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Complete NEW NLE 2019 2 fdgfnhgmnhfgdfsasDAFSGDFNBGFSDAS
Bachelor of Secondary Education (Mindanao State University)
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Nursing Practice 1 – Community
Health Nursing
Situation: DENGUE
Which of these is a
competent vector for the
transmission of dengue
infection?
Aedes aegypti
What are the classic signs
and symptoms of early
dengue fever?
Fever, arthralgia, maculo–
papular rash, retro-orbital
pain
Which one of the following Dengue NS1 protein
dengue proteins is an
early diagnostic marker
for dengue virus infection?
Rumple Leede
(Tourniquet) Test positive
More than 30 petechiae
rash
Breeding site of dengue
Stagnant clean water
Prevention , except
No to fogging
8. Promote sustained, inclusive and sustainable economic
growth, full and productive employment, and decent
work for all
9. Build resilient infrastructure, promote inclusive and
sustainable industrialisation, and foster innovation
10.Reduce inequality within and among countries
11.Make cities and human settlements inclusive, safe,
resilient and sustainable
12.Ensure sustainable consumption and production
patterns
13.Take urgent action to combat climate change and its
impacts
14.Conserve and sustainably use the oceans, seas and
marine resources for sustainable development
15.Protect, restore and promote sustainable use of
terrestrial ecosystems, sustainably manage forests,
combat desertification and halt and reverse land
degradation, and halt biodiversity loss
16.Promote peaceful and inclusive societies for
sustainable development, provide access to justice for
all and build effective, accountable and inclusive
institutions at all levels
17.Strengthen the means of implementation and revitalise
the global partnership for sustainable development
Situation: ENVIRONMENTAL PROTECT
Key Question
Situation :SDG (Sustainable Development Goals)
Key question
Answer key
Target year of SDG
2030
SDG which is healthcentered
3
Disease focus
malaria
Sanitation centered SDG
6
Cities and communities
11
17 Sustainable Development Goals
1. End poverty in all its forms everywhere
2. End hunger, achieve food security and improved
nutrition, and promote sustainable agriculture
3. Ensure healthy lives and promote wellbeing for all at all
ages
4. Ensure inclusive and equitable quality education and
promote lifelong learning opportunities for all
5. Achieve gender equality and empower all women and
girls
6. Ensure availability and sustainable management of
water and sanitation for all
7. Ensure access to affordable, reliable, sustainable and
modern energy for all
Answer Key
Which of the following is
not true environmental
health
refers to responsible and
concern of government
Hazardous waste energy
non toxic
Color of bag for Radio
active waste disposal
orange
Which of the following
cannot be recycled
empty drug vials
Which is not a gas
produced by green house
effect
Oxygen
What are the signs and
symptoms of global
warming (Select all that
applies)
1. Melting ice glaciers
2. Warming planet
3. Increase vector-borne
diseases
How to mitigate global
warming
Plant more trees
Situation:MALARIA
Key question
Answer key
Cause of Malaria
vector-borne
Female mosquito
anopheles
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Causative agent (most
common)
Plasmodium falciparum
Specific signs and
symptoms
High fever and chills
Treatment
chloroquine
Prevention
Breed animals like pig in
front of the house
Paragonimus westermani
is mistakenly diagnosed
as
Pulmunary tuberculosis
(PTB)
Nurse is going to duty
when Flashflood
occurred, flash flood is
A flood brought by heavy
rains
Disaster is?
It is a community wide
occurrence disrupting
the normal conditions
of existence and
causing a level of
suffering that exceeds
the capacity of
adjustment of the
affected community
PDCA is
Plan Do check act
#1 cause of mortality in
the philippines
Chronic Heart diseases
Bubonic Plague
Key Question
Answer Key
Dark age of Europe
"BLACK DEATH" is
Bubonic plague
Father of antibiotic
Alexander Flemming
John snow is
Father of Epidemiology
what disease outbreak in
1800's in Soho District
London
Cholera
Situation: 4 P’s
Who isolated TB infection Robert Koch's
4 p’s
Situation: PHC and public health surveillance
Key Question
PURPOSE
1. social assistance,
2. s o c i a l
development
CASH GRANTS
•
Answer Key
First Alma ata
international conference
of PHC was held on
RUSSIA
First Asian country that
adopts and implements
PHC is
Philippines
The pillars of PHC
Active community
participation
Multisectoral linkages
Use of appropriate
technology
Support mechanism
made available
Public health surveillance the continuous,
is
systematic collection,
analysis and
interpretation of healthrelated data needed for
the planning,
implementation, and
evaluation of public
health practice.
Percentage in statistics
means
Pantawid pamilyang
Pilipino program
h e a l t h
grant: P500 per
household every
month
•
grant: P300 per
child every month
for ten months
• P1,400 every
month
(No free housing
benefits)
Situation: therapeutic nurse-client interaction
Key Question
Acceptance, trust and
boundaries are
established during which
phase of the therapeutic
nurse-client relationship?
Answer Key
Pre interaction or
Orientation phase
"per hundred"
“out of every 100”.
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The nurse is caring for a
patient with tuberculosis
and finds that the patient
has suicidal thoughts and
feelings of helplessness.
According to Peplau, which
phase of the nurse-patient
relationship does this
indicate?
Working phase
The phase of the nursepatient relationship that
may cause anxieties to
reappear and past losses to
be reviewed is the
Termination phase
How to say goodbye to
Anton
Goodbye and thank you
Anton, don’t forget my
teachings to you Anton
Which phase of the nurse
client relationship includes
exploration of the clients
feelings and participation
in identifying his or her
own problems?
A. Working
Serve as
ANTIUROLITHIASIS
(KIDNEY STONE)
SAMBONG
ANTIHELMITHIC herbal
med
Niyog-niogan
For Fungal worm parasites
AKAPULKO
Bawang ideally must be
taken
AFTER MEALS
Key Question
Factors affecting health
status best addressed by
changes in public policies
Environmental conditions
Characteristics affecting
death statistics
All
Focus of DOH plans and
policies
Health promotion and
disease prevention
Community Health
involves members,
government, private NGOs
this statement is
True
Example of primary level
of prevention
Teaching pregnant women
on nutritional practices
during pregnancy
Intervention wheel, not
relevant
based on the idea that
public health services are
provided outside the
hospital system
Situation: FILARIASIS
Key Question
Answer Key
Answer Key
Female mosquito causing
filariasis
Aedes poecilius
Causative agent causing
filariasis
WUCHERERIA
BANCROFTI
S/Sx of acute Filariasis
Fever, lymphangitis,
orchitis, epididymitis,
lymphadenitis
Entreprenurse project of
DOLE, what services are
offered
All
Diagnostic test procedure
Immunochromatographic
blood test
Management of resources
and environment
Treatment of choice
Hetrazan
Proper storage of
vaccines, area of
responsibility
Equitable health service
to Filipino’s under the
banner of
Universal Health Care
“Government should give
It may be free but we pay
health services free of
for them through our tax
charge” implication of this
Situation: Traditional health care (Herbal meds)
Key Question
Use for treatment of
COLDS, fever and cough
Answer Key
lagundi
Key Question
Answer Key
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The nurse counsels the
use of ramp assistive
devices is under what
level of prevention?
TERTIARY level
Rabies 99% mode of
transmission
Saliva of infected
animals
RABIES caused by
DOG BITEs
Confirmatory diagnostic
test for leprosy
SSS – Slit skin smear
Girdiasis is caused by
Food borne- unsanitary
food sources
Taeniasis (tapeworm)
Caused by ingestion of
raw beef or pork
products
Key Question
Answer Key
Organizational structure
illustrated in the chart
type of work/ levels of
management/line and staff
relationship
Accountability can be
done by
all except asking
assistance from doctor
Nurse can earn CPD
units
engagement in research
project/ peer reviewer
Primary purpose for
continuing education
improve nursing
competency after
registration
True statement about
membership to PNA
voluntary and encourage by
the PRC code of ethics
Nurse deployment
program, salary is
P 18,000 (as per
implementing rules)
Avian flu
Other name in Italy
Fowl plague
What is the strain of Avian
Flu that can mutate to
spread from birds to
humans?
H5N1
caring newly admitted
client with increasing
dyspnea
and dehydration ,
possible avian influenza
(bird flu). actions first?
Provide oxygen using a
non-rebreather mask.
Vaccine for avian flu
None
SITUATION; QUALITY MANAGEMENT, BIRTHING
CENTER
Key Question
SITUATION; FIELD HEALTH SERVICES AND
INFORMATION SYSTEM (FHIS)- RECORDING AND
REPORTING SYSTEM
Key Question
Answer Key
Basic clinical service
equipment,except
ambulance
First step to do
refer to DOH guidelines
One requirements to
stablish nurse-led birthing
home
PRC license
What classification is the
birthing home
primary care facilities
Birthing home service
capability, except
detection & referral of
high risk pregnancies
Answer Key
Objectives ,except
complete the picture of
acute and chronic
diseases
Fundamental block
family treated record
Monthly FHS activity
report,component
tally report
Tally sheet, recommended
frequency
daily
Monitor long term
regimen,reporting system
target/clients list
SITUATION: PHN, NURSE DEPLOYMENT PROGRAM
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Key Question
Answer Key
McKinley, upstream thinking
Strict enforcement of
age requirement
purchase of cigarette
and alcohol
Home visit with stroke,
practice
Community-based
practice
Community-based practice
means
Service is provided in the
natural environment of
people
Population focus means
Community health plan
designed to prevent
frequent encountered
problem
Family is the basic unit of
care, because
Health of people is
strongly influenced by
family situation
Primary concern of CHN
Develop capacity of
clients in dealing with
health needs
Equality is illustrated by
this concept
Support and implement
health policies that
uphold social justice
Present day idea of health
Search and destroy
campaign for breeding
places of mosquitoes
Example of
phenomenological
community
Faith community
Conditions can be changed
thru individual and
community efforts
Physical environment
Key Question
matter,energy,inform
ation with
invironment
Most suitable
situation for bandura
social learning theory
preparing solid for 6 mos.old
infant
Instruction on proper
case of umbilical
cord, aspects of
bandura’s SLT
motivation
Key Question
Increased taxes on
tobacco,and alcohol to
decreased smoking and
drinking,application of what
theory
Answer Key
milio theory
Study on correlation on level health belief model
knowledge on immunizations
and compliance to
schedule,theory to serve as
frame work
Mothers remarks that
immunization schedule is
conflicting,with working
hours, base on health belief
model, indicates
perceived barriers
Breastfeeding best up to 2
years,example of
cues to action
Milio’s frame work,focus on
prevention
changes in capacity to
provide environment
supportive of healthy
choices of individuals
Answer Key
Theoretical
all except nightingale
foundation of CHN,
theorist included CHN
perspective, WHO
Definitions state that
the theory
all,
(purpose,system,organizes,pro
vides way)
Based on general
system theory,fanily
as an open sytem
means
exchange
Key Question
Answer Key
Assumption of milio’s
framework
person choose most
convenient course of
health action in a given
situation
Goal of health promotion
model-pender
health promoting
behavior
Variables that influence
behavior modifications
all
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Marrie,28 y/o called by MD
and calls her obese and
needs to lse
weight.capacity to follow
diet,exercise is an example
of
perceived self-efficasy
Marrie,jogging outside
activity-related affect
enjoyed 30 mons. Will
make jogging regular, which
variable
Key Question
Key Question
Answer Key
Best describes
maturational crisis
marriage
Assessment-situations not
causing strain
selective inattention
Ecomap
connection and rapport
within and outside family
Paraplegic,home
modification,level of
intervention
tertiary prevention
Best description of
strengths,observed in the
family
resilience
Answer Key
Grandmother +2,aunts,describe extended
Format role of father
taxi driver
Most commonly used by PHN
1.nursing process
2.collaborate,coordinate
3.health teaching,guidance
4.data collection for research
5.resolving conflict
3 and 4
Nutrition,rest,activity,level of
prevention
primary prevention
SITUATION; PHN ASSIGNED TO WORK WITH ELDERLY
WOMEN
Key Question
Elderly as priority because
they are
growing fast
In providing health
needs,considered,except
religious affiliation
Try to circumvent hearing loss
while giving health teaching
to a group of elderly by
face client while
speaking
Spousal abuse
assist women to feel
empowered
On BSE, a finding that
requires follow-up would be
irregular shaped,nontender lump
SITUATION: CHN
Key Question
Answer Key
Answer Key
Most appropriate
description of family
type
notify the physician
Father’s role, formal
role
taxi driver
Most commonly used by
PHN caring for families
providing health/ teaching/
resolving conflict among
family members
Key Question
primary level of prevention
Most sensitive index
infant mortality rate
Crucial before planning
meeting
ask other health members
Primary goal of CHN
enhance capacity of
individual
General needs of a
family, level of
prevention
Most appropriate related meet the emotional needs
good for the affective
family function
SITUATION; LOCAL MORBIDITY DATA
Answer Key
Important in providing care culturity congruent
To develop alliance in
community organization
building condition
SITUATION: CRISIS SITUATION, FAMILIES
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Rice watery stool
cholera
SITUATION: EPIDEMIOLOGIC STUDIES
Key Question
Answer Key
Epidemiology triad
example
spaghetti, food
poisoning,outdoor picnic
10 new diagnosis of
diabetes,event represents
incidence
Prevalence is a community 2,500 known cases of
of 100,000 population with asthma
Model used to guide health health belief model
promotion(measles
vaccination)
Outbreaks of various
gastrointestinal diseases
endemic
Key Question
Answer Key
Refer immediately if the baby
cannot drink
Lesbian,bisexual,transgender,psycholog constantly
ical consideration
guards
everything to
say
No erection
erectile
dysfunction
Antihypertensive side effect on male
impotence
and dizziness
Peri/post-menopausal,best describes
relationship to osteoporosis
limit alcohol
intake
SITUATION: MOTHER DELIVERED BABY IN THE
COMMUNITY
Key Question
Answer Key
Key Question
Answer Key
1.3.5.6
offer pacifier when
baby cries
Osteoporosis, r/f
1.decreased estrogen
2.active lifestyle
3.Smoking
4.Young
5.Low bones
6.Low calcium intake
Baby hospitalization if –(1-4-5)
jaundice sole/
convulsing/ altered
respiration
8 months pregnant,
disqualification for home
delivery
G5P3
Returned to the hospital
immediately if she exhibits
jaundice to the sole/
convulsion/fast or
slow or difficulty of
breathing
Mother receives TT4, baby
protection for how long
1 year
Children bottle feed, true
statement about
breastfeeding
initiated within 90
mins.of baby’s age
Danger sign of labor:
1. DOB
2. Bright red vaginal
bleeding
3. Clear amniotic fluid
4. Uterine contraction
90 secs.duration
1,2,4,
A month after delivery, which
will be given
retinol 200k IU, 1 cap
Ensure warmth,except
expose the baby
under heat lamp
Vaccination at birth
BCG and hepa B
Advocating
breastfeeding,emphasize,exce
pt
Key Question
Answer Key
For discharge,except
feces is red
9 mos,old vaccine
MMR
37.6 immunization
go on with immunization
Rr 42/min,4 month old
normal
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SITUATION; MANG PISIO, 38, 3-DAY HOLIDAY
Key Question
Answer Key
Most usefulAge
1. Address
2. Guardian
3. Socio-economic
status
(1,2,3)
Appropriate NDx
potential for
substances abuse
leading to juvenile
delinquency
Beginning RN, what topic for
a 6 year old orphan
dancing talent
Most important to bring for
long drive
water
To eliminate risk factor for
accidents,remind to use the
car’s
seatbelt
Which will most of all
demonstrate safety
checking condition of
car
To gain confidence of the
group, what role
friend
PHRN advise on safety,what
role
counseling
Acrobatics,prevention of
injury
wear safety gadgets
List of agency to go in case
of emergency
health provider
SITUATION; FIGHTING LOOTING TEENAGERS IN CITY
OF MALUSAW
SITUATION; SANTOS FAMILY,HEALTHY AND
RELIGIOUS,VERTUES TO LIVE LIFE
Key Question
Answer Key
Typology,nature of family to
recognize
readiness for enhanced
spiritual well-being
PHN role for santos family
supporting role
Determine health
needs,conduct what
home visit
Inculcated the sense of
responsibility by
assigning tasks for each
member
Raising good
children,understand the
most
loving and understanding
strength and weaknesses
Key Question
Answer Key
Understanding the meaning
of risk
predicted from
particular hazard caused
by fighting and looting
Important principle to teach avoid wars, nobody wins
if gang war occurs
a war
Peace and unity, PH RN
response;
peace starts from
oneself
Possibility of children to
join gang,Nxl-
community assembly
Not easy to
handle,recognize role as
health care provider
SITUATION; COMMUNITY HEALTH PRACTICE
SITUATION; OUT OF SCHOOL YOUTH, DEVASTATED BY
FLOODS
Key Question
Answer Key
Key Question
Care for community through
HP and maintenance
1. Coordination and
collaboration
2. Continuity of care
Answer Key
1.2.3.4
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Reducing risks, improving
health, except
individual diagnosis
Leader, able to
influence others
Supportive function,except
epidemiology
Understand by beginning RN
1,2,3,4
SITUATION: INTERDISCIPLINARY COLLABORATION
Key Question
Answer Key
Attributes of collaborative
teamwork, except
Professional turfing
Stage of collaboration
defining relationship and
responsibilities
Collegiality
Work together to improve
patient care, do not
support this statement
Forge independent
relationship
Community project, most
Be frank will remain
appropriate things to do in flexible and open-minded
disagreeing
Partially satisfies parties
concerned
Fundus at the Level of
umbilicus
20 weeks
Phocomelia is caused by
Antiemetic drug use in
pregnancy like
thalidomide
Chief ingredient of
prenatal vitamins
Folic acid
Nausea and vomiting in
pregnancy is
Presumptive- subjective
Nausea and vomiting is
caused by increased
level of
ESTROGEN
35-45 days interval of
menstruation
OLIGOMENORRHEA
IM to infant and children
to prevent peripheral
discomfort
Z-track technique
(Vastus lateralis)
inform consent (SATA)
consent is voluntary
Consent performed by a
mother if a child is under
minor
connection between to
atria-
foramen ovale
March 30 ovulation occurs
at
march 16
Leukorrhea due to
progesterone
Position to close foramen
ovale
- right side lying
- moral dilemma
Compromising
SITUATION: HEALTH EDUCATION
Key Question
Nursing Practice II – Care of Healthy/
At Risk Mother and Child
Answer Key
Correct sequence of
designing a health
education program
Assess.
Prioritize.
Write Outcomes.
Select teaching strategies.
Best example, clients do
not feel threatened
Exercise, nurse begins to
share her difficulties
Taught variety of skills,
domain of learning
Psychomotor domain
Colleague commit mistake
other nurse report it to
supervisor but the
supervisor didn't take
heed because they are
understaff
Dental hygiene starts
When the first too erupts
Hallmark of nephrotic
syndrome
generalized edema /
anasarca
Health promotion classes
for older adult clients,
include in the parmphlet
Lessons should proceed at
slower pact
incubation period of
chicken pox
10-21 days
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Right time for toothbrush?
First eruption of tooth
Start to drink from a cup
2 years old
6 months milestone
observed
1st tooth bud eruption
Play of infancy
solitary
8 months old toy
Large blocks
2 years old toy
Wagon cart
first prior giving
medications : to pedia
identify med to the
bracelet of pt. stated
name and date of birth
post op interventions after sitting position (feeding)
cleft lip
Not taking folic acid in
pregnancy causes
Neural tube defect
Initiate of breastfeeding
within 30 mins (½ hour)
room in baby to mother
up to 24 hours
Placenta is fully
developed at
8 weeks
SITUATION; POSTPARTUM
Key Question
z track technique IM site
for 1y.o baby
vastus lateralis
patient is scheduled for
CS then request for lab
to whom will you relay
the result
OB
start solid food
4 months
Gives antibiotic to
toddler without parents’
consent
assault (choices ay
malpractice, negligence,
assault, libel)
Scurvy to take
Fruits
Abdominal
panhysterctomy is
removal of
Cervix, uterus, fallopian
tube and ovaries
Mang Raul a 42 years old balut vendor roaming
around the barangay to sell balut. He is about to
enter one of the houses in the community when he
entered the gate he was suddenly attacked and
bitten by a dog.
Key Question
Answer Key
The part of the body
most commonly
affected by
rhabdovirus in dog bite
is?
Head
undergo treatment against
rabies?
Balut Vendor
Answer Key
Successful teaching,
episiotomy care
wipe from front to back
using biotting motion
Small constant trickle of
blood, suspects
perineal lacerations
Severe abdominal
cramps, explain the
cause
release of oxytocin during
breastfeeding session
Unrelieved pain by
ibuprofen, assess for
what
Presence of perineal
hematoma
Above umbilicus deviated
to the right best nursing
action
ambulate & assist to void
Equine antirabies vaccine is Horse
derived from
Death of livestock in
community, believing
there’s a Vampire (aswang)
killing their animals. What
is the nurse approach?
Encourage them to form
a task force that will
hunt the vampire and
report to veterinarians
SITUATION: POSTPARTUM MOTHER
Key Question
Answer Key
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multiparous patient, 28
hours after caesarian
delivery (CS), who is
breastfeeding,
complains of severe
abdominal cramps.
Nurse explains that
these are caused by
which of the following?
B. Release of oxytocin
during the
breastfeeding session
Law provides reproductive
health care program to all A. 1,2,3, & 4
citizens prioritizing, which
of the following?
1. Women
2. The poor
3. Marginalized
4. Those invulnerable or
crisis situations
Three hours
postpartum, a
primiparous patient’s
fundus is firm and
midline. On perineal
inspection by nurse
observes a small
constant trickle of
blood. What will the
nurse suspect
B. Perineal lacerations
Reproductive Health
services include the
following, EXCEPT:
B. Finding the correct
partner
Factors that affect
reproductive health are,
which of the following?
Select all that apply.
C. 1, 2, 3 & 4 (ALL)
Violence against women
and children Act
RA 9262
a primiparous patient
B. Perineal hematoma
complains of perineal
pain that was unrelieved
by Ibuprofen 400mg
given two hours ago
Twelve hours after
C. Encourage patient to
vaginal delivery, nurse
ambulate and to void
palpates the fundus of a
primiparous patient and
finds it to be firm,
above the umbilicus and
deviated to the right.
What is the best thing
for nurse
to do
SITUATION: 6-year-old boy
has arrived at school to take her child home
because the school nurse
has verified that he has an inflamed throat
Nurse
urges his mother to seek treatment because if the
causative agent is beta-hemolytic streptococcus,
he may develop a disorder characterized by
inflamed joints, fever, and the possibility of
endocarditis.
Key Question
SITUATION; Reproductive Health
Key Question
Nurse will discuss is RA
10354 which is
entitled__________.
Answer Key
B. The Responsible
Parenthood and
Reproductive Health
Act of 2012
Answer Key
If left untreated, condition
can progress to
left sided heart failure
(80%)
In addition to carditis,
which of the following
should the nurse assess
the child? It should be for
the presence of
________.
C. arthralgia, low fever
Which of the following
would be the possible
disorder?
B. rheumatic fever
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After throat swab for
culture and sensitivity,
the nurse would expect
the physician to prescribe
an appropriate antibiotic.
Which of the following is
the purpose of this
medication? It is to
prevent_________.
recurrence
mother questions whether B. It is caused by an
her other children can
autoimmune reaction
catch the same disease.
and is not contagious
Which of the following
should be the nurse’s
response?
HIV/AIDS
Key Question
Answer Key
Which statement by
the nurse is correct
when discussing AIDS
prevention and
transmission?
1. Sharing needles
2. dry kissing
3. casual contact
4. breastfeeding
anwer:1 and 4
HIV test should be
repeated
every 3 to 6 months
most number of HIV
cases?
NCR
Least HIV
transmission
DERMIS of the SKIN
HIV major mode of
transmission
SEXUAL INTERCOURSE
responsible person if
patient
result of hiv test of 18
years old is
breached , who will
file a case
What race is at the
highest HIV risk
case?
Black MSM and Gay Hispanics
treat HIV wasting
syndrome?
Megestrol Acetate
Low rate of patient
undergoing ART
Due to stigma
SITUATION: CLEF PALATE
Key Question
Answer Key
Unilateral clef lip/palate
rubber tip syringe
Closure of the palate,
should be close before 6
MOs, response
speech pattern
Predispose to infection
because
mouth breathing, dries
oropharyngeal membranes
Repair of cleft palate
usually at
Between 6-8 months
Nursing care after
surgical repair cleft lip
prevent from crying
Significant statement,
predisposed to client lip/
palate
asthmatic, use of steroids
SITUATION: CLEFT LIP AND PALATE
Key Question
Most risky behaviours
MSM anal sex
Cases per day by 2019
42 per day
Best antiretroviral
treatment for HIV
Using 3 drug combinations
HIV infection in the
Western blot
body the confirmatory
test is ?
Answer Key
Priority nursing diagnosis
for parents
anticipatory grieving
Feeding method for clef
lip
rubber tipped
Priority after surgical
repair
high risk for infection
First repair
before development of
speech
Feeding utensil for cleft
palate
cup
after surgery of cleft lip
palate refer to.
Speech Thearpies
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SITUATION: DR
Key Question
SITUATION: RECORDS MANGEMENT,PEDIA WARD
Answer Key
Earliest feeding cue
drooling
First step to prevent
hypothermia
drying thoroughly and
cover
Prevent hypothermia, ensure
correct temp
25-26 centigrade
Not included hypothermia is
dangerous to NB
tetralogy of fallot
Not to do for umbilical care
use binder
Key Question
Answer Key
Best describes,
documenting for 5
patients
case of 5 patients
regularly
Proper recording and
reporting, legal
not written/ not done
Affixing signature
was the one who provided
care for 5
18 y/o, orphan,died in
accident, living will
from being a competent
person to incapacitation
SITUATION: COMPLAINTS, CONTINUOUS QUALITY
IMPROVEMENT
SITUATION: 15 YEARS OLD: MALNUTRITION
Key Question
Answer Key
Legal risk, incoming next
duty RN should first
identify herself
Address patient
preferred name
Establishing rapport
all
Emphasis on
communication
listen to complaints and
queries
Rapport
professionalism
Key Question
Answer Key
Normal weight for 5 feet
tall
115 pounds
Help her with obesity
problem
exercise 3x/week
Not correct statement;
malnutrition
underweight increased
with income
Contributory to
malnutrition
check nutritional content
Advice to cut,intake
CHO, fats,salts
SITUATION: MANAGEMENT
Key Question
Answer Key
Time management
good and feasible NCP
Not permit watcher to
help you when-
administering medications
1st of all, keeping patients
and all
safe
Conserving water
reporting leak ang closing
faucets (1 and 3 only)
Best strategy to manage
supplies
inventory of supplies
SITUATION: PRETERM NEWBORN
Key Question
Answer Key
Effects, of cold stress;
NOT included
increased ICP
Alert when caqring for
preterm newborn
hypoglycemia
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Exception to the
appropriate nursing
intervention to prevent
heat loss
place crib bedside to wall
Stabilize temp; does not
drop below
97.7 ‘F
Preterm Exhibits
elbow past the middle of
chest
Key Question
SITUATION; TWINS, 3 YEARS OLD (38 WEEKS), NO
HISTORY OF ABORTION; LMP: FEBRUARY 7,2017
Key Question
Function of
placenta
SITUATION: 10 YEARSOLD; SECOND DEGREE BURN
Answer Key
subtance are exchange without
mixing blood/ nutrients
Growth of fetus ovum,zygote,morula,embryo,fetus,in
fant
G2,T1,P0,A0,L1
GTPAL
EDD; naegele’s
Rule
November 14,2017
Hematologic
changes; 1st
trimester
increase in blood volume
Answer Key
Most accurate
guide to
determine
adequacy of
fluid
resuscitation
neurological assessment
Appearance at
burn site
bright red with blister
Indication of
adequate fluid
replacement
urine output 30 ml/hr
Character of
pain
extreme pain
Pain meds IV,
rather than IM;
rationale
bypasses,impaired,peripheral,circulat
ion
SITUATION: OSTEOPOROSIS
Key Question
SITUATION: G3 P3003 POSTPARTUM UNCOMPLICATED
Key Question
Answer Key
Lactation,
amennorhea,breastfeeding
4 to 6 months
Signs of postpartum infection
foul smeeling lochia
Breast engorgement
breastfeeding on
demand
Taking constantly
normal reaction
Urinated 4x; initial action
assess uterine
consistency
Answer Key
Increased risk for
osteoporosis
prolonged immobility
Vitamin needed for better
absorption of calcium
vit.D
Desired effects of meds
increased mobility
Fracture pt. most prone to
pathologic
Menu for osteoporosis
ice cream
SITUATION; 14 YEARS OLD, HEMATOMA,BRUISES
Key Question
Answer Key
Decision in joining
clubs,refer to?
adolescent family
counselor
Medico-legal cases;first
recorded
security blotter
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Aside from external signs
of hating, he should
include?
all
Who should the nurse
inform
parents
Fraternities rituals secret
refusal to give
information; talk to a
school authorities
Correct health
teaching( rubella vaccine
no pregnancy for 3
months
Rubella can be transported
pinocytosis
Correct route of rubella
vaccine
SQ
Correct nursing
intervention
rubella vaccine
Cardiovascular effect of
rubella vaccine when
first month
SITUATION: DVT
Key Question
Answer Key
Antidote: heparin
protamine sulphate
Medical term for “milk
leg”
phlagmasia Alba Dolens
Avoid which meds that
can aggravate bleeding
salicylates
Adverse signs and
symptoms to be
monitored by heparin
hematuria,
ecchymosis,epistaxis
Lab values; closely
monitor(heparin)
APTT
SITUATION: LABOR,100% EFFACED,3CM DILATED, +1
STATION
Key Question
Answer Key
ROA; where to place
Doppler
below the umbilicus,
right side
Arrange order of priority:
deceleration of fetus
change position to left
side
lying oxytoxin OFF, oxygen
ON,IV infusion,lower head
of bed
+1 station,head of fetus
beginning to end of the
same contraction
Frequency of contraction
15mins
SITUATION: CHILD ABUSE
SITUATION: IV OUT OF VEIN
Key Question
Answer Key
Fails to report a case
breach of duty
Prevention for incidence
to not happen again
in-service training
Slapped hand;charge for
direct assault
Appropriate remarks
during blood extraction
its alright to cry
Did not show up,during
hearing
default
Utmost important
document findings
rested
Proven guilty
suspension
We cannot present the
witnesses and other
documents; one’s a case is
rested
Bad mouth,sue for
unjust vexation
Did not attend to the
needs of client; charge for
dereliction of duty
SITUATION:DYAD OF MOTHER AND BABY
Key Question
Key Question
Answer Key
Answer Key
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SITUATION: INTRAUTERINE DEVICE (IUD)
Key Question
Key Question
AGN description
auto-immune,
inflammation,signs and
symptoms
Diagnosis
mild protenuria, marked
hematuria,support of
glomerulonephritis
Priority intervention
limit activity, safety
Worsening
increase in weight
Sequel ( saan siya
galing)
impetigo contagiosa
Answer Key
Primary indication
parity
Further teaching
replace every 3 years
Use of IUD
prevents sperm from
reaching the vagina
Most frequent side effects
excessive menstrual flow
Common problem
expulsion of devise
SITUATION: POISONING
Key Question
Answer Key
Answer Key
SITUATION: DELIVERED BABY, 3400 g, NSD
Key Question
Answer Key
Common among (age
group
toddlers
Immediately after
delivery,palpate the fundus
in between symphisi
pubis and umbilicus
Earliest sign
easy fatigability, pallor
Intervention for dysuria
all of these
Safety measures, not
included
medicines placed in purse
of bags
Fundus deviated to the right assist to empty bladder
Irreversible damage to
brain
Considering the
condition,nurse will initiate
urine collection
Read labels
safety markings
Dysuria during postpartum
damage to trigone of the
bladder
SITUATION: LYING-IN FIRST PRE-NATAL VISIT
SITUATION: CONTRACEPTIVE PILLS
Key Question
Answer Key
Key Question
Answer Key
Work using computers,
recommends to the client
walk for a few hours
Restrict salt intake, best
response
salt is essential, no need
to restrict
Contraindication for sexual
activity during pregnancy
all except DM
Diet for fluid retention
drink fluids & elevate
Form of contraceptives that oral contraceptives
have estrogen-like/
progesterone-like
compound
Internal examination(IE)
appropriate response
have you ever had an IE
before
Norplant/IUD
Pills contains progesterone
inhibits LH
Teaching about oral
contraceptive
report irregular vaginal
bleeding
Danger sign, warrant
stoppage of pills
elevation of BP
Pills contains estrogen
inhibits FSH
SITUATION: ACUTE GLOMERULONEPHRITIS
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SITUATION: 15 YEARS OLD TONSILITIS
Key Question
Answer Key
Indicates bleeding
frequent swallowing
Prevent highest risk of
aspiration during surgery
presence of loose teeth
Post tonsillectomy, begins
to vomit bright red
blood,initial nursing action
turn to side
Physician’s order that
nurse should question
suction every 2 years
Laboratory value most
significant to review
prothrombin time
SITUATION: 3 MONTHS, NEUROLOGICC ASSESSMENT
Key Question
Answer Key
Reflex to observe to
determine muscle tone
landau
Characteristic expected
litting of head and chest
when prone
Reflex not yet observed
parachute reactions
Describes babinski reflex
toes will hyperextend and
fan
Reflexes is a tes for
neurological integrity
moro reflex
SITUATIONAL: BIOETHICS
Key Question
Answer Key
RN reports son has
cardiac arrest
go and assess yourself
Dealing with
discrepancies, role of the
nurse
advocate
Watching religious
program
let the patient continue
Student nurse refused to
be assigned to HIV
patient
explore student’s feelings
Aide shouting to patient
call the attention for lack
of professionalism
SITUATION: ABRUPTIO PLACENTA,
Key Question
Answer Key
Violation of confidentiality
malpractice of inequities
Determine the veracity
complain and actual
violation of standards by
checking the
medical records
Nurse participate in the
rehab program, except
pt decided not to
undergo procedure
Patient inquired about
functions and abilities, the
nurse should
refer to the attending
physician
Absence of consciousness,
secure the consent
spouse
SITUATION: HIV MOTHERS
Key Question
Answer Key
Feeding technique can put
baby at increased risk for
transmission of HIV
mixed feeding
Causative agent
retrovirus
How it is determined that a CD4count<200
person has AiDS other than
a (+) HIV test
Manner of delivery
CS before onset of labor
Condition affect her
baby,appropriate response
immediately take
antiretroviral drugs
SITUATION:BACTERIAL MENINGITIS
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Key Question
Answer Key
SITUATION: RESEARCH RE: PATIENT’S SATISFACTION
Diagnosis confirmed
brcause spinal fluid has
elevated CHON level
Route ener infants CN’s
cranial apertures or sinuses
Maintaining isolation
for 48 hours after antibiotic
therapy
No researchers who singly
focused on the said study
in the past
statement of the problem
Post serious
complication
peripheral circulatory
collapse
Immediately available
non-probability sampling
Alert for increased BP
vomiting,
seizures,complaints of head
pain
SITUATION: PYLORIC STENOSIS, 2 WEEK OLD
Key Question
Key Question
Answer Key
End result, focus on which improve patient
primary purpose
satisfaction
Appropriate data
collection device to
determine patient
satisfaction
questionnaire
To avoid ethical liabilities
among samples
informed consent
Answer Key
Palpate abdomen,expects
olive-shaped mass
Returned to the pediatric
unit with IV,priority nursing
action
assess IV site for
infiltration
Observe the
infant,tentative diagnosis
sign of dehydration
To prevent,vomiting,
position
infant seat
Appropriate post-op feeding
regular feeding
SITUATION: PRETERM LABOR
Key Question
Answer Key
True about preterm
length of gestation <37
First intervention
monitor for contraction
and fetal-being
Possible complication
hemorrhage
Highly considered, except
preparation for CS
Demographic risk factors,
except
excessive physical
activities
SITUATION: PKU
Key Question
Answer Key
Pattern inheritance
autosomal recessive
Refer to who
else(collaboration)
dietitian
Criteria for the disease to be both parents must be
transmitted
carriers
Teaching plan
MLT mental retardation
Father and mother is a
carrier, pattern of
inheritance
1:4 in each pregnancy
SITUATION: HIGH RISK MATERNITY WARD
Key Question
Answer Key
s/sx of RHD,except
petechiae
herpes management
preparation for CS
anticipate to occur, after
eclamptic seizure
abruption placenta
monitor to suspect MgSO4 decreased deep tendon
toxicity
reflex
SITUATION: FAMILY PLANNING
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Key Question
Answer Key
Menarche not correct
precedes thelarche and
adrenarche
IUD provides
contraception, how
alters motility of sperm
28 cycle point of ovulation
14 to 15th day
Clear and observable sign
of fertility
Clear and elastic
slippery and stretchy
Expect to ovulate,33 days
cycle
19 days
SITUATION: PHN 5 YEARS, ETHICS
Key Question
Answer Key
IVT and foremost, patient
did not want to go
respect decision
Profuse vaginal bleeding,
exception to the rule
epikia
Dressing up properly,not
exposing unnecessary
parts
inviolability of life
Reach hospital
alive,truthful answer
veracity
Do good to them
beneficence
Key Question
What exercise is ideal and Swimming
most appropriate for
scoliosis?
A 13-year-old has been 23 hours per day
diagnosed with structural
scoliosis and is fitted with a
Milwaukee brace. How long
should she wear the brace?
The nurse identifies the
mechanism of action of
orlistat is as to the?
Answer Key
Among which of the following Chest X-ray
is not a sophisticated
technology?
Mech vent is unavailable in
ICU where to get the
equipment
Anesthesiologist
department
Water interruption call the
Head nurse
For a client with a menstrual
cycle of
33 days, ovulation usually
occurs on day
19
A client diagnosed with BP of
150/100 is classified as
Hypertension Stage 2
adipocytes
inch needle should be used
for a morbidly obese
patient.?
1"
What is the disadvantage
of computerized
documentation of nursing
process ?
CONCERN FOR PRIVACY
SITUATION : A 15-years-old accompanied by her
mother presents with complaints of nausea and
vomiting for two weeks. After her mother leaves the
room, Pregnancy test comes back positive. The
school physician confirmed that she is pregnant. has
requested that you not convey to her mother that a
pregnancy test has been sent.
Key Question
Key Question
Answer Key
Answer Key
request that her mother
not be told what is the
ethical principle observed
Veracity
What advice should be
appropriate to the
patient?
She is a minor, she need
to tell the truth to her
parent
Based on the advice from
Values clarification
the nurse she then
realized the importance of
life and family. She is
doing
SITUATION; DISLOCATEDSHOULDER (5Y/O) BRUISES
ON CHEST,ABUSE
Key Question
Answer Key
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Not effected
it is okay to cry if you’re
not
More prominent change in
GI
elimination
Priority, court of law-
proper documentation
Common significant others
mother
48 hours failure to report
breech of beauty
Spiritual development
Guilty, administrative
suspension, revocation
pray before meals and
bedtimes
Will not happen again
beneficence
SITUATION; 19 Y/O POSTPARTUM
SITUATION: LEUKEMIA (6Y/O)
Key Question
Answer Key
Key Question
Answer Key
major rationale of postpartum
depression (PPD
jealousy of the
husbands attention to
infant
medications
prescribed,appropriate
anxiolytic
symptoms of PPD
all except delusion
Action
bring to nearby
hospital
Referral signed by MHO
integrate health based
ILHZ(inter-local health zone),
except
exclusion of private
hospitals
Charcoal crosses printed on
body, except
takes risks on behalf of
patients and colleagues
Pathognomonic sign of PPDF,
rejection of the
infant
Personal,professional growth,
best
behavior and attitude
Focus of psychotherapy
fears and concerns
SITUATION; HIV/AIDS IN CD WARD
Key Question
Answer Key
Limitation, except
writing style
5 respondents
SITUATION; 4 Y/O MULTIPLE BRUISES SUSPECTED OF
ABUSE
Key Question
Answer Key
tell me specifically
qualitative case study
Most appropriate
response
In stating the significance
of the study,except
only identify the
beneficiary
Most accurate
responsibility in reporting
report to the person in
charge
Data collection
semi-structured interview
Suspect child abuse, most explanation & actual
important criterion
injuries are incomparable
Frame work is base on
research problem
Valid ,except (living will) notarized document for a
lawyer
SITUATION. 1 ½ yrs old
Key Question
Best statement describe
responsibility for written
consent
consent signed by
parent,attached to chart
Primary goal of play
promote communication
Answer Key
Ritualism, definition
maintaining sameness
Touching almost
anything,putting in the
mouth,best response
exploring his
environment
SITUATION; 23 Y/O, REPRODUCTIVE HEALTH
COUNSELLING
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Key Question
Answer Key
Possible disease she should
avoid
all
Best way to check condition
of mom and baby
regular prenatal checkup
Not to be followed during
pregnancy
massage from a pain
Not included in the outcomes
of folic acid deficiency to
baby
fracture of all types
Best contribution,except
normal development of baby
may smoke once in a
while
Key Question
Answer Key
2nd trimester IDDM, priority
message
achievement of optimal
glycemic control
HIV, priority evidence-based
nursing information
medication for HIV,
infection is safe
Mild variable fetal rate
decelerations
change the maternal
position
Complaints,immediate
attention
leaking vaginal fluid at
34 weeks gestation
Severe nausea and vomiting
advise
limits fluids with meals
SITUATION; PEDIATRIC UNIT
Key Question
Answer Key
Primary purpose of
evaluating nursing care
achieve quality
improvement
Plan, DO, Check and
act,design an assessment
stool,phase of the process
plan phase
Team evaluate care as a
being administered to
pedia clients, this
represents
concurrent audit
Sentinel events
signal the needs for
immediate investigation
and response
Not a goal of risk
management
reduce incident reporting
system
SITUATION: 4 WEEK OLD,PROJECTILE VOMITING
Key Question
Answer Key
Nursing diagnosis
fluid volume deficit
Upon admission
weight the infant
Serum electrolyte
imbalances,persistent
vomiting
all are decreased
Acid base
metabolic alkalosis
Parenteral f/e
potassium chloride
SITUATION; 4 MONTH OLD ,INTUSSUSCEPTION
(INVAGINATION)
Key Question
Answer Key
Nursing diagnosis
pain
Most helpful
did his his stool look like
current jelly
Pain related to cramping, no manifestations of
expected outcome
discomport
NGT, no longer freely
removing gastric
secretions
aspirate the tube with
syringe
Risk for an ileus postop,
not included
measure urine specific
gravity
SITUATION; HIRSCHSPRUNGS,7 MONTHS OLD
Key Question
Most pertinent data
Answer Key
often constipated
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Physical assessment
scaphoid abdomen
Barium adequately
evacuated after
procedure
clay colored to brown stool
Parents understand
diagnosis
nerves to the end of the
large colon are missing
8 hours ,necessitate
calling the physician
increase of 3cm in
abdominal circumference
Decide to keep the baby
and not abort,ethical
principle
beneficence
Life will change regardless
of her decision
non maleficence
Client’s autonomy, most
appropriate ethical
behavior
only the safety of the
clients should be
considered
Patient advocate,nurse
must do the
following,except
only client social status
and religious affiliation
SITUATION; 2 YEARS OLD, TETRALOGY OF FALLOT
Key Question
Answer Key
SITUATION; OB WARD, BED CAPACITY OF 40
Cardiac defect most
associated
P/V/O/R
Polycythemia is
compensatory
tissue o2
First level management
deal with immediate
problems of operations
Nurse expect
clubbing of fingers
Head nurse patient ratio
Post-op, essential to
prevent
hard stools
8 staff nurses (1 nurse :10
patients)
Clinical findings
elevated hematocrit
Essence of directing as a
management process
getting work done
through others
Increased nurse-patient
ratio, type of nursing care
delivery system
functional nursing
Best way for setting
priority
assessing nursing needs
and problems
Key Question
SITUATION; LEFT TO RIGHT
Key Question
Answer Key
Answer Key
Major characteristic
increased blood flow to
the lungs
Congenital heart defects
(sata) acyanotic
VSD,COA,PDA
COA,,VS
elevated BP in the upper
arm
Difficulty feeding
ineffective sucking and
swallowing
PDA, correctly explains
connection between
pulmonary artery and
aorta
SITUATION;
Key Question
Whatever decision, primary
ethical decision
Answer Key
respect autonomy
SITUATION; SINGLE PRIMIGRAVIDA, 3RD TRI,
MATERNITY CLINIC
Key Question
Answer Key
Who can sign the birth
certificate
any health
professionals involved
PD 651 requires registration
of births
within 30 days
Wrong entry, what recourse
could be made
petition to the court
Family code of the
Philippines,legitimate
affiliation
handwritten instrument
signed by the father
concerned
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Claim legitimacy
during his/her lifetime
SITUATION; RESEARCH MATERNITY WARD
SITUATION; NUTRITIONAL ASSESSMENT
Key Question
Answer Key
Protein-energy
malnutrition
1-4 years old children
Method of data collection
weighing
Tool for gathering data
observation checklist
Factors affecting PEM,
which graph
pie
Soundness and validity of
method, which section of
the report
method section
Key Question
Key Question
Answer Key
Phenomenological study
approach in research
maternal experience as
they are live
Appropriate title
lived experiences of
matertnal patients with
complication
Main objectives in
conducting research in
nursing
improve nursing care
Characteristics best
describes phenomological
research
truth is lived
experiences
Saturation in qualitative
research refer to
data repetition
Answer Key
Most sensitive health
indicator index
infant mortality rate
A new RN, coming up with
suggestions, what will be
crucial for preparation
ask other staff their
perception of health
needs
Primary goal of CHN
enhance capacity of IFC
to cope with health needs
Priority counseling
refusing to breastfeed
newborn
Caring for community
culturally congruent
Correct term used to call
the obstetrical score-
2-0-0-1-0
Not included in birth plan
home delivery
Key Question
SITUATION; 4 WEEKS AOG, 2ND PREGNANCY (1ST
SPONTANEOUS ABORTION) LMP: MARCH 31,2018
Key Question
Answer Key
Answer Key
SITUATION: GENETICS
Develop alliance to
improve health
build coalition
9 mos,old, vaccine
MMR
37.6 immunization
go on with immunization
normal
Genetic disorder most
common in the Philippines
maple syrup disease
RR 42/min, 4 mos. Old
Rice watery stool
Cholera
Definition of karyotyping
pictorial analysis
Refer immediately if the
baby
cannot drink
Not genenetically inherited
by the baby from the
mother
cardiac heart failure
(CHD)
Key Question
Answer Key
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True about rare disease
all except occur in all
countries of the wound
Appropriate response, what
if I deliver here
you can tell what help
you need
True regarding of PKU if
mother is carrier and
father is not
no chance her baby will
be affected
Time out
regain control of
emotions
SITUATION;
Key Question
Answer Key
SITUATION; INFERTILITY
Correct definition of
infertility
tubal scarring and
occlusion
Cause of PID
Chlamydia
Correct response primary
infertility
never had any pregnancy
SITUATION; LEVEL OF RISK
Key Question
Answer Key
IMMUNIZATION FOR 9
MOS.OLD
measles
Assessed for immunization,
temp 37.6 C, best action
go on with infants
immunization
RR 42/min, using the IMCI,
her breathing is
normal
2 y/o, rice watery stool
cholera
IMCI, immediately brought
to the hospital danger sign
inability to drink
Answer Key
Tracks postpartum
mother,what study
prospective chart
Interest as investigator
maternal role
competence
Design, intrigued set of
investigation
triangulation
Retrospective, null
hypothesis
not related
Quantitative study
focused group discussion
SITUATION; 8 MONTHS PREGNANT, EVACUATION
CENTER
Key Question
Key Question
Answer Key
Effectiveness of lorazepam
medicine can relax me
Most therapeutic
communication
you seem upset?
Most effective therapeutic
communication for anxious
patient
stand or sit at the center
of visual field
SITUATION; PROBLEMS WITH SEXUALITY,
REPRODUCTIVITY
Key Question
Answer Key
LGBT, psychological
consideration
I constanly guard
everything I say and do
fear of my mother
Male complaining of not
being able to achieve and
maintain erection
erectile dysfunction
Antihypertensive meds,
side effects
empotence and dizziness
Health needs during
perimenopausal and
postmenopausal,
appropriate response
woman should be
encourage to limit
alcohol, increased
calcium excretion
Woman at risk for
osteoporosis
estrogen deficiency/
smoking/low bone
density/low dietary
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SITUATION:
Key Question
Answer Key
Disqualify for home
delivery
ob score G5P3
4th dose of tetanus, how
long is the protection to
the baby
1 year
True statements about
breastfeeding
breastfeeding can be
initiated within 90
minutes of the baby’s age
Danger signs of labor
Material reports of DOB.
Bright red vaginal
bleeding.
Uterine contractions
above 90.
Within a month after
delivery, what medication
Correct time to
administer Vit. K
After the 1st hour after
skin-to-skin contact and
breastfeeding
Included in UNICEF and
WHO
All except birthing centers
Minimum contact,
antenatal care
8 contact or visit
Included in the promotion All
of care
retinol 200,000 IU 1 cap
SITUATION: VIOLENCE, 14 Y/O
Key Question
Answer Key
Most important attitude of
nurse
Sensitivity
Theories of child abuse,
not included
Holiday
Sexually molested by uncle Incest
Signs of abuse, except
Boy’s bob hair
SITUATION: 4 – YEARS OLD, JUN-JUN
Key Question
Answer Key
Helpful to deal with
frightened child
Start conversation with
Jun-Jun or to others
Shows an aggressive
behavior, nurse should do
Ignore this behavior
unless harmful to him or
others
Useful approaches when
speaking, except
Egocentric or self-center
point view
Key Question
Answer Key
Correct advice regarding
fluid intake
21.
Stand over and talk down
to him
Not true
Pre-eclampsia to avoid
salt
Piagel’s cognitive
development
Should be avoided
Alcohol
Foods rich in Vit. A
Squash
Foods that will help
development of fetus
Bulalo Soup
Indicate understanding of
My child always her own
child’s stage of growth and way.
development
SITUATION: TRAINING PROGRAM, NURSE EDUCATOR
Key Question
Not included in global
SITUATION: HEALTH EDUCATION, PROPER NUTRITION
Answer Key
Reform
SITUATION: 1ST TRI PREGNANCY
Key Question
Most appropriate action
Answer Key
Support Brenda
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Recommended weight gain
15 to 25lbs
Ndx
Fails to follow nutrition
advise, nursing diagnosis
Imbalanced nutrition:
more
self-esteem disturbance r/
t infertility
PID etiologic factor
Chlamydia (usually asymp)
Antidiabetic drug
instruction
Time in taking
Infertility-
no pregnancy in 1 year
Primary infertility
never been pregnant
Increased in blood sugar
6 mmcl
PID- infertility because
scarring .
occlusion.
SITUATION: IMMEDIATE NEWBORN CARE
Key Question
SITUATION; PREGNANT FOR 4 WEEKS,1ST ABORTED,
LMP MARCH 31
Answer Key
Stop breathing for 5
seconds
normal for baby
2nd period of
reactivity,notify pedia
Key Question
Answer Key
G2P0
multigravid,nullipara
65-70 rmp
GTPAL
G2T0P0A1L0
Anthropometric measure
for full term
head circumference 13-14
Doppler Utz, how many 6-8 weeks
more weeks
Meconium characteristic
odorless,blackish green
36 hours after
discharge,normal output
50 rmp,irregular
EDD
january 7
Crisis
maturational
SITUATION: RESPIRATORY AND SKIN ALLMENTS FROM
NEARBY FACTORY
SITUATION: RULE OUT RHEUMATOID HEART DISEASE
14 YEARS OLD
Key Question
Key Question
Answer Key
Sign and symptoms to
observe
arthralgia,SQ
nodules,elevated ASO titer
Jones criteria
2 major + hx of step throat
Psychosocial
identity vs. role confusion
Salicylates purpose
anti-inflammatory
St.vitus dance
sydenhamm’s chorea
Answer Key
Do to help solve problem,
response
I suppose you gave a lot
of thought
Reffered to
brgy,council ,solution,respo
nse
can you tell me about
what you expect from
them
I went,he promised,
residents agitated
let us all settle down
Give us now the medicines
or we will leave
its up to you , if you
wish,problem will not be
solved
Who can help us
who do you think, any
suggestion?
SITUATION: FAILURE TO CONCIEVE FOR 2 YEARS
Key Question
Answer Key
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SITUATION: PRE-PREGNANT WEIGHT 47 KG. DOUBLES
DURING THE 1ST TRIMESTER OF PREGNANCY
Key Question
Answer Key
SITUATION; MARTA G4P3, (+)PREGNANCY TEST,LMP:
JUNE 25,2018, HUSBAND NAGLILIHI
Key Question
Answer Key
Recommended weight gain
15-25 lbs
Focus of nursing teaching
(2nd tri)
fetal growth and
development
NDx
imbalance nutrition.
body requirements.
Naegele’s Rule, EDD
April 1,2019
support client,avoid fatty
foods
Multiparous, feel
quickening
16-18 weeks
Best nursing action
Husband is experiencing
COUVADE SYNDROME
Refer if FBS result is
6 mmo 1/L and above
time to be taken
2nd tri, Rubin’s Theory,
characteristics
fantasy, separate identity
Referred to internist,most
important instruction
IDDM, advise on her 2nd
trimester, 35 years old
optimal glycemic control
HIV,G6P5,30 years
old,example of evidencebased practice
medication is safe and can
reduce transmission
39 weeks AOG, variable
deceleration intervention
change position
Immediate attention
leaking vaginal fluid @ 34
weeks AOG
Severe nausea and
vomiting, intervention
limit fluids to increase
retention of food
SITUATION: 1MONTH OLD; DEVELOPMENTAL
CONGENITAL HIP DYSPLASIA
Key Question
Answer Key
Notes that the dorsalis
pedis is (-) on the right
foot, next action
notify the physician
Sign of congenital hip
dysplasia
Galeazzi test, also known
as the Allis sign
Expect to note what sign
(able to walk)
characteristic limp
Pavlik harness instructions removed only to check skin
and for bathing
Goal mgt
Frejka splint
SITUATION: PRIMIGRAVIDA 40 WEEKS, RUPTURED
MEMBRANE
Key Question
Answer Key
Significance of the
position
not flexed nor extended
Attitude of the fetal
presenting part
longitudinal military
attitude
What Antero-Posterior
diameter of the fetal
head presenting
occipitofrontal
Dx test to determine
water has ruptured
Fern test
Vaginal exam, able to
palpate large diamond
shaped fontanel
brow
SITUATION; GESTATIONAL DIABETES
Key Question
Best test to perform
glucose tolerance test
Answer Key
24-28 weeks
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Hormone secrete
HPL (somatomammotropin)
placenta that may have
diabetogenic effect
Indicate diabetes is
controlled, HA1c
7%
Is insulin needed, best
response
that depends if controlled by
diet
When to check glucose
level
before breakfast & 2hrs after
meals
Insulin requirement
after delivery
(Postpartum)
Decreased
Insulin injection in
pregnant
Abdomen
Arterial blood gas
increased PC02 levels
Discharge teaching
minimize exertion &
exposure to cold
SITUATION; BACTERIAL MENINGITIS (2 Y/O)
Key Question
SITUATION: 18 MOS,TEMPER TANTRUMS
Key Question
when temporary teeth is
complete( next year)
Best address to the
concern
assert independence
(toddler)
Age appropriate behavior
possessive, simple
directions
Developmental milestone,
teach importance
accept external limits
Strategy to suggest
offer 2 choices
SITUATION; ACUTE ASTHMA (2 YEARS OLD)
Key Question
Maintaining respiratory
isolation
for 48 hrs,after antibiotic
therapy
Most serious complication
peripheral circulatory
collapse
s/s alert for increased ICP
vomiting, seizures,
complaints of head pain
Causative agent
Neisseria Meningitides
Precaution
Droplet precaution
CSF analysis
Cloudy, increased WBC,
inc. protein, dec. glucose
Answer Key
When start taking to the
dentist
Answer Key
SITUATION; PRETERM LABOR
Key Question
Answer Key
True,about preterm
length of gestation <37
First intervention
monitor for contractions
and fetal well being
Possible complication
hemorrhage
High considered,except
preparation for CS
Demographic risk factors,
except
excessive physical
activities
Answer Key
Discharge teaching to
emphasize
eliminate allergens,/
continue meds even if
asymptomatic
Healthy snack for 2y/o
with asthma
apple slices
Assessments include
expiratory wheezing
tachycardia
SITUATION; PYLORIC STENOSIS, 2 WEEKS OLD
Key Question
Answer Key
Palpate abdomen, expects
olive shaped mass
Returned to the pediatric
unit with IV, priority
nursing action
assess IV site for
infiltration
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Observe the infant,
tentative diagnosis
signs of dehydration
Unilateral cleft lip/palate Rubber tipped syringe /
medicine dropper
To prevent vomiting,
position
infant seat
Speech pattern
Appropriate post-op
feeding
regular feeding
Closure of cleft palate,
should be 6 months,
response
Predispose to infection
because
Mouth breathing dries
oropharyngeal
membranes
Nursing care after
surgical repair cleft lip
Prevent from crying
Significant statement,
predisposed to cleft lip/
palate
asthmatic ,steroids
Situation : High Risk Maternity ward
Key Question
Answer Key
S/sx of RHD, except
petechiae
Herpes management
Preparation for CS
delivery
Anticipate to occur, after
eclamptic seizure
Abruptio placenta
Monitor to suspect MgSO4
toxicity
Decreased Deep tendon
reflex
Mother BP 160/100, how
to determine if MgSO4 is
effective
If seizure does not occur
or seizure are prevented
Answer Key
Preterm inheritance
autosomal recessive
Refer to who else
(collaboration)
dietician
Criteria for the diseases to
be transmitted
both parents must be
carriers
Teaching plan
MLT mental retardation
Father & mother is a
carrier, pattern of
inheritance
1:4 in each pregnancy
Milk formula
LOFENALAC
Avoid foods like
Eggs and fish
Answer Key
No researchers who singly
focused on the said study
in the past
statement of the problem
Immediately available
non-probability sampling
Appropriate data
collection device to
determine patient
satisfaction
questionnaire
To avoid ethical liabilities
among samples
Secure informed consent
SITUATION: FAMILY PLANNING
Key Question
SITUATION: CLEFT PALATE
Key Question
Key Question
End result, focus on which improve patient
primary purpose
satisfaction
SITUATION: PKU
Key Question
SITUATION: RESEARCH ; PATIENT’S SATISFACTION
Answer Key
Answer Key
Menarche, not correct
precedes thelarche,
adrenarche
IUD provides
contraception, how
alters motility of sperm
28 cycle point of ovulation
14 to 15th day
Clear and observable sign
of fertility
clear, sliperry and
stretchy or elastic
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Expect to ovulate 33 days
cycle
19 days
Pills contains progesterone
inhibit LH
Teaching about oral
contraceptive
report irregular vaginal
bleeding
SITUATION: DELIVERED BABY,3400g NSD
Key Question
Answer Key
SITUATION; ABRUPTIO PLACENTA, COLLISSION
Immediately after delivery, in between symphysis
palpate the fundus
pubis and umbilicus
Intervention for dysuria
all of these
Fundus deviated to the
right
assist to empty bladder
Considering the condition,
nurse will initiate
urine collection
Dysuria during postpartum
damage to trigone of the
bladder
SITUATION; BIOETHICS
Key Question
Answer Key
RN reports son has
cardiac arrest
go and assess yourself
Dealing with
discrepancies, role of the
nurse
advocate
Watching religious
programs
let the patient continue
Student nurse refused to
explore students feelings
be assigned to HIV patient on caring HIV
Aide shouting to patient
call the attention for lack
of professionalism
Key Question
Answer Key
Violation of confidentiality
malpractice of inquiring
of pt. financial ability
Determine the veracity of
complain and actual
violation of standards by
checking the-
medical records
Nurse participation, in the
rehab program, except
Patient decided not to
undergo procedure
Patient inquired about
functions and abilities the
nurse should
refer to attending
physician
Absence of consciousness,
secure the consent
spouse
SITUATION: 15 Y/O TONSILITIS
Key Question
Answer Key
Indicate bleeding
frequent swallowing
Prevent highest risk of
aspiration during surgery
presence of loose teeth
Post tonsillectomy, begins
to vomit bright red blood,
initial nursing action
turn to side
Physician orders that nurse suction every 2 years
should question
SITUATION: CONTRACEPTIVE PILLS
Key Question
Answer Key
Danger sign, warrant
stoppage of pills
elevation of BP
Pills contains estrogens
inhibits FSH
Forms of contraceptives
that have estrogen-like/
progesterone-like
compound
oral contraceptives,
norplant, IUD
Laboratory value most
significant to review
prothrombin time
SITUATION: HIV MOTHERS
Key Question
Answer Key
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Feeding technique can put mixed feeding
baby at increased risk for
transmission of HIV
Causative agent
retro virus
How it is determined that
a person has AIDS other
than a (+) HIV test
CD4 count <200
Manner of delivery
CS before onset of labor
Condition affect her baby,
appropriate response
immediately take
antiretroviral drugs
SITUATION: 3 MONTHS, NEUROLOGIC ASSESSMENT
Key Question
Answer Key
Reflex to observe to
determine muscle tone
Landau
Characteristics expected
Lifting of head and chest
when prone
Reflex not yet to be
observed
First Phase to assess size,
mobility, availability and
consistency of a mass
Key Question
Fundal Grip (first
maneuver)
Answer Key
What is the correct
assessment of patient
condition with difficulty
of breathing, tachycardia
cold
supine vena cava
Fetus is an a sacrum
anterior ,posterior position
toward maternal
symphysis pubis
Corie put the transducer of Right upper Quadrant
Doppler ultrasound to
detect the FHT right sacral
anterior breech
notify to the physician
parachute reactions
Contraction is 150/beat
mins. Which of the
following nursing action is
appropriate?
Describes Babinski reflex
toes with hyperextend
and fans
The nurse expects to find
contraction becoming
which of the following
More intense and more
frequent
Reflex which is a test for
neurological integrity
Moro reflex
The nurse understand that
the pelvic shape is
Wedge shape and narrow
and non-favorable
LEOPOLDS MANEUVER
The client BP 116/72,
Presence of INFECTION
Temp-98.6, pulse-68 at Day
2 and BP 114/80, Temp is
100.6, Pulse is 73, at day 3
, the nurse will suspect
Suspect uterine infection
of postpartum
Key Question
Odor of the lochia
Answer Key
Nurse palpated soft board
like mass that moves out
buttocks
Correct function of fetal
heart beat form can be
heard
right upper quadrant
(right upper fundal )
Soft blowing sounds
synchronous to mother’s
pulse rate
uterine soufflé
Third maneuver is done by
Grasping lower portion of
abdomen /palpating
symphisis pubis with
single hand
Key Question
Answer Key
Most common postpartal
infection
Metritis
Greatest risk for
postpartum endometritis
CS delivery after 24 hrs
labor
Postpartal cloth worn could Knee high stockings
possibly promote a problem
to woman
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Fundus of uterine is
expected to go down
normally about how many
cm per day
1.0 cm
Positive test in PT
Key Question
NPH
Answer Key
As the nurse, legal
responsibility, which
appropriate agency should
notify
Board member of child
protective services
Zeny is a victim of incest
and the agency opted her
to be admitted in the
hospital, where should she
have placed
Near the nurse’s station
Abusive parent usually
manifest which of the
following , except
Below low income group
Key Question
Answer Key
Type 1 diabetes first
concern for child &
parents
understand feelings
Receiving NPH insulin the
nurse understands
nourishment counteract
insulin activity
Peaks effect occurs which
of the following
4 to 12 hours
BT, what is the most
blood typing
immediate laboratory exam
that should be corrected
Type 1 about dietary
management. The nurse
should
food form concentrated
Who is the right, to
administer the BT
DM at 6am Fasting Blood
glucose level of 180mg/dl,
priority
Prescribed dose of regular
insulin to be administered
physician
MENSTRUAL CYCLE
Key Question
PRENATAL CHECK UP
Key Question
Answer Key
The client complains of
lets discuss some way to
feeling of tired and sick to deal
her stomach, especially in
the morning what is the
nurse best response
Hyperemesis gravidarum is high levels of Estrogen/
primary cause of
HCG
Pt ask nurse if there’s any
prevention of nausea,
nurse say
Small frequent feeding
Antiemetic thalidomide is
not allowed during
pregnancy because it
causes
Amelia or phocomelia
Recalls the morning
sickness as what
pregnancy sign
Presumptive-(subjective
by mother)
Answer Key
The length of the
menstrual cycle the nurse
understand that response
is due to variation of
which of the ff
proliferative
Which of the hormones
responsible for maturation
of graafian follicles?
follicular stimulating
hormones
Signs of ovulation
1,2,3
Menses last march 30,
When did ovulation occur
march 16
Implantation of mens
cycle is the ideal time
secretory
STUATION; A 3 YEARS OLD
Key Question
What does behavior of
angelo indication
Answer Key
a normal pattern
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Has difficult time to go in
bed, which of the
followingis appropriate for
the nurse to suggest the
mother
inform the child a few
minutes before it
Safety toys for 3 years old
a wagon cart
Needs for further teaching
regarding toilet training
bladder control
usually is achieved by
vowel control
Which indicates that the
time is not yet right for
toilet trining
moves with family to new
home
Station -laboring women
Key Question
RHD
Key Question
Answer Key
Help child to alleviate
joint pain associated to
polyarthritis
Using bed cradle to avoid
weight of bed linen
Drug of choice
aspirin/salicylates
Develop carditis the
nurse must be notify
tachycardia/murmur
Diagnosed RHD and
developing carditis
providing rest
7 years old with RHD
during acute phase has
been achieved
Resting heart rate between
60-100
GPTPAL
Key Question
Answer Key
Answer Key
Small triangular shape
fontanel the fetal is
Vertex
Triangular shape is
palpated what is the
position of fetus in the
uterus
Completely flexed
What anteroposterior
(AP) diameter of the
fetal head is presenting?
suboccipitobregmatic
Identify the position of
the fetus in the diagram
below (picture at last
page)
LOA- left occiput anterior
Passer of fetus to adopts
to the passageway
(pelvis) in which
sequence
Descent-flexion-Internal
rotation, extention,
external rotation, expulsion
Key Question
Answer Key
The nurse should evaluate
that the client
normal
Episiotomy ,which of the
followingteaching was
effective
wash her hand
What is the implication of
small amt.of urine output
retention urine
Fundus is above umbilicus
and defference the right
over distress bladder
In taking Gravida, Para
and TPAL
G5P2 T1P1A2L2
Foramen ovale,should
nurse place the child
right side lying
Her alcohol consequences
put fetus risk for what
condition
learning disability
Congenital heart defect
failure of foramen to close
artialseptal defect
Risk for toxoplasmosis
Cats at home
Castor oil for constipation
how should the nurse
response
Premature uterine
contractions
Use of cocaine at least one Impaired nutrition, less
per day, most appropriate than body requirements
nursing diagnosis
NEPROTIC SYNDROME
Key Question
Answer Key
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Medical diagnosis of
neprotic
anasarca
The hospital may charge him Dereliction of duty
for
Administration of
prednisone observe by the
nurse
all of the option
He did not present witness
during hearing he side to be
on
default
He did not also present
witness with and not
allowed
rested
Which is not procession of
law
renew for her license 4
years
True about the nursing law
RA 9173,which two are not
2,3
Which of the following
actions shield her from
possible lawsuit
1,2,3
Injected cotrimoxazole,
without consent nurse be
possibly accused
battery
Side effect ,most prominent mooning of face
on cario which should be
prepared before
administration
Nursing diagnosis for child
with severe edema caused
nephrotic
risk impaired skin
integrity
Appropriate diet
sodium moderate protein
FIRST PRENATAL CLINIC VISIT
Key Question
Answer Key
‘’ I guess I’ll be
have you ever IE done before
having in internal
exam,
’appropriate
response
Job order nurses
who will be
accountable for
role, function
and response
appointing officers
Best moral
right of counter/responsibility/
standard when
accountability
they refuse to
hand and errors a
time due to lack
of manpower
IV IS OUT OF VEIN
Key Question
Answer Key
Felt annoted,agramed
uncomfortable in front of
other
unjust vexations
Slightly stepped and tone
down, in case she decide to
sue her
direct assault
RESEARCH
Key Question
Answer Key
Most appropriate data
collection tool for this
study
semi-structed
Conceptual framework
based primarily to
research problem
Fire need to evacuate
priority
post labor d&c and post
normal deliveries
(1,4,3,2)
During medication
preparation strictly
followed
closed always
To prevent babies
switching-
roomed in
Least priority to refusing
to monitored nurse
multipara
Ob pt. With infection
during delivery should be
avoid
doing soap sud enema
SITUATION: FUNDUS JUST ABOVE SYMPHISIS PUBIS
Key Question
Answer Key
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Based on estimated age of
gestation
12 weeks gestation
Source of estrogen/
progesterone
corpus luteum
Nausea in the afternoon
small frequent meals
During 1st trimester focus
vital organs
Morning sickness pregnant
characterized by nausea
and vomiting
presumptive
Key Question
Answer Key
Slipped on ice, what to
administer
Factor VIII(8)
Repeated bleeding
hemarthrosis
Sources of iron
Ground beefy patty, lima
beans,raisin,milk
Pattern of transmission
chance 25% daughter will
be carrier
Laboratory diagnostic
test
Partial thromboplastin
time (PTT)
SITUATION: 2 LABOR,3cm DILATED
PERSONAL RECORDS, LEGAL DOCUMENTS
Key Question
Answer Key
Key Question
Answer Key
Should be forwarded to the
hospital record section,
within how many hours
Period
Within 24 hours
Pediatric ward, Who see
the records for safe
keeping
Staff nurse of ward
beginning to the end
below the umbilicus
Safe and quality
performance of a nurse,
what is the term
Duces tecum
ROA position, when should
the tube place doppler
Priority for late
deceleration of fetus
2,1,3,4
Should be kept located in
cabinet (Document
required to be taken out
for investigation purpose)
Incident report
Not be discussed to
member of family p
(Should not be disclosed)
ELISA test
+1 station now will
interpret
1 cm below the ischial
spine
What is the frequency of
contraction
15 mins.
Assess the duration of
patient contraction by
timing
SITUATION: 3 POSPARTUM 3,400 grams baby
Key Question
Answer Key
Not normal during this
period
Retention of urine with
over flow
Fundus, umbilicus place to
right side what is the
indication
over distended bladder
Effective teaching in
prevention infection first
degree laceration
wash hands, whenever she
do perineal care
Laboring mother- 39 weeks
Key Question
Answer Key
What stage of labor, tremble,
tense, painful contraction
transition
Hyperesthesia/hypersensitivitynurse coach
Sacral pressure
Establishing trusting
relationship
Introduce the staff
When should the nurse take BP
In between
uterine
contractions
Hemophilia
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Husband tense, nervous, “ Is it
best for me to leave?, best
response of nurse
“ I can see that
you are tense and
nervous”
Incidence of Breast
cancer research design
Prospective cohort
Cross sectional study
except
Relatively risk of heating
food and risk of cancer
Family planning
UPDATING PROFESSIONAL PRACTICE
Key Question
True about the nursing
law, (2 are not)
Answer Key
Civil service
Doctorate holder
Competent nurse allowed Licensure and
to practice nursing
registration
Injected without the
consent of parent,
possible lawsuit
battery
Not a provision
Renew every 4 years
Possible law suit
All except following
doctors order
Answer Key
Primary indication of IUD
parity
Side effect of IUD
menstrual flow
Common problem of IUD
expulsion of device
Statement need further
1 year replacement
---------------------------------------------------------
ECTOPIC PREGNANCY
Key Question
Key Question
Answer Key
Growth and development
Key Question
Answer Key
Cognitive development
of piaget
understand environment
Theory moral
development
punishment/reward
Autonomy virtue
self control and will power
Intraperitoneal bleeding
(+) Cullens sign
Obsessive compulsive
anal
Risk factor of Ectopic
pregnancy
Pelvic inflammatory
disease (scarring)
39 weeks
testes in scrotum
Chief complaint
Sharp lower right or left
abdominal pain
Immediate attention
Risk for FVD
Indicate symptom of pain
6th week pregnancy
in lower abdomen(rupture)
Key Question
Answer Key
12 hour after birth
concern
direct coomb,negative
3,400 grams
3.4 kg or 12 ounces
BREAST CANCER, Research investigation heating food
in microwave oven
Key Question
Answer Key
Conclusion of the study
Reject of Null hypothesis
Control group
Do not have breast
cancer
Prospective study; two
sets of samples
Heat food and do not
heat food
AGN
Key Question
Answer Key
Correct for AGN
auto immune disease
Sign and symptoms of
AGN
periorbital,hematuria, mild
proteinuria
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Sign of worsening
condition
increase in wt.
Possible order prepare
for
CS
Disease causing
infection to AGN
impetigo
Late sign of
hypovolemic shock
hypotension
Priority intervention
limit activity/ provide safety
measure
What phase of
hematuria response
taking in
3 days after delivery
expect fundus to be
located
3 fingerbreadths the
umbilicus
Teenage
Key Question
Answer Key
Most often afraid/fear-
acne
Least physical change
enlarge prostate
Most significant person
friend
Not correct teenager
permiting ordered to sleep
in other house
Good for teenager of use
of computer
parenteral supervision is
necessary
SITUATION: OSTEOPOROSIS
Key Question
FDAR documentation
Key Question
Answer Key
Primary consideration,
chief complain
objective, symptoms
presented
Primary focus ‘FDAR”
stool 4x in 30 mins
Nurse subjective data
patient verbal complaint
Response based of FDAR
intervention made
Cannot be source of data
immunization record
Answer Key
Which possible refer to
physician, should nurse
monitor
increase mobility
High risk developing
osteoporosis
prolonged immobility
What type of fracture is
client prone to
pathologic
Osteoporosis client
selection now
ice cream
Vitamin needed for edema
absorption
vit.d
INFANCY
Key Question
SITUATION: ADDICT,COCAINE USER
Key Question
Answer Key
Complication of client
vaginal bleeding
premature separation of
normally implanted placenta
Abruptio placenta
caused by
concealed hemorrhage
The bleeding following
abruptio placenta is
usually caused by
Hypofibrinogenemia
Answer Key
Play of infancy is
important, which of the
following
physical development
Signs of he/she experience
maternal depression
prone to illness
Accident prevention
teaching plan 4 mos.old
infant
cribs rail up
Infant developmental
milestone
roll over
6 mos.old teeth that bud
pretend to
2 lower
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Malnutirion
SITUATION: IMMEDIATE CARE NEWBORN
Key Question
Answer Key
Key Question
Answer Key
Not correct with
malnutrition
underweight/ under
income
Good advice for
malnutrition prevention
check nutritional content
5 feet tall normal weight
115 pounds
Newborn circulation is
initiated by
pulmonary ventilation
shunt between two atria
during the feto placental
foramen ovale
Weight reduction,
recommended to cut
carbo,fat,salt
Foramen ovale to close
after the baby had
delivered
shifting of pressure R/L
side
To help for obesity
problem
exercise 30mins. Three
times a week
Xenical (orlistat) target
Adypocytes tissue
Findings, appropriate
action
more,toodler on room
Key Question
Epiglotittis
Key Question
Answer Key
Virazole route of
administration
oxygen tent
Health Teaching has been
effective
from may disease is
serious
Indication of epiglottitis or
obstruction of airways
leaning forward
EPI to epiglottitis
HIB vaccine
Most needed resources in
training program
time
Most emphasis
Knowledge skill gained
Most important
responsibilities
to thank them
RESEARCH
DM
Key Question
Answer Key
Answer Key
Key Question
Answer Key
Cross- sectional study
that will identify the
following except
relative heating food
plastic
Research design should
nurse bella use
prospective chart
Diabetes mellitus, nurse
should first
assess child development
level
Who will comprise the
control group
do not have breast cancer
Prevent hypoglycemia
during practice
orange juice/grahams
After 10 years ,two sets
sample
Insertion administration
effective teaching
2-3 weeks before charging
pt.
those who eat food
warmer and who do not
eat
When positive for ketones
colon free liquids
The conclusion of
the..will reflect which of
the ff
rejection of null
hypothesis
Diabetic ketones,what to
prepare
normal saline
Most important element
that nurse Antonia should
instructional design
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Key Question
Answer Key
Most important
demonstration that
should be conducted in
workshop
hand hygiene
Injection in the
operating room and
delivery room
Key Question
Answer Key
Sign of postpartal blues,
best response
normal reaction
sterile gloves without
powder
Urinated 4x, initial action
palpate to assess uterine
consistency
Training on suturing
order
obstetrician
Sign of post prenatal
infection
foul smelly lochia
Most recommended
suture to be used
absorbable,strengthen site,
length
BF mother resume
demonstration
4-6 months
Breast engorgement,
management to continue
breast feed
let her continue bf on
demand
Key Question
PIH- pre eclampsia
Answer Key
What is the GTPAL for her
G2 T1 P0 A0 L1
Expected change on 1st
trimester the nurse should
recognize
increase blood volume
Function of
placenta,teaching plan
Key Question
Answer Key
Sign of mild pre
eclampsia
hypertension edema
proteinuria
Headache/blurred vision
4.5
Worsening sign of preeclampsia
nov.14
Most important care for
severe pre-eclampsia
seizure precaution
Naegels Rule, which is the
correct
The chronological order of
growth fetus
ovum,zygote, morula
blastocyst embryo fetus
Pre-eclampsia to
eclampsia first action
clear and maintain open
airways
Magnesium sulfate
therapy is effective
seizure does not occur
Key Question
Answer Key
Definitive signs that labor
is about to begin
initiation of contraction
true labor contraction
Most accurately described
by
lower back, radiates to
abdomen
75%,7cm,0 what is the
correct interpretation
Key Question
Answer Key
Best time to achieve
pregnancy
14 days before
Ovulation occurs, which
condition
LH
fetal engaged presenting
24 to 36
Above data mean the
cervix is
1/4 of its length
Ovum viable for how many
hours
BBT,shown in the ff
Membranes of pt are
ruptured when
active phase,peak of
contraction
drops slightly and
increases again
Chief function of
progesterone
Prepares uterus to
receive fertilized ovum
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Key Question
Answer Key
Rate of growth during the
period
decline in growth rate
Growth and development
event
rate and pattern can be
modified
Types of play in 6 years old
make believe
Normal age indicate for 6
yrs
ability to try new things
Moral naïve for 6 years old
naïve instrument on
irritation
Key Question
Answer Key
Goal of temperature
97.7
Preterm for following
signs
hypoglycemia
Sign of preterm newborn
elbows brought post to
midline
Exception of hypothermia, placing crib inside
to prevent heat loss
When of the following not
indicated effect of cold
stress
First food they can eat
Rice cereals
Food that can give to
infants care the following
except
half cook egg, honey
Introducing supplement
feeding except
offer new food at the
same time ,each day 1
week
Key Question
Answer Key
Ethical principle of
autonomy
Patient failed to sign a
content
Emergency
Real abunition of the
baby,what ethical
principle does she violate
veracity
Used of antibacterial
-autonomy
She has to do good to all
patient
beneficence
SITUATION:15 3 MONTHS PREGNANT
Key Question
Answer Key
Sexually abused, which
action should be notify
doc. finding
Typical assessment findings
are observed to a victim of
sexual abused
uti
What should the nurse
action
4 months
ICP
Key Question
Key Question
Earliest age of solid foods
Answer Key
Answer Key
Who among the following
will accountable to patient
none,all
What applicable legal
doctrine will this
applicable
proximate negligence
Lack of necessary care and
diligence the nurse
conducted herself by
testifying
are being asked
Medical record should be
on
valid doc. Of the data
How many hours will a
woman who had normal
spontaneous vaginal
delivery is expected to
void
6-8 hours
offer new food,offer some
milk
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Pre eclampsia
Key Question
Answer Key
undergo treatment against
rabies?
from?
Balut Vendor
Further evidence,to
support pt. diagnosis
mild edema hand and face
Equine antirabies vaccine
is derived
Horse
Indicate mild preeclampsia
inability to working
Priority nursing diagnosis
fluid volume defect,
related to fluid shift from
intravascular
Death of livestock in
community, believing
there’s a Vampire (aswang)
killing their animals. What
is the nurse approach?
Encourage them to form
a task force that will
hunt the vampire and
submit animals to
veterinanrian
Most appropriate patient
centered goal
bed rest, layer body
tuned
Additional infection,about
her condition when she
says that breech can lead
the ff
hydrocephalic inf.
Key Question
STD
Key Question
Answer Key
Listen contraceptive which before I can help you, I
method best for her to used need to know more about
activity
Best apply of condom
Option (C,E )
Able to understand the
ideal time for conception
when the client states
ovum 24 hrs. after
ovulation
They enhance their fertility 1,2,4
select, should be done
It is a method of applicable
only to whom with regular
mens cycle between which
of the following days
SITUATION : A 15-years-old accompanied by her
mother presents with complaints of nausea and
vomiting for two weeks. After her mother leaves the
room, Pregnancy test comes back positive. The
school physician confirmed that she is pregnant. has
requested that you not convey to her mother that a
pregnancy test has been sent.
Answer Key
request that her mother
not be told what is the
ethical principle observed
Veracity
What advice should be
appropriate to the
patient?
She is a minor, she need
to tell the truth to her
parent
Based on the advice from
Values clarification
the nurse she then
realized the importance of
life and family. She is
doing
26-32days
What are the side
HYPERKALEMIA
effects of
aldactone?
Mang Raul a 42 years old balut vendor roaming around
the barangay to sell balut. He is about to enter one of
the houses in the community when he entered the gate
he was suddenly attacked and bitten by a dog.
Key Question
The part of the body
most commonly
affected by
rhabdovirus in dog bite
is?
Answer Key
Head
Set of guidelines
for all ages for all
times
10 commandments
prenatal visit
according to WHO?
8 visits
tax exempted govt.
practicing nurse?
c. Professional tax
Who is the prc
president
B. Teofilo pilando
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6 hours discarded
vaccine
BCG
H fever
management
except
No to fogging
How to detect GDM
a. Glucose challenge test
What is the cause
of GDM to the baby
A. Macrosomia
What can be safely
used by
breastfeeding
mother
A. POP
True about COC
It is a over the counter
medication
To ease back pain
of a pregnant
women , what is
the best position
_______
D. Dorsal Recumbent
How can a
Philhealth member
avail his philhealth
upon discharge.
Discount from the total
bill plus the doctors Pf.
Nursing Practice III – Care of Clients
with Physiologic and Psychosocial
Alterations (Part A) and
Nursing Practice IV – Care of Clients
with Physiologic and Psychosocial
Alterations (Part B)
Situation Triage nursing
Key Question
Answer Key
To relieve edema of Lateral recumbent
pregnancy position
to
highest priority for
treatment is the one with
sucking chest wound.
Quickening of
primigravida
woman is felt
during
C. 20
A 56-year-old patient
presents in triage with
left-sided chest pain,
diaphoresis, and dizziness.
Emergent
Examiner stroke
the sole of the feet
to check the reflex
of the newborn.
What will be the
normal observation
of the examiner.
A. Fanning of the toes and
extending of the big toe
Triage first priority
Client with FACIAL
laceration
Unconscious patient
First action
Assess vital sign
A. Surgeon
Marasmus. SATA
2. Muscle wasting 3.
Prominent rib cage
after surgery sponge left
in the patient body
Who is the liable,
Protein deficiency
B. Kwashiorkor
BSE, start.
Upper outer quadrant
Legitimate power by the
nurse
License after board exam
Contract as to
liable and standard
as to
a. Accountability
What is the first
step in home visit?
Greet the client and
introduce self
The annual
contribution for
Philhealth is
c. 2400.00
SITUATION: Middle East respiratory syndrome (MERS)
Key Question
Where MERS corona virus
did came from?
Answer Key
camel
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first case were reported
on
April 2012
patient suffering from
MERS cov must be placed
into a?
Respiratory isolation in
negative room pressure
high risk MERS cov
infection?
Patient with Cancer
SITUATION: HIV
Key Question
Answer Key
Which statement by the
nurse is correct when
discussing AIDS prevention
and transmission?
Sharing needles
dry kissing
casual contact
breastfeeding
anwer:1 and 4
HIV test should be
repeated
every 3 to 6 months
most number of HIV cases? NCR
SITUATION: Ebola
Key Question
Ebola sources can be the
following ;select all that
applies
Answer Key
all of these
1.chimpanzees
2.gorillas
3.fruit bats
4.monkeys
5.antelope
6.porcupines
Which animal is
considered a natural
Ebola virus host?
Fruit bat
What is the biggest risk
factor for infection with
Ebola?
Nursing a patient at home
recent and largest
West Africa
outbreak of EBOLA as yet
have been reported is
from
What is the current best
option for preventing
future outbreaks of
Ebola?
Rebuild scientific, medical
and nursing infrastructure
and train staff
Non pathogenic to human Reston virus
Viral strain of ebola
Most pathogenic and fatal Zairre virus
strain of ebola
Least HIV transmission
DERMIS of the SKIN
HIV major mode of
transmission
SEXUAL INTERCOURSE
Most risky behaviours
MSM anal sex
Cases per day by 2019
42 per day
Best antiretroviral
treatment for HIV
Using 3 drug combinations
HIV infection in the body
the confirmatory test is ?
Western blot
What race is at the
highest HIV risk
case?
Black MSM and Gay
Hispanics
treat HIV wasting
syndrome?
Megestrol Acetate
Low rate of patient
undergoing ART
Due to stigma
Key Question
Answer Key
Ph 7.36,PCO2 29, HCO3
20, SpO2 100
well oxygenated with
compensated rr acid
Emergency
department,priority
1.abdominal pain
2.normal
3.head injury
4.meningitis
4-3-2-1
sided chest
pain,diaphoretic, dizzy
emergent
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ED,priority action
stablish
unresponsiveness,call
code,chin –lift
Fractured pelvis,loss of
blood volume,what type
of shock
hypovolemic shock
SITUATION: ACUTE pancreatitis
Key Question
Answer Key
The client is admitted
to the medical
department with a
diagnosis of R/O acute
pancre- atitis. Which
laboratory value should
the nurse monitor to
confirm this diagnosis?
C. Serum amylase and
Which client problem
has priority for the
client diagnosed with
acute pancreatitis?
b. Alteration in comfort.
Diagnostic procedure for
pancreatitis
lipase.
Endoscopic Retrograde
Cholangiopancreatograp
hy
(ERCP)
Analgesic of choice for
pancreatitis
Meperidine /Demerol
Pain reliever in pacreatitis
with alleged effect to
cause spasm of the
sphincter of oddi
Morphine
RESEARCH- “Knowledge and practice of
prevention of needle prick injuries of Staff Nurses
in a certain private hospital in Metro Manila”
Based on the research title which of the following
will be the general objective?
Question
Answer key
Ethics in Nursing
Anonymity
Research has always
been an issue when it
comes to the identity
of the respondents.
When the topics of
research are very
sensitive, which of the
following rights of
individual participants
must be ensured when
the researcher cannot
link the information
given by the
respondent from the
source of the
information?
This study aims to
determine the level of
knowledge and practice
of prevention of needle
prick injuries of Staff
Nurses in a certain
private hospital.
All of these are
specific objectives
except:
This study is for nursing
researchers in the future
As a nurse, you know
the appropriate data
gathering tool, this is?
Questionnaire
As a nurse, these are
the following topics in
the scope and
limitations except:
Limited to the hospital
personnel of a private
hospital
Which of the following There is a significant
is not a null
relationship between the
hypothesis?
knowledge and
sociodemographic profile
of staff nurses
Key Question
Answer Key
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Adm isotonic IVF to a
hyprtonic client
(dehydrated: increased
BUN,hct
decreasd serum
osmolality,decreased BUN,
decreased Hct(reversal)
Key Question
Answer Key
70 y/o with nausea and
hyponatremia
weight same time/day
Monitor fluid balance
weight self daily
Normal osmolality
270-290 mOsm/kg
Type B, received (+) Rh
before
B (-), type O (-)
High sodium diet
American chesse and
ham
Transfusion related
infection are less bc
more sophisticated
screening tests
Hyponatremia and
hypervolemia nxl
restrict additional fluids
PRBC,hemolytic reaction
stop transfusion
Kayexalate adm
rectally
Key Question
Answer Key
Key Question
Answer Key
Assess electrolyte
imbalance contributory for
potassium
paralytic ileus
Calcium glocunate
antagonizes
reverses K effects on
heart conduction
I will tell my doctor if I
start having s/s of list
you gave me
Fast drip IV, trouble
breathing, moist cough, nxl
slow down infusion rate
Kidney dysfunction,severe
fluid restriction due
tokidneys can excrete
fluids,fluid restriction to
protect heart and lungs
Hypotonic adm, what to
assess
mentation and
orientation
Further teaching,
hypokalemia
3% saline solution
complication
neuro status, lung
sounds,serum sodium
levels( d/t cerebral
dehydration)
46 y/o,hypo K and postural the level of K is making
hypotension
her dizzy
3 days diarrhea
3.0 mEq/L
Key Question
Key Question
Highest risk for FVD
elderly, 76 y/o with NGT
to low suction
Not included for elderly
use thirst as guide
Hypovolemia
BP- indicator of fluids
balance
IV infant(10 mos,old), 200
ml bolus
infusion pump
GI bleeding irrigation till
clear,what to use
normal saline ( isotonic)
Answer Key
HyperK,further instruction
ican still use my salt
substitute (has K too)
Hypokalemia, ax findings:
3.3 mEq, irregular
PR,shallow RR
Hydrochlorthiazide,report to
MD
leg cramps, muscle
weakness
Spironolactone- hyperK, avoid
cantaloupe
Not warranted for patients
with hyponatremia
low sodium fluids
Answer Key
Key Question
Answer Key
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A client finished an hour
of strenuous exercise
increased osmolality
Severe dehydration
increased Na and CI
Sodium imbalance p/f
corticosteroid therapy
Same osmotic pressure
isotonic solution
Not warranted for
hyponatremia
restrict fluids to 1,200 ml/
day (will further dilute
sodium in the blood)
Key Question
Answer Key
Post-op 3.6meq K, max rate 10 mEq/L
of KCI
s/e lasix and r/s to K
III call MD if develop
dizziness
HT, spironolactone for
discharge
cut intake of additional K
HypoK
client with metabolic
alkalosis
Severe acidosis, IVT hyperK
NaHCO3,to make client
alkalotic=K influx
SITUATION: HYPERNATREMIA
Key Question
Answer Key
Hypernatremia lab
findings
150 mEq/L
Hypernatremia risk
cerebral edema
Sp. Gr. 1.030, sodium lab
findings
Insulin NPH
Key Question
Answer Key
Receiving NPH insulin the
nurse understands
nourishment counteract
insulin activity
155 mEq/L
Peaks effect occurs which
of the following
4 to 12 hours
Atlantic ocean drowning
p/f for
hypernatremia
food form concentrated
Restricted for
hyponatremia
water further dilute salt
in the blood
Type 1 about dietary
management. The nurse
should
DM at 6am Fasting Blood
glucose level of 180mg/dl,
priority
Prescribed dose of regular
insulin to be administered
After injection not true
Massage after injection
Key Question
Answer Key
Elderly 78 y/o,IV infusion,
client cough and asks head
of bed elevated
FVD is
worsening( hypotremia)
Low sodium diet
grilled chicken
Severe bleeding with
fractured femur,what to
administer
NSS
Patient with liver
cirrhosis,weak
pulse,delayed capillary
refill
FVD d/t 3rd space
shifting
Key Question
D5W infusing @ 75 ml/
change infusion to the
hr,ordered NSS, best action ordered solution
Answer Key
Hypernatremia lab
findings
150 mEq/L
Hypernatremia risk
cerebral edema
Sp. Gr. 1.030, sodium lab
findings
155 mEq/L
Atlantic ocean drowning
p/f for
hypernatremia
Restricted for
hyponatremia
water further dilute salt
in the blood
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SITUATION: OSTEOPOROSIS
Key Question
Answer Key
Which possible refer to
physician, should nurse
monitor
increase mobility
High risk developing
osteoporosis
prolonged immobility
What type of fracture is
client prone to
pathologic
Osteoporosis client
selection now
ice cream
Vitamin needed for edema
absorption
vit.d
Nursing diagnosis for child
with severe edema caused
nephrotic
risk impaired skin
integrity
Appropriate diet
sodium moderate protein
PKU
SITUATION: SEIZURE
Key Question
Side effect ,most prominent mooning of face
on cario which should be
prepared before
administration
Answer Key
Priority nursing diagnosis
for rabies
risk for aspiration
Lowest priority of child
with seizure disease
assess for ICP
Seizure control most
important are for nurse to
teach the fam.
maintain good oral
hygiene
Teaching parents about
child psychological need
wound indicate need for
additional teaching
cognitive delays
Which of the following will risk for infection
not be focus of teaching
for seizure disorder
Key Question
Answer Key
Among which of the
following is the ideal milk
formula for phenylketonuria
(PKU)
lofenalac
Among which of the
following foods should be
avoided by patient with
phenylketonuria (PKU)
fish steak
Collaborative care is at the
crux of caring for a child
with metabolic disorders.
When a child has
phenylketonuria, to who is
he most appropriate to be
referred?
Dietitian
A mother brings her 3-week- Negative
old infant to a clinic for a
phenylketonuria rescreening
blood test. The test
indicates a serum
phenylalanine level of 1 mg/
dL. The nurse interprets this
result as:
SITUATION: NEPROTIC SYNDROME
Key Question
Answer Key
Medical diagnosis of
neprotic
anasarca
Administration of
prednisone observe by the
nurse
all of the option
What condition is
associated with
respiratory acidosis?
Hypoventilation
arterial blood gases:
HCO3 38, pH 7.50, PaCO2
50. patient exhibit as a
compensatory
mechanism?
Hypoventilation
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metabolic acidosis due to
diabetic ketoacidosis.
expect to see in this
patient?
Kussmaul’s respirations
FRUITY ODORED BREATH
due to
KETONES
arterial blood gases:
metabolic acidosis
PaCO2 33, HCO3 15, pH 7.
23. Which condition
below is presenting?
results are: pH 7.34,
PaCO2 of 37, PaO2 of 79,
HCO3 of 19. The nurse
interprets that the client
is experiencing:
Metabolic acidosis
Furosemide use
metabolic alkalosis due to
hypochloremia and
hypokalemia.
pheochromocytoma?
Key Question
What is
pheochromocytoma?
Hypoglycemia
Key Question
Answer Key
priority action in case of give candy
hypoglycaemia
Risk factors for type 2
diabetes include all of
the following except:
Smoking
diabetes mellitus for
signs of hypoglycemia.
Which manifestations
are associated with this
complication?
Elevated pulse; shakiness;
cool, clammy skin
What is the most
common predisposition
of Diabetes Mellitus
Type 2?
obesity
least complication of
Diabetes Mellitus?
Thrombophlebitis
Answer Key
tumor in the adrenal
medulla affecting the
chromaffin cells, results
in an excess production
of catecholamines
symptom of
pheochromocytoma?
1,3,4,5,7 (Hypertension
Headache due
Hypermetabolism
Hyperglycemia
Hyperhidrosis)
urine test used to diagnose
pheochromocytoma
Vanillyl-mandelic acid
(VMA)
treatment of choice for
pheochromocytoma
phentolamine
pheochromocytoma. diet is
best for this patient
High calorie diet
adrenal medulla produce
Epinephrine
SITUATION: CVA
Key Question
Which of the following
Sliding the client to
techniques does the nurse
move up in bed.
avoid when changing a
client's position in bed if the
client has hemiparalysis?
CANCER
Key Question
Answer Key
breast cancer diagnose
with T2N3M1 ?
tumor more than 2.0 cm
but not more than 5.0 cm
in greatest dimension,
extensive to ipsilateral
internal mammary lymph
node with distant
metastasis to ipsilateral
supraclavicular lymph
nodes.
In which stage of breast
cancer, the disease
spreads to the other parts
of the body with distant
metastasis?
Stage IV
What is Modified radical
mastectomy?
Removal of all breast
tissue, nipple-areola
complex, skin and level I
and II axillary lymphnodes.
Answer Key
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Activity after surgery
Combing hair
Most common site of
breast tumor
Left upper outer quadrant
Position in breast selfexamination
Lying Supine
Start palpation
Upper outer quadrant
The most common and
leading cancer in year
2010 is
breast
What is the rank of
colorectal cancer among
men in year 2010?
3rd
What is the rank of
prostate cancer among
men in year 2010?
4th
hoarseness of voice
Assessment of bleeding
haemorrhage
Palpate back of the neck
Hypothyroidism
Key Question
Answer Key
hypothyroidism for discharge. 3, 4, 5, 6
Select all that apply.
3. Feeling cold
4. Loss of body hair
5. Persistent lethargy
6. Puffiness of the face
SITUATION: Hyperthyroidism
Key Question
After thyroidectomy,
which of the following is
the priority assessment to
observe laryngeal nerve
damage?
interventions in the plan of
care for a client with
hypothyroidism? Select all
that apply.
Answer Key
client with
hyperthyroidism. Which
interventions are
appropriate? Select all
that apply
a) instill isotonic eye
drops as necessary
b) provide several, small,
well-balanced meals
c) provide rest periods
f) weigh the client daily
a, b, c, and f
Which of the following
assessment findings
characterize thyroid
storm?
increased body
temperature, increased
pulse, and increased
blood pressure
patient with
hyperthyroidism is taking
propylthiouracil (PTU).
The nurse will monitor the
patient for:
fever and sore throat.
A patient first trimester of
pregnancy with
hyperthyroidism. Which
medication
Propylthiouracil (PTU)
A patient is 6 hours postopt from a thyroidectomy.
position best
Semi-Fowler’s
1,2,4,5
1. Provide a warm
environment for the
client.
2. Instruct the client to
consume a low-fat
diet.
4. Encourage the client
to consume a wellbalanced diet.
5. Instruct the client
that thyroid
replacement therapy
will be needed.
drug of choice for the
levothyroxine
treatment of hypothyroidism?
NOT Sign of hypothyroidism
diarrhea
Sign of hypothyroidism
Weight gain
patient was recently
Myxedema Coma
discharged home for
treatment of
hypothyroidism ,patient is readmitted with signs and
symptoms of the following:
heart rate 42, blood pressure
70/56, blood glucose 55, and
body temperature of 96.8 ‘F.
family reports the patient
has not been taking Synthroid
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Key Question
Answer Key
GERD is also known as
Chalasia
nurse explains to the pt
with GERD that this
disorder:
often involves relaxation of
the LES, allowing stomach
contents to back up into
the esophagus.
A patient with Cushing
syndrome might present
with any of the following
EXCEPT:
hyperpigmented skin
A patient is admitted to
the hospital with a
diagnosis of Cushing
syndrome. nurse would
expect to find
HTN, peripheral edema,
and petechiae
most appropriate for a
client with Addison’s
disease?
Risk for infection
client who was admitted to
the hospital with a
diagnosis of diabetes
insipidus. manifestations
are associated with this
disorder? Select all that
apply.
The client with a major
burn injury receives total
parenteral nutrition (TPN).
The expected outcome is
to:
ensure adequate caloric
and protein intake.
A client taking Dilantin for
grand mal seizures is
preparing for discharge.
included in the client’s
discharge care plan?
The client will need a
regularly scheduled CBC.
What is the generic name
of dilantin
phenytoin
During the seizure the
nurse priority should be:
Protect the client’s head
from injury by placing
pillows
Key Question
Key Question
When caring for a male
client with diabetes
insipidus, nurse Juliet
expects to administer:
client with diabetes
insipidus plan of care?
Select all that apply.
Answer Key
vasopressin
1-2-4-5
1. Excessive micturation
2. Excessive thirst
4. Complaints of
excessive thirst
5. Specific gravity lower
than 1.005
A client has suffered an
extensive brain injury and
can’t make his own
treatment choices. h
written document is
recognized by state law
and provides direction for
provision of care
Answer Key
Advance directive
Encourage fluids.
Monitor intake and
output.
Take a daily weight.
1-5-6
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Which statements are true II, III & IV
regarding advance
directives? Select all that
apply,
II. advance directives are
legally binding documents
III. advance directives
should be placed in the
client's medical record
IV. advance directives
specify a client's wishes for
health care treatment
should the client become
incapacitated
A client is admitted to
45%
the hospital after
sustaining burns to the
chest, abdomen, right
arm,and right leg. The
shaded areas in the
illustration indicate the
burned areas on the
client’s body. Using the
‘’rule of nines ‘’ the
nurse would determine
that about what
percentage of the clients
body surface has been
burned?
A newborn has the score
on the Silverman-Anderson
index of ten (10). What is
this score indicating about
the respiratory status of
the newborn?
Severe respiratory
distress
A priority nursing
diagnosis for a client
with burns during the
emergent period would
be;
Risk for infection
Hyperkalemia
emergency, when someone
is unconscious, the
physician signs the
consent in behalf of the
patient ability to give
consent and administer
emergency treatment.
Paternalism
During the Emergent
phase of burns fluid
shifting will result to?
In a burn victim suffering oral
3rd degree burn the
route for drug
administration is
A person who can
mark an “X” on the
understand and
consent signature to
comprehend spoken
signify consent.
English , but is physically
unable to talk or write. If
the subject verbally agrees
to consent the patient
should:
exemption to the general
rule it means
Certificate of Registration
of a professional nurse is
issued and can be
suspended or revoked by
the:
Epikia
Philippine Regulatory
Board of Nursing
In a 3rd degree burn the
affected area is
fatty tissues
Among which of the
following is not to be
performed by third
degree burn
Stretching
part of fluid
resuscitation following a
burn injury?
Lactated Ringer's
anterior surface of the
body including the upper
extremities and head
45%
least to be expected in
burn patient
hypocalcemia
smoke upon passing the
ward and finds a smoke
action?
Remove patients that are in
the most immediate danger
BURNS
Key Question
Answer Key
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RACEE includes
R: rescue everyone in
danger; get all clients and
visitors out of danger by
following the fire plan set
up and established by the
facility you work in.
A: pull the fire alarm
C: contain the fire in the
smallest possible area by
closing all windows and
doors. This prevents the fire
from spreading to other
areas of the health care
facility.
E: extinguishing the fire
when it is small enough to
do so safely.
Evacuate
ANAPHYLAXIS
Key Question
child was stung by an
insect
Answer Key
Anaphylaxis
after a bee sting. most
urgent nursing action?
Maintain a patent airway.
anaphylaxis will usually
occur within what time
period following exposure
2 to 4 minutes to 2 hours
drug to treat anaphylaxis?
epinephrine
Site of injection of drug
Thigh
endorsement to PACU
Anesthesiologist and
surgeon (2nd option:
Anesthesiologist and
Circulating nurse)
Left os /gauze inside
body
Surgeon
Key Question
liver function test have a
normal values of 0-1 g/dl
Billirubin
breast self-examination.
purpose of performing the
examination is to
discover:
changes from previous
self-examinations.
Glasgow Coma Scale score
of 3?
deep coma
The usual stimulant for
respiratory center?
Carbon Dioxide
How should the nurse
prepare an injection for a
patient who takes both
regular and NPH insulin?
Draw up the regular
insulin, then the NPH
insulin, in the same
syringe
Key Question
Answer Key
Time travel is _____
ability to travel backward
in time to re-experience
past events and forward
in time to pre-experience
future events
What can AB + blood type
patient can receive?
Anyone
OPERATING ROOM
Key Question
Answer Key
for the patient safety in
Operating room
Anaesthesiologist
labels the specimen
Circulating nurse
surgical team uses
nursing process
Circulating nurse
Answer Key
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Nephrotic syndrome is a
disorder of the kidneys
that results from increased
permeability of the
glomerular filtration
barrier. In nephrotic
syndrome the patient may
have
Generalized edema
nurse check first?
Which of the following
have least amount of
Potassium?
Apple
The type of psoriasis that
Guttate psoriasis
often starts in childhood or
young adulthood and is
characterized by small, red,
individual spots on the
trunk and limbs is called?
Decreases hospital stay
for two days
People concerned about the Inverse psoriasis
spread of the disease. A
type of psoriasis can be
more troublesome in
overweight people is called?
routine use of nasogastric
tubes after appendectomy
is to
It is a normal breath sound
that can be heard all over
the base of the lung field?
Key Question
Tension pneumothorax
with slight tracheal
deviation to the right
Vesicular
Answer Key
Highest source of
potassium?
lima beans
purpose of purse lip
breathing is to:
prevent bronchial collapse
condom catheter to a
client with urinary
incontinence.
Roll the condom into the
glans penis and tape it
spiral into the penile shaft
How often should condom
catheter be changed?
If someone is bitten by a
snake, what first aid can
you give?
Key Question
Answer Key
doctor prescribed a drug
for the patient, pharmacist
prepared the drug and the
nurse administers it to the
patient. incident of IV drug
overdose occurred. Who is
liable for the situation.?
Nurse
Everyday
Disposal of Medical Records
is
10 years
Call for help immediately
or get the person to an
emergency room as
quickly as possible
Chest drainage of patient
has continuous bubbling in
the water seal drainage.
An air leak
While changing the tapes
on a tracheostomy tube,
the client coughs and the
tube is dislodged. Which is
the initial nursing action?
Grasp the retention
sutures to spread the
opening.
While helping a patient
with a chest tube
reposition in the bed, the
chest tube becomes
dislodged. What is your
immediate nursing
intervention?
Place a sterile dressing
over the site and tape it
on three sides and notify
the physician.
Key Question
Answer Key
When positioning the
neonate with an unrepaired
myelomeningocele, which
of the following positions
would be most appropriate?
prone with hips in
abduction
right orchiectomy.
immediate postoperative
period the nursing priority?
Manage postoperative
pain
chest indrawing?
lower chest goes in when
the child breaths in
Key Question
Answer Key
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Nurse delegates the
morning care to the
nursing aide. Who is the
most accountable in that
care?
The nurse who delegates
the care
Which of the following
occurences requires an
immediate response for
help?
emergency
Nurses who use restraint
improperly can be charged
with:
Assault and battery
highest priority for
treatment is the one with
sucking chest wound.
A 56-year-old patient
presents in triage with
left-sided chest pain,
diaphoresis, and dizziness.
Emergent
Key Question
IBS- irritable bowel syndrome and disease
Key Question
The client with IBS asks
Nurse June what causes
the disease. responses by
Nurse June would be most
appropriate?
Answer Key
“The cause of this
condition is unknown”
What is the most
commonly affected site in
ulcerative colitis?
Rectum and sigmoid
The drug of choice for the
treatment of recurrent
Irritable Bowed Disease?
Sulfasalazine
A patient is admitted with
diverticulitis. The pain in
diverticulitis is commonly
felt at?
Left lower quadrant
What are the clinical
features of ulcerative
colitis?
Diarrhea with passage of
blood and mucus
Tenesmus and crampy
abdominal pain
IBS can cause
What is the most common- Colonoscopy
primary screening test for
colon cancer?
1 and 2
Answer Key
To prevent leakage of fluid in
the thoracic cavity, how will
you position the client after
thoracentesis?
Turn on the affected
side
What is the action of
Interleukin-2 (IL-2) in cancer
treatment?
used as a biological
response modifier to
boost the immune
system in cancer
therapy.
A client with pancreatitis has
requested pain medication.
Which pain medication is
indicated for the client with
pancreatitis
Demerol (meperidine)
Among which analgesic of
choice is allegedly
can cause spasm of pancreati
c ducts and
the Sphincter of oddi in
patient with pancreatitis?
Morphine
Which of the following is the
antidote of opiates toxicity?
Naloxone
Key Question
A client receives CPR in the
emergency room but it is
unsuccessful. The wife of the
client indicates that the
client is an organ donor and
that they want to donate the
client's eyes. Which should
the nurse implement first to
promote organ
transplantation?
Answer Key
Cover eyes with wet
saline gauze pads and
small ice packs
Colon cancer
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The nurse checks for
The contents aspirated
placement of a nasogastric
from the NG tube have
(NG) tube prior to initiating a a pH of 3.
tube feeding for a client.
Which of the following results
indicates to the nurse that
the tube feeding can begin?
Pancytopenia occurs when a
person has a decrease in
red blood cells, white
blood cells and
platelets
What is the ethical principle
demonstrated by the nurse
upon telling to the HR about
her impending application
going to Australia?
Veracity and Fidelity
Not early sign of acoustic
neuroma
Hearing loss
Key Question
Answer Key
Which of the following skin Bull's eye rash
lesions is associated with
Lyme's disease?
Key Question
Answer Key
For tunneled epidural
catheter insertion, the nurse
must position the patient to?
prone
When the catheter was
accidentally dislodged, the
nurse can wash the catheter
using?
normal saline
Among which of the
following is correctly colorcoded by the Emergency
nurse during triage?
Green-closed fracture,
sprain and abrasions
correct understanding of the
difference and similarities
between a disaster and
an emergency?
Disaster is community
wide and Emergency is
personal
A 40 year old, had Bilroth II
(gastrojejunostomy) for
intractable peptic ulcer
disease. The nurse is
instructing him concerning
the potential complication
of__?
dumping syndrome
Blood type risk for PID
Type O
When assessing the urinary Cherry-red urine that
output of a client who has gradually becomes clearer
had extracorporeal
lithotripsy, the nurse can
expect to find:
The diagnostic work-up of
a client hospitalized with
complaints of progressive
weakness and fatigue
confirms a diagnosis of
myasthenia gravis. The
medication used to treat
myasthenia gravis is:
Prostigmine (neostigmine)
The physician has ordered
aspirin therapy for a client
with severe rheumatoid
arthritis. A sign of acute
aspirin toxicity is:
Anorexia
A client has an order for
Dilantin (phenytoin) .2g
orally twice a day. The
medication is available in
100mg capsules. For the
morning medication, the
nurse should administer:
2 capsules
Key Question
Answer Key
What is Actual nursing
diagnosis for cardiogenic
shock
Impaired urinary
implement
The type of leadership with
strict supervision and
appropriate in cases of
emergency situation is
Autocratic
Julius stresses the
importance of promoting
‘ESPIRIT D CORPS’ among
the members of the unit.
Which of the following
remarks of the staff
indicates that they
understand what he
pointed out?
‘’Let’s work together in
harmony; we need to be
supportive of one
another’’
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Stephanie considers shifting Uses visioning as the
to transformational
essence of leadership.
leadership. Which of the
following statements best
describes this type of
leadership?
A patient is diagnosed with What are you thinking
stage 4 cervical cancer. The about the result?
doctor tells the nurse not
to inform the patient about
the diagnosis and promise
the doctor she will not tell
it to anyone. patient asks
the nurse if what the
findings of the laboratory
test are.Which will be the
best response of the nurse?
nurse did not tell the truth
to patient about the
patient’s condition what
ethical principle did the
nurse violated?
Justice and VERACITY
Panhysterectomy is the
removal of the__________
Cervix,uterus
Kathleen knows that one
Let the staff ventilate her
of her staff is experiencing feelings and ask how she
burnout. Which of the
can be of help.
following is the best thing
for her to do?
She knows that
performance appraisal
consists of all the
following activities
EXCEPT:
Focusing activity on the
correction of identified
behavior.
Which of the following
statements is NOT true
about performance
appraisal
Patients are the best
source of information
regarding personnel
appraisal.
A nurse on the quality
improvement committee
understands that the step
of quality improvement
which analyzes current
protocols of care and their
associated outcomes
includes all except:
Can be used to discover
areas for improvement
and to analyze areas of
excellence.
Key Question
Situation: Conflict
Key Question
Answer Key
Katherine feels
uncomfortable believing
that she is the scapegoat
of everything that goes
wrong in her department.
Which of the following is
the best action that she
must take?
Identify the source of the
conflict and understand
the points of friction
As a young manager. she
knows that conflict occurs
in any organization. Which
of the following
statements regarding
conflict is not true?
Is not beneficial; hence it
should be prevented at all
times
Kathlene tells one of the
stafollowing “I don’t have
time to discuss the matter
with you now. See me in
my office later” when the
latter asks if they can talk
about an issue. Which of
the following conflict
resolution strategies did
she use?
Avoidance
Answer Key
Among which of the following Chest X-ray
is not a sophisticated
technology?
Mech vent is unavailable in
ICU where to get the
equipment
Anesthesiologist
department
Water interruption call the
Head nurse
For a client with a menstrual
cycle of
33 days, ovulation usually
occurs on day
19
A client diagnosed with BP of
150/100 is classified as
Hypertension Stage 2
Key Question
Answer Key
What exercise is ideal and
most appropriate for
scoliosis?
Swimming
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A 13-year-old has been
23 hours per day
diagnosed with structural
scoliosis and is fitted with a
Milwaukee brace. How long
should she wear the brace?
The nurse identifies the
mechanism of action of
orlistat is as to the?
adipocytes
inch needle should be used
for a morbidly obese
patient.?
1"
What is the disadvantage of
computerized
documentation of nursing
process ?
concern for privacy
Key Question
Answer Key
The nurse is planning the
care of a hemiplegic
client to prevent joint
deformities of the arm
and hand, which of the
following positions are
appropriate?
1,2,4
1=Placing the pillow in the
axilla so the arm is away
from the body.
2=Inserting the pilloe
under the slightly flexed
arm,so the hand is higher
than the elbow
4=Positioning a hand cone
in the hand so the fingers
are barely flexed.
Why antibiotics are not
When mastoiditis develops,
considered the mainstay
it becomes difficult for
treatment for mastoiditis? antibiotics to penetrate
the air cells.
What is the mainstay
Mastoidectomy with
treatment for mastoiditis? tympanoplasty
What is the most
detrimental complication
of mastoiditis?
Encephalitis
Which is true regarding
the management of
clients with meningitis
The patient should be
placed on reverse isolation
Situation: Eye examination should be done, frequently
beginning the age of 40, if the client has history of
glaucoma. The following question pertains to nursing
ophthalmology and visual acuity.
Key Question
Answer Key
The ophthalmologists would The cornea is avascular
treat keratitis with steroid system.
and antibiotic eye drops
rather than using
How does corneal scarring
develop post keratitis?
It is related to the
deposition of collagen
tissues during the healing
process.
A client with mature
cataracts suddenly
experience of loss of
peripheral vision while
seeing halos around light
likely experiencing;
Macular degeneration
Situation: A 28 years old male client was admitted in
the ER department after experiencing intermittent
episodes of diplopia, systemic muscle weakness and
shortness of breath. The doctor made an impression
of Myasthenia Gravis versus Guillain Barre Syndrome
versus Amyotrophic Lateral Sclerosis versus Multiple
Sclerosis.
Key Question
Answer Key
The nurse suspect
occurrence of the diseases
mentioned with which of
the client following
history?
A client with history of
frequent flu infection.
Which of the following is
not manifestation of
Amyotropic Lateral
Sclerosis?
Paresthesia
The client was diagnosed
Spontaneous intermittent
with myasthenia gravis
mandatory ventilation
after Tensillon’s test was
performed. Two days after
admission, the client
seteriorated and was
placed in mechanical
ventilation. What
ventilation delivers extra
tidal volume when the
client respiratory rate falls
below normal?
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When the patient in
ventilation is placed on
Positive Expiratory
Pressure, the priority
intervention is to:
Monitor the blood
pressure
Trajectomy of disease
Key Question
Answer Key
What stage in the model
depicts a patient with
rheumatoid arthritis who is
currently asymptomatic and
presents only prodromal/
non specific signs and
symptoms of the disease?
Trajectory
The patient woke up with
bilateral redness,swelling,
tendered and stiffness of the
interphalangeal joints. The
patient is in what phase of
the model?
Acute phase
The patient suddenly
developed pericardial
tamponade and was rushed
to the hospital for
pericardiocentesis. The
patient is in what phase of
the model?
Trajectory
The patient went in to coma
because of the cardiac
tamponade complication of
rheumatoid arthritis. At this
moment, the patient in what
stage of the trajectory
model?
Downward phase
Key Question
Answer Key
Lung cancer true risk
factor
Smoking
Anti inflammatory aroma
therapy
Ginger
Aroma therapy for cough
and colds
Eucalyptus
Overdosage of
acetaminophen
Acetylcystein
Warfarin toxicity
Vit K
Key Question
Answer Key
Crisis is an acute, timelasting 4-6 weeks
limited event that a client
experiences an emotional
response that can't be
managed with normal coping
mechanisms
. displacement
characteristics of crisis
communication technique
taking out our
frustrations, feelings,
and impulses on people
or objects that are less
threatening
The nurse provides rapid
assistance for individuals or
groups. the initial task for
the nurse it to provide a
sense of safety by assessing
clients potential suicide or
homicide
Crisis intervention
What level of prevention is
crisis intervention
Tertiary level
trial-and-error methods of
resolution fail, and the
clients anxiety escalates to
severe or panic levels,
leading to flight or
withdrawal behaviors
Crisis phase 3
client experiences
overwhelming anxiety that
can lead to anguish and
apprehension, feeling of
powerlessness and being
overwhelmed, dissociative
symptoms
(depersonalization,
detachment from reality),
depression, confusion, and/
or violence against others or
self
Crisis phase 4
Key Question
Answer Key
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Keep right signs in the
hospital
- to smooth the traffic and
prevent accidents
what is the proper patient
position in caloric testing
supine, facing up (30
degree angle)
What is caloric testing?
assessment evaluating the
function of the lateral
semicircular canal.
Primary form of hearing
loss in otosclerosis is
Conductive hearing loss
Conductive hearing loss
affects
Middle ear
Key Question
Myringotomy is
Patient is preoperative
position for detached
retina
Answer Key
-Surgical incision into the
eardrum (to relieve
pressure or release pus
from the middle ear
Supine
The nurse's first action for
a patient who presents to
the Emergency
Department with
manifestations of corneal
perforation is to
Place the patient in a
supine position.
nursing diagnoses is the
priority diagnosis for a
patient with Ménière's
disease?
Risk for Trauma
A preschool-age child is
Equalize pressures
undergoing bilateral
between the middle ear
myringotomy with tubes
and the environment.
for the treatment of
recurrent otitis media. The
mother asks the nurse
what the tubes will do.
The nurse's best response
is that the tubes will
Key Question
When the patient who has
Avoid sleeping on the
undergone cataract
operative side
extraction is preparing to go
home, the nurse reinforces
which of the following
instructions?
The nurse is caring for a
patient who has a hearing
deficit. Which of the
following techniques should
be implemented by the
nurse to improve
communication? (Select all
that apply.)
2 and 4
Use a low voice pitch
with normal loudness.
Use short sentences.
23 year old man is admitted
to the ambulatory surgery
unit to undergo removal of
a cholesteatoma from the
middle ear. Which of the
following post surgery
nursing interventions takes
priority?
Treatment of nausea
The client is admitted to
the acute care unit for
surgery. A labyrinthectomy
will be performed on the
client's left ear. Which of
the following postprocedure nursing
interventions must take
priority:
From the following list of
signs and symptoms,
identify those which are
associated with angle
closure (also called narrowangle or closed-angle)
glaucoma. (Select all that
apply.)
Question KEYS
As circulating
nurse,which of the
following is your
priority, action to
promote safety of your
patient?
standing on the client's
unaffected side to speak
to the client.
2 and 4 nausea and
vomiting seeing halos
around lights
ANSWER KEYS
D- Maintain surgical aseptic
technique during the
procedure.
Answer Key
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Being the nurse in the
Post- Anesthesia care
unit, which of the
following is your
PRIORITY concern after
surgery?
Monitor vital signs
SITUATION: the
Write letter of resignation to
following situations are your employer 30 days before
related to ethical
leaving.
practices in the work
place.
Len, registered nurse,
has signed a contract
for two years in a
medical center. A
recruitment agency has
offered her a ‘’fat’’
salary for foreign
employment. If you are
in the position of Len,
what should you do?
Riza is a BSN graduate
but did not take the
National Licensure
axams. She is in dire
need of money so she
applied and was
accepted in a health
facility. As a nurse she
submitted a fake PRC
license in order to be
given the job. Riza is
liable to be charged
of____.
Misrepresentation
Ms. Paras an R.N was
D-Code of Ethics for
invited as a resource
Registered Nurse
person in a nursing
conference. The
curriculum vitae she
submitted to the PRC
continuing Professional
Development Council
reflects the word
Masters of Arts in
Nursing (MAN) after her
name. She only
completed academic
requirements but not
her thesis writing.
Which of the following
did Ms. Paras violate?
It is a hospital policy
for nurses in a health
facility that required
time is 15 minutes
before the official
designated time. Nurse
reported 30 minutes
late and requested her
co-staff to sign in, this
is an example of
_____________.
Dishonesty
The nurse is instructing
the client to perform a
TSE. The nurse tells
the client
B. That the best time for TSE
is after a warm shower
Which of the following
statements by a 25
year old woman
indicates that she
understands BSE?
C. I will do complete BSE on
both breasts 7 to 10 days
after menses
A nurse is instructing a
patient about a
mammogram. Which of
the following
instructions should the
nurse include during
patient teaching?
B. Do not use deodorant in
the underarm area before the
test
A client undergoes a
biopsy of a suspected
lesion. The biopsy
classifies the lesion
according to the TNM
staging system as
follows: Tis, N0, M0.
What does this
classification mean?
B. Carcinoma in situ, no
abnormal regional lymph
nodes, and no evidence of
distant metastasis
-Carcinoma in situ [Tis], no
abnormal regional lymph
nodes [N0], and no evidence
of distant metastasis [M0]
Which statement by
the client indicates to
the nurse that the
patient understands
precautions necessary
during sealed radiation
therapy for cancer of
the cervix?
B. "My 7 year old twins should
not come to visit me while
I'm receiving treatment"
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The nurse is preparing
a plan of care for a
client who will be
hospitalized for
insertion of an internal
cervical radiation
implant. Which nursing
intervention the nurse
implements in
preparation for the
arrival of the client?
A. Prepare private room at
the end of the hallway
An adult is scheduled
for a radioactive
implant for treatment
of cervical cancer. The
nurse has instructed
the client about care
following the
procedure. The nurse
determines that the
client has understood
the instructions when
she says,
C. "I will have an indwelling
catheter while the implant is
in place"
A client is in isolation
after receiving an
internal radioactive
implant to treat
cancer. 2 hours later,
the nurse discovers the
implant in the bed
linens. What should the
nurse do first?
B. Pick up the implant with
long handed forceps and
place it in a lead-lined
container
The nurse is giving
D. Report symptoms of
discharge planning to a dyspnea
cancer patient on
doxorubicin
(Adriamycin). What is
important to tell to the
client?
client with ovarian
cancer is being treated
with Vincristine
(Oncovin). A nurse
monitors the client,
knowing that which of
the following is a side
effect specific to this
medication?
B. Numbness
Right pneumonectomy
for lung cancer. Which
of the following
positions shouldn't be
used when
repositioning her
immediately following
the procedure?
B. Left side-lying position
The physician
schedules Mr. Pama for
a transurethral
resection of the
prostate (TURP) under
spinal anesthesia.
Before surgery, the
nurse should tell the
patient that:
A. He may receive continuous
bladder irrigation after the
procedure
Which finding is an
early indicator of
bladder cancer?
A. Painless hematuria
A nurse is conducting a B. A sedentary 65 year old
health screening for
female smoker
osteoporosis. The nurse
would interpret that
which of the following
clients is at greatest
risk of developing this
disorder?
Primary prevention of
osteoporosis, includes
which of the following
measures?
C. Maintain the optimal
calcium intake
The nurse knows that a D. Genetic predisposition
60-year old female
client's susceptibility to
osteoporosis is most
likely not related to:
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Alvin, a client with
B. Except 1, 2 and 3
lactose intolerance
requires dietary
teaching. Which of the
following foods should
the nurse advise him to
eat to ensure adequate
calcium intake?
1. Bananas and
avocados
2. Beef liver and
broccoli
3. Cheese and yogurt
4. Malunggay and
kangkong
For a client with
C. 1,3 and 4
osteoporosis, the nurse
shouldn't provide which
dietary instruction?
1. "Limit intake of liver
and beans."
2. "Eat more dairy
products to increase
your calcium intake."
3. "Decrease your
intake of popcorn,
nuts, and seeds."
4. "Avoid eating fresh
fruits and vegetables."
All of the following are
manifestations of
fractures EXCEPT:
D. Osteophytes
Nursing care specific
for an adult in Buck's
Traction would not
include:
A. Checking site of pins for
bleeding or infection
A 45-year old female
client with rheumatoid
arthritis tells the
nurse, "I know how
important it is to
exercise my joints so
that I won't lose
mobility. But they are
so stiff and painful that
exercising is difficult."
Which of the following
is the MOST
appropriate response
of the nurse?
C. "Take a warm tub bath or
shower before exercising.
This may help you with your
discomfort."
The following
statements are TRUE
concerning rheumatoid
arthritis EXCEPT:
B. It should be treated
initially by corticosteroid
Which type of
medication is most
commonly used to
treat RA?
B. NSAIDs
Ralph is studying for his
nursing boards when he
comes upon different
types of arthritis. At
the course it was
recommended to study
the differences
between osteoarthritis
and rheumatoid
arthritis. Which
statement, if made by
Ralph, demonstrates
that further teaching is
needed?
C. "The disease pattern of RA
is usually unilateral and in
single joint, whereas OA is
usually bilateral, symmetric,
and in multiple joints."
Rheumatoid arthritis is C. Occurrence of an
currently attributed to: autoimmune response
An infant with a
A. Skin integrity over the
dislocated hip is placed scapulae
in Bryant's Traction.
The nurse plans to
assess which if the
following while the
infant is in traction?
Which nursing
A. Checking site of pins for
intervention is
bleeding or infection
appropriate for a client
with skeletal traction?
A 69-year old client
C. "OA affects joints on both
asks the nurse what
sides of the body. RA is
the difference between usually unilateral."
OA and RA. Which
response is correct?
A client with possible
osteoarthritis is having
X-rays performed on
both knees. X-rays of
an ostoeoarthritic joint
reveal:
C. Osteophyte formation
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Which of the following
conditions or actions
can cause primary
osteoarthritis?
A. Overuse of joints, aging,
and obesity
Which of the following
symptoms wouldn't
occur in a client with a
detached retina?
C. Eye pain
The nurse is preparing
a client with SLE for
discharge. Which
instruction should the
nurse include in the
teaching plan?
C. Monitor body temperature
Signs and symptoms of
retinal detachment
include:
A. Painless decrease in vision,
veil over the visual field, and
flashing lights
A. "I sleep using two pillows."
In assessing a young
woman just diagnosed
with SLE, what
characteristic
observation is the
nurse most likely to
assess?
A. Butterfly rashes
Which if the following
statements, if made by
a patient who is
suspected of having
congestive heart
failure, would support
the diagnosis?
When a nurse
encounters a running
burning client, which
of the following
immediate nursing
actions is appropriate
to intervene in the
burn scene?
A. Advise the client to stop,
drop on the ground and roll
Which of the following A. It is characterized by
is true about glaucoma? irreversible blindness
A client with openangle glaucoma will
manifest the following
symptoms:
B. "I need to turn my head
each time I locate my things
on the side."
The nurse is assisting in A Protecting the client from
planning care for a
infection
client with a diagnosis
of immune deficiency.
The nurse would
incorporate which of
the following as a
priority in the plan of
care?
The nurse is assigned
Corticosteroid
to care for a client
admitted to the
hospital with a
diagnosis of systemic
lupus erythematosus
(SLE). The nurse
reviews the health care
provider's
prescriptions. Which of
the following
medications would the
nurse expect to be
prescribed?
The following drugs
C. Atropine SO4
may be administered to
the client with
glaucoma EXCEPT:
The nurse further
checks for which of the
following that is also
indicative of the
presence of SLE?
Jessie is diagnosed
with retinal
detachment. Which
intervention is the
most important for this
client?
client with systemic
"I should take hot baths
lupus erythematosus
because they are relaxing."
and tells the client
about methods to
manage fatigue. Which
statement by the client
indicates a need for
further instructions?
D. Preparing him for surgery
D-Butterfly rash on cheeks
and bridge of nose
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A nurse is providing
dietary instructions to
a client with systemic
lupus erythematosus.
Which of the following
dietary items would
the nurse instruct the
client to avoid?
Steak
Situation: nurse sinabi
sa bata na pt. kung
ayaw nia magpalit ng
damit siya mismo ang
gagawa.
process of grieving
DABDA - Denial-AngerBargaining-DepressionAcceptance
-assault
true definition of death irreversible loss or Cessation
of all functions of the brain
"current diagnosis" of
patient can be found in
Admission sheet
pt. first initial visit – to
assess use for quick
assessment
"coffee syndrome"
More than 3 cups a day
brain Tumor exam
MRI
Why people tends to
drink coffee
For well being
BRUIT sound in the abdomen
CAFFEINE WITHDRAWAL
symptoms
severe headache; fatigue or
drowsiness; dysphoric mood
including depression and
irritability;difficulty
concentrating;
Abdominal aortic
aneurism assessment
finding
Aorta is located in the
EPIGASTRIC region
Position of patient
after AAA surgery
Supine position (flat on bed)
Serosanguinous color is Pink tinged
Nurse performs nursing
care
Independent intervention
Interdependent actions
Collaborative intervention
Urine specimen
collection
Dependent intervention
Normal urine 12 hours,
except
200cc
50% chance of success
of operation
Major problem to
patient with
tracheostomy
bee sting after removal Give antihistamine drug
check allergic reaction.
Emergency drug (select Epinephrine
all that apply)
Best site of MgSO4
administration for
injection is
Buttocks
Bond paper
Make a living wil
important to buy for
requisition by the
supervisor in training
seminar
SINGING
cervical spine injury
priority
check vital signs
Cervical spine injury
that causes respiratory
distress
C4
Sign of cervical trauma
respiratory distress
T2 N1 Mx cell carinoma
1 tumor more than 2 cm,
spread to the lymph nodes.
metastasis can't be assessed.
readmission of pt
where to retrieve prev
rec.
Medical patient index
Priority for pt in
seizure
Place pillow for heads
Severe abd pain
morphine
A dialysis patient was B. Ineffective breathing
rushed to the Dialysis pattern
unit to do Emergency
Dialysis. Patient
noticed to have
Ascites, Bipedal
edema, BP of
180/100mmhg and
DOB. What is the
best nursing
diagnosis for this
patient?
What is
plasmapheresis?
KARDEX
Process of removal of
antibodies in the blood
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Basic equipment in
cardio unit
Ambu bag
Sign of buergers
intermittent claufication
Priority in reynauds
Cardio drug which must Dopamine
be always in
emergency cardio unit
avoid exposure to cold
environment
Reynauds
female
Spirinolactone causes
Hyperkalemia
Cause of pid
chlamydia
Prominent U waves in
ECG
Hypokalemia
Cause of hepa C
bloodborne
Tool for survey
questionnaires
Tented peak T waves in
ECG
Hyperkalemia
Sterile gloves withOUT
powder
Medication for breast
cancer - cytoxan
works by slowing or stopping
cell growth. By damging DNA
of cancer cell
Gloves in OR for long
period surgical
operation
Adverse effect of
aldactone
Hyperkalemia
call a multidisciplinary
meeting
Diet of liver Cirrhosis
high in calorieswith high
carbohydrate content and
moderate to low levels of fat.
dying patient wants to
commit suicide,nurse
put the patient to
suicidal prec. But the
other nurse opposed
since its a dying
patient
Welfare, safety of
patient
Phil nursing Act
Right person to
administer blood prod
Physician
doing good
Beneficence -
Blood trans. What to
check. Sata
Blood type,crossmatching,rh
incompalibility,exp.date,tapo
s lot no. -------all of these
no harm
Non-maleficence
Right Ventriculo shunt - Left side lying
position to
affected sa acoustic
neuropathy
inner ear /COCHLEA (if wala
inner ear)
First food to infant
rice receals
NOT early symptom
acoustic neuroma
hearing loss(kasi gradual sya)
Vaccine given at birth
hepatitis B
Not to be delegated
medicine administration
Fatty tissues
Safe to be delegated
taking height and weight
Affected in 3rd degree
burn?
Hospital to buy new
Equipment
Capital budget
Lax supervision
laizze fairre
Strict supervision
authocratic
In case of fire
evacuation
horizontal
Priority in burn victim
airway
Priority in anaphylaxis
airway
Priority in buergers
rest period when pain occurs
Burgers is common
among
Males
Prevention of buergers
Quit smoing
Compartment
distal part fracture
syndrome CHECK PULSE
radiation therapy lie on supine position
cervical cancer highest sex partner more than one
factor
patient d5w infusing
100ml/hr develops
pulmonary emboli.
What is the priority
Slow down the rate
Adrenal Medulla
pruduces
epinephrine.
Posses most of the
right to access patient
chart
patient herself
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DIC sign and symptoms
that will indicate DIC
HEMATURIA
Treatment of early DIC
HEPARIN IV
How to diagnose
No menses for 3 months
secondary amenorrhea?
Furosemide adverse
effect
hypokalemia
Writen defamation like
noting in chart that
colleague is
incompetent is
LIBEL
Early sign of resp.
distress
restless and irritable
Bee sting
remove sting by scraping
Bee sting
anaphylaxis
RA 10192
CPD LAW New CPD units
Sample of
biochemical
terrorism
Anthrax
The following are
signs and symptoms
of avian flue (SATA)
1. Fever
2. Body
weakness
3. Cough
4. Soar throat
5. Sore eyes
All of the above
What organization
as set by the
government should
coordinate to the
suppliers with
vaccine suppliers
on reasonable cost
of influenza
vaccine for human,
especially for those
working in live
poultry.
The incubation
period of SARS is:
b. DOH
5 to 7 days extended to 2
weeks
The earliest case of Guangdong China in 2002
SARS were detected
from:
Signs and symptoms Chills, malaise, myalgia
of Respiratory
and headache
Phase of SARS are
following EXCEPT:
First vaccine of
anthrax in 1881
Louis pasteur
All of the following
are three clinical
forms of anthrax
except
Peripheral form
Correct doses of
vaccines
3 dpt, 3Opv, 3hepa
1 bcg 1measles
Fahrenheit to
Celcius convert
100.8
38.2
Celcius to
Fahrenheit convert
38.5
101.3
Reflexology
Hands, feet, ears
top 2 cancer for
men 2010
Liver
rank of prostate
cancer
4th
rank of colorectal
cancer in men
3rd
true in lung cancer
smoking
#1 mortality in the
Philippines in 2014
Chronic heart Diseases
Caring patient in
radiotherapy SATA
distance 6 feet, 30 mins
per shift, lead apron with
dosimeter badge
Common disease of
Elite person
Heart diseases
Which is a
modifiable risk for
developing OA?
a. Being overweight
osteoarthritis.
Which sign/
symptom would the
nurse expect the
client to exhibit?
b. Joint stiffness
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part affected
osteoarthritis
finger joints
Which of the
following is the
most common area
affected by
rheumatoid
arthritis?
Metacarpophalangeal
joints
Which intervention
has the highest
priority when
caring for a client
diagnosed with RA?
use of warm compress
heat and water bath in
the morning to provide
pain relief
provides long term
immunity
active immunization
The acid–base
disturbances
generally observed
in Heart failure is?
A. Metabolic alkalosis and
respiratory alkalosis
where to get supply anesthesiologist
department
if u will perform
intubation the
patient was in the
icu
According to the
WHO ladder in
training cancer
pain, which
medication is
recommended for
cancer clients
suffering from
moderate pain?
Codeine
The nurse
committed a
serious medication
error and patient
died. Who is
responsible to
revoking the
nurse’s license and
certificate of
registration?
Professional Regulatory
Board in Nursing
While administering Ombudsman
a medication to a
psychiatric patient,
the nurse did
enticing and
seductive actions in
order to encourage
the client to take
his medications.
Someone can file
an administrative
case against the
nurse to the Board
of Nursing and the:
Where will the
nurse administer
enoxaparin
(klexane) or insulin
subcutaneously?
Outside the 2 inches
radius from the umbilicus
The family assigned
to a community
health nurse is very
satisfied with her
performance. They
invited the nurse to
be come a ninang
to their newborn.
How should the
nurse respond?
The nurse should politely
decline the offer to
maintain a professional
relationship.
The oldest sibling
of the family told
the nurse that she
is a lesbian. How
should the nurse
respond?
You just express to me
that you’re lesbian.
There are several
approaches and
tools used in ( QI).
Fishbone diagram is
one of which,
which of the
following
statements BEST
describes fishbone
diagram?
A holistic approach in
problem identification
Gantt chart is also
used in quality
improvement. It is
useful for
analyzing,
planning, and
scheduling complex
project, which of
the following is not
true about GANTT
chart? It
Provides a graphical
illustration of resources
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POMR means
Problem oriented medical
record
Telephone call
orders
Sign within 24 hours
FDAR means
Focus data action
response
PROGNATHISM
PDCA is
Plan Do check Act
INITIAL
MANIFESTATION of
ACROMEGALY
First sign of
cervical cancer.
Metrorrhagia
Triad of ADHD:
Inattention, Hyperactivity,
Impulsivity
Reducible hernia
Protruding mass
spontaneously retracts
into the abdomen.
Control the
progression of
glaucoma or IOP
Latanoprost eye solution
Atropine
Increases heart rate.
Oral Inhalation
Therapy
Breathes through the
mouth.
Viagra
Sildenafil
Mastoidectomy
After a corneal
transplant
Avoid lying on the
affected site , soapsuds
and sex
50% of cases of
MASTOIDITIS are
required to
Behavioral test
used to measure
hearing sensitivity
Pure-tone audiometry
Risk of cancer is
nearly doubled in
frequent users of
Acetaminophen.
Dopamine
Surge in euphoria and
increased energy/activity
LYME'S DISEASE
Deer ticks
Lyme disease
Bull's eye lesion
REVERSE TRIAGE
Military priority is high
survival rate patient
Most common cause Prolonged or improper use
of corneal
of contact lenses.
ulceration is
People who
50%
experience a
systemic allergic
reaction will have a
recurrent reaction
when re-stung.
If you see a small
bubble of air get
them out of the
line
-
Get sterile syringe
to aspirate air
through a port.
Flicking the tubing
with your finger.
Person with
Superego and needs
Antisocial
immediate gratification.
Personality Disorder
lacks
After a patient
undergoes a
femoral-popliteal
bypass graft
Closely monitor the
peripheral pulses distal to
the operative site and
circulation.
Parkinsonism
Treatment
Dopamine
Theophylline/
aminophylline
relieves
Wheezes
Side-effects of
theophylline
Diarrhea
Z-Track Injection
adult
22 to 25 gauge thick
standing position
Meningitis
DROPLET PRECAUTIONS
3 feet distance or
less
Droplet
The best position
for inguinal hernia
the client must be
in a
Best time for
handwahing
60 seconds
muscle weakness, U Hypokalemia
waves on ECG
Standard V/S
monitoring
Every 4 hours
Diverticulitis
LLQ pain
Diverticulitis Diet
avoid fruits and
vegetables high in fiber
and no seeds
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In otitis media, the
tympanic
membrane is
bright red
Otic drug
administration in
infant
pUll pinna down and back
drug of choice for
shock.
Dopamine
Hypoventilation
Respiratory acidosis
Hyperventilation
Respiratory alkalosis
Pulmonary
Embolism Position
to
Left side lying
How many nurse to
log roll patient
3 nurses
How to transfer to
chair to the side of the
and from a bed to a bed near the feet, on the
chair or wheelchair strong side if the person
has a weakened side; the
chair should be parallel to
the bed
Position for ICP?
Nursing Practice V – Care of Clients
with Physiologic and Psychosocial
Alterations (Part C)
Question Key
Answer key
myths surrounding
rape? (select all that
apply):
A-C-D-F-G
a. women are usually raped
by a stranger.
c. most rapes occur away
from home areas such as
alleys and behind buildings.
d. documented rape cases
include women from 8 to 70
years old.
f. rape is usually an
impulsive, spur-of-themoment
decision by the rapist.
g. unless the assailant is
armed, most women should
be able to get away and avoid
the rape
Narcolepsy is
characterized by,
except
Cessation of breathing for 10
seconds
Cataplexy is
Sudden involuntary loss of
muscle control
(SSRI's) is
Selective Serotonin Reuptake
Inhibitors
30-40 degree
A nurse is caring for B. Lorazepam
a client who is
experiencing status
epilepticus. Which
of the following
medications should
the nurse
anticipate
administering
immediately?
The nurse is aware
that the signs and
symptoms of
hypothyroidism
include:
d. Weight gain
Thrombolytic
answer
dissolve clot
What is the
positioned of the
patient for the first
8 hours post PTCA?
FLAT ON BED.
Digoxin effective
Positive Inotropic increases force of
contraction.
Negative Chronotropic decreases heart rate
(reduces conduction
through the AV node)
Champion rating scale
(SATA)
Patient tasted poison
in her food
1. Glasgow Coma
Scale
2. Systolic Blood
Pressure
3. Respiratory Rate
Gustatory hallucination
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change a patient’s
thought processes and
behaviors
Cognitive behavioral therapy
Disorientation occurs
first in
TIME
cognitive therapy.
a type of psychotherapy that
focuses treatment on the
modification of distorted
thinking and maladaptive
behaviors
appropriate therapy
for the management
of a child with ADHD
Turner’s syndrome
macular degeneration
behavioral therapy
Answer: (C) Amenorrhea,
web neck, low hair line,
short stature is a
symptom of Turner’s
syndrome, which appears
at puberty.
Loss of central vision.
depression, feelings
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
Dysthymic disorder.
evidence from a rape
victim
Preserve the clothing in
paper bag
meniere’s disease
Vertigo, tinnitus, and
hearing loss
most frequently
affected by acoustic
neuroma?
inner ear
surgical approaches for
removing an acoustic
neuroma; select all that
apply
retrosigmoid
translabyrinthine
approach
middle cranial fossa
approach (Facial nerve
repair)
Retention of peripheral macular degeneration
vision
diagnosis of detached
retina
a. A sense of a curtain
falling across the
field of vision
a retinal detachment
at the inner aspect of
the right eye
Left side lying
appropriate surgical
treatment for retinal
detachment
Scleral buckling
that bleeding has
Complaints of a burst of
occurred as a result of black spots or floaters
the retinal detachment
acute narrow-angle
glaucoma
Acetazolamide (Diamox)
preparation for
cataract surgery, what
drug is to be
administered
MYDRIATIC
cataract removal
indicates an
understanding of the
instructions
“I will wear my eye shield at
night and my glasses during
the day.”
right cataract removal
surgery
(walang left sa choices)
supine
otoscopic examination
mastoiditis.tympanic
membrane expect to
observe
red, dull, thick and
immobile
attacked by vertigo
Let the patient to keep eyes
open and stare straight
ahead when lying down
Crisis intervention
level of prevention
Tertiary level
administer to reduce
the symptoms of
alcohol withdrawal
Diazepam or ATIVAN
effective for
hallucinating clients is
to:
Practice saying “Go away”
or “Stop” when they hear
voices.
Patay na nanay nya ,
pero sinabi daw sa
kanyang patayin ang
dalawang anak nya
Auditory hallucination
Sabi ng nurse maam
palilalia
ang ganada mo ngayon
ah,
Patient : Ang ganda ko!
Ang ganda ko
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% percentage of
schizophrenia cases
1% only
special sense is the
last to go in a
comatose patient
hearing
vital sign usually
palpated below the
jaw
Carotid artery
appropriate room
lighting for a dying
patient
Well lit room
How many nurses is
needed to assist and
log roll patient in bed?
3
primary nursing
diagnosis
Risk for Suicide
Isolate the suicidal patient
Contract as to liable
and standard as to
Accountability
After passing exam
Take the oath of
professionals
Dementia
cognitive dysfunction and
loss of memory.
diagnosis of dementia
is based on
patient history and cognitive
assessment
Dementia unlike
delirium is
characterized by
Insidious onset
Confabulation
patient fabricates events or
experiences to fill in the gaps
in memory
Florence Nightingale
Situation: Zosima was rushed to the Emergency
Room when she was discovered to have taken over
dosage of sleeping pills.
Myths surround suicide
but which of the
following of these
should the nurse take
as reality?
Antidepressant medication
begins to raise mood
suicide precautions
except
Slovin’s formula find
345
out what sample of a
population of 2500
people you need to
take for a survey if you
have a margin of error
of 5% (0.05).
manipulating the
environment of the
patient to assist him in
his recovery is
theorized by
Zosima is on
antidepressant
treatment and was
placed on the " Suicide
Watch" list. The nurse
must be alert that
among depressed
patients, suicide is
likely to be committed
when;
Crisis intervention is
under
Tertiary level of prevention
Elavil must avoid
Aged cheese or any tyramine
rich foods
promote safety which
of the following items
will the nurse remove
from the bag?
Bottle of orange juice
measures the
electrical activity of
the brain
EEG
responsible for sense
of humor
endorphin.
first sign and
symptoms of alcohol
withdrawal
Palpitation
severely dehydrated
client told you that
there is a snake on the
floor pointing the
electric fan cord then
she shouted, " snake
. "Corazon, I’m Vilma Aunor
your Staff Nurse, this is an
electrical cord"
Support groups of
Alcohol abuse
AL ANON
Alcohol Withdrawal
treatment
ATIVAN
All suicide behavior should
be taken seriously. It is a cry
for help
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manipulates the group
with attention-seeking
behaviors, such as
sexual comments and
angry outbursts. The
nurse realizes that
these behaviors are
typical of:
Histrionic personality
disorder.
asking pt. to commit
suicide.
Remove all sharp in the room
nursing interv.to pt.
nausea
vomitting,lethargy,fati
gue
-eat cracker with small water
handicapped child,
how should a nurse
deal with the tantrums
Justice
burnout is?
a syndrome conceptualized as
resulting from chronic
workplace stress that has not
been successfully managed,
blood transfusion
against the wishes of
his family, who are all
Jehovah’s Witnesses
Autonomy
Not a description of
Glaucoma
decrease iop
fits a situation when
the followers are selfdirected, experts and
are matured
individuals with lax
supervision?
Laissez faire
Test for Brain
electrical activity
EEG
dead mom telling the
patient ti kill her 2
children is
auditory command
hallucination
cannabis sativa
Marijuana
cancer client who
reports moderate pain
Codeine
Therapy after patient
discharge
occupational therapy
nurse has made an
error in a narrative
documentation
Drawing one line through
the error, initialing and
dating, and then
documenting the correct
information
Difference between
delirium and dementia
Patient said She was
visited by her dead
mom last night
visual hallucination
Time travel is
Remembering the past and
envisioning the future
Binge-eating disorder
can be characterized
as:
C) eating to avoid feeling and
dealing with emotional pain.
Delirium is abrupt onset while
dementia is insidious D
In PIE methods
charting , P is ,
Except;
a.Admission
b.Problems
c.Discharge
d.Teaching
Depression sign.
ADHD
cannot perform ADL’s
Key Question
Answer Key
mania pt. appropriate -folding towel and linen
activity
What is the most effective Pharmacologic treatment
treatment for patients with
ADHD?
Food for mania pt.. -
Peanut butter sandwich and
milk
When is methylphenidate
( Ritalin) best given?
pt with mania (nang
aapi ng mga kasama)
nsg action
- drawing
When can parents of
During school vacation
children with ADHD request
for methylphenidate or
drug holiday?
After meals
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Situation: Personality disorders are very hard to
treat since one’s personality is difficult to modify.
Personality is totality of an individual which reflect
his/her bahaviours, emotions values etc.
Which of the following is a
characteristic of a client
with borderline personaliyy
disorder?
Goes to the mall every
time he/she experiences
stress to buy the
newest /phone model
What is the priority nursing Risk for injury
diagnosis that must be
considered in taking care
of clients with boarderline
personality disorder?
A client was admitted to
Anti- social personality
the mental health facility
disorder
after several incidents of
stealing goods from the
vendors in their community
market. The client would
also offer sexual pleasures
to the tricycle drivers in
their place in exchange for
money. During the mental
assessment, the client
appears apathetic about
the situation and refused
to answer questions. The
client is exhibiting what
type of personality
disorder?
When clients with
personality disorders are
required to sign an
informed consent, what
should the nurse do?
Key Question
Let the client sign his
informed consent
Answer Key
Slovins 5% confidence
level 3750 given
population
Answer: 361
Splitting is a symptom of
Borderline personality
disorder
Restating clients
message
paraphrasing
Rape patient, flashbacks
with nightmare
PTSD
posttraumatic stress disorder (PTSD)?
Question keys
Answer keys
The nurse is providing
care to the victim of a
rape that occurred over
1 year ago. Which
symptom supports the
diagnosis of
posttraumatic stress
disorder (PTSD)? Select
all that applies
***2. Flashbacks
The nurse is caring for
a client who is the
victim of rape. The
client refuses the
emergency
contraception offered
to her. Which
statement by the
nurse is the most
appropriate regarding
the window of time
during which
emergency
contraception is most
effective?
B. ***"Emergency
contraception is most
effective if administered
within 3 days."
The nurse is providing
counseling to the
incarcerated
perpetrator of rape.
Which finding in the
client's history are
known risk factors for
those who commit the
act of rape? Select all
that applies
***1. Previously abused
as a child
***3. Antisocial
behaviors
***5. Alcohol or drugs
***3. Depression
***4. Nightmares
***5. Anxiety
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The nurse is writing a
plan of care for a client
who is the victim of
rape. Which nursing
diagnosis does not
support the client's
psychosocial needs?
B. ***Physical pain
The nurse is assisting in
the physical
examination of a client
who is the victim of
rape. Which action by
the nurse does not
involve collecting
evidence that can be
used in a criminal case
to convict the attacker?
***D. Drawing blood for
a CBC from the
antecubital area.
The community health
nurse is conducting a
presentation regarding
rape. Which common
myth associated with
rape should the nurse
discuss in the
presentation? (SATA)
***2. African American
women welcome all
forms of sexual contact
because of their race.
*4. Victims deserved
the rape because they
were dressed
provocatively.
***5. Victims deserved
the rape because of
where they were
located.
A client who is the
victim of rape arrives
in the emergency
department. Once the
client's safety is
ensured, the nurse
begins the physical
examination. The
nurse may find which
of the following
injuries from being
restrained?
Question keys
Answer keys
What is FDAR charting
Focus data Response
What is POMR
Problem oriented
Medical record
The ff are method of
charting except:
A.Focus
B.POMR
C.narrative
D.sequential
D.sequential
In PIE methods
charting , P is , Except;
c.Discharge
a.Admission
b.Problems
c.Discharge
d.Teaching
Doctors order via phone
call
Clarified with 2 nurse,
record and sign
Order must be signed
Within 24 hours
error in documentation
Draw a single horizontal
line with mistaken entry
with initials after
Situation 1The nurse is caring for an adult admitted with
diagnosis of brain tumor. He was scheduled for
craniotomy.
***3. Burns on the
wrists
***4. Bruising around
the neck
***5. Bruising on the
ankles
Question keys
Answer keys
A client has a supratentorial
craniotomy for a tumor in the right
frontal lobe of the cerebral
cortex. Post operatively,the
position that would be most
appropriate for this client would be
B.Head of
the bed
elevated 45
degrees
with a large
pillow under
the head
and
shoulders
Documentation and charting
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A client is regaining
consciousness after a craniotomy
becomes restless and attempts
to pull out her intravenousline.
Which nursing intervention
protects the client without
increasing her ICP?
Following 3 months
of rehabilitation after
craniotomy, a female client is
still having some motor speech
difficulty.To promote the client’s
use of speech the nurse should:
client undergoes a craniotomy
for removal of her brain tumor.
The nurse notes that her
dressing is saturatedwith blood.
Which of the following
interventions is most
appropriate
D.Wrap her
hands in
soft
“mitten”
restraints
A.Respond
to her
crude
efforts
of speaking
C.Reinforci
ng the
dressing
and
notifying
the doctor
immediatel
y
After
C.Prevent
craniotomy, what is your primary increased
goal?
ICP
What type of
cardiomyopathy is seen
in the sudden death of
young athletes?
Hypertrophic
cardiomyopathy
What heart condition is
Turner’s syndrome
associated with?
Coarctation of the aorta
Signs and symptoms of
complete heart block
- Lightheadedness or
dizziness.
Palpitations ,Fatigue.
Chest pain. Shortness of
breath. Fainting spells
or syncope.
The patient has been
diagnosed with leftsided heart failure.
Which common finding
of this condition should
the nurse consider
when planning care?
C- Dyspnea
Situation: PACEMAKER
Key Question
Answer Key
Where will the procedure
(pacemaker placement) take
place?
Cath Lab
What is the time we teach the
patient about the length of time
the battery lasts for a
pacemaker?
Batteries last
5-10 years and
require
changing
What is the most
Troponin I
sensitive and specific
marker for a myocardial
infarction (MI)?
What is strictly prohibited from
the incision until completely
healed?
Lotion and
powder
What is the most
common cause of right
sided heart failure?
What is something the patient
cannot be around, what is an
example?
No Magnets,
No big power
tools (MRI)
ADDENDUM BOARD QUESTIONS
Situation: CVD- cardio vascular diseases
Key Question
Answer Key
Left sided heart failure
What to assess after placement
of pacemaker
Persistent
hiccups
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Examination of a patient in a
increased
supine position reveals distended central venous
jugular veins from the base of
pressure
the neck to the angle of the jaw.
This finding indicates:
Situation: CVD- cardio vascular diseases
Key Question
When caring for a
patient who has
intermittent
claudication, a
cardiac/vascular nurse
advises the patient to:
Answer Key
-walk as tolerated
A cardiac/vascular
projection.
nurse reviews
recommended
activities with a
patient who sustained
a myocardial
infarction. The patient
states, "It doesn't
really matter what I do
or don't do. I will
either get better or
die." This statement
reflects:
A 55-year-old patient
ventricular fibrillation.
who is diagnosed with
an evolving myocardial
infarction (MI) insists
on going home. The
cardiac/vascular nurse
encourages the patient
to be admitted,
because the greatest
risk within the first 24
hours of sustaining an
MI is:
A patient comes to the
emergency department
with reports of a
swollen and painful leg
but denies sustaining
any injury. Physical
examination reveals a
tense calf muscle,
decreased sensation to
the foot and leg, and
absent pedal pulses.
The cardiac/vascular
nurse asks the patient
when the symptoms
began, because:
irreversible anoxic injury
to muscles and nerves
can occur in as few as
four hours.
While a cardiac/
vascular nurse
preceptor is orienting a
graduate nurse on the
telemetry unit, a
patient experiences
cardiac arrest. Which
action by the
preceptor, during the
emergency cardiac
care procedure,
facilitates the
graduate nurse's
competence and
professional
development?
Involving the graduate
nurse in the
resuscitation by
assigning a basic task.
A patient is admitted
to the hospital for a
carotid angiogram with
stent placement. The
patient's spouse states:
"I don't want my spouse
to find out there is a
risk of a stroke
connected with this
procedure, because he
or she won't sign the
consent form." The
cardiac/vascular
nurse's most
appropriate action is
to:
assess the patient's level
of understanding of
risks, benefits, and
alternatives.
A patient who is
recovering from a
myocardial infarction
may benefit from
meditation, because
this technique:
decreases sympathetic
nervous system activity.
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A cardiac/vascular
nurse reviews risk
factor reduction with a
patient who is newly
diagnosed with a
myocardial infarction.
The patient states, "I
don't know why you're
making such a big deal
about this stufollowing
I feel fine, and the
doctor said that my
heart attack was
small." The nurse's
most effective action is
to:
assess the patient's
perception of the event
with open-ended
questions.
A patient who
clarifying when cardiac
underwent coronary
rehabilitation will begin.
artery bypass surgery
demonstrates effective
understanding of
discharge teaching by:
A patient with negative
troponins and stress
obtain a 12-lead
test results reports
electrocardiogram.
recurring chest pain
that is similar to the
patient's pain on
admission. According
to the American Nurses
Association's
cardiovascular nursing
scope and standards of
A patient with
cardiogenic shock
receives a nursing
diagnosis of decreased
cardiac output. With
the appropriate
interventions, the
anticipated outcome is
for the patient to
achieve:
baseline cardiac
function.
A patient has been
report that the patient is
receiving heparin IV for exhibiting signs of an
the last three days.
adverse reaction
The patient's most
current platelet count
is 65,000 X 103/uL; the
platelet count on
admission was 350,000
X 103/uL. The cardiac/
vascular nurse contacts
the physician to:
The cardiac/vascular
nurse encourages a
patient with
hypertension to adopt
a low-sodium diet. The
American Heart
Association
recommends limiting
this patient's sodium
to:
1500 mg per day.
One of the Healthy
People 2020 objectives
is to increase the
proportion of adults:
W ith hypertension who
are taking the
recommended
medications to decrease
their blood pressure.
A patient recently had
a cardiac
catheterization via
right-radial approach.
The patient has a
compression device in
place. The patient
complains of numbness
and pain in the right
hand. The cardiac/
vascular nurse notes a
diminished pulse, with
a cool and cyanotic
hand. The nurse:
reduces the pressure on
the puncture site.
In an assessment for
"Is the leg pain relieved
intermittent
by rest?"
claudication, the
cardiac/vascular nurse
assesses for leg pain
and cramping with
exertion, then asks the
patient
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Situation: PALMER
Key Question
Answer Key
Which is most closely
aligned with ethics?
Morals
One of the roles of the
registered nurse in terms of
informed consent is to:
Serve as the
witness to the
client’s signature
on an informed
consent.
Which of the following is
most closely aligned with
the principles and concepts
of informed consent?
Self determination
Set of guidelines for all ages 10 commandments
for all times
Exception to general rules
epikia
Goal of triage
Do the greatest
good to the
greatest number
theoretical framework
would you recommend that
this committee should
consider when addressing
mutiethnicity and the
culturally diverse nature of
this facility for this
philosophy?
Madeleine
Leininger’s theory
Integrated board concepts
Key Question
ICP of 12mmHg
Using therapeutic
communication,
how to
communicate with
stroke patient?
Duodenal ulcer
b-Gnawing pain after eating
and at night
Pt is having
ventricular
tachycardia, and
unconscious what
to do?
a-Defib
Pt taking ferrous
sulfate what to
avoid?
a-Tea and antacid
How to do oral
care for coma pt?
a-Side lying
Elderly report no
bowel movement
for 6 days what is
the possible
reason?
a-Sedentary
Pt complain of
constipation
Assess for underlying
condition
Nsg diagnosis for
Constipation
Constipation related to
slowed gastrointestinal
motility
Jaundice,clay
colored stool and
abdominal
pain,what organ is
affected?
Gallbladder
Mode of
transmission of
tuberculosis
Airborne
Sputum sample
first 24 hours
Take 2 sample specimen
How many ml of
sputum
3-5 ml
Positive mantoux
test what is the
next procedure to
confirm
tuberculosis
a. Sputum culture
Answer Key
a. Normal
TB isolated by
Robert kochs
B.Facing the client and talk,
and give the pt enough time
to respond
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Pt is obese who is
abdominal post-op
which frequently
coughing and
vomiting what
complication is
mostly to develop?
Central obesity is
defined a
a. Dehiscence
Endomorph
How to modifiy the
odor of stoma:
a. Diet intake
Pt take the regular
insulin at 6;00 am,
what time will you
expect for
hypoglycemia?
B. 8-10 am
Airborne:
B-Measles and
varicella
Skeletal traction:
Weights must hang freely
What to watch in
digoxin and
diuretics
Potassium level
Burn pt with dry
and stable
eschar,what to do?
a. Hydrogel
Color and odor of
wound indicates
D-Infection
What to monitor in
pt taking
vincristine and
methothrexate?
blood cell counts, kidney and
liver function
a. Ambulation
How to prevent
spreading of
infection
a. Hand washing
Swelling, cool skin
and no blood
return in IV site
what should the
nurse do?
a. Stop IV infusion and
remove
Bleeding under
cast
a. Mark the blood stain
document and notify
the physician
Nursing process
gentle valsalva maneuver
2 days post hemi
colectomy what to
monitor?
a. Gastric output
Hx of 20years of
smoking is risk for?
b. Coronary artery
disease
Pt can continue for
the procedure
Action of
propranolol
b. Thyroid scan with
shellfish allergy
To decrease cardiac
workload
-
-
ADOPIE
Stage of depression Denial, Anger, Bargaining,
Depression, and Acceptance,
or DABDA.
Post –op with 38
degrees Celsius
what the nurse
should do
a. Remove the dressing,
check for infection
and change the
dressing
Post-femoral artery Strict bed rest
angiogram
intervention
Neutropenic
Removing chest
tube, what to
instruct?
Action of
salbutamol
Post-op pt
complaining of
abdominal pain
“gas cramps” nx
intervention
Monitor temp evry 4 hours
3000 g baby 4x a
day feeding how
many ounce of
milk
3 ounce
To check PICC
(peripherally
inserted central
catheter) potency
-
thyroid crisis
What to consider
with urinalysis
Dilate bronchioles
x-ray
Fever and tachycardia
-
Indicate the time of
collection
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Prevention for
otitis media
-
Feed infant in upright
position
Blanching of
stomach means?
-
inadequate blood
supply to the tissues
Purpose of draw
sheet in
repositioning of
client
-
to avoid skin shearing
Patient for organ
donor, True
definition of death
-
Cessation of brain
function
Brain death occurs
-
6-8 mins
A patient has had a High fever , Top of Form
kidney transplant
chills, body aches or flu, and
and develops acute nausea
organ rejection
approximately 1
month after the
surgery. Based on
the nurse's
knowledge of
transplant
rejection, the
nurse knows that
the patient will
most likely exhibit
symptoms of
After your
assessment of your
client and the
need to transfer
your client from
the bed to the
chair, what is the
best and safest
way to transfer
this paralyzed
client when you
suspect that you
will need the help
of another for the
client’s first
transfer out of
bed?
Use a mechanical lift.
caring for a client
Establish trust with the
who has been
client.
assessed as having
a past history of
violent and
dangerous
behaviors towards
others. What is the
first thing that you
should do to
prevent violence
towards others?
hospice client who
is at the end of
life. Based on this
client’s signs and
symptoms, the
client is comatose,
dehydrated, free
of pain,
constipated,
without distress
and expected to
die in a day or
two. Which of the
following is an
appropriate client
outcome or an
appropriate
intervention for
this client?
The client will remain free
of pain and distress
Caring for a group
of clients who are
adversely affected
with phobias.
Which form of
group therapy will
you most likely
employ to treat
these clients?
B-Behavioral psychotherapy
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caring for an acute D-Visual disturbances related
care adult client in to delirium
the medical unit
who has no history
of a psychiatric
mental health
disorder. This 76
year old client has
suddenly and
abruptly started to
exhibit episodic
and intermittent
periods of time
vacillating
between periods of
impaired cognition
and periods of
mental clarity. The
client reports to
you that they are
seeing snakes in
their room. This
client is
dehydrated and
has just begun
taking an
anticholinergic
medication. Which
of the following is
the most
appropriate
nursing diagnosis
for this client?
A therapeutic
milieu is:
D-The provision of a
therapeutic environment of
consistency to promote
health.
Place the following 1,5,4,2,3,6
steps for mixing
NPH and regular
insulin in the
proper sequential
order from # 1 to #
6 below. #1 - Prep
the top of the
shorter acting
insulin with an
alcohol swab #2 Inject air that is
equal to the
ordered dosage of
the shorter acting
insulin using the
same insulin
syringe. #3 Withdraw the
ordered dosage of
the shorter acting
insulin using the
same insulin
syringe. #4 - Prep
the top of the
longer acting
insulin vial with an
alcohol swab. #5 Inject air that is
equal to the
ordered dosage of
the longer acting
insulin using the
insulin syringe. #6 Withdraw the
ordered dosage of
the longer acting
insulin using the
same insulin
syringe.
Which of the
following clients is
at greatest risk for
extravasation?
B-The client with cancer who
is receiving bendamustine
Your client is
Exclude pregnant visitors
receiving
from the client’s room.
brachytherapy.
What nursing
intervention should
you implement for
this client?
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Which of the
following is an
adverse effect to
therapeutic
radiation therapy?
Nausea and vomiting,
Anorexia, Diarrhea
Where to refer
alcohol substance
abuse?
Substance abuse counsellor
Spinal cord injury
that affects
breathing
- C4
Ruptured
appendicitis
position
Fowlers (High)
Maneuver for
appendicitis
blumberg test
Care of Transge
nder Pts
How should the
nurse address the
patient?
D. "My name is Ann. How
would you like me to address
you?"
What to delegate
in midwife
maternal and child care
Safe to delegate
Physical history taking of
height and weight
Not to delegate
Giving of medications
Hepatitis C is
blood borne
Malaria is caused
by
vector borne
Clostridium
botulinum is
food borne
Indication of
caloric testing
Test for vestibul-ocular reflex TO
Formula for gavage Glucolyte
feeding
Blaming other
person
projection
RESEARCH QUESTIONS
RESEARCH- “Knowledge and practice of prevention
of needle prick injuries of Staff Nurses in a certain
private hospital in Metro Manila” Based on the research
title which of the following will be the general
objective?
Question
Answer key
Ethics in Nursing
Anonymity
Research has always
been an issue when it
comes to the identity of
the respondents. When
the topics of research
are very sensitive, which
of the following rights
of individual
participants must be
ensured when the
researcher cannot link
the information given by
the respondent from the
source of the
information?
This study aims to
RULE OUT CENTRAL
ETIOLOGY OF VERTIGO.
(Gold standard for detecting
unilateral peripheral
vestibular loss)
determine the level of
knowledge and practice of
prevention of needle prick
injuries of Staff Nurses in a
certain private hospital.
All of these are specific
objectives except:
This study is for nursing
researchers in the future
Position during
caloric test
supine with the patient’s
head to a 30-degree angle
As a nurse, you know
the appropriate data
gathering tool, this is?
Questionnaire
Affected organ
- Inner EAR
What is the
description of
hypothesis in
research
a tentative statement and
testable prediction about the
relationship between two or
more variables.
As a nurse, these are the
following topics in the
scope and limitations
except:
Limited to the hospital
personnel of a private
hospital
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Which of the following
is not a null hypothesis?
There is a significant
relationship between the
knowledge and
sociodemographic profile of
staff nurses
RESEARCH QUESTIONS
Question
Answer key
A public health nursing
b.-a cost-effectiveness
department seeks data to
analysis.
confirm that its service is
most efficiently using
limited resources. This type
of analysis is known as:
The author of a research
Replication of a wellstudy states that the lack of designed study is
statistical significance in
appropriate.
the results may be related
to the sample size and
suggests that the study be
replicated with a larger
sample. Which statement is
accurate?An exact
replication may produce the
same results.
Which rate is produced by
dividing the number of
deaths during one year by
the estimated (mid-year)
population?
Crude deaths
Within an epidemiological
framework,
interrelationships among a
multitude of factors
constitute the
web of causation.
What is Crude deaths
A rate produced by
dividing the number of
deaths during one year by
the estimated (mid-year)
population?
A statistical source for
population age
distributions, dependency
ratios, and socioeconomic
characteristics is:
census data.
The variable which is
influenced by the
intervention of the
researcher is called:
B. Dependent
What is the symbol of
dependent varriable
“”y””
The most effective way to
assess the health care needs
of older adults in a
community is to:
conduct personal
interviews with local
health care and social
services professional
A tornado strikes a mobile Community leaders
home community in a small activate the community
rural town. Approximately disaster plan.
10 families are left without
food and shelter. Which
reaction demonstrates the
community's viability?
Mortality rates from two
communities can best be
compared after calculating:
the age-adjusted rates.
In planning a telehealth
consultation system for a
rural community, an
advanced public health
nurse first focuses on the:
needs of the
community's residents
and providers.
Two days after a tornado,
Intense excitement
an advanced public health
nurse meets with a group of
survivors. Which emotional
reaction by the survivors
does the advanced public
health nurse expect?
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An advanced public health
nurse investigates a cluster
of cases of learning
disabilities, hearing
impairment, and
developmental delays in
school-age children who
live in an apartment
complex that was built in
1971. The nurse suspects
exposure to:
lead.
The results of a costeffectiveness analysis of a
health care service are
usually expressed in terms
of:
a particular health
objective.
The three essential
elements of informed
consent are:
information,
comprehension, and
freedom from coercion.
Which scale refers to levels Ordinal
of magnitude or ranking?
Which program is an
example of secondary
prevention?
A program to immunize
persons exposed to
infectious disease with
immunoglobulin G
within two weeks of
exposure
A community receives a
grant for a health
promotion program in a
local school. The
community health
department plans to appoint
one representative from its
nursing division to serve on
the implementation
planning committee. Who
is the most appropriate
representative?
An advanced public
health nurse who is the
nursing supervisor for
the school's geographic
area
A foodborne outbreak of
salmonellosis has twice
occurred at a day-treatment
program. The
environmental health
worker has requested that
an advanced public health
nurse be included in the
next inspection of the
program's kitchen. During
the visit, the nurse’s
primary concern is to:
educate the kitchen
workers about safe food
preparation..
Which type of power is
associated with the role of
the advanced public health
nurse?
Expert
A grant proposal for a
domestic violence
prevention program
addresses which
characteristic of the target
population?
Prevalent risk factors
Surveying clients'
knowledge of resources,
identifying resource
eligibility criteria, and
comparing income levels
with agency fee structures
are steps in which part of
the grant proposal process?
Needs assessment
When assessing a
community's health care
needs, an advanced public
health nurse interviews a
first-grade teacher and the
editor of the weekly news
bulletin. The nurse is using
which data collection
method?
Key informant
The primary role of an
advisory board for a
community-based health
organization is to:
advocate for the
community
The normative-reeducative
strategy of change theory
assumes that
attitudes and practices
are determined by
cultural norms and
knowledge is insufficient
to change behavior.
The primary purpose for
establishing nursing
standards in public/
community health settings
is to:
provide guidelines for
improving the quality of
care.
The most important initial
step when developing a
research study is to:
c.identify the research
problem.
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A nursing researcher
b.problem.
determines that there is
little information about the
use of
complementary practices in
treating obesity. This
represents the research:
When writing a proposal
for a research study, the
researcher includes a
problem statement that
serves to:
c.identify a gap in
knowledge needed for
practice
In a research proposal, the d.research purpose.
researcher states that the
proposed study will explore
children’s
feelings about
chemotherapy side effects.
This statement describes
the:
Which is included in a
statement of a research
study purpose
d.A statement about how
the research problem
will be studied.
The statement in the
introduction of a research
study report—“while
children who have higher
asthma control scores tend
to have fewer emergency
department visits for
asthma
exacerbations, it is unclear
how nursing interventions
can impact these scores”—
represents
the:
b.problem significance.
The statements in the
introductory paragraphs of
a research report that cite
results of previous
studies about a research
problem represent the:
a.problem background.
Which statement is a
research purpose for a
correlational study?
d.“This study will use
questionnaires and
school transcripts to
examine the
relationship of dietary
habits to grades among
school-age children.”
The nurse researcher states c.Outcomes
that a research purpose is to
measure the effects of bar
code
medication administration
on medication errors. This
is a study purpose for
which type of
research?
Which statement in a study
about preoperative
education and
postoperative recovery
times
represents a research
question?
c.“What preoperative
teaching will shorten
postoperative recovery
time?”
A statement about the
significance of a study
describes the:
a.influence of results on
nursing practice.
What type of hypothesis is
the following?
“Children with cystic
fibrosis who use a cough
assist device will
experience less anxiety
about
their disease and have
fewer inpatient hospital
admissions per year.”
a.Complex, directional
A reviewer assesses a
potential researcher’s
credentials and experience,
the availability of
funding and resources, and
ethical considerations of a
potential study. This
represents
evaluation of a study’s:
b.feasibility.
Identify the independent
variable in the following
hypothesis:
“Mothers of infants born
with spina bifida who
participate in support
groups report higher
levels of confidence when
caring for their infants than
do mothers who do not
participate in
support groups.”
d.Support group
participation
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In a research proposal, the
author describes what is
already known about the
research topic.
This would be included in
the discussion of the
study’s:
a.background.
Type I errors occurs
A. when the null
hypothesis is rejected
but it should have been
retained.
The variable in an
experiment that is known
from the start and does not
change is called the:
C. independent variable.
what is the symbol of
independent varriable
”X”
Deductive Reasoning is
applied in:
B. Quantitative research
Which of the following is a C. Phenomenology
qualitative research design
where lived experiences of
individuals are examined in
their "life-world"?
Which of the following is a
characteristic of qualitative
research?
D. Inductive process
Qualitative research design
involves
A. Emergent design
Phenomenological study
involves all the following
features, EXCEPT
Manipulation
In qualitative research, a
guiding principle in
deciding sample size is:
C. Data saturation
Which of the following
Ethnography
qualitative methods focuses
on description and
interpretation of cultural
behavior?
When doing power analysis A. Eta-squared
in ANOVA context, the
estimate of effect size is
Analysis of Variance
(ANOVA) test is used to
C. Test the difference
among the means of 3+
independent groups
Which is the most
appropriate inferential
analysis to test the
difference among the
means of 3+ related groups
o sets of scores?
A. Repeated-measures
ANOVA
The F-statistic is calculated A. ANOVA
in:
Chi-square test is used to
test:
A. Difference in
proportions
The principles of ethics in
nursing research include:
A. Beneficence
B. Respect for human
dignity
C. Justice
D. All of the above
D. All of the above
The term used to indicate
the placebo effect in which
the knowledge of being
included in a study cause
people to change their
behaviours, thereby
obscuring the variable of
interest:
D. Hawthorne effect
The degree to which an
instrument measures what
it is supposed to be
measuring is its:
A. Validity
A fundamental ethical
principle that seeks to
prevent harm and
exploitation of, to
maximize benefits for,
study participants is:
A. Justice
B. Beneficence
C. Nonmalificence
D. Coercion
B. Beneficence
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A method of data collection C. Delphi technique
in which several rounds of
questionnaires are mailed
to a panel of experts,
focusing on their opinions
or judgment concerning a
specific topic of interest is:
Which of the following is a
pre-requisite for the Chisquare test compare?
C. Both samples should
be mutually exclusive
The Chi-square test is used
to measure the degree of:
B. Correlation between
two variables
The principle of
beneficence include all the
following, EXCEPT
The right to selfdetermination
The degree of consistency
with which an instrument
measures the attribute it is
supposed to be measuring
is called:
B. Reliability
In a drug trial, one group
A. Chi-square test
showed 40% response and
the group with the test drug
showed 60% response. The
two results can be
statistically compared for
significance by:
The reliability of a
measuring tool has
following aspects, except:
C. Efficiency
The extent to which the
C. Stability
same results are obtained
on repeated administrations
of the instrument is termed
as:
Studies that produce basic
estimates of the rates of
disorder in a general
population and its
subgroups is:
D. Descriptive
epidemiology
The statistic used to explain B. Odds ratio
the chances of being
exposed to a risk among
those with the diagnosis
divided by exposure to the
risk among those
without the diagnosis is:
A systematic method for
continuous monitoring of
diseases in a population, in
order to be able to detect
changes in disease patterns
and then to control them is:
D. Surveillance
A hypothesis which a
researcher tries to disprove
is:
B. Null hypothesis
The number of new cases
B. Incidence
that occur within a specific
population within a defined
time interval is:
Residents of three villages Cross-sectional study
with three different types of
water supply were asked to
participate in a study to
identify cholera carriers.
Because several cholera
deaths had occurred in the
recent past, virtually
everyone occurred in the
time submitted to
examination The proportion
of carriers in each village
who were carriers was
computed and compared.
The study is a:
Study of a person who has
already contacted the
disease is called:
A. Case control
All are true about case
control studies, except:
B. Less expensive
T-test makes following
assumptions, except:
D. The Independent
Variable (IV) is at the
nominal level of data
Factorial ANOVA is
employed to address the
research question focusing
the difference in the means
of:
A. One DV and two or
more than two IVs
Which statistical test is
more appropriate when
there are more than two
levels of independent
variables to determine
which group means are
significant?
A. ANOVA
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"Cardiac patients who
receive support from
former patients have less
anxiety and higher selfefficacy than other
patients". This statement is
an example of:
A. Directional hypothesis
What is TRUE about
research hypothesis?
B. Statement about the
expected relationship of
the variables
Hypothesis testing is
D. Confirmatory data
sometimes called
analysis
"Above all, do no harm".
C. Beneficence
This principle encompassed
in the ethical dimension of:
A. Human dignity
B. Justice
C. Beneficence
D. Anonymity
Three factors are important
regarding the rights of the
participants include all
except:
A. Confidentiality
B. Anonymity
C. Voluntary participation
D. Jurisprudence
D. Jurisprudence
A statistic calculated in
ANOVA:
A. Chi-square
B. Correlation coefficient
C. Eta-squared
D. t-statistic
C. Eta-squared
Friedman's test is:
B. Non-parametric
analogue of ANOVA in
paired/repeated
measures design
Random sampling or
probability sampling
includes all the following
techniques, except:
D. Purposive Sampling
Gender, age-class, religion,
type of disease, and blood
group are measured on:
A. Nominal scale of
measurement
Which scale of
measurement has an
absolute zero?
D. Ratio
Interviewing all members
of a given population is
called:
c) a census.
Sampling means following
a sequence of stages.
Which ONE of the
following stages should
come before the others?
d) Examine the objective
of the study.
Which ONE of the
following methods is
generally used in
qualitative sampling?
b) Quota sampling
A simple random sample is
one in which
d) Every unit of the
population has an equal
chance of being selected
Which of the following
is not a type of nonprobability sampling?
b) Stratified random
sampling
Which of the following
is not a characteristic of
quota sampling?
c) The random selection
of units makes it possible
to calculate the standard
error
What is the least expensive
and least time-consuming
of all sampling techniques?
Convenience sampling.
Which of the following is a
type of probability
sampling?
Stratified Sampling
You are doing research on
hospital personnel—
orderlies, technicians,
nurses, and doctors. You
want to be sure you draw a
sample that has cases in
each of the personnel
categories. You want to
use probability sampling.
An appropriate strategy
would be
Stratified Sampling
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Non Probability form of
sampling is
Quota Sampling
Bournes and Mitchell
(2002) undertook an indepth study to describe the
experience of waiting in a
critical care waiting room.
Qualitative Research
Hupcey (2000) undertook a Quantitative Research
study that involved the
development of a model
explaining the psychosocial
needs of patients in the
intensive care unit. Feeling
safe was the overwhelming
need of patients in the
intensive care unit.
McDonald, Freeland,
Quantitative Research
Thomas, and Moore (2001)
conducted a study to
determine the effectiveness
of a preoperative pain
management intervention
for relieving pain among
elders undergoing surgery.
Sadala and Mendes (2000) Qualitative Research
explored the experiences of
18 nurses who cared for
patients who had been
pronounced brain dead but
kept alive to serve as organ
donors.
Reynolds and Neidig
(2002) studied the
incidence and severity of
nausea accompanying
combinative antiretroviral
therapies among HIV
infected patients, and
explored patterns of nausea
in relation to patient
characteristics.
Quantitative Research
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