situation with the family<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">57. Ruby who has been told she has terminal cancer, turns away and refuses to respond to you. You can <b>best </b>help her by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Coming back periodically and indicating your availability if she<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">would like you to sit with her<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Insisting that Ruby should talk with you because it is not good to keep<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">everything inside<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Leaving her alone because she is uncooperative and unpleasant to be<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">with<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Encouraging her to be physically active as possible<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">58. Leo, who is terminally ill and recognizes that he is in the process of losing everything and everybody he loves, is depressed. Which of the following would <b>best </b>help him during his depression?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Arrange for visitors who might cheer him<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Sit down and talk with him for a while<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Encourage him to look at the brighter side of things<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Sit silently with him<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">59. Which of the following statements would <b>best </b>indicate that Ruffy, who is dying, has accepted his impending death?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">“I’m ready to go.”<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">“I have resigned myself to dying.”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">“What’s the use?”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">“I’m giving up”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">60. Marla, 90 years old has planned ahead for her death-philosophically, socially, financially and emotionally. This is recognized as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Acceptance that death is inevitable<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Avoidance of the true situation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Denial with planning for continued life<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Awareness that death will soon occur<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Andrea is admitted to the ER following an assault where she was hit on the face and head. She was brought to the ER by a police woman. Emergency measures were stated.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">61. As Andrea’s nurse, what will be your priority interventions?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Insert and intravenous catheter <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Insert an oral or nasopharyngeal airway<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Obtain arterial blood gases<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Give 100% oxygen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">62. Andrea’s arterial blood gases respiratory acidosis. This most likely related to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Partially obstructed airway<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Ineffective breathing pattern<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Head injury<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">63. Andrea loses consciousness. You should prepare for which of the following FIRST?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Placement of nasogastric tube<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Placement of a second IV line<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Endotracheal intubation or surgical airway placement<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. CT scan of head<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">64. Andrea’s physician gives an order of Mannitol 0.25 g/kg IV bolus for increased ICP. This is given to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Promote cerebral-tissue fluid movement<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Promote renal perfusion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Correct acid-base imbalances<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Enhance renal-excretion of drugs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">65. As Andrea’s nurse your goal is to prevent increased Intracranial Pressure (ICP). Which of the following independent nursing interventions is NOT suited for her?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Do oropharyngeal suction every 15 minutes to prevent pulmonary aspiration?<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Keep ahead of bed 30-35 degrees elevated<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Maintain Andrea’s head in straight alignment and prevent hip flexion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Prevent constipation and increases in intra-abdominal pressure<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">66. Andrea’s respiration is described as waxing and waning. You know that this rhythm of respiration is defined as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Biot’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Kussmaul’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Cheyne Stokes<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Eupnca<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">67. What do you call the triad of sign and symptoms seen in a client with increasing ICP?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Virchow’s Triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. The Chinese triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Cusching’s Triad<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Charcot’s Triad<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">68. Which of the following is true with the Cushing’s Triad seen in head injuries?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Narrowing of Pulse Pressure, Cheyne strokes respiration, Tachycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Widening Pulse pressure, Irregular respiration, Bradycardia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Hypertension, Kussmaul’s respiration, Tachycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Hypotension, Irregular respiration, Bradycardia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">69. In a client with a Cheyne stokes respiration, which of the following is the most appropriate nursing diagnosis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Ineffective airway clearance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Ineffective breathing pattern<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Impaired gas exchange<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Activity Intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">70. You know the apnea is seen in client’s with cheyne stoke respiration, APNEA is defined as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Inability to breath in a supine position so the patient sits up in bed to breathe.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. The patient is dead, the breathing stops<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. There is an absence of breathing for a period of time usually 15 seconds or more<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. A period of hypercapnea and hypoxia due to cessation of respiratory effort inspite of normal respiratory functioning<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation - </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Specific surgical interventions may be done when lung cancer is detected early. You have important peri-operative responsibilities in caring for patients with lung cancer.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">71. Horace underwent lobectomy. Which of following is the purpose of Horace’s closed chest drainage post lobectomy:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> a. expansion of the remaining lung<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> b. facilitation of coughing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> c. prevention of mediastinal shift<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> d. promotion of wound healing<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">72. Which of the following observations indicates that the closed chest drainage system is functioning properly? <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. absence of bubbling in the suction-control bottle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> B. the fluctuating movement of fluid in the long tube of the water-seal bottle during inspiration<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. intermittent bubbling through the long tube of the suction control bottle.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. less than 25 ml drainage in the drainage bottle<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">73. Following lobectomy, you can BEST help Horace to reduce pain during the deep breathing and coughing exercises by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> A. placing the patient on his/her operative side during exercises<b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>B. splinting the patient’s chest with both hands during the exercises<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. administering the prescribed analgesic immediately prior to exercises<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. providing rest for 6 hours before exercises<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">74. Peter underwent pneumonectomy. During the immediate post operative period, deep tracheal suction should be done with extreme caution because:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Peter will not be able to tolerate coughing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. the tracheobronchial trees are dry<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> C. the remaining normal lung needs minimal stimulation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> D. the bronchial suture line maybe traumatized<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">75. On which of the following positions should you place Peter who just underwent pneumonectomy?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Prone position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. On his abdomen or on the side opposite the surgery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. On his back or on the side of surgery<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Any position is acceptable<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Mang Felix, a 79 year old man who is brought to the Surgical Unit from PACU after a transurethral resection. You are assigned to receive him. You noted that he has a 3-way indwelling catheter for continuous fast dip bladder irrigation which is connected to a straight drainage. <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">76. Immediately after surgery, what would you expect his urine to be?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Light yellow<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Amber<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Bright red<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Pinkish to red<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">77. The purpose of the continuous bladders irrigation is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Allow continuous monitoring of the fluid output status<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Provide continuous flushing of clots and debris from the bladder<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Allow for proper exchange of electrolytes<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Ensure accurate monitoring of intake and output<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">78. Mang Felix informs you that he feels some discomfort on the hypogastric area and he has to void. What will be your most appropriate action?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Remove his catheter then allow him to void his own<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Irrigate his catheter<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Tell him “Go ahead and void. You have an indwelling catheter”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Assess color and rate of outflow, if there is a change refer to urologist for possible irrigation<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">79. You decided to check on Mang Felix’s IV fluid infusion. You noted in flow rate, pallor and coldness around the insertion site. What is your assessment finding?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Phlebitis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Infiltration to subcutaneous tissue<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Pyrogenic reaction<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Air embolism<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">80. Knowing that proper documentation of assessment findings and interventions share important responsibilities of the nurse during first post operative days, which of the following is the LEAST relevant to document in the case of Mang Felix?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Chest pain and vital signs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Intravenous infusion rate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Amount, color and consistency of bladder irrigation drainage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Activities of daily living started<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Many hospitals from bioethical review committees to ensure quality of life of patients. You are invited by the nursing service departments to participate in their bioethical review committee. You are expected to know the purpose and apply bioethical principles.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">81. Which of the following is the purpose of the ethical review committee?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Promote implementation of general standards<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Enhance health care providers liability<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Increase individuals responsibility<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Decrease Public security of health care provider’s action<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">82. Daria who is admitted to the hospital with autoimmune thrombocytopenia and a platelet count of 20,000/ml develops epistaxis and melena. Treatment with corticosteroid and immunoglobulin has not been successful. Her physician recommend splenectomy. Daria states “I don’t need surgery. This will go away on its own”.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Beneficence<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Autonomy<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Advocacy <o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">83. Zorayda is terminally ill and is experiencing sever pain. She has bone and liver metastasis. She has been on morphine for several months now. Zorayda is aware that they are having financial problems. She decides to sign DNR form,. What ethical principle did Zorayda and her family utilize as basis for their decision to sign a DNR.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B.</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>Autonomy</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Advocacy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Beneficence<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">84. Tricia, a staff nurse working in a cancer unit, is considered a role model not only by her colleagues but also by her patients. She goes out of her way to help other. She is very active in their professional organization and he practices what she teaches. What ethical principles is she practicing?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Beneficence<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Autonomy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Advocacy <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">85. You are commuting to work riding the LRT. An older person collapsed and nobody seems to notice her. The security guard tried to make ker sit down but she remained unconscious. You saw what happened and you decided to help. With help, you brought the patient to the nearest hospital. You learned later that woman was diabetic. She was on her way To the diabetes clinic to have fasting blood sugar tested. She developed hypoglycemia. You were able to save a life. You felt good. What principle was applied?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Advocacy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">. <b>Beneficence<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Justice<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Autonomy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">86. To help Fernan better tolerate the bronchoscopy, you should instruct him to practice which of the following prior to the procedure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Clenching his fist every 2 minutes <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breathing in and out through the nose with his mouth open<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Tensing the shoulder muscles while lying on his back<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Holding his breath periodically for 30 seconds<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">87. Following bronchoscopy, which of the following complains to Fernan should be noted as possible complication:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Nausea and vomiting<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Shortness of breath and laryngeal stridor<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Blood tinged sputum and coughing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Sore throat and hoarseness<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">88. Immediately after bronchoscopy, you instructed Fernan to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Exercise the neck muscles<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breathe deeply<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Retrain from coughing and talking<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Clear his throat<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">89. Thoracentesis may be performed for cytologic study of pleural fluid. As a nurse your most important function during procedure is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Keep the sterile equipment from contamination<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Assist the physician<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. open and close the three-way stopcock<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Observe the patient’s vital signs<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">90. Right after thoracentesis, which of the following is most appropriate intervention?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Instruct the patient not to cough or deep breathe for two hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Observe for symptoms of tightness of chest or bleeding<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Place an ice pack to the puncture site<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Remove the dressing to check for bleeding<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation </span></b><span style="font-family: Verdana; font-size: 8pt;">– Brain tumor, whether malignant or benign, has serious<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">management implications. As a nurse, you should be able to understand the consequences of the disease and the treatment.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">91. You are caring for Conrad who has a brained tumor and increased Intracranial Pressure (ICP). Which intervention should you include in your plan to reduce ICP?<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Administer bowel softener<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Position Conrad with his head turned toward the side of the tumor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Provide sensory stimulation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">Encourage coughing and deep breathing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">92. Keeping Conrad’s head and neck alignment results in:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">increased inthrathoracic pressure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">increased venous outflow<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">decreased venous outflow<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">increased intrabdominal pressure<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">93. Which of the following activities may increase intracranial pressure (ICP)?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. </span><span style="font-family: Verdana; font-size: 8pt;">Raising the head of the bed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">Manual hyperventilation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">Use of osmotic diuretics<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">Valsalva’s maneuver<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">94. After you asses Conrad, you suspected increased ICP. Your <b>most appropriate </b>respiratory goal is to:<b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. </span></b><b><span style="font-family: Verdana; font-size: 8pt;">maintain partial pressure of arterial O2 (PaO2) above 80 mmHg<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. </span><span style="font-family: Verdana; font-size: 8pt;">lower arterial pH<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. </span><span style="font-family: Verdana; font-size: 8pt;">prevent respiratory alkalosis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. </span><span style="font-family: Verdana; font-size: 8pt;">promote CO2 elimination<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">95. Conrad underwent craniotomy. As his nurse, you know that drainage on a craniotomy dressing must be measured and marked. Which findings should you report immediately to the surgeon?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Foul-smelling drainage <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Yellowish drainage <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Greenish drainage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Bloody drainage<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">Situation – As a nurse you are expected to be competent in utilizing the nursing process in the care of your clients.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">96. Getty is receiving chemotherapy for cancer. You review Getty’s laboratory report and note that he has anemia. To which nursing diagnosis should you give the highest priority?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Activity intolerance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Impaired oral mucous membrane<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Impaired tissue perfusion, cerebral, cardiovascular, gastrointestinal<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Impaired tissue integrity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">97. An immediate objective for nursing care of an overweight mildly hypertensive client with ureteral colic and hematuria is to decrease:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Hypertension<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Pain<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Hematuria<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Weight<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">98. A difficult problem to deal with when caring for a patient with a partial thickness burns sustained 3 days ago is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Alteration in body image<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Maintenance of sterility</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Frequent dressing change<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Severe pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">99. Which outcome criterion would be appropriate for a client with a nursing diagnosis of effective airway clearance?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Continued use of oxygen when necessary<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Breath sound clear on</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;"> <b>auscultation</b><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Respiratory rate of 24/min<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Presence of congestion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">100. Which assessment would be most supportive of the nursing diagnosis, impaired skin integrity related to purulent drainage?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">A. Heart rate of 88 beats/min<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">B. Dry and intact wound dressing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">C. Oral temperature<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-US" style="font-family: Verdana; font-size: 8pt;">D. Wound healing by first intention<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np4-nursing-board-exam-june-2008-answer_27.html">CLICK HERE PART 2 (51 - 100) 'NP4 Nursing Care of Client with Physiological and Psychosocial AlterationMedical and Surgical Nursing / Psychology'</div></a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2611603214227969968.post-85784919954346602132010-06-25T10:08:00.002+08:002010-06-27T06:28:17.675+08:00NP3 Nursing Board Exam June 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice III – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
<br />
PART 2 Board Exam test questions 51 - 100<br />
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<span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span><br />
<div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – Colostomy is a surgically created anus. It can be temporary or permanent,<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">depending on the disease condition.\<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">51. Skin care around the stoma is critical. Which of the following is not indicated as a skin<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">care barriers?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Apply liberal amount of mineral oil to the area<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Use karaya paste and rings around the stoma<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Clean the area daily with soap and water before applying bag<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Apply talcum powder twice a day<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">52. What health instruction will enhance regulation of a colostomy (defecation) of clients?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Irrigate after lunch everyday<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Eat fruits and vegetables in all three meals<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Eat balanced meals at regular intervals<o:p></o:p></span></b></div><div class="MsoNormal" style="text-indent: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Restrict exercise to walking only<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">53. After ileostomy, which of the following condition is NOT expected?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Increased weight<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Irritation of skin around the stoma<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Liquid stool<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Establishment of regular bowel movement<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">54. The following are appropriate nursing interventions during colostomy irrigation, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Increase the irrigating solution flow rate when abdominal cramps is felt<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Insert 2-4 inches of an adequately lubricated catheter to the stoma<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Position client in semi-Fowler<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Hang the solution 18 inches above the stoma<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">55. What sensation is used as a gauge so that patients with ileostomy can determine how<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">often their pouch should be drained?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Sensation of taste<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Sensation of pressure<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Sensation of smell<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Urge to defecate</span><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
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</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – As a nurse, you should be aware and prepared of the different roles you play.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">56. What role do you play when you hold all client’s information entrusted to you in the<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">strictest confidence?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Patient’s advocate<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Educator<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Patient’s Liaison<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Patient’s arbiter<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">57. As a nurse, you can help improve the effectiveness of communication among healthcare<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">givers by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Use of reminders of ‘what to do’<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Using standardized list of abbreviations, acronyms, and symbols<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. One-on-one oral endorsement<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Text messaging and e-mail<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">58. As a nurse, your primary focus in the workplace is the client’s safety. However, personal<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">safety is also a concern. You can communicate hazards to your co-workers through the use<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">of the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Formal training<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Posters<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Posting IR in the bulletin board<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Use of labels and signs<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">59. As a nurse, what is one of the best way to reconcile medications across the continuum<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">of care?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Endorse on a case-to-case basis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Communicate a complete list of the patient’s medication to the next provider of<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">service<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Endorse in writing<o:p></o:p></span></b></div><div class="MsoNormal" style="text-indent: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Endorse the routine and ‘stat’ medications every shift<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">60. As a nurse, you protect yourself and co-workers from misinformation and<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">misrepresentations through the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Provide information to clients about a variety of services that can help alleviate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">the client’s pain and other conditions<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Advising the client, by virtue of your expertise, that which can contribute to the<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">client’s well-being<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Health education among clients and significant others regarding the use of<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">chemical disinfectant<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Endorsement thru trimedia to advertise your favourite disinfectant<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; text-indent: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">solution</span></b><b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – You were on duty at the medical ward when Zeny came in for admission for<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">tiredness, cold intolerance, constipation, and weight gain. Upon examination, the doctor’s<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">diagnosis was hypothyroidism.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">61. Your independent nursing care for hypothyroidism includes:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. administer sedative round the clock<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. administer thyroid hormone replacement<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. providing a cool, quiet, and comfortable environment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. encourage to drink 6-8 glasses of water<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">62. As the nurse, you should anticipate to administer which of the following medications to<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Zeny who is diagnosed to be suffering from hypothyroidism?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Levothyroxine<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Lidocaine<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Lipitor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Levophed<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">63. Your appropriate nursing diagnosis for Zeny who is suffering from hypothyroidism would<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">probably include which of the following?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Activity intolerance related to tiredness associated with disorder<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Risk to injury related to incomplete eyelid closure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Imbalance nutrition to hypermetabolism<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Deficient fluid volume related to diarrhea<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">64. Myxedema coma is a life threatening complication of long standing and untreated<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">hypothyroidism with one of the following characteristics.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Hyperglycemia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Hypothermia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Hyperthermia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Hypoglycemia<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">65. As a nurse, you know that the most common type of goiter is related to a deficiency of:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. thyroxine<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. thyrotropin<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. iron<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. iodine<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – Mr. Santos, 50, is to undergo cystoscopy due to multiple problems like scantly<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">66. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during cys</span><span style="font-family: Verdana; font-size: 8pt;">toscopy, you will enumerate as follows:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Urethra, Kidney, Bladder<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Urethra, Bladder wall, trigone, urethral opening<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Bladder wall, uterine wall and urethral opening<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Urethral opening, urethral opening bladder.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">67. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during cys</span><span style="font-family: Verdana; font-size: 8pt;">toscopy in:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Supine<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Lithotomy<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Semi-fowler<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Trendelenburg<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">68. After </span><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">cystoscopy, Mr. Santos asked you to explain why there is no incision of any kind. What do you yell him?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Cystoscopy is direct visualization and examination by urologist<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Cystoscopy is done by x-ray visualization of the urinary tact<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Cystoscopy is done by using lasers on the urinary tract<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Cystoscopy is an endoscopic procedure of the unrinary tract <o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">69. Within 24-48 hours post cystoscopy, it is normal to observe one of the following:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Pink-tinged urine<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Distended bladder<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Signs of infection<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Prolonged hematuria<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">70. Leg cramps are NOT uncommon post cystoscopy. Nursing intervention includes:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Bed rest<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Warm moist soak<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Early ambulation<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Hot sitz bath<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – A specimen is a piece of tissue of body fluid taken from the disease body organ or tissue to aid the health care team in diagnosis and effective treatment.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">71. Carmen is suspected to have a left breast CA. She is scheduled in your room on 5 for frozen section. How will you prepare the specimen for laboratoty?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Refrigerator and send it along with the day’s specimen<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Send to pathology immediately without soaking solution<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Soak it in NSS<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Soak it in formalin<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">72. How will you label this specimen? What information was essential in the label?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Name of the client, age, sex, hospital number<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Name of the client, age, sex<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Name, age, site, type of specimen, hospital number, doctor<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Name, doctor, type of specimen, hospital number<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">73. Foreign body extracted from the body like pins, needles, seeds or bullets are also considered as a specimen. You assisted in the multiple gunshot wound exploration. During the surgey send the specimen to:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. The department of pathology<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. The national bureau of investigation<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. The OR head nurse<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Client’s family<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">74. A post dilation and curettage (D and C) client is for discharge. Follow-up of lab result should be part of the discharge plan. You will instruct the client to follow up result at the:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Medical record<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Laboratory<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Doctor’s clinic<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Nurse’s station<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">75. You are the circulating nurse in OR 2. You have 4 thyroidectomy cases for the day. How do, you prevent switching of specimens?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Send specimens to laboratory right away after the operation with the proper labels<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Collect all specimens and send to laboratory at the end of the day<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Label specimen at once<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Prepare 4 specimen vials first thing in the morning<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">76. Ms. F.X. has been admitted with right upper quadrant pain and has been placed on a low fat diet. Which of the following trays would be acceptable for her?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. liver, fried potatoes and avocado<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. whole milk, rice and pastry<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. ham, mashed potatoes, cream peas<b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> d. skim milk, lean fish, tapioca pudding<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">77. Negligence in the practice of nursing can be a ground for:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. revocation of license by the Ombudsman <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. revocation of license by the BON<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> </span></b><span style="font-family: Verdana; font-size: 8pt;">c. revocation<b> </b>of license by the DOH<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> </span></b><span style="font-family: Verdana; font-size: 8pt;">d. revocation<b> </b>of license by the Nursing Department<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">78. One way of verifying that the right message/doctor’s order was communicated effectively is by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. phrasing intelligently<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. repeating the order message<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. documenting<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> d. speaking distinctly using enough volume<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">79. Maria is administering a cleansing enema to a patient with fecal impaction. Before administering the enema, she should place the patient in which of the following positions?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. on the right side of the body with the head of the bed elevated 45 degrees<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. left Sim’s position<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. on the left side of the body with the head of the bed elevated 45 degree<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> </span></b><span style="font-family: Verdana; font-size: 8pt;">d. right Sim’s position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">80. The functionality and integrity of instruments and medical devices used in surgical procedure, is the responsibility of the:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. surgeon <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;">b. bio-med technician</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">c. OR nurse <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">d. scrub nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">81. Maria will be preparing a patient for thoracentesis. She should assist the patient to which of the following positions for the procedure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. prone with the head turned to the side and supported by a pillow<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. lying in bed on the affected side with the head of the bed elevated 45 degrees<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. Sim’s position with the head of the bed flat<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> d. Lying in bed on the unaffected side with the head of the bed elevated 45 degrees<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">82. When a patient comes to the clinic for an eye examination, the ophthalmologists administers phenylephrine 2.5% drops to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. dilate retinal blood vessels<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. anesthetize the cornea<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>c. dilate the pupil<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> d. removed any obstruction on the cornea<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">83. Which of the following statements by Ms. S.O. a chemotherapy patient with a low WBC count, a low platelet count and a hemoglobin measurement of 5.6 g would indicate the need for further teaching?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. “My lips are dry an d cracking. I need some lubricant”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. “My husband and I have been using vaginal lubrication before my intercourse”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. “I check my mouth and teeth after each meal”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>d. “I’ve been very constipated and need an enema”<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">84. Patients undergoing surgery display different levels of anxiety. This is researchable. At present, it has been found out that music can decreases anxiety. What other factors can reduce anxiety that is currently done among postoperative cases?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. pre-anesthetic drugs <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. pre-operative visit <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">c. shower prior to surgery <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;">d. presence of any members of the family<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">85. A heavily researched topic in infection control is about the single most important procedure for preventing hospital-acquired infections. What is this procedure called?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>a. handwashing</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. use of scrub suite <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">c. use of facemask <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">d. brain washing<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">86. A most critical strategy in nursing communication is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. non-verbal communication<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. giving stereotyped comments<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> c. verbal communication<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>d. active listening<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">87. Mr. T.O. has undergone surgery for lyses of adhesions. He is transferred from Post Anesthesia Care Unit (PACU) to the Surgical floor, the nurse should obtain blood pressure, pulse and respiration every:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. 3 minutes <b><o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. 30 minutes <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">c. 15 minutes</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. 20 minutes<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">88. Mr. K, age 13, is diagnosed with chronic bronchitis. He is very dyspneic and must sit up to breath. An abnormal condition in which there is discomfort in breathing in any bed or sitting position is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. Cheyne-stokes <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;"> b. orthopnea</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">c. eupnea <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. dyspnea<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">89. The nurse recognizes that the MOST common causative organism in pyelonephritis is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;"> a. E.Coli</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. Klebsiella <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">c. Candida Albicans <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. Pseudomonas<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">90. Mr. WT is cleaning the garage and splashes a chemical to his eyes. The initial priority care following the chemical burn is to:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. irrigate with normal saline for 1 to 15 minutes<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. transport to a physician immediately<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>c. irrigate with water for 15 minutes or longer<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. cover the eyes with a sterile gauze<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">91. Licensed nurses from foreign countries can practice nursing in the <st1:country-region w:st="on"><st1:place w:st="on">Philippines</st1:place></st1:country-region> in the following condition:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. employed in state colleges and universities<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. special projects with hospitals with a fixed fee<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> c. employees by private hospitals<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>d. medical mission whose services are free<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">92. A patient diagnosed with breast cancer has been offered the treatment choices of breast conservation surgery with radiation or a modified radical mastectomy. When questioned by the patient about these options, the nurse informs the patients that the lumpectomy with radiation.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Reduces the fear and anxiety that accompany the diagnosis and treatment of cancer<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Has about the same 10 years survival rate as the modified radical mastectomy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Provides shorter treatment period with a fewer long term complications<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Preserves the normal appearance and sensitivity of the breast<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">93. The patient has a right to information regarding the operation or other invasive procedure and potential effects. This right is achieved through:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>a. informed consent</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. preoperative visit <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">c. charting <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">d. doctor’s rounds<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">94. Which statement about a person’s character is evident in the OR team?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. it assists in the control of feelings, thoughts and emotions in the face of difficulty<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. it reflects the moral values and beliefs that are used as guides to personal behavior and actions<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. it encourages the constructive use of the pleasure of the senses<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> d. it refers to the quality of being righteous, correct, fair and impartial<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">95. Mrs. XP underwent D and C for dysfunctional bleeding. What is inserted vaginally to prevent postoperative bleeding?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. perineal pad <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. vaginal packing</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. vaginal suppository <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> d. gelfoam<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – Mrs. Pichay is admitted to your ward. The MD ordered “Prepare for<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">thoracentesis this pm to remove excess air from the pleural cavity.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">96. Which of the following nursing responsibilities is essential in Mrs. Pichay who will<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">undergo thoracentesis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Support and reassure client during the procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Ensure that informed consent has been signed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Determine if client has allergic reaction to local anesthesia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Ascertain if chest x-rays and other tests have been prescribed and<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">completed<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">97. Mrs. Pichay who is for thoracentesis is assigned by the nurse to which of the following<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">positions?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Trendelenburg position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Supine position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Dorsal Recumbent position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Orthopneic position<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">98. During thoracentesis, which of the following nursing intervention will be most crucial?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Place patient in a quiet and cool room<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Maintain strict aseptic technique<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Advice patient to sit perfectly still during needle insertion until it has<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">been withdrawn from the chest<o:p></o:p></span></b></div><div class="MsoNormal" style="text-indent: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Apply pressure over the puncture site as soon as the needle is withdrawn<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">99. To prevent leakage of fluid in the thoracic cavity, how will you position the client after<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">thoracentesis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Place flat in bed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Turn on the unaffected side<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Turn on the affected side<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. On bed rest<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">100. Chest x-ray was ordered after thoracentesis. When your client asks what is the reason<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">for another chest x-ray, you will explain:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. to rule out pneumothorax<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. to rule out any possible perforation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. to decongest<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. to rule out any foreign body</span></div><br />
<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np3-nursing-board-exam-june-2008-answer.html">CLICK HERE PART 1 (1 - 50)'NP3 Nursing Board Exam June 2008 Answer Key Nursing Care of Client with Physiological and Psychosocial Alteration'</a>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2611603214227969968.post-12865081756235273712010-06-25T10:06:00.004+08:002010-06-27T06:27:45.782+08:00NP3 Nursing Board Exam June 2008 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice III – Nursing Care of Client with Physiological and Psychosocial Alteration<br />
Medical and Surgical Nursing / Psychology<br />
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PART 1 Board Exam test questions 1 - 50<br />
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<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> </span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">June 2008<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">NURSING PRACTICE III SET B<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">SITUATIONAL<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation - One learns by doing especially when you practice the best methods.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">1. Which action by a new nurse signifies a need for further teaching in infection control?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. The nurse places the side rails the time to an unconscious patient.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The nurse elevates the head of the bed to check the BP<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. The nurse uses her bare hands to change the dressing<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The Nurse applies oxygen catheter to the mouth.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">2. You are a PM shift and about 5 patients are discharge. You noted that the orderly was looking through the items of one of the patients. Which action should you pursue?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A.Call the attention of the orderly in private.<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Ignore the situation because you are busy.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Report this behavior to the nurse in charge.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Monitor the situation and note whether any other items are reported missing.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">3. What appropriate action should you do when you overhear the nursing attendant speaking harshly to an elderly patient?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Try to explore the interaction with the nursing attendant concerned</span></b><span style="font-family: Verdana; font-size: 8pt;">.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Change the attendant’s assignment.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Initiate a group discussion with all other nursing attendants.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Discuss the matter with the patient’s family.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">4. Disposal of Medical Records in the Government hospital needs collaboration with which of the following department:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. DOH<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. MMDA<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. DILG<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. RMAO<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">5. You saw one colleague charting medication administration that she has not yet administered. After talking to her, you also report the incident to the charge nurse. The charge nurse should:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Required the staff to submit an incident report.<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Terminate the nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Charge the erring nurse with dishonesty.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Report to the Board of Nursing.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
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</div><div class="MsoNormal" style="margin-left: 0.25in;"><span style="font-family: Verdana; font-size: 8pt;">Situation - You are assigned at the PACU<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">6. Which nursing diagnosis has priority among the client in the PACU?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Acute Pain related to discomfort of wound and immobility<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Body image disturbance of wound dressing and drains.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Ineffective airway clearance related to anesthesia.<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Knowledge deficit related to lack of information because patients are all sedated.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 21pt;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">7. Which of the following clients at the PACU will demonstrate the effectiveness of the nurse teaching?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. The client demonstrates deep breathing, coughing, splintering and leg exercises.<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The client manifests normal temperature.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. The client sleeps well<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The client has good balance I and O.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">8. Which of the following remark indicates that the client’s relative understood the discharged instructions for would care?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. “If the wound is painful, I will say it is normal.”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. “It is alright to use adhesive tape over the wound to keep it intact.”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. “It is ok for his pet to remain at his bedside to keep him company.”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. It will report any redness or swelling of the wound.”<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">9. You must transfer out a post-op client to her room. What would your instructions to the family include to prevent accidents?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Report when the IV infusion is almost finished.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Test the call system if functioning.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Keep the room lights on for 24hrs.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Make sure the side rails are up.<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">10.One of your post-op patients has a temperature of 27.9 C and was shivering. You covered him with a blanket and later took his temperature again and it is now 38.9 C. The nursing student asked you to explain the absence of shivering even if the temperature was higher.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. The patient is no longer febrile thus he is no longer chilling.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Shivering normally disappears as temperature becomes higher.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. The body has reached its new set point thus the absence of shivering.<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The patient is feeling better.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation - Patients with chest tubes can be very challenging to new nurses.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">11. The chest drainage of Tirso has continuous bubbling in the water seal drainage. After an hour you noticed that the bubbling stops. Which of the following condition is the possible cause of the malfunctioning sealed drainage?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. A suction being to high<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. An air leak<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. A tube being too small<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. A tension pneumothorax<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">12. While you were making your endorsement, you found out the chest tube of a client was disconnected. What would be your appropriate action?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Assist the client back to his bed and place him on the affected side.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Cover the end of the chest tube with sterilize gauze <o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Reconnect the tube to the chest tube system<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Put the end of the chest tube into a cup of sterile normal saline<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">13. Dr. Reyes asked you top assist him with the removal of Tirso’s chest tube. You would instruct the client to:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Continuously breathe normally during the chest tube<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Take a deep breath, exhale, and bear down<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. exhale upon actual removal of the tube<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Hold breath until the chesty tube is pulled out<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">14. Chest tube diameter is measured or expressed in:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. French<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Gauge<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Millimeters<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Inches<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">15. When transporting clients with a chest tube, the system should be:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Disconnected<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Closed<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Placed lower than the patient’s chest<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Placed between the legs of the client to prevent breakage<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">Situation – The preoperative nurse collaborates with the client significant others, and healthcare providers.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">16. To control environment hazards in the OR, the nurse collaborates with the following departments EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Biomedical division<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. DOH<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Infection control committee<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. DILG<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">17. Waste disposal poses a big problem for the hospital. Biological wastes (i.e. amputated limbs) disposal should be coordinated with the following agencies EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Crematorium<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. DOH<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. MMDA<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. DILG<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">18. Tess, the PACU nurse discovered that Malou, who weights 110 lbs prior to surgery, is in severe pain 8 hours after cholecystectomy. Upon checking the chart, Malou found out that she has an order of Demerol 100 mg I.M. prn for pain. Tess should verify the order with:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Nurse supervisor<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Anesthesiologist<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Surgeon<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Intern on duty<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">19. Rosie, 57, who is diabetic is for debridement if incision wound. When the circulating nurse checked the present IV fluid, she found out that there is no insulin incorporated as ordered. What should the circulating nurse do?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Double check the doctor’s order and call the attending MD<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Communicate with the ward nurse to verify if insulin was incorporated or not<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Communicate with the client to verify if insulin was incorporated<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Incorporate insulin as ordered<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">20. The documentation of all nursing activities performed is legally and professionally vital. Which of the following should NOT be included in the patients chart?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Presence of prosthetic devices such as dentures, artificial limbs hearing aid, etc.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Baseline physical, emotional, and psychosocial data<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Arguments between nurses and residents regarding treatment<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Observed untoward signs and symptoms and interventions including contaminant intervening factors.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">Situation – Technology and patients education has dramatically improved the management of the diabetic client.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">21. The current insulin pumps available in the market have the following capability, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Prevent unexpected saving in blood glucose measurement<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Detect signs and symptoms of hypoglycemia and hypercalcemia<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Deliver a pre-meal bolus dose of insulin before each meal<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Deliver a continuous basal rate of insulin at 5.0 units to 2.0 units per hour<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">22. Discharge plan of diabetic clients include injection-site-rotation. You should emphasize that the space between sites should be:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. 6 cm<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. 5 cm<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. 2.5 cm<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. 4 cm<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">23. It is critical also that a diabetic client should be educated in the possible sites if regular insulin injection. The fastest absorption rate happens at the tissue areas of:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Gluteal area<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Deltoid area<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Anterior area<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Abdominal area<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">24. Self-monitoring of blood glucose (SMBG) is recommended for patients use. You will recommend this technology in the following diabetic patients EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Client with proliferative retinopathy<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Unstable diabetes<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Hypoglycemia without warning<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Abdominal renal glucose threshold<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><span style="font-family: Verdana; font-size: 8pt;">25. It is necessary for a diabetic client to exercise </span><span style="font-family: Verdana; font-size: 8pt;">regularly. What is the effect of regular exercise to a diabetic client?<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. It burns excess glucose<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. It improves insulin utilization<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. It lowers glucose, improves insulin utilization, and decreases total triglyceride levels.<o:p></o:p></span></b></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. It will make you fit and energized.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">26. Following a fracture of the forearm or tibia, complaints of sharp, deep, unrelenting pain in the hand or foot unrelieved by analgesics or elevation of the extremity indicate which complication?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. cast syndrome <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">b.<b> compartment syndrome <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">c.</span></b><span style="font-family: Verdana; font-size: 8pt;"> gangrene <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. fat embolism<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">27. Another worthy study is the compliance to the principles of aseptic technique among the sterile OR team. Who does NOT belong to the sterile OR team?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. scrub nurse <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. assistant surgeon <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">c. x-ray technician</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. surgeon <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">28. Circulation must be restored within 4 minutes of cardiopulmonary arrest because:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. the lungs fill with fluid<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. the blood begins to coagulate<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>c. brain cells begin to die<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. irreversible kidney failure develops <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">29. Benny elaborated on the concept of informed consent. He determines that the nurses need more explanation if their response is one of the following:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. the consent should provide a description of alternative treatments or procedures<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. the consent should offer a thorough explanation of the procedures to be done and the consequences of it.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">c. the consent should include the medical diagnosis and explanation of the patient’s condition<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. the consent should describe the prognosis if the recommended care is refused.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">30. Which of the assessment findings would indicate a need for possible glaucoma testing?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. intermittent loss of vision <b> </b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">b. presence of floaters <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">c. halos around lights</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. pruritus and erythema of the conjunctiva<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">31. The diabetic patient asks for a snack and something to drink. The MOST appropriate choice for this client to meet nutritional needs would be which of the following:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. crackers with cheese and tea<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. toast with peanut butter and cocoa<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> c. vanilla wafers and coffee with cream<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>d. graham crackers and warm milk<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">32. The patient demonstrates knowledge of the psychological response to the operation and other invasive procedure when she asks about:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. Who will be with me in the OR?<b><o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. How is the post operative pain over the site like?<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> c. Will I be naked during the operation?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. Is it cold inside the<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">33. In teaching the mother the proper administration of tetracycline eye ointment, which of the following is MOST crucial?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. squirt a small amount on the inside of the infected eye’s lower lid<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. use clean, wet cloth to gently wipe away the pus<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;"> c. wash hands before medication administration<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. do not use other eye ointments or drops or put anything else in eyes.<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">34. The primary goal of nursing interventions after a craniotomy is:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. avoiding need for secondary surgery<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. ensuring patient comfort<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>c. preventing increased intracranial pressure<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. prevention of infection<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">35. Mr. Salvo, a 35 year old male, has been admitted with the diagnosis of peptic ulcers. The nurse recognizes which drugs as those MOST commonly used in these patients to decrease acid secretions?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. erythromycin and flagyl<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. Tagamet and zantac<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;"> </span></b><span style="font-family: Verdana; font-size: 8pt;">c. Maalox and kayexalate<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. Dyazide and carafate<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">36. When reading the urinalysis report, the nurse recognizes this result as abnormal:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>a. red blood cells 15-20</b> <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. turbid <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">c. glucose negative <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. ph 6.0<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">37. Mr. Hizon has had cataract surgery. Discharge teaching would include:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. wearing eye patches for the first 72 hours<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> b. bending at the waist acceptable if done slowly<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>c. bending at the knees and keeping the head straight<o:p></o:p></b></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> d. lifting light objects is acceptable<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">38. Endoscopic minimally invasive surgery has evolved from diagnostic modality to a widespread surgical technique. What department should the nurse collaborate which is unusual in conventional surgery?<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. engineering department <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. x-ray department</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">c. blood bank services <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. linen section <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">39. When the client is discharged from the hospital and is not capable of doing the needed care services, the following can assume the role, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> a. family members <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> <b>b. chaplain</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">c. significant others <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">d. responsible caregiver<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">40. R.N. denotes that a nurse:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Has satisfactory completed with the requirements to practice nursing as set by the state.<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Has a baccalaureate degree in nursing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Is professionally ready to practice nursing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Just a title<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – Joint Commission on Accreditation of Hospital Organization (JCAHO) patient<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">safety goals and requirements include the care and efficient use of technology in the OR and<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">elsewhere in the healthcare facility.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">41. As the head nurse in the OR, how can you improve the effectiveness of clinical alarm<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">systems?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Limit suppliers to a few so that quality is maintained<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Implement a regular inventory of supplies and equipment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Adherence to manufacturer’s recommendation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Implement a regular maintenance and testing of alarm systems<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">42. Overdosage of medication or anesthetic can happen even with the aid of technology like<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">infusion pumps, sphygmomanometer and similar devices/machines. As a staff, how can you<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">improve the safety of using infusion pumps?<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Check the functionality of the pump before use<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Select your brand of infusion pump like you do with your cellphone<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Allow the technician to set the infusion pump before use<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Verify the flow rate against your computation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">43. JCAHOs universal protocol for surgical and invasive procedures to prevent wrong site,<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">wrong person, and wrong procedure/surgery includes the following, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Mark the operative site if possible<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Conduct pre-procedure verification process<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Take a video of the entire intra-operative procedure<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Conduct ‘time out’ immediately before starting the procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">44. You identified a potential risk of pre-and postoperative clients. To reduce the risk of<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">patient harm resulting from fall, you can implement the following, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Assess potential risk of fall associated with the patient’s medication regimen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Take action to address any identified risks through Incident Report (IR)<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Allow client to walk with relative to the OR<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Assess and periodically reassess individual client’s risk for falling<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">45. As a nurse, you know you can improve on accuracy of patient’s identification by 2<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">patient identifiers, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. identify the client by his/her wrist tag and verify with family members<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. identify client by his/her wrist tag and call his/her by name<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. call the client by his/her case and bed number<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. call the patient by his/her name and bed number<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – Team efforts is best demonstrated in the OR.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">46. If you are the nurse in charge for scheduling surgical cases, what important information<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">do you need to ask the surgeon?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Who is your internist<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Who is your assistant and anesthesiologist, and what is your preferred<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">time and type of surgery?<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Who are your anesthesiologist, internist, and assistant<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Who is your anesthesiologist<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">47. In the OR, the nursing tandem for every surgery is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Instrument technician and circulating nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Nurse anesthetist, nurse assistant, and instrument technician<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Scrub nurse and nurse anesthetist<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Scrub and circulating nurses<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">48. While team effort is needed in the OR for efficient and quality patient care delivery, we<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">should limit the number of people in the room for infection control. Who comprise this<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">team?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Surgeon, anesthesiologist, scrub nurse, radiologist, orderly<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">49. When surgery is on-going, who coordinates the activities outside, including the family?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Orderly/clerk<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Nurse Supervisor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Circulating Nurse<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Anesthesiologist<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">50. The breakdown in teamwork is often times a failure in:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Electricity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Inadequate supply<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Leg work<o:p></o:p></span></div><div class="MsoNormal" style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Communication</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np3-nursing-board-exam-june-2008-answer_25.html">CLICK HERE PART 2 (51 - 100)'NP3 Nursing Board Exam June 2008 Answer Key Nursing Care of Client with Physiological and Psychosocial Alteration'</a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2611603214227969968.post-313862256323180952010-06-25T09:53:00.001+08:002010-06-27T05:25:23.591+08:00NP2 Nursing Board Exam June 2008 Answer Key 'Community Health Nursing and Care of Mother and Child'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice II – Community Health Nursing and Care of Mother and Child<br />
Community Health Nursing / O.B. (Obstetric)<br />
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PART 1 Board Exam test questions 51 - 100<br />
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<div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">51. A public health nurse would instruct a pregnant woman to notify the physician immediately if which of the following symptoms occur during pregnancy?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Presence of dark color in the neck<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Increased vaginal discharge <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Swelling of the face<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Breast tenderness<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">52. A woman who is week 9 pregnant comes to the Health center with moderate bright red vaginal bleeding. On physical examination, the physician finds the client’s cervix 2 cm dilated. Which term best describes the client’s condition?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. missed abortion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Incomplete abortions<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Inevitable abortion<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Threatened abortion<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">53. In a big government hospital, Nurse Pura is taking care of a woman with diagnosis of abruption placenta. What complication of this condition is most concerned to Nurse Pura?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Urinary tract infection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Pulmonary embolism<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Hypocalcemia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Disseminated intravascular coagulation<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">54. Which of the following findings on a newly delivered woman’s chart would indicate she is at risk for developing postpartum hemorrhage?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Post-term delivery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Epidural anesthesia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Grand multiparity<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Premature rupture of membrane<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">55. Mrs. Hacienda Gracia, 35 years old postpartum client is at risk of thrombophlebitis. Which of the following nursing interventions decrease her chances of developing postpartum thrombophlebitis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Breastfeeding the newborn<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Early ambulation<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Administration of anticoagulant postpartum<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Immobilization and elevation of the lower extremities<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">Situation – With increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions apply.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">56. Which among the following is the primary focus of prevention of cances?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Elimination of conditions causing cancer<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Diagnosis and treatment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Treatment at early stage<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Early detection<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">57. In the prevention and control of cancer, which of the following activities is the most important function of the community health nurse?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Conduct community assembles <o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Referral to cancer specialist those clients with symptoms of cancer<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Use the nine warning signs of cancer as parameters in our process of detection, control, and treatment modalities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Teach woman about proper/ correct nutrition<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">58. Who among the following are recipients of the secondary level of care for cancer cases?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Those under early case detection<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Those under post case treatment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Those under early detection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Those scheduled for surgery<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">59. Who among the following are recipients of the tertiary level of care for cancer cases?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Those under treatment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Those under supportive care<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Those under early detection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Those scheduled for surgery<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">60. In Community Health Nursing, despite the availability and the use of many equipment and devices to facilitate the job of the community health nurse, the best tool any nurse should be well be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This in nursing parlance is nothing less than the:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Nursing diagnosis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Nursing protocol<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Nursing research<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Nursing process<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">61. The tone and pitch of the voice, volume, inflection, speed, grunts and other vocalizations are referred to by which of the following terms?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Paraverbal clues<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Ancillary speech<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Third element<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Enhancements<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">62. The plan-do-study-act cycle begins with:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Four stages<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Five agendas<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Three questions<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Two concepts<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">63. During your shift, you noted one of your pregnant clients considered as “waiting case” manifests morning sickness and which later progressed. Which assessment finding may indicate possible developing complication?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Maternal pulse 90<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Trace glucose in the urine<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. FHT 155<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. 1 + ketones in the urine<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">64. The nurse is working with a child who is going to have a bone marrow aspiration. The physician orders TAC (tetracaine, adrenaline and cocaine). Which of the following is the route of administration?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Application to the skin, covered with a dressing prior to the procedure<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Subcutaneous <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. IV using very slow drip over approximately 4 hours prior to procedure <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Nasal inhalation<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">65. Infant head control is judged by the:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Ability to hold the head without support<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Presence or absence of head lag<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Rigidity of the neck and head<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Amount of neck wrinkling<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">66. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, “Knowledge Deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular”?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Bedrest is maintained at home after the 36<sup>th</sup> wee of gestation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><b><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><b><span style="font-family: Verdana; font-size: 8pt;">Fetal heart rate will remain between 120 and 160 beats a minute<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Jugular vein distention is evident when lying at 45 degrees<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span style="font-family: Verdana; font-size: 8pt;">Maternal blood pressure maintained above the 150 systolic<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> 67. </span><span style="font-family: Verdana; font-size: 8pt;">Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the following reasons?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. additional weight from pregnancy may disturb balance when walking<o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. fetal activity stimulates the nerves of the legs and causes weakness<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. high levels of hormones often impair judgment resulting in reckless behavior<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. increased adrenalin released during pregnancy causes women to move faster than usual<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">68 . When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. no specific treatments such as antibiotics <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. urgent referral</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. appropriate antibiotics<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. no urgent measures<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">69. Which of the four signs of good attachment is true in this statement?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is visible above than below<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible above than below<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola visible below than above<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible above than below<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">70. Which type of research inquiry investigates the issues of human complexity ( e. g. understanding the human expertise?)<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. positivism <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. quantitative research <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. logical position <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. natural inquiry</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">71. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse in charge of Carol, how will you classify her illness?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. a child at a general danger sign <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>B. very severe febrile disease </b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. severe pneumonia <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. severe malnutrition<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">72. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. their skin is more susceptible to conduction of cold<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. they are preterm so are born relatively small in size<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>C. they do not have as many fat stored as other infants<o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. they are more active than usual so they throw off comes<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">73. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for during this procedure?<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> A. headache and vomiting</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. a swollen tender tongue <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. a high choking voice <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. abdominal bleeding and pain<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">74. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. use plan C if there is bleeding from the nose or gums<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>C. give aspirin<o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. prevent low blood sugar<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">75. In assessing the patient’s condition using the Integrated Management of Childhood Illness approach strategy, the first thing that a nurse should do is to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. ask what are the child’s problem</b> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. check the patient’s level of consciousness <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. check for the four main symptoms <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. check for the general danger signs<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">76. A child with diarrhea is observed for the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. how long the child has diarrhea <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. skin Petechiae </span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. presence of blood in the stool<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. signs of dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">77. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home management at this case?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. give drugs every 4 hours</b> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. continue feeding the child <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. give the child more fluids <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. inform when to return to the health center<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">78. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred to:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. beneficence <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. nonmaleficence <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C</span></b><span style="font-family: Verdana; font-size: 8pt;">. <b>respect for person</b><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. autonomy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">79. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. justice and beneficence <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. fidelity and nonmaleficence <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. <b>beneficence and nonmaleficence</b> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. fidelity and justice<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">80. Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say/do?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. “Miss, may I get the bread myself because you have not washed your hands”<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. All of these<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>C. “Miss, it is better to use a pick up forceps/ bread tong”<o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. “Miss, your hands are dirty. Wash your hands first before getting the bread”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation 7 – Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">PREGNANCIES: Particular women with preexisting or Newly Acquired illness. The following<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">conditions apply<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">81. Bernadette is a 22-year old woman. Which condition would make her more prone than<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">others to developing a Candida infection during pregnancy?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Her husband plays golf 6 days a week<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. She was over 35 when she became pregnant<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. She usually drinks tomato juice for breakfast<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. She has developed gestational diabetes<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">82. Bernadette develops a deep vein thrombosis following an auto accident and is<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">prescribed heparin sub-Q. What should Joanna educate her about in regard to this?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Some infants will be born with allergic symptoms to heparin<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Her infant will be born with scattered petechiae on his trunk<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Heparin can cause darkened skin in newborns<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Heparin does not cross placenta and so does not affect a fetus<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">83. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">further instruction on prenatal care. What statement signifies this fact?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. I’ve stopped jogging so I don’t risk becoming dehydrated.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. I take an iron pill every day to help grow new red blood cells<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. I am careful to drink at least eight glasses of fluid every day<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. I understand why folic acid is important for red cell formation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">84. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">or discontinue this toward the end of pregnancy?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Aspirin can lead to deep vein thrombosis following birth<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Newborns develop a red rash from salicylate toxicity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Newbors develop withdrawal headaches from salicylates<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Salicylates can lead to increased maternal bleeding at childbirth<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">85. Bernadette received a laceration on her leg from her automobile accident. Why are<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">lacerations of lower extremities potentially more serious in pregnant women than others?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Lacerations can provoke allergic responses because of gonadothropic hormone<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Increased bleeding can occur from uterine pressure on leg veins<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. A woman is less able to keep the laceration clean because of her fatigue<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Healing is limited during pregnancy, so these will not heal until after birth.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation 8 – Still in your self-managed Child Health Nursing Clinic, you encounter these<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">cases pertaining to the CARE OF CHILDREN WITH PULMONARY AFFECTIONS.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">86. Josie brought her 3 months old child to your clinic because of cough and colds. Which of<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">the following is your primary action?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Give cotrimoxazole tablet or syrup<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Assess the patient using the chart on management of children with<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">cough<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Refer to the doctor<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Teach the mother how to count her child’s breathing<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">87. In responding to the care concerns of children with severe disease, referral to the<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">hospital is of the essence especially if the child manifests which of the following?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Wheezing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Stop feeding well<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Fast breathing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Difficulty to awaken<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">88. Which of the following is the most important responsibility of a nurse in the prevention<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">of unnecessary deaths from pneumonia and other severe diseases?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Giving antibiotics<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Taking of the temperature of the sick child<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Provision of Careful Assessment<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Weighing of the sick child<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">89. You were able to identify factors that lead to respiratory problems in the community<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">where your health facility serve. Your primary role therefore in order to reduce morbidity<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">due to pneumonia is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Teach mothers how to recognize early signs and symptoms of pneumonia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Make home visits to sick children<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Refer cases to hospitals<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Seek assistance and mobilize the BHWs to have a meeting with mothers<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">90. Which of the following is the principal focus of the CARI program of the Department of<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Health?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Enhancement of health team capabilities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Teach mothers how to detect signs and where to refer<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Mortality reduction through early detection<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Teach other community health workers how to assess patients.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – Among common conditions found in children especially among poor<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">communities are ear infections/problems. The following questions apply.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">91. A child with ear problem should be assessed for the following, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. is there any fever?<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Ear discharge<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. If discharge is present for how long?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Ear pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">92. If the child does not have ear problem, using IMCI, what should you as the nurse do?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. Check for ear discharge<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. Check for tender swellings behind the ear<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. Check for ear pain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. Go to the next question, check for malnutrition<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">93. A ear discharge that has been present for more than 14 days can be classified as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. mastoiditis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. chronic ear infection<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. acute ear infection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. complicated ear infection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">94. An ear discharge that has been present for less than 14 days can be classified as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. chronic ear infection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. mastoiditis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. acute ear infection<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. complicate ear infection<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">95. If the child has severe classification because of ear problem, what would be the best<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">thing that you as the nurse can do?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. instruct mother when to return immediately<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. refer urgently<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. give an antibiotic for 5 days<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. dry the ear by wicking<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">Situation – If the child with diarrhea registers one sign in the pink row and one in the<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">yellow row in the IMCI Chart:<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">96. We can classify the patient as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. moderate dehydration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. some dehydration<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. no dehydration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. severe dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">97. The child with no dehydration needs home treatment. Which of the following is not<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">included in the rules for home treatment in this case:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. continue feeding the child<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. gives oresol every 4 hours<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. know when to return to the health center<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. give the child extra fluids<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">98. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. severe persistent diarrhea<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. dysentery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. severe dysentery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. persistent diarrhea<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly,<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">the classification would be:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. no dehydration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. moderate dehydration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. some dehydration<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. severe dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">100. Genetic testing should be performed on a child only if:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">A. The parents both want it performed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">B. It is in the best interest of the clinic<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">C. It is necessary for the child to survive<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="EN-GB" style="font-family: Verdana; font-size: 8pt;">D. No one objects<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np2-nursing-board-exam-june-2008-answer.html">CLICK HERE PART 1 (1 - 50) 'NP2 Nursing Board Exam June 2008 Answer Key Community Health Nursing and Care of Mother and Child'</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2611603214227969968.post-3992602334192534982010-06-25T09:52:00.004+08:002010-06-25T09:54:15.266+08:00NP2 Nursing Board Exam June 2008 Answer Key 'Community Health Nursing and Care of Mother and Child'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice II – Community Health Nursing and Care of Mother and Child<br />
Community Health Nursing / O.B. (Obstetric)<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
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<div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">June 2008<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">1. Which statement is correct regarding the use of cervical cap?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><b><span style="font-family: Verdana; font-size: 8pt;">A.<span style="font: 7pt "Times New Roman";"> </span></span></b><b><span style="font-family: Verdana; font-size: 8pt;">It may affect the Pap Smear result<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">B.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Verdana; font-size: 8pt;">It does not need to be fitted by the physician<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">C.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Verdana; font-size: 8pt;">It does not require the use of spermicidal <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Verdana; font-size: 8pt;">D.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Verdana; font-size: 8pt;">It must be removed within 24hours<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">2. The major components of the communication process are?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> A. Verbal, written, and nonverbal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> B. Speaker, Listener and reply<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> C. Facial expression, tone of voice and gestures<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>D. Message, sender, channel, Receiver and Feedback<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">3. The extent of burns in children are normally assessed and expressed in terms of:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> A. The amount of body surface that is unburned<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> <b>B. Percentages of total body surface area (TBSA)<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> C. How deep the deepest burns are<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> D. The severity of the burns on a 1 to 5 burn scale<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">4. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry; has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> A. Being raised by a parent of low intelligence (IQ)<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">B. An orphan<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;">C. A victim of child neglect<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">D. The victim of poverty<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">5. Which of the following indicates the type(s) of acute renal failure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Four types: hemorrhagic with and without clotting, and non hemorrhagic with and without clotting<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. One type: Acute<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. <b>Three types: Prerenal, intrarenal, postrenal<o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Two types: Acute and subacute<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">6. A means of facilitating professional staff development is by building upon skills, abilities and of experience of each practitioner is called:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. The novice to expert model<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Situational leadership model<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Career enhancement<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Clinical ladder<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">7. Which of the following questions by the nurse would be best fit the philosophy of the nursing mutual participation model of care (NMPMC)?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. <b>“Have you brushed your child’s teeth today?”</b><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. “How does your child look to you today?’<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. “Where have you been all morning?”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. “Do you think your child’s color is worse?”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;"> 8. There are numerous definitions of the word “health”. Which definition below is from Florence Nightingale?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. A state or a process of being and becoming an integrated and whole person<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. The state of being free from illness or injury<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Being well and using every power the individual processes to the fullest extent<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. A state of complete physical, social, and mental well-being and not merely the absence of diasease or infirmity.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">9. Informal communication takes place when the individual talk and is best described by saying the participants:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Are involved in a preexisting informal relationship<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Talk with slang words<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Have no particular agenda or protocol<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Are relaxed<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">10. Tertiary care by the home health nurse is directed toward children with:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Problem is mobility<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Short-term needs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Minor problems<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Clinically apparent disease<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">11. The endometrium thickens during which phase of the menstrual cycle?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Secretory phase<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Menstrual phase<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Proliferative phase<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Ischemic phase<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">12. A measurement tool to articulate the nursing workload for a specific patient or groups of patients over a specific period of time is called:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Staffing pattern<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Sill mix<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Benchmaking<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Patient classification<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">13. The mother of a 9 month-old infant is concerned that the head circumference of her baby is greater than the chest circumference. The BEST response by the nurse is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. “These circumference normally are the same, but in some babies this just differs”<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Perhaps your baby was small for gestational age or premature<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. “This is normal until the age of 1 year, when the chest will be greater”<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. “Let me ask you a few questions, and perhaps we can figure out the cause of this difference”<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">14. Which of the following approaches would work best when the nurse is communicating with an infant?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Use an adult voice just as you would for anyone<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Communicate through the caregivers<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Allow the child time to warm up to the nurse<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Respond only after the child cries for a while<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">15. Evidence-based care started in medicine as a way to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Promote technological advances in medicine<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Incorporate collaboration within all health care disciplines<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Integrate individual experience with clinical research<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Teach medical students the art and science of medicine <o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">16. Martina develops endometritis. What would be the best activity for her?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. lying in bed with a cold cloth on her forehead<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. reading while resting in a trendelenburg position<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. sitting with her feet elevated while playing cards<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>D. walking around her room listening to music<o:p></o:p></b></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">17. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. lacerations can provoke allergic responses due to gonadotropic hormone release<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. a woman is less able to keep the laceration clean because of her fatigue<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. healing is limited during pregnancy so these will not heal until after birth<o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> D. increased bleeding can occur from uterine pressure on leg veins<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">18. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She is not able to drink and there is no blood in the stool. How will you classify Fely’s illness?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. persistent diarrhea <b><o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. some dehydration <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. severe dehydration</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. no dehydration<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">19. The infectious agent that causes pulmonary tuberculosis is:<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. mycobacterium tubercle </b> <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. Hansen’s bacillus <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Wuchereria bancrofti <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. mycobacterium diphtheria<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">20. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states: “Why couldn’t I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it was my fault to be abused”. Based on this, which would be your most appropriate nursing diagnosis?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. social isolation <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. anxiety <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. chronic low self-esteem</span></b><span style="font-family: Verdana; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. ineffective family coping<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">21. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her before this procedure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. void immediately before the procedure to reduce your bladder size<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. no more amniotic fluid forms afterward, that is why only a small amount is removed<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> C. the intravenous fluid infused to dilate your uterus does not hurt the <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: -0.5in; text-indent: 1in;"><span style="font-family: Verdana; font-size: 8pt;">fetus<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. the x-ray used to reveal your fetus position has no long-term effects<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">22. When planning teaching strategy for a pregnant woman, the nurse should do which of the following?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. give information about how the woman can manage the specific problems she identifies as relevant in her life<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. provide all information to the woman in a group session with other pregnant women so she can have someone to discuss it with<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. during the first prenatal visit, teach a woman the care measures necessary for health promotion throughout the pregnancy<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">23. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. frequency of urination <o:p></o:p></span></div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;"> B. chills and fever </span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. varicosities <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Braxton Hicks’ Contractions<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">24. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the following?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day<o:p></o:p></span></b></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. limit intake of amino acids to prevent development of diabetic ketoacidosis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">25. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies should be readily available for the infant immediately after birth?<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> A. vitamin K to avoid bleeding<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> B. mild soap without perfume so as not to irritate the skin <o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> <b>C. bulb syringe to suction fluid and mucous from the mouth<o:p></o:p></b></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"> D. heating lamp to avoid chilling from water evaporation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">26. You were the nurse assigned to work with a child who has had whole brain radiation. You have assessed the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever and dysphasia. Based on this assessment, you are to work with the patients in which of the following areas.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Accepting a reoccurrence of the tumor<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Dealing with the side effects of radiation therapy<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Caring for the dying child<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Accepting the imminent death of their child<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">27. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a nursing diagnosis of “Nutrition: Less than body requirements”. Which of the following interventions will be most helpful in resolving this nursing problem?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Two large meals a day instead of several minerals and snacks<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Special IBD diet (diet that has been proven effective for crating IBD)<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Salt free diet, high in potassium, vitamins and minerals<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Diet as tolerated with lactose hydrolyzed milk instead of milk products and omission or highly seasoned foods and reduction of fiber.<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">28. Emotional intelligence consists of a number of competencies. Some of these are listed below. Which is NOT a characteristic of emotional intelligence?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Self-esteem<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. self-awareness<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Empathy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Self-regulation<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">29. Data Collection for driving and restraining forces, including costs, desirability and feasibility is a:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. People issue<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Structural issue<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Political issue<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Technology issue<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">30. One of four factors describing the experience of sexually abused children and the effect it has on their growth and development is stigmatization. Stigma will occur when:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. A child blames him or himself for the sexual abuse and begins to withdraw and isolate<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Newspapers and media don’t keep sexual abuse private and accidentally or on purpose reveal the name of the victim.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. The child as been blamed by the abuser for his or her sexual behaviors, saying that the child asked to be touched or did not make the abuser to stop<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. The child’s agony is shared by other members of the family or friends when the sexual abuse becomes public knowledge<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the <st1:country-region w:st="on"><st1:place w:st="on">Philippines</st1:place></st1:country-region>. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">31. Which of the following is the primary focus of community health nursing practice?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Cure of illnesses<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Prevention of illnesses<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Rehabilitation back to health<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Promotion of health<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">32. In community health nursing, which of the following is our unit of service as nurses?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. The community<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The extended members of every family<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. The individual members of the Barangay<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. The Family<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">33. A very important part of the Community Health Nursing Assessment Process includes:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. the application of professional judgment in estimating importance of<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">facts to family and community<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. evaluation structures and qualifications of health center team<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. coordination with other sectors in relation to health concerns<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. carrying out nursing procedures as per plan of action<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">34. In community health nursing it is important to take into account the family health data<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">coupled with an equally important need to perform ocular inspection of the area as activities<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">which are powerful elements of:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. evaluation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. assessment<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. implementation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. planning<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">35. The initial step in PLANNING process in order to engage in any nursing project or<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">activities at the community level involves<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. goal-setting<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. monitoring<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. evaluation of data<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. provision of data<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – Please continue responding as a professional nurse in these other health<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">situations through the following questions.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">36. Transmission of HIV from an infected individual to another person occurs:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Most frequently in nurses with needlesticks<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Only if there is a large viral load in the blood<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Most commonly as a result of sexual contact<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. In all infants born to women with HIV infection<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">37. The medical record of a client reveals a condition in which the fetus cannot pass through<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">the maternal pelvis. The nurse interprets this as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Contracted pelvis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Maternal disproportion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Cervical insufficiency<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Fetopelvic disproportion<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">38. The nurse would anticipate a cesarean birth for a client who has which infection present<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">at the onset of labor?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Herpes-simplex virus<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Human papilloma virus<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Hepatitis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Toxoplasmosis<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">39. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">posterior position. The nurse would anticipate that the client will have:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. A precipitous birth<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Intense back pain<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Frequent leg cramps<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Nausea and vomiting<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">40. The rationales for using a prostaglandin gel for a client prior to the induction of labor is<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Soften and efface the cervix<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Numb cervical pain receptors<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Prevent cervical lacerations<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Stimulate uterine contractions<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">41. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Prostaglandins released from the cut fallopian tubes can kill sperm<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Sperm can not enter the uterus because the cervical entrance is blocked.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Sperm can no longer reach the ova, because the fallopian tubes are<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">blocked<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The ovary no longer releases ova as there is no where for them to go.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. The Dators are a couple undergoing testing for infertility. Infertility is said to exist<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">when:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. a woman has no uterus<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. a woman has no children<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. a couple has been trying to conceive for 1 year<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. a couple has wanted a child for 6 months<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. Another client named Lilia is diagnosed as having endometriosis. This condition<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">interferes with fertility because:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. endometrial implants can block the fallopian tubes<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. the uterine cervix becomes inflamed and swollen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. the ovaries stop producing adequate estrogen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. pressure on the pituitary leads to decreased FSH levels<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">would you give her regarding this procedure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. She will not be able to conceive for 3 months after the procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The sonogram of the uterus will reveal any tumors present<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Many women experience mild bleeding as an after effect<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. She may feel some cramping when the dye is inserted<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks what<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">artificial insemination by donor entails. Which would be your best answer if you were Nurse Lorena?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Donor sperm are introduced vaginally into the uterus or cervix<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Donor sperm are injected intra-abdominally into each ovary<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Artificial sperm are injected vaginally to test tubal patency<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The husband’s sperm is administered intravenously weekly<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">46. A child suffers a head injury in a tumbling accident in gym class. The nurse’s best course of action is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Get the child up walking and makes sure he or she stays awake<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Leave the child and go get help<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Leave the child in the care of an older child and go get help<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Stay with the child, keep assessing and have someone call the caregivers<o:p></o:p></span></b></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">47. The American <st1:place w:st="on"><st1:placetype w:st="on">Academy</st1:placetype> of <st1:placename w:st="on">Pediatrics</st1:placename></st1:place> suggests that caregivers do which of the following things in regard to physical activities for preschoolers?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Push the child to practice sports activities while they are more flexible <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Encourage a variety of physical activities in a noncompetitive environment<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Have the child engage in competitive sports to see where they excel<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Keep physical activities to a minimum until the child is in grade school.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">48. Which of the following arrangements is generally considered to be the best for the parents of hospitalized infant or young child?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Rooming in<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Separate caregiver sleeping room on the unit<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">C. Day visits and sleeping at home<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Staying at a nearby hotel or motel<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">49. When one person allows the conflict to be resolved at his or her own expense, this is referred in conflict management as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Losing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. Winning while losing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. The win-lose approach<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. The lose-win approach<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">50. Which of the following statements best describes acquaintance rape?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">A. Sexual intercourse when one person engaging in the activity is unsure about wanting to do so.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">B. When two people don’t love each and engage in sexual activities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><b><span style="font-family: Verdana; font-size: 8pt;">C. When someone on a date tricks the other person into having sexual intercourse<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">D. Sexual intercourse committed with force of the threat if force of the threat Of force without a person’s contact.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np2-nursing-board-exam-june-2008-answer_25.html">CLICK HERE PART 2 (51 - 100) 'NP2 Nursing Board Exam June 2008 Answer Key Community Health Nursing and Care of Mother and Child'</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-39719867567576679152010-06-23T16:39:00.003+08:002010-06-25T09:45:01.916+08:00NP1 Nursing Board Exam June 2008 Answer Key 'Foundation of Professional Nursing Practice'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice 1 – Foundation of Professional Nursing Practice<br />
Fundamentals of Nursing<br />
<br />
PART 2 Board Exam test questions 51 - 100<br />
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<div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation</span></b><span style="font-family: Verdana; font-size: 8pt;"> – A 61 year old man, Mr. Regalado, is admitted to the private ward for<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">observation after complaints of severe chest pain. You are assigned to take care of the<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">client.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">51. When doing an initial assessment, the best way for you to identify the client’s priority<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">problem is to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Interview the client for chief complaints and other symptoms<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Talk to the relatives to gather data about history of illness<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Do auscultation to check for chest congestion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Do a physical examination while asking the client relevant questions<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">52. Upon establishing Mr. Regalado’s nursing needs, the next nursing approach would be to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Introduce the client to the ward staff to put the client and family at ease<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Give client and relatives a brief tour of the physical set up the unit<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Take his vital signs for a baseline assessment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Establish priority needs and implement appropriate interventions<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">53. Mr. Regalado says he has “trouble going to sleep”. In order to plan your nursing<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">intervention you will:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Observe his sleeping patterns in the next few days<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Ask him what he means by this statement<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Check his physical environment to decrease noise level<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Take his blood pressure before sleeping and upon waking up<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">54. Mr. Regalado’s lower extremities are swollen and shiny. He has pitting pedal edema.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">When taking care of Mr. Regalado, which of the following interventions would be the most<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">appropriate immediate nursing approach?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Moisturize lower extremities to prevent skin irritation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Measure fluid intake and output to decrease edema<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Elevate lower extremities for postural drainage<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Provide the client a list of food low in sodium<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">55. Mr. Regalado will be discharged from your unit within the hour. Nursing actions when<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">preparing a client for discharge include all EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Making a final physical assessment before client leaves the hospital<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Giving instructions about his medication regimen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Walking the client to the hospital exit to ensure his safety<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Proper recording of pertinent data<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – Using Maslow’s need theory, Airway, Breathing and Circulation are the<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">physiological needs vital to life. The nurse’s knowledge and ability to identify and<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">immediately intervene to meet these needs is important to save lives.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">56. Which of these clients has a problem with the transport of oxygen from the lungs to the tissues:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Carol with tumor in the brain<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Theresa with anemia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Sonnyboy with a fracture in the femur<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Brigitte with diarrhea<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">57. You noted from the lab exams in the chart of M. Santos that he has reduced oxygen in the blood. This condition is called:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Cyanosis<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Hypoxia<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Hypoxemia<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Anemia<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">58. You will do nasopharyngeal suctioning on Mr. Abad. Your guide for the length of<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">insertion of the tubing for an adult would be:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. tip of the nose to the base of the neck<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. the distance from the tip of the nose to the middle of the neck<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. the distance from the tip of the nose to the tip of the ear lobe<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. eight to ten inches<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">59. While doing nasopharyngeal suctioning on Mr. Abad, the nurse can avoid trauma to the area by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Apply suction for at least 20-30 seconds each time to ensure that all secretions<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">are removed<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Using gloves to prevent introduction of pathogens to the respiratory system<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Applying no suction while inserting the catheter<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Rotating catheter as it is inserter with gentle suction<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">60. Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have to receive Lanoxin. What should Nurse Suzie do when one of the clients does NOT have a readable identification band?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Ask the client if she is Mrs. Santos<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Ask the client his name<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Ask the room mate if the client is Mrs. Santos<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Compare the ID band with the bed tag<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – During the NUTRITION EDUCATION class discussion a 58 year old man, Mr. Bruno, shows increased interest.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">61. Mr. Bruno asks what the “normal” allowable salt intake is. Your best response to Mr.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Bruno is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. 1 tsp of salt/day with iodine and sprinkle of MSG<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. 5 gms per day or 1 tsp of table salt/day<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. 1 tbsp of salt/day with some patis and toyo<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. 1 tsp of salt/day but no patis and toyo<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">62. Your instructions to reduce or limit salt intake include all the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. eat natural food with little or no salt added<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. limit use of table salt and use condiments instead<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. use herbs and spices<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. limit intake of preserved or processed food<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">63. Teaching strategies and approaches when giving nutrition education is influenced by<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">age, sex and immediate concerns of the group. Your presentation for a group of young<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">mothers would be best if you focus on:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. diets limited in salt and fat<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. harmful effects of drugs and alcohol intake<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. commercial preparation of dishes<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. cooking demonstration and meal planning<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">64. Cancer cure is dependent on<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. use of alternative methods of healing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. watching out for warning signs of cancer<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. proficiency in doing breast self-examination<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. early detection and prompt treatment<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">65. The role of the health worker in health education is to<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. report incidence of non-communicable diseases to community health center<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. educate as many people about warning signs of non-communicable<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">diseases<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. focus on smoking cessation projects<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. monitor clients with hypertension<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">As you begin to work in the hospital where you are on probation, you are<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">tasked to take care of a few patients. The clients have varied needs and you are expected to provide care for them.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">66. An ambulatory client. Mr. Zosimo, is being prepared for bed. Which of the following nursing actions promote safety for the client?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Turning off the lights to promote rest and sleep<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Instructing the client about the use of call system<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Raising the side rails<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Placing the bed in high position<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">67. Mikka, a 25 year old female client, is admitted with right lower quadrant abdominal pain. The physician diagnosed the client with acute appendicitis and an emergency appendectomy was performed. Twelve hours following surgery, the patient complained of pain. Which of the following is the most appropriate nursing diagnosis?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Impaired mobility related to pain secondary to an abdominal incision<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Impaired movements related to pain due to surgery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Impaired mobility related to surgery<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Severe pain related to surgery<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">68. You are preparing a plan of care for a client who is experiencing pain related to incisional swelling following laminectomy. Which of the following should be included in the nursing care plan?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Encourage the client to log roll when turning<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Encourage the client to do self-care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Instruct the client to do deep breathing exercises<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Ambulate the client in ward premises every twenty minutes<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">69. Mr. Lozano, 50 year old executive, is recovering from severe myocardial infarction. For the past 3 days, Mr. Lozano’s hygiene and grooming needs have been met by the nursing staff. Which of the following activities should be implemented to achieve the goal of independence for Mr. Lozano?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Involving family members in meeting client’s personal needs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Meeting his needs till he is ready to perform self-care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Preparing a day to day activity list to be followed by client<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Involving Mr. Lozano in his care<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">70. Mr. Ernest Lopez is terminally ill and he choose to be at home with his family. What nursing action are best initiated to prepare the family of Mr. Lopez?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Talk with the family members about the advantage of staying in the hospital for<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">proper care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Provide support to the family members by teaching ways to care for their<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">loved one<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Convince the client to stay in the hospital for professional care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Tell the client to be with his family<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">Myrna, a researcher, proposes a study on the relationship between health<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">values and the health promotion activities of staff nurses in a selected college<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">of nursing.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">71. In both quantitative and qualitative research, the used of a frame of reference is required. Which of the following items serves as the purpose of a framework?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Incorporates theories into nursing’s body of knowledge<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Organizes the development of study and links the findings to nursing’s body<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">of knowledge<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Provides logical structure of the research findings<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Identifies concepts and relationships between concepts<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">72. Myrna need to review relevant literature and studies. The following processes are undertaken in reviewing literature EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. locating and identifying resources <b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. reading and recording notes <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. clarifying a research topic</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. using the library<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">73. The primary purpose for reviewing literature is to:<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. organize materials related to the problem of interest<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. generate broad background and understanding of information related to the<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">research problem of interest<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. select topics related to the problem of interest<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. gather current knowledge of the problem of interest<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">74. In formulating the research hypotheses, researcher Myrna should state the research question as:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. What is the response of the staff nurses to the health values?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. How is variable “health value” perceived in a population?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Is there a significant relationship between health values and health<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">promotion activities of the staff nurses?<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. How do health values affect health promotion activities of the staff nurses?<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">75. The proposed study shows the relationship between the variables. Which of the following is the independent variable?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Staff nurses in a selected college of nursing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Health values<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Health promotion activities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Relationship between health values and health promotion activities<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">While working in a tertiary hospital, you are assigned to the medical ward.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">76. Your client, Mr. Diaz, is concerned that he can not pay his hospital bills and professional fees. You refer him to a:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Nurse supervisor <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. <b>Social worker <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. bookkeeping department <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. physician<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">77. Mr. Magno has lung cancer and is going through chemotherapy. He is referred by the oncology nurse to a self-help group of clients with cancer to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. <b>receive emotional support </b><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. to be a part of a research study <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. provide financial assistance <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. assist with chemotherapy<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">78. A diabetic hypertensive client, Mrs. Linao, needs a change in diet to improve her health status. She should be referred to a:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. <b>nutritionist </b><o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. dietitian <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. physician <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. medical pathologist<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">79. When collaborating with other health team members, the best description of Nurse Rita’s role is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. encourages the client’s involvement in his care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. shares and implements orders of the health team to ensure quality care<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. she listens to the individual views of the team members<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. helps client set goals of care and discharge<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">80. Nurse Rita is successful in collaborating with health team members about the care of Mr. Linao. This is because she has the following competencies:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Communication, trust, and decision making<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Conflict management, trust, negotiation<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Negotiation, decision making<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Mutual respect, negotiation and trust<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">The practice of nursing goes with responsibilities and accountability whether you work in a hospital or in the community setting you main objective is to<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">provide safe nursing to your clients?<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">81. To provide safe, quality nursing care to various clients in any setting, the most important tool of the nurse is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. critical thinking to decide appropriate nursing actions<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. understanding of various nursing diagnoses<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. observation skills for data collection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. possession of in scientific knowledge about client needs<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">82. You ensure the appropriateness and safety of your nursing interventions while caring for various client groups by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. creating plans of care for particular clientele<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. identifying the correct nursing diagnoses for clients<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. making a thorough assessment of client needs and problems<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. using standards of nursing care as your criteria for evaluation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">83. The effectiveness of your nursing care plan for your clients is determined by<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. the number of nursing procedures performed to comfort the client<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. the amount of medications administered to the client as ordered<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. the number of times the client calls the nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. the outcome of nursing interventions based on plan of care<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">84. You are assigned to Mrs. Amado, age 49, who was admitted for possible surgey. She complained of recurrent pain at the right upper quadrant of the abdomen 1-2 hours after ingestion of fatty food. She also had frequent bouts of dizziness, blood pressure of 170/100, hot flashes. Which of the above symptoms would be an objective cue?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Blood pressure measurement of 170/100<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Complaint of hot flashes<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Report of pain after ingestion of fatty food<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Complaint of frequent bouts of dizziness<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">85. While talking with Mrs. Amado, it is most important for the nurse to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. schedule the laboratory exams ordered for her<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. do an assessment of the client to determine priority needs<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. tell the client that your shift ends after eight hours<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. have the client sign an informed consent<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;">Situation - </span></b><span style="font-family: Verdana; font-size: 8pt;">Eileen, 45 years old is admitted to the hospital with a diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 <sup>0</sup>C.<b><o:p></o:p></b></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">86. Given the above assessment data, the most immediate goal of the nurse would be which of the following? <o:p></o:p></span></div><span style="font-family: Verdana; font-size: 8pt;"><br clear="all" style="page-break-before: auto;" /> </span> <br />
<div class="Section3"><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. Prevent urinary complication <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. maintains fluid and electrolytes<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Alleviate pain <o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Alleviating nausea <o:p></o:p></span></div></div><span style="font-family: Verdana; font-size: 8pt;"><br clear="all" style="page-break-before: auto;" /> </span> <br />
<div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 19.95pt; text-indent: -19.95pt;"><span style="font-family: Verdana; font-size: 8pt;"> 87. After IVP a renal stone was confirmed, a left nephrectomy was done. Her post operative order includes “daily urine specimen to be sent to the laboratory” . Eileen has a foley catheter attached to a urinary drainage system. How will you collect the urine specimen? <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. remove urine from drainage tube with sterile needle and syringe and empty urine from the <o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;"> syringe into the specimen container<o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. empty a sample urine from the collecting bag into the specimen container <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. disconnect the drainage tube from the indwelling catheter and allow urine to flow from catheter int the specimen container.<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. disconnect the drainage the from the collecting bag and allow the urine to flow from the catheter into the specimen container. <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">88. Where would the nurse tape Eileen’s indwelling catheter in order to reduce urethral irritation? <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. to the patient’s inner thigh</b> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. to the patient’s lower thigh <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. to the patient’<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. to the patient lower abdomen <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">89. Which of the following menu is appropriate for one with low sodium diet?<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. instant noodles, fresh fruits and ice tea<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. ham and cheese sandwich, fresh fruits and vegetables<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>C. white chicken sandwich, vegetable salad and tea<o:p></o:p></b></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. canned soup, potato salad, and diet soda <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">90. How will you prevent ascending infection to Eileen who has an indwelling catheter?<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. see to it that the drainage tubing touches the level of the urine <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. change he catheter every eight hours <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;"> C. see to it that the drainage tubing does not touch the level of the urine <o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. clean catheter may be used since urethral meatus is not a sterile area <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – You are assigned to take care of 10 patients during the morning shift. The<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">endorsement includes the IV infusion and medications for these clients.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">91. Mr. Felipe, 36 years old is to be given 2700 ml of D5LR to infuse for 18 hours starting at 8 am. At what rate should the IV fluid be flowing hourly?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. 100 ml per hour<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. 210 ml per hour<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. 150 ml per hour<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. 190 ml per hour<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">92. Mr. Atienza is to receive 150 ml/hour of D% W IV infusion for 12 hours for a total of<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">1800ml. He is also losing gastric fluid which must be replaced every two hours. Between 8 am and 10 am, Mr. Atienza has lost 250 ml of gastric fluid. How much fluid should he<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">receive at 11 am?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. 350 ml/hour<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. 275 ml/hour<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. 400 ml/hour<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. 200 ml/hour<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">93. You are to apply a transdermal patch of nitoglycerin to your client. The following are<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">important guidelines to observe EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Apply to hairless clean area of the skin not subject to much wrinkling<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Patches may be applied to distal part of the extremities like forearm<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Change application and site regularly to prevent irritation of the skin<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Wear gloves to avoid any medication on your hand<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">94. You will be applying eye drops to Miss Romualdez. After checking all the necessary<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">information and cleaning the affected eyelid and eyelashes, you administer the ophthalmic drops by instilling the eye drops:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. directly onto the cornea<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. pressing the lacrimal duct<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. into the outer third of the lower conjunctival sac<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. from the inner canthus going towards the side of the eye<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">95. When applying eye ointment, the following guidelines apply EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. squeeze about 2 cm of ointment and gently close but not squeeze the eye<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. apply the ointment from the inner canthus going outward of the affected eye<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. discard the first bead of the eye ointment before application because the<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">tube is likely to expel more than desired amount of ointment<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. hold the tube above the conjunctival sac, do not let tip touch the conjunctiva<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">Situation – The staff nurse supervisor requests all the staff nurses to “brainstorm” and<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">learn ways to instruct diabetic clients on self-administration of insulin. She wants to ensure that there are nurses available daily to do health education classes.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">96. The plan of the nurse supervisor is an example of<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. in service education process<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. efficient management of human resources<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. increasing human resources<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. primary prevention<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">97. When Mrs. Guevarra, a nurse, delegates aspects of the clients care to the nurse-aide<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">who is an unlicensed staff, Mrs. Guevarra<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. makes the assignment to teach the staff member<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. is assigning the responsibility to the aide but not the accountability for<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">those tasks<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. does not have to supervise or evaluate the aide<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. most know how to perform task delegated<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">98. Connie, the new nurse, appears tired and sluggish and lacks the enthusiasm she had six weeks ago when she started the job. The nurse supervisor should<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. empathize with the nurse and listen to her<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. tell her to take the day off<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. discuss how she is adjusting to her new job<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. ask about her family life<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">99. Process of formal negotiations of working conditions between a group of registered<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">nurses and employer is<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. grievance<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. arbitration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. collective bargaining<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. strike<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">100. You are attending a certification on cardiopulmonary resuscitation (CPR) offered and<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">required by the hospital employing you. This is<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. professional course towards credits<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. inservice education<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. advance training<o:p></o:p></span></div><span style="font-family: Verdana; font-size: 8pt;">D. continuing education</span><br />
<br />
<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np1-nursing-board-exam-june-2008-answer.html">CLICK HERE PART 1(1 - 50) 'NP1 Nursing Board Exam June 2008 Answer Key Foundation of Professional Nursing Practice'</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-13465377379556848442010-06-23T16:35:00.002+08:002010-06-25T09:44:13.228+08:00NP1 Nursing Board Exam June 2008 Answer Key 'Foundation of Professional Nursing Practice'100 Nursing Board Exam test questions of June 2008 Nurse Licensure Examination (NLE)<br />
Nursing Practice 1 – Foundation of Professional Nursing Practice<br />
Fundamentals of Nursing<br />
<br />
PART 1 Board Exam test questions 1 - 50<br />
<br />
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<div class="Section1"><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">June 2008<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;"><o:p> </o:p></span><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b>Accurate computation prior to drug administration is a basic skill all nurses must have.<o:p></o:p></div><span style="font-family: Verdana; font-size: 8pt;"></span> <br />
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</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">1. Rudolf is diagnosed with amoebiasis and is to received Metronidazole (Flagyl) tablets 1.5 gm daily in 3 divided doses for 7 consecutive days. Which of the following is the correct dose of the drug that the client will received per oral administration?<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. 1,000 mg tid <o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. <b>500 mg tid <o:p></o:p></b></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. 1,500 mg tid<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. 50 mg tid<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">2. Rhona, a 2 year old female was prescribed to receive 62.5 mg suspension three times a day. The available dose is 125 mg/ml. which of the following should Nurse Paolo prepare for each oral dose?<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. <b>0.5 ml </b><o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. 1.5 ml <o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. 2.5 ml <o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. 10 ml<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">3. The physician ordered Potassium Chloride (KCL) in D5W 1 liter to be infused in 24 hours for Mrs. Gomez. Since Potassium Chloride is a high risk drug, Nurse Robert used an intravenous pump. Which of the following should Nurse Robert do to safely administer this drug?<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Check the pump setting every 2 hours<o:p></o:p></span></b></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Teach the client how the infusion pump operates<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Have another nurse check the infusion pump setting<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Set the alarm of the pump loud enough to be heard<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">4. Baby Liza, 3 months old, with a congenital heart deformity, has an order from her physician: “give 3.00 cc of Lanoxin today for 1 dose only”. Which of the following is the most appropriate action by the nurse?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Clarify order with the attending physician<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Discuss the order with the pediatric heart specialist in the unit<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Administer Lanoxin intravenously as it is the usual route of administration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Refer to the medication administration record for previous administration of Lanoxin<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">5. When Nurse Norma was about to administer the medications of client Lennie, the relative of Lennie told the nurse that they buy her medicines and showed the container of medications of the client. Which of the following is the most appropriate action by the nurse?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Hold the nurse administration of the client’s medication and refer to the head nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Put aside the medications she prepared and instead administer the client’s<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">medications<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Tell the client that she will inform the physician about this<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Bring the medications of the client to the nurse’s station and prepare accordingly<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">You are a newly hired nurse in a tertiary hospital. You have finished your orientation program recently and you are beginning to assimilate the culture of the profession.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">6. Using Benner’s stages of nursing expertise, you are a beginning nurse practitioner. You will rank yourself as a/an:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. competent nurse <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. novice nurse <o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. proficient nurse <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. advanced beginner<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">7. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. the ability to organize and plan activities<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. having attained an advanced level of education<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. a holistic understanding and perception of the client<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. intuitive and analytic ability in new situations<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">8. As you become socialized into the nursing “culture” you become a patient advocate. Advocacy is explained by the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. respecting a person’s right to be autonomous<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. demonstrating loyalty to the institution’s rights<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. shared respect, trust and collaboration in meeting health needs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. protecting and supporting another person’s rights<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">9. Modern day nursing has led to the led development of the expanded role of the nurse as seen in the function of a:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. <b>Clinical nurse specialist <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Critical care nurse <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. community health nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. staff nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">10. You join a continuing education program to help you:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Earn credits for license renewal<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Get in touch with colleagues in nursing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Enhance your basic knowledge<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Update your knowledge and skills related to field of interest<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">Mr. Jose’s chart is the permanent legal recording of all information that relates to his health care management. As such, the entries in the chart must have accurate data.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">11. Mr. Jose’s chart contains all information about his health care. The functions of records include all except:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. means of communication that health team members use to communicate their<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">contributions to the client’s health care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. the client’s record also shows a document of how much health care agencies will<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">be reimbursed for their services<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. educational resource for student of nursing and medicine<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. recording of actions in advance to save time<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">12. An advantage of automated or computerized client care system is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. The nursing diagnoses for a client’s data can be accurately determined<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Cost of confinement will be reduced<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Information concerning the client can b easily updated<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The number of people to take care of the client will be reduced<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">13. Information in the patient’s chart is inadmissible in court as evidence when:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. The client’s family refuses to have it used<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. The client objects to its use<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. The handwriting is not legible<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. It has too many abbreviations that are “unofficial”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">14. Nursing audit aims to:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. provide research data to hospital personnel<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. study client’s illness and treatment regimen closely<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. compare actual nursing done to established standards<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. provide information to health-care providers<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">15. A telephone order is given for a client in your ward. What is your most appropriate action?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Copy the order on to the chart and sign the physician’s name as close to his<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">original signature as possible<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Repeat the order back to the physician, copy onto the order sheet and<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">indicate that it is a telephone order<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Write the order in the client’s chart and have the head nurse co-sign it<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Tell the physician that you can not take the order but you will call the nurse<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">supervisor<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">Errors while providing nursing care to patients must be avoided and minimized at all time. Effective management of available resources enables the nurse to provide safe, quality patient care.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">16. In the hospital where you work, increased incidence of medication error was identified as the number one problem in the unit. During the brainstorming session of the nursing service department, probable causes were identified. Which of the following is process related?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. interruptions <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. use of unofficial abbreviations <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. lack of knowledge<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. failure to identify client<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">17. Miscommunication of drug orders was identified as a probable cause of medication errors. Which of the following is safe medication practice related to this?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Maintain medication in its unit dose package until point of actual administration<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Note both generic and brand name of the medication in the Medication<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">Administration Method<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Only officially approved abbreviations maybe used in prescription orders<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Encourage clients to ask question about their medications.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">18. The hospital has an ongoing quality assurance program. Which of the following indicates implementation of process standards?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. The nurses check client’s identification band before giving medications<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. The nurse reports adverse reaction to drugs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Average waiting time for medication administration is measured<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. The unit has well ventilated medication room<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">19. Which of the following actions indicate that Nurse Jerome is performing outcome evaluation of quality care?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Interviews nurses for comments regarding staffing<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Measures waiting time for client’s per nurse’s call<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Checks equipment for its calibration schedule<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Determines whether nurses perform skin assessment every shift<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">20. An order for a client was given and the nurse in charge of the client reports that she has no experience of doing the procedure before. Which of the following is the most appropriate action of the nurse supervisor?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Assign another nurse to perform the procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Ask the nurse to find way to learn the procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Tell the nurse to read the procedure manual<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Do the procedure with the nurse<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation – </span></b><span style="font-family: Verdana; font-size: 8pt;">Oral care is an important part of hygienic practices and promoting client<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">comfort.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">21. An elderly client, 84 years old, is unconscious. Assessment of the mouth reveals excessive dryness and presence of sores. Which of the following is BEST to use for oral care?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. lemon glycerine <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. hydrogen peroxide <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Mineral oil<b> <o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. Normal saline solution<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">22. When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Put the client on a sidelying position with head of bed lowered<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Keep the client dry by placing towel under the chin<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Wash hands and observe appropriate infection control<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Clean mouth with oral swabs in a careful and an orderly progression<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">23. The advantages of oral care for a client include all of the following, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. decreases bacteria in the mouth and teeth<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. reduces need to use commercial mouthwash which irritate the buccal<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">mucosa<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. improves client’s appearance and self-confidence<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. improves appetite and taste of food<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">24. A possible problem while providing oral care to unconscious clients is the risk of fluid aspiration to lungs. This can be avoided by:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Cleaning teeth and mouth with cotton swabs soaked with mouthwash to avoid<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">rinsing the buccal cavity<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. swabbing the inside of the cheeks and lips, tongue and gums with dry cotton swabs<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. use fingers wrapped with wet cotton washcloth to rub inside the cheeks, tongue,<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">lips and ums<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. suctioning as needed while cleaning the buccal cavity<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">25. Your client has difficulty of breathing and is mouth breathing most of the time. This causes dryness of the mouth with unpleasant odor. Oral hygiene is recommended for the client and in addition, you will keep the mouth moistened by using:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. salt solution <b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. water <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. petroleum jelly</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. mentholated ointment<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;">Situation -</span></b><span style="font-family: Verdana; font-size: 8pt;"> Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe chest pain. On admission, he was diagnosed to have acute myocardial infarction and was placed in the ICU.<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">26. While in the ICU, he executes the document tat list the medical treatment he chooses to refuse in case his condition becomes severe to a point that he will be unable to make decisions for himself. This document is: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. living will</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. informed consent <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. last will and testament<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. power of attorney<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">27. After one day, the patient’s condition worsened and feeling hopeless. He requested the nurse to remove the oxygen. The nurse should: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. follow the patient because it is his right to die gracefully <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. follow the patient as it is his right to determine the medical regimen he needs <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>C. refuse the patient and encourage him to verbalize hid feelings <o:p></o:p></b></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. refuse the patient since euthanasia is not accepted in the <st1:country-region w:st="on"><st1:place w:st="on">Philippines</st1:place></st1:country-region> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">28. Euthanasia is an ethical dilemma which confronts nurses in the ICU because: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. the choices involved do not appear to be clearly right or wrong <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>B. a clients legal right co-exist with the nurse’s professional obligation <o:p></o:p></b></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> C. decisions has to be made based on societal norms. <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. decisions has to be mad quickly, often under stressful conditions <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">29. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of the following ethical principles? <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. Autonomy</b> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. confidentiality <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. privacy <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. truthfulness<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">30. Mr. Martin felt better after 5 days but recognizing the severity of his illness, he executes a document authorizing the wife to transact any form of business in his behalf in addition to all decisions relative to his confinement his document is referred to as: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. power f attorney</b> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. living will <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. informed consent <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. medical records<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;">Situation -</span></b><span style="font-family: Verdana; font-size: 8pt;"> Miss Castro was recently appointed chief nurse of a 50-bed government hospital in Valenzuela. On her first day of duty, she tried to remember the elements of administration she learned from her basic nursing education.<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">31. One of the first things Ms. Castro did was to engage her until in objective writing, formulating goals and philosophy of nursing service. Which activities are MOST appropriately described to which elements of administration?<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> <b>A. planning</b> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. controlling <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. directing <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">d. organizing <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">32. In recognizing the Department of Nursing, she comes up with the organizational structure defining the role and function of the different nursing positions and line-up the position with qualified people. This is included in which element of administration: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. monitoring <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. evaluation <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. organizing</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. planning <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">33. After one month, she and her management committee assess the regulatory measures taken and correct whatever discrepancies are found. This is part of which element of administration: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. monitoring <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. organizing <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. evaluation</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. planning <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">34. Revaluation and administrative process is BEST described as: <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. a continuing process of seeing that performance meets goals and targets <o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. obtaining commitment of members to do better <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> C. informing personnel how well and how much improvement has been made<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. follow-up of activities that have been studied <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">35. In all of the various administrative functions, which of the following management skill is demanded efficiently and effectively of Ms. Castro?<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> 1. Decision making skills 2. Forecasting skills <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> 3. Auditing skills 4. Communications skills<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. 2 & 3 <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. 1 & 4</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. 1 & 2 <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. 2 & 4 <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;">Situation -</span></b><span style="font-family: Verdana; font-size: 8pt;"> Health is wealth specifically in this time of the century. The nurse is trained to promote well being of the people.<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;">36. How does a nurse promote one’s well being? <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> A. periodic travels for rest and recreation <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;"> B. faithful and observance of healthy simple lifestyle <o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> C. run away from polluted, stressful areas <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> D. avoid sleepless, over fatigue nights <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> 37. The nurse can be involved with health promotion as a significant person in helping the family: <o:p></o:p></span></div></div><span style="font-family: Verdana; font-size: 8pt;"><br clear="all" style="page-break-before: auto;" /> </span> <br />
<div class="Section2"><div class="MsoNormal" style="background: none repeat scroll 0% 0% white; text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. become a better family <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> B. prevent disease<o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><span style="font-family: Verdana; font-size: 8pt;"> C. control their symptoms <o:p></o:p></span></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><b><span style="font-family: Verdana; font-size: 8pt;"> D. modify health promotive behaviors <o:p></o:p></span></b></div><div class="MsoNormal" style="background: none repeat scroll 0% 0% white;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: Verdana; font-size: 8pt;">38. The nurse should NOT leave medication at the bedside because:<b><o:p></o:p></b></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. the bedside table is not sterile<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. it is convenient for the nurse<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> c. the nurse will not be able to accurately document that the patient actually took the medication<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> d. the patient may forget to take it.<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">39. Non-pharmacologic pain management includes all the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. relaxation techniques <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. massage <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;">c. use of herbal medicines</span></b><span style="font-family: Verdana; font-size: 8pt;"> <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 45pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">d. body movement<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;">40. When assessing a client’s blood pressure, the nurse finds it necessary to recheck the reading. How many seconds after deflating the cuff should the nurse wait before rechecking the pressure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> a. 10 <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> b. 30 <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><span style="font-family: Verdana; font-size: 8pt;"> c. 45 <o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><b><span style="font-family: Verdana; font-size: 8pt;"> d. 60<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 9pt; text-align: justify; text-indent: -9pt;"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation</span></b><span style="font-family: Verdana; font-size: 8pt;"> – The use of massage and meditation to help decrease stress and pain have<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">been strongly recommended based on documented testimonials.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">41. Martha wants to do a study on this topic: “Effects of massage and meditation on stress<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">and pain”. The type of research that best suits this topic is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">A. Applied research<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Qualitative research<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Basic research<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Quantitative research<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">42. The type of research design that does not manipulate independent variable is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Experimental design<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Quasi-experimental design<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Non-experimental design<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Quantitative design<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">43. This research topic has the potential to contribute to nursing because it seeks to<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. include new modalities of care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. resolve a clinical problem<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. clarify an ambiguous modality of care<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">D. enhance client care<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">44. Martha does review of related literature for the purpose of<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. determine statistical treatment of data research<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. gathering data about what is already known or unknown about the<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">problem<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. to identify if problem can be replicated<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. answering the research question<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">45. Client’s rights should be protected when doing research using human subjects. Martha identifies these rights as follows EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. right of self-determination<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. right to compensation<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. right of privacy<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. right not to be harmed<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span style="font-family: Verdana; font-size: 8pt;">Situation</span></b><span style="font-family: Verdana; font-size: 8pt;"> – Richard has a nursing diagnosis of ineffective airway clearance related to<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Mario’s nursing care plan is to loosen and remove excessive secretions in the airway.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">46. Mario listens to Richard’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The appropriate position to drain the anterior and posterior apical segments of the lungs when Mario does percussion would be:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Client lying on his back then flat on his abdomen on Trendelenburg position<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Client seated upright in bed or on a chair then leaning forward in sitting<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">position then flat on his back and on his abdomen<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Client lying flat on his back and then flat on his abdomen<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Client lying on his right then left side on Trendelenburg position<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">47. When documenting outcome of Richard’s treatment Mario should include the following in his recording EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Color, amount and consistency of sputum<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Character of breath sounds and respiratory rate before and after procedure<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Amount of fluid intake of client before and after the procedure<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Significant changes in vital signs<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">48. When assessing Richard for chest percussion or chest vibration and postural drainage, Mario would focus on the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Amount of food and fluid taken during the last meal before treatment<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">B. Respiratory rate, breath sounds and location of congestion<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">C. Teaching the client’s relatives to perform the procedure<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Doctor’s order regarding position restrictions and client’s tolerance for lying flat<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">49. Mario prepares Richard for postural drainage and percussion. Which of the following is a special consideration when doing the procedure?<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Respiratory rate of 16 to 20 per minute<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Client can tolerate sitting and lying positions<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. Client has no signs of infection<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Time of last food and fluid intake of the client<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Verdana; font-size: 8pt;">50. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">A. Percussion uses only one hand while vibration uses both hands<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">B. Percussion delivers cushioned blows to the chest with cupped palms<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><b><span style="font-family: Verdana; font-size: 8pt;">while vibration gently shakes secretion loose on the exhalation cycle<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">C. In both percussion and vibration the hands are on top of each other and hand<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">action is in tune with client’s breath rhythm<o:p></o:p></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">D. Percussion slaps the chest to loosen secretions while vibration shakes the<o:p></o:p></span></div><div class="MsoNormal" style="text-indent: 0.5in;"><span style="font-family: Verdana; font-size: 8pt;">secretions along with the inhalation of air.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div></div><div class="Section4"><div class="MsoNormal" style="margin-left: 0.5in;"><a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np1-nursing-board-exam-june-2008-answer_23.html">CLICK HERE PART 2(51 - 100) 'NP1 Nursing Board Exam June 2008 Answer Key Foundation of Professional Nursing Practice'</a></div></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2611603214227969968.post-33805866824608660012010-06-23T09:11:00.003+08:002010-06-23T15:34:06.636+08:00NP1 Nursing Board Exam December 2007 Answer Key 'Foundation of Professional Nursing Practice'100 Nursing Board Exam test questions of December 2007 Nurse Licensure Examination (NLE)<br />
Nursing Practice 1 – Foundation of Professional Nursing Practice<br />
Fundamentals of Nursing<br />
<br />
PART 2 Board Exam test questions 51 - 100<br />
<br />
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<div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 8 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">The practice of nursing goes with responsibilities and accountability whether you work in a hospital or in the community setting you main objective is to provide safe nursing to your clients?<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">51. To provide safe, quality nursing care to various clients in any setting, the most important tool of the nurse is:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. critical thinking to decide appropriate nursing actions<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. understanding of various nursing diagnoses<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. observation skills for data collection<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. possession of in scientific knowledge about client needs<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">52. You ensure the appropriateness and safety of your nursing interventions while caring for various client groups by:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. creating plans of care for particular clientele<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. identifying the correct nursing diagnoses for clients<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. making a thorough assessment of client needs and problems<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. using standards of nursing care as your criteria for evaluation<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">53. The effectiveness of your nursing care plan for your clients is determined by<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. the number of nursing procedures performed to comfort the client<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. the amount of medications administered to the client as ordered<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. the number of times the client calls the nurse<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. the outcome of nursing interventions based on plan of care<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">54. You are assigned to Mrs. Amado, age 49, who was admitted for possible surgey. She complained of recurrent pain at the right upper quadrant of the abdomen 1-2 hours after ingestion of fatty food. She also had frequent bouts of dizziness, blood pressure of 170/100, hot flashes. Which of the above symptoms would be an objective cue?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Blood pressure measurement of 170/100<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Complaint of hot flashes<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Report of pain after ingestion of fatty food<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Complaint of frequent bouts of dizziness<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">55. While talking with Mrs. Amado, it is most important for the nurse to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. schedule the laboratory exams ordered for her<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. do an assessment of the client to determine priority needs<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. tell the client that your shift ends after eight hours<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. have the client sign an informed consent<o:p></o:p></span></div><div class="MsoNormal"><br />
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</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 9 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Oral care is an important part of hygienic practices and promoting client<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">comfort.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">56. An elderly client, 84 years old, is unconscious. Assessment of the mouth reveals excessive dryness and presence of sores. Which of the following is BEST to use for oral care?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. lemon glycerine <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. hydrogen peroxide <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Mineral oil<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. <st1:place w:st="on">Normal</st1:place> saline solution<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">57. When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Put the client on a sidelying position with head of bed lowered<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Keep the client dry by placing towel under the chin<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Wash hands and observe appropriate infection control<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Clean mouth with oral swabs in a careful and an orderly progression<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">58. The advantages of oral care for a client include all of the following, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. decreases bacteria in the mouth and teeth<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. reduces need to use commercial mouthwash which irritate the buccal<o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">mucosa<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. improves client’s appearance and self-confidence<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. improves appetite and taste of food<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">59. A possible problem while providing oral care to unconscious clients is the risk of fluid aspiration to lungs. This can be avoided by:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Cleaning teeth and mouth with cotton swabs soaked with mouthwash to avoid rinsing the buccal cavity<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. swabbing the inside of the cheeks and lips, tongue and gums with dry cotton swabs<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. use fingers wrapped with wet cotton washcloth to rub inside the cheeks, tongue, lips and gums<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. suctioning as needed while cleaning the buccal cavity<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">60. Your client has difficulty of breathing and is mouth breathing most of the time. This causes dryness of the mouth with unpleasant odor. Oral hygiene is recommended for the client and in addition, you will keep the mouth moistened by using:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. salt solution <b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. water <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. petroleum jelly</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;"><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. mentholated ointment<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 10 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Errors while providing nursing care to patients must be avoided and minimized at all time. Effective management of available resources enables the nurse to provide safe, quality patient care.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">61. In the hospital where you work, increased incidence of medication error was identified as the number one problem in the unit. During the brainstorming session of the nursing service department, probable causes were identified. Which of the following is process related?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. interruptions <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. use of unofficial abbreviations <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. lack of knowledge<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. failure to identify client<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">62. Miscommunication of drug orders was identified as a probable cause of medication errors. Which of the following is safe medication practice related to this?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Maintain medication in its unit dose package until point of actual administration<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Note both generic and brand name of the medication in the Medication<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Administration Method<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Only officially approved abbreviations maybe used in prescription orders<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Encourage clients to ask question about their medications.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">63. The hospital has an ongoing quality assurance program. Which of the following indicates implementation of process standards?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. The nurses check client’s identification band before giving medications<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. The nurse reports adverse reaction to drugs<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Average waiting time for medication administration is measured<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. The unit has well ventilated medication room<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">64. Which of the following actions indicate that Nurse Jerome is performing outcome evaluation of quality care?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Interviews nurses for comments regarding staffing<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Measures waiting time for client’s per nurse’s call<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Checks equipment for its calibration schedule<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Determines whether nurses perform skin assessment every shift<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">65. An order for a client was given and the nurse in charge of the client reports that she has no experience of doing the procedure before. Which of the following is the most appropriate action of the nurse supervisor?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Assign another nurse to perform the procedure<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Ask the nurse to find way to learn the procedure<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Tell the nurse to read the procedure manual<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Do the procedure with the nurse<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 11 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Mr. Jose’s chart is the permanent legal recording of all information that relates to his health care management. As such, the entries in the chart must have accurate data.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">66. Mr. Jose’s chart contains all information about his health care. The functions of records include all except:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. means of communication that health team members use to communicate their contributions to the client’s health care<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. the client’s record also shows a document of how much health care agencies will be reimbursed for their services<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. educational resource for student of nursing and medicine<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. recording of actions in advance to save time<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">67. An advantage of automated or computerized client care system is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. The nursing diagnoses for a client’s data can be accurately determined<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Cost of confinement will be reduced<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Information concerning the client can b easily updated<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. The number of people to take care of the client will be reduced<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">68. Information in the patient’s chart is inadmissible in court as evidence when:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. The client’s family refuses to have it used<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. The client objects to its use<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. The handwriting is not legible<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. It has too many abbreviations that are “unofficial”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">69. Nursing audit aims to:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. provide research data to hospital personnel<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. study client’s illness and treatment regimen closely<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. compare actual nursing done to established standards<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. provide information to health-care providers<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">70. A telephone order is given for a client in your ward. What is your most appropriate action?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Copy the order on to the chart and sign the physician’s name as close to his original signature as possible<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Repeat the order back to the physician, copy onto the order sheet and indicate that it is a telephone order<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Write the order in the client’s chart and have the head nurse co-sign it<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Tell the physician that you can not take the order but you will call the nurse supervisor<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 12 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Nurse Roque, a newly hired nurse, is asked to take over an absent nurse in another unit. She will take care of clients with various conditions.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">71. Which of the following client conditions should be Miss Roque’s priority in the pediatric unit?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. The baby whose fantanelle is bulging and firm while asleep<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. The infant who is brought in for upper respiratory tract infection whose<o:p></o:p></span></b></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">temperature is slightly elevated<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. A baby who is wailing after being awakened by the banging door<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. A baby boy whose circumcision has yellowish exudate<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">72. When suctioning the endotracheal tube, the nurse should:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Explain procedure to patient; insert catheter gently applying suction. Withdrawn using twisting motion<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Insert catheter until resistance is met, then withdraw slightly, applying suction intermittently as catheter is withdrawn<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Hyperoxygenate client insert catheter using back and forth motion<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Insert suction catheter four inches into the tube, suction 30 seconds using twirling motion as catheter is withdrawn<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">73. Nurse Roque is giving instructions to Doris, the daughter of a comatose patient, to give a sponge bath. While Doris is doing spone bath, what action of <st1:place w:st="on">Doris</st1:place> needs correction?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Answering the phone while wearing gloves used for sponge bath<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Rolling the patient like a log to do back rub<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Lining the rubber mat with bed sheet as incontinence pad for the patient<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Turning the patient on the left side with head slightly elevated<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">74. Dina sustained a fracture of the ulna and a cast will be applied. What nursing action before cast application is most important for Nurse Roque to do?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Use baby powder to reduce irritation under the cast<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Assess sensation of each arm<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Evaluate skin temperature in the area<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Check radial pulses bilaterally and compare<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">75. To obtain specimen for sputum culture and sensitivity, which of the following instruction is best?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Upon waking up, cough deeply and expectorate into container<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Cough after pursed lip breathing<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Save sputum for two days in covered container<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. After respiratory treatment, expectorate into a container<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 13 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Infections are quite commonly the reasons for a client’s hospitalization. Appropriate interpretation of diagnostic tests and measures for infection control are helpful in the management of patient care.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">76. Dorothy underwent diagnostic test and the result of the blood examination are back. On reviewing the result the nurse notices which of the following as abnormal finding?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Neutrophils 60%<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. White blood cells (WBC) 9000/mm<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Erythrocyte sedimentation rate (ESR) is 39 mm/hr<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Iron 75 mg/100 ml<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">77. Surgical sepsis is observed when:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. inserting an intravenous catheter<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. disposing of syringes and needles in puncture proof containers<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. washing hands before changing wound dressing<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. placing dirty soiled linen in moisture resistant bags<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">78. A client with viral infection will most likely manifest which of the following during the illness stage of the infection?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Client was exposed to the infection 2 days ago but without any symptoms<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Oral temperature shows fever<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Acute symptoms are no longer visible<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Client “feels sick” but can do normal activities<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">79. Which of the following laboratory test result indicate presence of an infectious process?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Erythrocyte sedimentation rate (ESR) 12 mm/hr<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. White blood cells (WBC) 18,000/mm3<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Iron 90 g/100ml<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Neutrophils 67%<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">80. Among the clients you are assigned to take care of, who is the most susceptible to infection?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Diabetic client <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. <b>Client with burns <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. client with pulmonary emphysema<b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. client with myocardial infarction<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 14 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">You are a newly hired nurse in a tertiary hospital. You have finished your<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">orientation program recently and you are beginning to assimilate the culture of the profession.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">81. Using Benner’s stages of nursing expertise, you are a beginning nurse practitioner. You will rank yourself as a/an:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. competent nurse <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. novice nurse <o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. proficient nurse<b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. advanced beginner<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">82. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. the ability to organize and plan activities<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. having attained an advanced level of education<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. a holistic understanding and perception of the client<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. intuitive and analytic ability in new situations<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">83. As you become socialized into the nursing “culture” you become a patient advocate.<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Advocacy is explained by the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. respecting a person’s right to be autonomous<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. demonstrating loyalty to the institution’s rights<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. shared respect, trust and collaboration in meeting health needs<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. protecting and supporting another person’s rights<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">84. Modern day nursing has led to the led development of the expanded role of the nurse as seen in the function of a:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. <b>Clinical nurse specialist </b>C. community health nurse<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Critical care nurse D. staff nurse<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">85. You join a continuing education program to help you:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Earn credits for license renewal<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Get in touch with colleagues in nursing<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Enhance your basic knowledge<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Update your knowledge and skills related to field of interest<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 15 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">When creating your lesson plan for cerebrovascular disease or STROKE. It is important to include the risk factors of stroke.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">86. The most important risk factor is:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Cigarette smoking <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. <b>Hypertension <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. binge drinking<b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. heredity<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">87. Part of your lesson plan is to talk about etiology or cause of stroke. The types of stroke based on cause are the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Embolic stroke <b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Hemorrhagic stroke <o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. diabetic stroke</span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. thrombotic stroke<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">88. Hemmorhagic stroke occurs suddenly usually when the person is active. All are causes of hemorrhage, EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. <b>phlebitis </b><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. trauma <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. damage to blood vessel <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. aneurysm<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">89. The nurse emphasizes that intravenous drug abuse carries a high risk of stroke. Which drug is closely linked to this?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Amphetamines <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. <b>Cocaine<o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. shabu<b> <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Demerol<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">90. A participant in the STROKE class asks what is a risk factor of stroke. Your best response is:<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. “More red blood cells thicken blood and make clots more possible.”<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. “Increased RBC count is linked to high cholesterol.”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. “More red blood cell increases hemoglobin content.”<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. “High RBC count increases blood pressure.”<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 16 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Accurate computation prior to drug administration is a basic skill all nurses must have.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">91. Rudolf is diagnosed with amoebiasis and is to received Metronidazole (Flagyl) tablets 1.5 gm daily in 3 divided doses for 7 consecutive days. Which of the following is the correct dose of the drug that the client will received per oral administration?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. 1,000 mg tid <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. <b>500 mg tid <o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. 1,500 mg tid<b><o:p></o:p></b></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. 50 mg tid<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">92. Rhona, a 2 year old female was prescribed to receive 62.5 mg suspension three times a day. The available dose is 125 mg/ml. which of the following should Nurse Paolo prepare for each oral dose?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. <b>0.5 ml </b><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. 1.5 ml <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. 2.5 ml<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. 10 ml<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">93. The physician ordered Potassium Chloride (KCL) in D5W 1 liter to be infused in 24 hours for Mrs. Gomez. Since Potassium Chloride is a high risk drug, Nurse Robert used an intravenous pump. Which of the following should Nurse Robert do to safely administer this drug?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Check the pump setting every 2 hours<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Teach the client how the infusion pump operates<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Have another nurse check the infusion pump setting<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Set the alarm of the pump loud enough to be heard<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">94. Baby Liza, 3 months old, with a congenital heart deformity, has an order from her physician: “give 3.00 cc of Lanoxin today for 1 dose only”. Which of the following is the most appropriate action by the nurse?<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Clarify order with the attending physician<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Discuss the order with the pediatric heart specialist in the unit<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Administer Lanoxin intravenously as it is the usual route of administration<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Refer to the medication administration record for previous administration of Lanoxin<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">95. When Nurse Norma was about to administer the medications of client Lennie, the relative of Lennie told the nurse that they buy her medicines and showed the container of medications of the client. Which of the following is the most appropriate action by the nurse?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Hold the nurse administration of the client’s medication and refer to the head nurse<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Put aside the medications she prepared and instead administer the client’s<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">medications<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Tell the client that she will inform the physician about this<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Bring the medications of the client to the nurse’s station and prepare accordingly<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">Situation 17 – </span></b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">You are taking care of Mrs. Santillan a 48 year old woman who is unconscious after a cerebrovascular accident. You are aware that there are many physical complications due to immobility.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">96. You should be alert for the following complications she may experience EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. <b>Impaired mobility </b><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Contractures and muscle atrophy <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. hypostatic pneumonia<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. pressure sores<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">97. Proper positioning of an immobilized unconsciousness client is important for the following reasons EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Maintain skin integrity<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Promotes optimal lung expansion<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Prevent injuries and deformities of the musculo-skeletal system<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Facilitates rest and sleep<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">98. When positioning your client, you should observe good body mechanics for yourself and the client. This means that the nurse:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Uses back muscles<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Assumes correct body alignment and efficient use of muscles to avoid injury<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Observes rhythmic movements when moving about<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Uses large muscles only<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">99. You are going to move Mrs. Santillan, a 150 lbs unconscious woman. Some principles to use when moving the client include the following EXCEPT:<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. prepare to move client by taking deep breath and tightening abdominal and gluteal<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">muscles<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. maintain wide base of support with feet and with knees flexed<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. push and pull using arms and legs instead of lifting<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. move close to the object to be moved leaning or bending at the waist<o:p></o:p></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">100. After moving Mrs. Santillan to the desired position, which action will you avoid?<o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">A. Avoid friction between bony prominences<o:p></o:p></span></div><div class="MsoNormal"><st1:street w:st="on"><st1:address w:st="on"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">B. Place</span></st1:address></st1:street><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;"> pillows to position client’s extremeties<o:p></o:p></span></div><div class="MsoNormal"><b><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">C. Apply restraints<o:p></o:p></span></b></div><div class="MsoNormal"><span lang="EN-US" style="font-family: Verdana; font-size: 10.5pt;">D. Raise bed rails<o:p></o:p></span></div><br />
<a href="http://nursingboardexamanswerkey.blogspot.com/2010/06/np1-nursing-board-exam-december-2007.html">CLICK HERE PART 2(51 - 100) 'NP1 Nursing Board Exam December 2007 Answer Key Foundation of Professional Nursing Practice'</a>Unknownnoreply@blogger.com5