PB3 NP2
Uploaded by
Angelica Charisse BuliganPB3 NP2
Uploaded by
Angelica Charisse BuliganNP2 .
Abdominal palpation for signs of fetal distress
C
D. Abdominal palpation for fetal lie and position, fetal
Situation:Abby is a manager in a nursing unit. heart tone
. Nurse Abby knows that theperformance appraisali
1 . In constructing a health teaching care plan, which of
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→STAFF FOCUSEDincludes all of the following the following is theFIRST stepthat Nurse Adele must
activities,EXCEPT: consider knowing?
. Sets specific standards and activities for individual
A . The client’s personal values and expectations
A
performance. B. The client’s age and educational status
B. Agency standards are used as a guide. C. The postpartum client’s needs.
C. Focus activity on the correction of identified D. Certain factors that may impede the client’s learning.
behavior/s.
D. Determine areas of strengths and weaknesses . Whatresourcesshould the nurse prepare for
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teaching her postpartum client? Select all that apply:
ituation:Nurse Adele is having a history takingduring
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an admission assessment of Holly who ispregnant with I. Pamphlets
her fourth child. Holly has a healthy6-year-old sonwho II. Audiotapes
was delivered at 38 weeksandtwins delivered at 28 III. Nurse specialist
weeks. She had 1 history ofspontaneous abortion at19 IV. Videotapes
weeksbefore the current pregnancy.
. 1 and 3
A
. For the nursing documentation, which of the following
2 B. 2 and 4
statements below is TRUE and CORRECT given the C. 1, 2, and 4
obstetrical history of Holly? D. 1, 2, 3, and 4
. Since Holly had twins = G4P4
A . Which of the following health teachingtopicsshould
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B. Since Holly had an abortion last year = G4P3 have utmost importance to be included in the teaching of
C. Holly is Gravida 4, Para 2 = G4P2 a postpartum client:
D. Holly is Gravida 5, Para 4 = G5P4
. Personal hygiene
A
. Holly is now observed to be at the second stage of
3 B. Monitor for vaginal bleeding
labor; cervix is at 8 cm. Nurse Adele puts her inlithotomy C. Take medications as necessary
position, but one of the dangers of this positionthat D. Consult for reproductive health
should be watched out for in Holly is ___________.
0. Shuli went to the clinic for her first visit when she
1
. Hyperventilation
A was on her 3rd month of pregnancy. Two months later,
B. Hypertension Client Shuli came to the clinic for her second visit. She
C. Hypotension asks Nurse Bea how much weight in pounds would she
D. Tachypnea gain normally. You respond that thenormal weightgain
should be:
. If Holly experiences a difficult labor and needs to be
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placed in the lithotomy position for an extended period
during the second stage of labor, Nurse Adele should
implement the following precautionarymeasures for
safetyEXCEPT:
. Use elastic bandages to be wrapped around the legs.
A
B. Place a small pad under her sacral area.
C. Use 2 pillows under her head.
D. Place a rolled towel under Holly’s right side of the hip.
. 5 to 8 lbs
A
B. 10 to 15 lbs
. Nurse Adele coaches the husband to be more
5
C. 16 to 24 lbs
supportive of Holly during thepeak and most painful
D. 24 to 32 lbs
phaseof uterine contractions, which is called:
1. Bea asks what food item she should include in her
1
. Decrescendo
A
diet if the physician told her eat foods rich infolicacid?
B. Decrement
C. Increment
. White meat
A
D. Acme
B. Oatmeal
C. Liver →HAS FOLIC BUT HAS VIT A (TERATOGENIC)
. Before the initial vaginal or internal examination,
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D. Dairy products
Nurse Adele must check which of the following FIRST?
ituation:Mara is a newly hired nurse on night dutyat
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. Holly’s blood pressure, checking for abnormalities such
A
the Neonatal Intensive Care Unit. She received the
as hypotension or hypertension.
endorsement from the afternoon duty that Baby Boy B
B. Holly’s HR, for chest compression
and Baby Girl G are ready for discharge. At the end of the
hift, Mara gave the babies to their mothers. The day
s IV. revent disease from occurring andtreat itwhen it
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after, Clara who was the mother of Baby Boy B came occurs.
back to complain that she got the wrong baby since she
should have had a girl instead of a boy. . 1 only
A
B. 3 and 4
2. The parents are thinking about forwarding a formal
1 C. 2 and 3
complaint for grossnegligence. What are the elements D. 1 and 2
that will prove that the nurse committed the complaint
mentioned? Select all that apply. 7. In community health nursing, we know that
1
multifactorialfactorsinfluence the health statusof the
I. urse Mara has a duty
N people in barangays. One of which is the health care
II. Nurse Mara failed to perform that duty system influences, which of the following isNOT
III. An injury has occurred to her patient due to that included?
duty
IV. Causal relationship as regards the nurse to . Cost of healthcare services
A
perform her duty and the resulting injury. B. Availability of technology
C. Availability of community resources and programs
. 1 and 2
A D.Perceptionof the community on the value of
B. 1, 2, and 3 available healthcare.
C. 1, 2, and 4
D. 1, 2, 3, and 4 8. Which of the following statements pertaining to
1
health behavior choices are important topromote health
3. What could Nurse Mara have done to prevent this
1 and prevent diseases?
occurrence of switching of infants?
. Take the right and prescribed medications at the right
A
. Checking the genitalia before giving the baby
A time and dosage.
B. Calling out the name of the mother B. Refrain from travelling to countries with a relatively high
C. Proper identification of the infant using designated prevalence of infectious diseases.
nametags C. Eat the correct kind of food, adequate sleep,
D. Identify the infant by checking their footprints. enough physical exercise, and effective stress
management.
4. Which of the following is considered the most
1 D. Smoking cessation and only drinking alcohol regularly.
important elementthat can prove that a nurse was
incompetent? The nurse was not able to perform her job 9. As nurses, we are aware that there are behaviors
1
____ that are influenced by cultural expectations. Which
statement isNOTincluded?
. According to the set standard
A
B. Since she was new to the job . Drink herbal supplements to increase the immune
A
C. According to the orientation given system.
D. Because she lacks supervision B. Have a full therapeutic body massage at least once a
month.
5. Should the nurse be proven guilty of incompetence
1 C. Converse openly about the details of the illness.
after thorough investigation, what is the primary outcome D.Relyon information about community resources
she would face as a professional nurse? and programs.
. Delisted as a member of the APO.
A 0. Which of the following describes theimportant
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B. Charged in civil court. factorsin the integrative models of human health?
C. Her license to practice nursing in the country can
be suspended or revoked for a period of time by the . Derived solely from a physical phenomenon.
A
PRC. B. Generally, being attributed to psychological problems in
D. Termination from work by her employer, especially individuals.
since the incident happened in the institution. C. Effective only when it is combined and integrated with
alternative therapies.
Situation:Community Health Nursing D. Intertwined and interactive with multiple
components such as physical, psychological, and
6. You are about to implement ahealth promotion
1 social.
intervention for one of your clients. Which among the
statements is TRUE about the focus of health promotion? ituation:Mrs. Santos, 29 years of age, has been
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married for 3 years. She and her husband have decided
I. nables individuals and community to increase
E to postpone their pregnancy to pursue her career as a
their abilities to have control over and improve lawyer. Today, she went to see an OB-GYNE because of
their health. vaginal spotting and to explore ways to finally get
II. Enhances the client’s physical, psychological, and pregnant. After diagnostic examinations, she was
spiritual well-being. revealed to have endometriosis.
III. Engage incorrectingthe individual's health
behavior.
1. As the client asks you about the diagnosis, which of
2
the following best gives the correct description of 6. Nurse Kathy’sdatathat led to Mang Ben’s malnutrition
2
Endometriosis? are,EXCEPT:
. “It is caused by an infection of the endometrium.”
A . On therapeutic diet
A
→ENDOMETRITIS B. Edentulism →BEEING TOOTHLESS
B. “It is a major cause of primary dysmenorrhea.” C. Metabolic rate is faster with age
C. “It is caused by growth of endometrial tissues D. Living on his SSS pension
outside the uterus.”
D. “It is caused by abnormal proliferation of endometrial 7. If Nurse Kathy is advising Mang Ben on protein
2
lining.” →ENDOMETRIALHYPERPLASIA alternatives, it's important to suggest options that are
suitable for Mang Ben's dietary needs and preferences.
2. The nurse performs a physical assessment and
2 Here are someprotein-rich alternativesthat NurseKathy
history taking on Mrs. Santos. Which of the following are might recommend:,EXCEPT:
theexpected findingsthat are indicative of endometriosis?
Select all that apply. . Pork
A
B. Peanut butter
I. potting after intercourse
S C. Eggs
II. Persistent dysmenorrhea (+) D. Mongo
III. Dyspareunia (+)
IV. Menorrhagia (+) 8. Which of the following interventions are suited for
2
Mang Ben’s condition?
. 1, 2
A
B. 3, 4 . Provide mouth care when necessary to remove
1
C. 1, 2, 3, 4 unpleasant tastes
D. 2, 3, 4 2. Position Mang Ben comfortably so he can enjoy the
meal more enjoyable
3. The patient was prescribed withDanazol
2 3. Offer a warm washcloth for hand hygiene before meals
(Danocrine)by the physician. The patient asks the 4. Refer to dental Clinic for denture fitting
expected side effects again for clarification before she
would go home. You know that the patient may . 1, 2, and 3
A
experience all these symptomsEXCEPT: B. 1, 2, 3 and 4
C. 4 only
. Weight gain and edema (+)
A D. 1, 2, and 4
B. Cessation of menses
C. Anovulation (+) 9. Which objective data will indicate that Mang Ben is at
2
D. Diminished menstrual flow high riskof poor nutrition?
4. Included in the teaching is the client’s desire to get
2 .
A 21 lbs weight loss
pregnant. You expect the physician to discuss the B. No upper and lower masticating teeth
possible rationale behind the client’s diagnosis interfering C. Loss of appetite
with fertility. Which of the following iscorrectabout D. Lactose intolerance
endometriosis andpossibility of infertility?
0. Which of the following provides theessentialnutrients
3
. This is due to the pressure on the pituitary gland that
A to carry out the normal physiological functioning of the
consequently decreases the FSH levels. body?
B. This is because of the total blockage of
endometrial tissues. . Carbohydrates
1
C. The uterine cervix becomes inflamed and swollen 2. Protein
causing infertility issues. 3. Lipids
D. Due to the cease in production of adequate estrogen 4. Microminerals
hormones by the ovaries. 5. Vitamins
5. At the end of the session, you as a nurse shouldbe
2 . 1, 2, 3 and 4
A
able to accomplish the followingEXCEPT: B. 1, 2 and 5
C. 1, 2, 3, and 5
. Provide summary of notable points.
A D. 1, 2, 3, 4 ad 5
B. Make recommendations.
C. Ask if there are any queries ituation:Nurse Kathy, a seasoned medical professional
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D. Thank the audience with years of experience in the Emergency Room,
immediately attends to Celia, a 35-year-old patient who
ituation:It appears that Mang Ben, a 70-year-old
S has been admitted due to severely elevated blood
individual, is admitted to the healthcare facility due to pressure of 190/110. Celia is also experiencing dull
malnutrition, with a weight loss of 21 lbs in recent months. headaches and dizzy spells, indicating potential
He is unable to tolerate milk and is also hypertensive, with complications from the high blood pressure.
an admitting blood pressure reading of 150/100. Nurse
Kathy has been assigned to care for him.
1. Kathy is aware that she must also know the pulse
3 7. In developing a care plan, who among the following
3
pressure of Celia because if it is more than 60, the patient should be involved?
is at risk for cardiovascular disease.Pulse pressureis the
____________. . Client
1
2. Family
. Valuable index in determining the efficiency of heart
A 3. Physician
muscles 4. Dietician
B. Lowest degree of pressure when the heart is in its
resting period just before contraction of the left ventricle . 1 and 2
A
C. Highest degree of pressure exerted by the blood B. 3 and 4
pressure against the arterial wall as the left ventricle C. 2, 3, and 4
contracts and forces the blood from it to the aorta. D. 1, 2, 3, and 4
D. Difference between systolic and diastolic pressure
8. Nurse Myrna should start her client careplanin which
3
2. Nurse Kathy needs to take the vital signs to be able to
3 of the following phases of the nursing process?
monitor the vital functions of the body. Should she take
thepulse above the lower jaw bone, the artery involvedis . After assessment
A
________. B. After the formulation of the nursing diagnosis
C. Before planning
. Facial
A D. Before assessment
B. Radial
C. Temporal 9. The Care Plan should include the following
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D. Carotid information,EXCEPT____________.
3. Nurse Kathy then takes the respiratory rate of Celia.
3 . Expected outcomes
A
She noticed that the respiration has anoisy shrilland B. Client’s needs
vibrating respiration. It is an abnormal respirationand is C. Nursing intervention
called ______. D. List of significant others
. Cheyne-stokes
A 0. Nurse Myrna needs to ensure that her Client Care
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B. Stridor Plans are current and relevant. They should beupdated
C. Dyspnea at least ___hours? →THE FREQUENT THE BETTER
D. Apnea
. 24-28
A
4. During inspiration, Nurse Kathy hears a soft, low
3 B. 24-120
pitched, gentle sighing over the base of the lungs. It is a C. 24-72
normal breath soundand is referred to as ________. D. 24-36
. Wheezing
A ituation: Mylene, a registered nurse working at the
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B. Bronchial Barangay Mabait Health Center, has a vital role in
C. Vesicular promoting health and preventing illnesses within the
D. Broncho vesicular community. Developing health classes for primary
prevention is an excellent approach to educate and
5. After two days of confinement, Nurse Kathy observed
3 empower the residents of the barangay to maintain good
that Celia’s breath sound has changed and is described health and prevent potential health issues.
asfine crackling sounds. She charts this sound as
_________. 1. Headnurse decided to retrain the staff nurse. She
4
developed a training design, which is thefirst itemneeded
. Rhonchi
A in writing a training design?
B. Wheeze
C. Friction . Target date
A
D. Rales B. Training objectives
C. Financial assessment to support the training
ituation:In the pediatrician ward, nurse Myrna isthe
S D. Names of patients
newest nurse. It was reinforced to her throughout
orientation that an integral part of the nurse's duties is 2. Which of the following is the MOST important
4
documentation. Protecting both the client and the nurse is reminder to the staff in doing their duty inchartingthe vital
a crucial part of this duty. signs? It should be about __________.
36. Nurse Myrna learned that the integral part of providing
nursing care that serves as afocal point for theclient care . Learning they had during the orientation
A
assignments and reporting is __________. B. Policy of the hospital on charting
C. Learning they had from school
. Kardex
A D. Policy of DOH on charting
B. Client care plans
C. Protocols 3. The head nurse emphasized the need toplot thevital
4
D. Nurse’s notes signsaccording to standards in nursing service, every
__________.
. Flexible, accurate, top priority and feasible
C
. 3 hours
A D. Time bounded, measurable, change-oriented and
B. 2 hours continuous process
C. 4 hours
D. 1 hour 8. Nurse Corazon presented the plan in a community
4
assembly for acceptance and approval. Which of the
ituation:Nurse Evelyn is working toward her master's
S following is the MOST important criterion for the plan’s
degree at one of the universities. She wants to carry out a acceptance and approval manifested by the people.
study project at the hospital to which she is related.
Performing a study inside the hospital where Nurse . Tasking the community people
A
Evelyn works can offer insightful information and help B. Volunteerism and willingness of the community
advance medical procedures. people
C. Presence of the municipal health officer in the
4. Nurse Evelyn chooses a client who decided to
4 assembly
voluntarily, freelyand without coercion, to participatein D. Huge attendance in the community assembly
the study. Which of the following is Nurse Evelyn
observing? 9. To combat the delays in attending to childbirths, Nurse
4
Corazon adopts the Integrated Management of Childhood
. Self determination
A Illness in the municipality. This program aims to
B. Privacy and dignity __________.
C. Fair treatment
D. Anonymity and confidentiality . Improve and ensure the accessibility and
A
availability of basic and essential health care in both
5. Pediatric patients are prone to falls from hospital beds
4 public and private facilities and services
which may result in additional cost on the part of the B. Ensure the quality and affordability of health goods
hospital. Which safety measures should be instituted to and services
prevent such incidents? C. Develop, implement, monitor and evaluate maternal
and newborn care services, ensuring access
. Restraining them
1 D. Huge attendance in the community assembly
2. Having their mothers or any significant adult with them
3. Advising watchers to put up the bedrails at all times 0. In Municipality A, like any other municipalities, one
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4. Telling them they will be given injection if they will get MAJOR problem that makes any health service program
out of bed alone inaccessibleis ___________.
. 3 and 4
A . Lack of community awareness
A
B. 2 and 3 B. Limited number of health-oriented programs
C. 1 and 2 C. Reliance of government financial support
D. 1 and 4 D. Lack of ambulance
ituation:Due to a series of unexpected incidentsthat
S ituation:Angelica, a 16-year-old primigravid (first-time
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occurred in Municipality "A" over the course of just 10 pregnant woman) at 32 weeks gestation, presents with a
days, including the deaths of 2 expectant women giving total weight gain of 20 pounds, one pound of which was
birth at home, 2 children from dehydration, and 2 elderly gained in the last 2 weeks. The urinalysis shows a
people from pneumonia. A meeting of the staff from the negative result for glucose and a trace of protein.
municipal health office was called by the town mayor. Angelica has come to the clinic for consultation.
Corazon, a public health nurse, was tasked with creating
an action plan to stop a repeat of the incident. 1. Which will BEST describe Angelica’s risk for
5
preeclampsia?
6. Which of the following could have been the TOP
4
contributors to the situation? Select all that apply. . Proteinuria
A
B. Short stature
. Postponement of people in seeking medical care
1 C. Total weight gain
2. Adherence to cultural practices and beliefs D. Adolescent age group
3. Lack of ambulance and drivers
4. Delay in receiving appropriate and adequate care 2. After instructing Angelica how to keep a record of
5
A. 2 and 3 daily fetal movement counting (DFMC) at home, the nurse
B. 1 and 2 determines that the teaching has been effective when
C. 1 and 4 Angelica says she will count the number of times the baby
D. 1 and 3 moves during which of the spans?
7. Nurse Corazon and her group prepared objectives for
4 . 45-minute period after lunch each day
A
a plan of action. The following are the characteristics of a B. 12-hour period each day
good objective. Choose the BEST answer. C. 30-minute period 3 times a day
D. 1-hour period each day
. Futuristic, change-oriented, dynamic and systematic
A
B. Time-bound, accurate, realistic, measurable and 3. When teaching Angelica about nutritional needs, the
5
specific nurse should emphasize ___________.
. Gets an object placed on his hand by closing his
C
. High residue diet
A fingers
B. Low sodium diet D. Seems to spit out anything placed in his mouth
C. Regular diet
D. High protein diet 9. One day, Baby Boy did not want to suck from the
5
mother’s breast. The doctor ordered intravenous fluids.
4. The nurse mentions some of the conditions
5 Which among thesecomplicationswill Nurse Chari
associated with preeclampsia. Which among the feedback anticipate to occur ALMOST IMMEDIATELY?
by Angelica to the nurse would warrant further
explanation? . Cellulitis
A
B. Infiltration
. Iron deficiency
A C. Phlebitis
B. Physical disability D. Burns
C. Multifetal pregnancy
D. Diabetes mellitus 0. Later, the pediatrician orders Baby Boy to undergo
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blood transfusion because of ABO blood incompatibility.
5. Angelica was brought to the labor room for
5 What should be the BESTequipmentto use in as much
magnesium sulfate medication. The PRIMARY purpose as 50mL of blood is ordered?
for its administration is to ________.
. Syringe pump
A
. Increase the central nervous system’s response to
A B. Soluset with microdrip
stimuli C. Pulse oximeter
B. Increase calcium absorption by the muscles D. Infusion pump
C. Decrease neuromuscular irritability
D. Reduce peripheral vascular resistance to lower blood ituation:Nurse Marissa is a clinical instructor(CI) of AL
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pressure University in the North. She is assigned at the OR in a
government provincial hospital. Marissa is aware of the
ituation:Lydia, a G3P4 woman in her 20s, gave birthto
S scope of nursing and her responsibilities to the school and
a boy an hour ago. The newborn is being cared for by the hospital.
nurse Chari.
1. What is the FIRST STEP that Marissa should do upon
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6. Which of the following senses are already developed
5 reporting to the OR with her students? She should
at birth? Select those that apply. __________.
.
1 Hearing. . Orient the students to the policies of the OR
A
2. Vision. B. Introduce herself and coordinate with the head
3. Taste. nurse
4. Smell. C Greet the surgeons and anesthesiologists
D. Orient her students to the set-up of the Operating
. 1, 2, 3, 4
A Room (OR)
B. 1, 3, 4
C. 1, 2 2. Marissa understands her responsibilities to the school
6
D. 1, 2, 3 she represents and the hospital she and her students are
affiliated with. Which of the following is anINCORRECT
7. The body system of the newborn moves through
5 statement about student nurses?
periods of irregular adjustment in the first six (6) hours of
life. It has two periods namely, the first and the second . The student nurses are expected to achieve same
A
periods of reactivity. The FIRST period ofreactivity outcome as license nurses, that is, to do no harm to
consists of the following characteristics. Select all those clients
that apply. B. Although student nurses are not yet licensed they are
expected to adhere to the same standards as the
.
1 Alertness licensed nurse
2. Making such sounds C. The student nurses are the sole responsibility of
3. Slowheartbeat the CI and school.
4. Slowrespiratory rate (RR) D. Hospitals or health care agencies may impose
limitations on student nurses’ practice and coordination
. 1, 2
A and collaboration by the CI and the student nurses must
B. 3, 4 always be practiced.
C. 1 only
D. 3 only 3. When giving case assignments to student nurses at
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the OR, the CI should inform which of the following OR
8. Which among the following describes thePalmar
5 personnel? Choose all that apply.
Grasp Reflexof the baby? When he ____________.
.
1 OR supervisor
. Is startled as his crib is shaken
A 2. hief nurse
C
B. Grasps an object and placed on his toes →PLANTAR 3. Scrub nurse
4. Circulator
. 1, 2, 4
A
B. 3 and 4
C. 1, 3, 4
D. 1 and 2
4. If a student nurse commits a break in asepsis while an
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operation is on-going, who among the following persons
can call the attention of the student nurse and the entire
team?
. The CI only, in as much as she is the one directly
A
responsible over the students.
B. The surgeon being the captain of the ship.
C. Any member of the surgical team who saw the
infraction.
D. The scrub nurse or the circulating nurse on-going
surgery even if she did not see the infraction.
ituation:Every Wednesday is pre-natal day at the
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Hospital M Maternity Clinic, where Nurse Mitos is
assigned. She runs a program for pregnant women's
health education from 8:00 to 9:00 in the morning. The
topic of discussion that day was warning signs and
symptoms of pregnancy.
5.True laboris differentiated from failure laborbecause
6
in true labor, contractions will ____________.
. Be relieved in the side lying position
A
. Emergence of harmony in marital and in-law relations.
A
B. Bring about progressive cervical dilatation
B. Child rearing
C. Not stop when the client is encouraged to walk
C. The couple shifts to adult social interests.
D. Occur immediately after rupture of bag of water
D. Balancing time and energy to meet the demands of
work and family.
ituation: The Community Health Nursing (CHN) service
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unit is the family. Olive, a public health nurse, looks after
8. Which of the following is the BEST action that she
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the Puson household. The municipal building's janitor is
must take?
Emanuel. A tiny convenience shop run by his wife Lyn is
located in front of their home. Their kids are Manilyn (3
. Quit her job and look for another employment.
A
years old), Lynnel (6 years old), Emalyn (5 years old), and
B. Disregard what she feels and continue to work
Lynette.
independently.
C. Identify the source of conflict and understand the
6. Based on the characteristics of the Puson family,
6
source of friction.
Nurse olive can easily categorize which of the family’s
D. Seek help from the Director of Nursing.
developmental stage?
Situation:Freda is a manager in a nursing unit.
. Families with pre-school children
A
B. Family with school age children
9. As a young manager, Freda knows that conflict occurs
6
C. Beginning family
in any organization. Which of the following statements
D. Early child-bearing
regarding conflict is NOT true?
7. In this particular stage, which of the following is a
6
. It may result to poor performance of the staff.
A
most basic concern?
B. It can be destructive, hence, it should not reach the
highest level.
C. It is not beneficial, hence, it should be prevented
at all times.
D. It may create a new leader from among the staff.
0. Freda tells one of the staff: “I don’t have time to
7
discuss the matter with you now”, when the latter asks if
they can talk about an issue. Which of the conflict
resolution strategies did she use?
. Avoidance.
A
B. Smoothing.
C. Compromise.
D. Restriction. 6. A patient is gently led to her room by you. This type of
7
thing called:
1. Freda knows that one of her staff is experiencing
7
burnout. Which of the following is the BEST thing to do? . Social-polite touch
A
B. Love-intimacy touch
. Remind her to show loyalty to the institutions.
A C. Friendship-warmth touch
B. Ignore her observations; it will be resolved even D. Sexual-arousal touch
without intervention.
C. Let her staff ventilate her feelings and ask how she 7. You wrap your arms around an old patient's shoulders.
7
can be of help. What kind of contact is this?
D. Advise her staff to go on vacation.
. Love- intimacy touch
A
ituation:Staff nurse Kyla works on the medical ward.
S B. Functional- professional
The majority of her patients have digestive and rectal C. Social -polite touch
conditions. D. Friendship- warmth touch
2. Which of the following, when assessed, separates
7 8. What kind of contact is made when there are
7
Crohn's disease from ulcerative colitis? passionate embraces and kisses between family
members?
. In Crohn's disease, bleeding is significant, whereas in
A
Ulcerative Colitis, bleeding is less. . Love-intimacy touch
A
B. Diarrhea: In Crohn's disease, it is severe; in ulcerative B. Friendship -warmth touch
colitis, it is mild C. Social -polite touch
C. Affected area: Ulcerative colitis affects the ascending D. Functional -professional
colon, while Crohn's disease affects the descending
colon. 9. Which of the following does the nursenot utilizewhen
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D. Course of the disease: Crohn’s disease is caring for psychiatric patients when using therapeutic
prolonged and variable, Ulcerative colitis has a touch?
remission and exacerbation
. Social-polite touch
A
3. Narding exhibits signs of forgetfulness, inattention,
7 B. Friendship -warmth
and inappropriate responses to some questions. The C. Sexual -arousal touch
nurse predicts that in order to increasecognitivefunction, D. Love -intimacy touch
the consultant will need to enlist the help of__________ .
ituation:Tommy, a 7-year-old first-grader, has been
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. Psychologist
A identified as having Attention Deficit/Hyperactive
B. Psychiatrist Disorder (AD/HD).
C. family Doctor
D. neurologist 0. What circumstance or event typically leads to the
8
identification of ADHD symptoms? During a child's
ituation:The nurse must uphold the established ethical
S
and moral standards while practicing .by parents at home
A
her job. B. With peers, during play
C. Enrolled in the education system
4. What appropriate action is the nurse expected to take
7 D. identified at a well-baby clinic
if she gives the patient theincorrect medication?
1. Tommy frequently demonstrates the following
8
. For the time being, keep quiet about it and pay great
A behavioral symptoms of ADHD, with theexceptionof:
attention to the patient.
B. Send a report to the supervisor through the head . Can't take turns and interrupt others
A
nurse. B. Moody and irrational behaviour
C. Inform the patient that a mistake has been made. C. prone to distraction and forgetfulness
D. Ask the doctor what to do D. erroneous and sloppy work
ituation:The Psychiatric Unit employs you as a nurse.
S 2. Which of the following nursing diagnoses would the
8
A helpful intervention in your patient care is the nurse choose for Tommy if he told her, "I don't have
application of therapeutic touch. friends because I'm stupid,"
5. When evaluating the patient's skin turgor during a
7 . Ineffective coping
A
physical examination, what therapeutic touch technique is B. Anxiety
used? C. withdrawal syndrome
D. low self esteem
. Friendship-warmth touch
A
B. Love -intimacy touch 3. Nurses may have access to extremely private patient
8
C. Social-polite touch information, so they must take all reasonable precautions
D. Functional -professional to keep it private or risk being charged of___________.
. negligence
A . Change in bowel habits
A
B. malpractice B. Bouts of hematemesis
C. invasion of privacy C. Projectile vomiting
D. defamation D. Passing out white watery stools →CHOLERA
ituation: If a health institution wants to have asafe and
S 0.Colonoscopyhas been ordered. Which of the
9
high-quality foundation, it must embrace quality following actions wouldnot be recommendedfor the
improvement. In order to evaluate the hospital's services, client?
the medical director of Camiguin Medical Center visited
every part of the facility five days in a . Allow him to take PRN medications while taking
A
row at random. electrolyte solution.
B. Allow him to drink the electrolyte laxatives the day
4. Which of the following does the medical directornot
8 before the procedure.
considerto be aquality improvement trait? C. Allow him to drink chilled electrolyte solution.
D. Allow him to have liquid diet before the procedure.
. The empowered one is the leader.
A
B. Problem-solving is by everyone 1. Upon assessment, the patient’sstoma appeared
9
C. The employee is treated as customer dusky-purpleafter he underwent colostomy. What does
D. Response to a good or negative scenario this indicate?
5. Any circumstance that could harm the hospital's
8 . ischemia
A
reputation or its ability to provide care is a risk. The B. viable stoma
Medical Director is aware that identifying potential risks C. anemia
across the institution is necessary to avoid the following, D. necrosis
except:
2. Why is there aneed to emptythe ostomy pouch
9
. accidents
A before it becomes 1/3 full?
B. injuries
C. financial loss . to prevent skin irritation and dislodging of the
A
D. Incident reports ostomy drainage
B. to help speed up peristalsis and feces removal
6. A number of concerns have been monitored using
8 C. to prevent client from straining after surgery
patient surveys. Which of the following doesnotconstitute D. to facilitate gas expulsion
a preventive action under the Medical Director's risk
management procedures? 3.After a colostomy, which of the following shouldthe
9
nurse IMMEDIATELY report to the doctor?
. Staff should not be defensive
A
B. fostering good administration-personnel relations . Foul odor on the ostomy bag
A
C. Providing safe environment every time B. Presence of pink rose to brick red stoma
D. Listen to the patient’s cue carefully. C. Skin slightly detached
D. No flatus in 24 to 36 hours
7.Which of the following drugs can be used
8
therapeutically forinflammatory bowel diseases? ituation:The total quality management nurse informed
S
the hospital's director that during the last three months,
. Corticosteroids
A both nurses and doctors had made several medication
B. Atropine sulfate →RELIEVESCRAMPS errors. They decided to review all the cases containing
C. Dulcolax →CONSTIPATION these errors. Returning to the fundamentals was strongly
D. Maalox →HEARTBURN advised as a means of clinically improving the drug
administration. The following questions are relevant
8. Because of their totating shifts, nurses frequently
8
lament their lack of a personal life. There are three main 4. Which of the following injection techniques should the
9
ways to find personal time, with theexception of: nurse employ to reduce discomfort when giving an iron
drug?
. delegate work to others
A
B. fill every moment with tasks or chores . Inject medication quickly
1
C. eliminate tasks that add no value 2. Withdraw needle quickly
D. hire someone else to do the work 3. Z-track technique
4. “Darting” needle quickly
ituation:Derek, a 72-year-old smoker and socialdrinker
S
consulted the OPD due to rectal bleeding. He was . 2 and 3
A
tentatively diagnosed with colorectal cancer and was B. 1, 2 and 4
advised by the physician for admission. C. 3 and 4
D. 1, 2, 3 and 4
9. Which of the following complaints from the client
8
would you most likely anticipate during yourinitialhealth 5. Which of the following safety measures should you
9
history interview? take to prevent insulin injection errors?
. Keep the medication in the client's refrigerator and
A
request it as needed.
B. Ask the dietary department to hold the medication until
it is required.
C. Calculate the medication, then go to the patient and
administer it.
D. Verify your calculations with your head nurse and
take high "alert" medicines into consideration.
6. Which of the followingneedle sizesshould youuse
9
while administering injections to anobeseclient?
. 1-1.5 inch needle
A
B. 2-3 inch needle
C. 4 inch needle
D. 4 ½ inch needle
7. Some thought distortions have the potential to hinder
9
Nurse Alex's personal and professional growth. Which of
the following statements best exemplifies the false belief
that Nurse Alex is focusing on thenegatives?
09177222740 PETSCAPES
. “My nurse director is very intelligent.”
A
B. “I’m glad I took the job.”
C. “I always make mistakes, I’m not good enough as
nurse.”
D. “I should marry Jo. She is very pretty.”
8. Nurse Alex is aware of his responsibilities and tasks
9
as a registered nurse, particularly with regard to attending
continuing education programs. In one of the seminars he
attended, it was said that the common function for which
nurses are charged of malpractice is on ________.
. committing a medication error
A
B. failure to write an incident report
C. discharging a client who is not able to completely pay
the bills
D. non-compliance to doctor’s order
9. Alex has joined the PNA as a registered nurse in the
9
Philippines for ___________.
. socialization
A
B. welfare and benefits
C. linkages and networking
D. personal and professional growth
00. Which of the following techniques is an effective way
1
to prevent and control transmission of infectious agents?
. Hand washing
A
B. Alcohol-based hand rub
C. Use of mask
D. Proper gloving
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