1. Regist Registere ered d nurses nurses can can be iden identif tifie ied d as a: A. organi organizat zation ion B. cult cultur ure e C. grou group p D. subcul subcultur ture e CORRECT ANSWER: A RATIONALE: RATIONALE: page 5 Prof. Nursing in the Phils. The nurse is required to maintain competence by continual learning through continuing professional education to be provided by the accredited p rofessional organization. 2. Among Among children children candidates candidates for organ transplan transplant, t, when all selected selected children children have appropriat appropriate e tissue matches matches for the same donated organ, the basis for the decision as to which child gets the organ is that the organ is given to the child who: A. will receive receive the most benefit from the new organ organ B. is most likely to to die without the the transplant C. is selected by the lottery lottery system for available organs D. is at the top of the the list and has waited waited the longest time time CORRECT ANSWER: A RATIONALE: RATIONALE: Page 2427 Med-surg: those people who who are having higher survival rate 3.
The nurse uses what equipment to check for fluid between between the parietal and visceral layers layers of the tunica vaginalis, the outermost covering of the testes? A. 30 cc cc syri syringe nge B. Transillu Transilluminat minator or C. Fluid Fluid mete meter r D. Manome Manometer ter CORRECT ANSWER: B RATIONALE: RATIONALE: Transillumination- is a light shined thru a body organ to detect fluid
4. Which Which of the follow following ing example examples s best define defines s the term term role role reversal? reversal? A. A lazy person person becomes very productive productive in the the family B. The good child child takes takes on a bad child child role role C. A person who has been a good good provider quits his his or her job D. The child assumes assumes a caregiver role toward the caregiver CORRECT ANSWER: D RATIONALE: RATIONALE: Role Reversal - This condition occurs when one person assumes the behaviors of the other person in a reciprocal role, as when a child acts as a parent to his or her pa rents. (Source: www.unc.edu/~rooney/roletheory.htm) 5. When a nurse breaches breaches the the duty of confident confidentiali iality, ty, he or she can be discipli disciplined ned by both the employe employerr and the Board of Nursing. In addition to this discipline, he or she can: A. be held responsibl responsible e for any damages that that result B. be fined fined by the federal federal governme government nt C. be sentenced sentenced for up up to 1 year in jail jail D. immediately lose lose his or her nursing license license CORRECT ANSWER: A RATIONALE: RATIONALE: It cannot beB, C or D because as stated in the law no one can be fined imprisoned or license revoked without undergoing due process and have been p roven guilty by the court of law. (source: Professional Nsg in the Philippines by Venzon) 6. A strategy strategy for for change change that that focuses focuses on teachi teaching ng workers workers new new technolog technology y is: A. normativenormative-reedu reeducativ cative e B. trai traini ning ng C. providing providing informat information ion D. power power coerciv coercive e CORRECT ANSWER: B RATIONALE: RATIONALE: Training is a dua l purpose strategy, it can communicate information ad well as the application of information and technology that can be utilized hands on.(Leadership Roles & Mngt Functions in Nursing p 406) 7. The nurse nurse knows that the the occurrence occurrence of shoulder shoulder dystocia dystocia during during labor labor is most likely likely related related to: to: A. polyhy polyhydra dramni mnios os B. matern maternal al age age C. preter preterm m birth birth D. macros macrosomi omia a Reproduction is strictly prohibited… RN International Review Center 1
CORRECT ANSWER: D RATIONALE: RATIONALE: page 606 pilliteri : shoulder dystocia occurs in most woman with diabetes, multipara and in postdate pregnancies. 8. The nurse nurse instruct instructs s the mother mother that that when oversti overstimulat mulated ed the infant infant will: will: A. show increased increased alertness alertness and eye contact contact B. respond with with coordinated, coordinated, synchronous body movement C. look away to reduce the intensity intensity of the interaction D. drift off to deep sleep to shut out the interaction CORRECT ANSWER: A RATIONALE: RATIONALE: page 689 pilliteri The sense of touch is already well developed at birth, de monstrate it by quieting at a soothing touch and by positive sucking and rooting reflex, and reacts to pain stimuli 9. Some strategi strategies es to maintain maintain professional professional health health are listed listed below. below. Which is NOT necessari necessarily ly correct? correct? A. Networking with with others in in the health care field B. Join a professional professional organiza organization tion C. Goal Goal settin setting g D. Read fiction fiction and nonfiction materials CORRECT ANSWER: D RATIONALE: RATIONALE: A,B & C are all necessary and required to maintain professional health, this is according to Kozier p.13- Socialization to Nursing. 10. The nurse is assessing a 6 month old infant for head lag, pulling pulling the infant by the hands from a supine to a sitting sitting position. The head does not stay in line with the body when being putted forward. Which of the following statements best represents the significance of this finding? A. Head lag should not be tested tested until the child child is over 1 year of age. B. Significant head lag after the age of 6 months may may indicate brain injury and needs further investigations. investigations. C. The nurse has not conducted conducted the test correctly and must do it again again using proper technique. D. This is a normal finding, as the infant's infant's head will not stay in line until after 3 months months of age. CORRECT ANSWER: D RATIONALE: RATIONALE: page 697 pelliteri If they are pulled into a sitting position from a supine position, the head will lag considerably. However they should make make an effort to control and steady the head as they reach sitting position. Head lag disappears at 3 months 11. Which statement is correct regarding regarding the use of the cervical cervical cap? A. It may affect affect Pap Pap smear smear results results B. It does not need need to be fitted fitted by a physician physician C. It does not require the use of a spermicide spermicide D. It must be removed removed within within 24 hours CORRECT ANSWER: D RATIONALE: RATIONALE: Cervical caps are used by woman to prevent conception, it should be fitted by a doctor and uses a spermicide to prevent the sperm from getting inside. A cap should be removed before 24 hours to prevent infection 12. The major components of the communication communication process are: A. verbal, verbal, written, written, and nonverba nonverball B. speaker, speaker, listene listenerr and reply reply C. facial expression, expression, tone of voice, and gestures D. message, sender, channel, receiver, receiver, and feedback CORRECT ANSWER: D RATIONALE: RATIONALE: (Kozier p.421-422) All are essential components to to communication. 13. The extent of burns burns in children are normally normally assessed and expressed in in terms of: A. the amount amount of body surface surface that is unburned unburned B. percentages of total body surface area (TBSA) C. how deep the the deepest deepest burns burns are D. the severity of the burns on a 1 to 5 burn burn scale CORRECT ANSWER: B RATIONALE: RATIONALE: The assessment of burn injuries used for both both adults and children are the same, the only difference difference are the percentages assigned.
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14. The school nurse notices a child who is wearing wearing old, dirty, poor fitting clothes; clothes; is always hungry; has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is; A. being raised by a parent of level intelligence intelligence quotient (IQ) (IQ) B. an orph orphan an C. a victim victim of child child neglect neglect D. the victim victim of of poverty poverty CORRECT ANSWER: B RATIONALE: RATIONALE: All the above mentioned manifestations are signs of child neglect. Child neglect constitutes 54% of the identified case of child abuse worldwide. (wikepedia.org- child abuse) 15. Which of the following following indicates the type(s) of acute renal failure? A. Four types: hemorrhagic with with and without clotting, and nonhemorrhagic nonhemorrhagic with and without clotting clotting B. One type type:: acute acute C. Three types: prerenal, intrarenal intrarenal and postrenal D. Two types: types: acute acute and subacute subacute CORRECT ANSWER: C RATIONALE: RATIONALE: There are only 3 types or etiologies for ARF – renal ischemia (pre-renal), kidney tissue disease (intra-renal) and obstructive (postrenal). 16. A means of facilitating facilitating professional staff development is by building building upon skills, abilities, and experience experience of each practitioner is called: A. The novice novice to expert expert model B. Situation Situational al leadership leadership model model C. Career Career enhanc enhancement ement D. Clinical Clinical ladder CORRECT ANSWER: D RATIONALE: RATIONALE: A clinical ladder ladder serves as an incentive incentive for to continually improve improve their knowledge,skills, knowledge,skills, and competency. It allows the staff to become involved with decision-making activities and encourages holistic thinking, broadening their view view of being an integral part of the process of patient care 17. Which of the following questions questions by the nurse would best fit the philosophy of the nursing mutual mutual participation model of care (NMPMC)? (NMPMC)? A. "Have you brushed brushed your child's child's teeth today?" today?" B. "How does does your child child look to you today?" today?" C. "Where "Where have you been all mornin morning?" g?" D. "Do you think your your child's color color is worse?" worse?" CORRECT ANSWER: B RATIONA RATIONALE: LE: Nursing Nursing Mutual Mutual Participa Participation tion Model of Care Care (NMPMC) (NMPMC) provides provides nurse-pati nurse-patient ent interactio interactions ns that establish a caring attitude toward the parent, help ascertain parental goals and expectations, assesses the parent's perception of their child's illnesses and attitudes, seeks parental suggestions and preferences, and invites parental participation in nurturing care. 18. There are numerous definitions definitions of the word "health". Which definition below below is from Florence Nightingale? Nightingale? A. A state or a process process of being and becoming an integrated and whole person person B. The state of being free from from illness or injury C. Being well and using using every power the individual individual possesses to the the fullest extent. D. A state of complete physical, social, social, and mental well-being and not merely merely the absence of disease or infirmity CORRECT ANSWER: C RATIONALE: RATIONALE: Definition of health by Nightingale as stated in the b ook of Kozier, p 171. 19. Informal communication communication takes place when when individuals talk and is best described by saying saying the participants: A. are involved in a preexisting informal informal relationship relationship B. talk with with slang slang words words C. have no particular particular agenda agenda or protocol protocol D. are relaxe relaxed d CORRECT ANSWER: C RATIONALE: RATIONALE: The main difference between formal and informal communication is the structure, where formal always possess a structured agenda, goal or direction as well as protocols. 20. Tertiary care by the the home health nurse is is directed toward children with: A. problems problems in in mobilit mobility y B. shortshort-ter term m needs C. minor minor problems problems Reproduction is strictly prohibited… RN International Review Center 3
D. clinically clinically apparent apparent disease disease CORRECT ANSWER: A RATIONALE: RATIONALE: problems in mobility requires rehabilitation. Other options requires secondary care. 21. The endometrium endometrium thickens during during which phase of the menstrual menstrual cycle? A. Secret Secretory ory phase phase B. Menstr Menstrual ual phase phase C. Prolifera Proliferative tive phase phase D. Ischem Ischemic ic phase phase CORRECT ANSWER: C RATIONALE: RATIONALE: Release of estrogen during the proliferative phase entails the thickening of the endometrial lining in preparation for fertilization 22. A measurement tool to articulate articulate the nursing workload for a specific patient patient or groups of patients over a specific period of time is called: A. Staffing Staffing pattern pattern B. Skil Skilll mix mix C. Benchm Benchmark arking ing D. Patient Patient classificat classification ion CORRECT ANSWER: D RATIONALE: RATIONALE: A,B & C are components of the workload measurement tool known as PCS or Patient Classification System. (Source- Leadership Roles & Mngt Functions in Nursing. p. 425) 23. The mother of a 9-month-old infant infant is concerned that the head circumference of her baby is greater than than the chest circumference. The BEST response by the nurse is: A. “These circumferences normally are the same, same, but in some babies this just differs.” differs.” B. "Perhaps your baby was small for gestational ago or premature." premature." C. “This is normal until the age of 1 year, when the chest will will be greater." greater." D. "Let me ask you a few questions, and perhaps we can figure out the cause of this difference." difference." CORRECT ANSWER: C RATIONALE: RATIONALE: page 682 pelliteri The head of the newborn is generally larger than the chest upon delivery which is 2cm less than the head circumference. Head will be equal to the chest b y 1 year old, and chest will be g reater than the head by 2 years of age. Monitoring the head and chest circumference is important in noting problems like hydrocephalus in children 24. Which of the following following approaches would work work best when the nurse is communicating with with an infant? A. Use an adult voice voice just just as you would for for anyone B. Communicat Communicate e through the caregivers caregivers C. Allow the child child lime to warm up to the nurse D. Respond only after the the child cries for a little while while CORRECT ANSWER: C RATIONALE: RATIONALE: page 689 pilliteri Newborn appear to have difficulty locating sound, however, a nd do not turn toward it consistently. Perhaps they must learn to interpret small differences amoung sounds arriving at their ears at different times. 25. Evidence-based care care started in medicine medicine as a way to: A. promote promote technological technological advances advances in medicine B. incorporate collaboration collaboration within all health care care disciplines C. integrate individual individual experience with with clinical research D. teach medical students students the art and science of medicine CORRECT ANSWER: C RATIONALE: RATIONALE: Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. EBM recognizes that many aspects of medical care depend on individual factors such as quality and value-of-life judgments, which are only partially subject to scientific methods. EBM, however, seeks to clarify those parts of medical practice that are in principle subject to scientific methods and to apply these methods to ensure the best prediction of outcomes in medical treatment, even as debate about which outcomes are desirable continues. (source- wikipedia.org/evidencebased-healthcare) wikipedia.org/evidencebased-healthcare) 26. The nurse assessing newborn babies and infants during during their hospital stay after birth birth will notice which of the following symptoms as a primary manifestation of Hirschsprung's disease? A. A fine rash rash over over the trunk trunk B. Failure to pass meconium meconium during the first first 24 to 40 hours after after birth Reproduction is strictly prohibited… RN International Review Center 4
C. The skin turns yellow yellow and then brown over the first 48 hours of life D. High-grade High-grade fever CORRECT ANSWER: B RATIONALE: RATIONALE: Hirschprung’s disease is characterized by the absence of ganglionic nerve cells responsible for peristaltic movements. An absence of these cells predisposes a child to inability in passing out meconium in the 1st 24 hours of life 27. A client is 7 months pregnant and has just just been diagnosed as having a partial placenta previa. previa. She is stable stable and has minimal spotting and is being sent home. Which of these instructions to the client may indicate a need for further teaching? A. Maintain Maintain bed rest with bathroom bathroom privileges privileges B. Avoid Avoid intercourse intercourse for three three days C. Call if contrac contractions tions occur occur D. Stay on left side side as much as possible when when lying down CORRECT ANSWER: B RATIONALE: RATIONALE: Pregnant woman is considered high risk at this time with a diagnosis of p lacenta previa. Coitus now is contraindicated in the entire length of her pregnancy as it will predispose the woman to further bleeding. 28. Which of the following following groups of people people in the world disproportionately disproportionately represents the homeless population? population? A. Hisp Hispan anic ics s B. Asia Asians ns C. African African Americans Americans D. Caucas Caucasian ians s CORRECT ANSWER: C RATIONALE: RATIONALE: According to the National Coalition for the Homeless Research, African African Americans comprise a higher majority of homeless, followed followed closely by Hispanics and Caucasians. Caucasians. Asians have the lowest homeless rate. 29. The nurse notices that the infant is wearing wearing a plastic-coated diaper. If a topical topical medication were to be prescribed and it were to go on the stomach or buttocks, the nurse would teach the caregivers to: A. avoid covering the the area of the topical medication medication with the diaper B. avoid the the use of clothing clothing on top of the diaper diaper C. put the diaper diaper on as usual usual D. apply an icepack for 5 minutes to the outside outside of the diaper CORRECT ANSWER: C RATIONALE: RATIONALE: Unless otherwise stated, there is no contraindication for placing clothing above topical medication. 30. The nurse assessing a child of adolescent with with a diagnosis of dysrhythmic disorder would would find which of the following symptoms? A. Labile mood and hyperactive hyperactive thyroid with an increase increase in circulating circulating thyroid hormones and associated associated symptoms B. Severe shaking of the hands hands when trying to hold hold a glass of water or other object C. A depression that is deeper, more acute, and more likely likely to lead to suicide than major depressive depressive disorder D. A depressed or irritable mood for most of the the day, on most days, for 2 or more years and low energy or fatigue CORRECT ANSWER: D RATIONALE: RATIONALE: Characterized by a chronic depressive syndrome that is usually present for most of the day, more days than not, for at least 2 years. ( p.455 Foundations of Psychiatric Mental Health Nursing) 31. You were the nurse nurse assigned to work with with a child who has had whole brain radiation. radiation. You have assessed the the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever, and dysphasia. Based on this assessment, you have to work with the parents in which of the following areas? A. Accepting Accepting a reoccurr reoccurrence ence of the tumor tumor B. Dealing with the side effects effects of radiation radiation therapy C. Caring Caring for the dying dying child child D. Accepting the imminent imminent death of their child child CORRECT ANSWER: B RATIONALE: RATIONALE: The above mentioned manifestations manifestations are all side effects of radiation therapy. therapy. 32. The nurse is planning interventions interventions for a child who has inflammatory bowel disease disease (IBD) with a nursing diagnosis diagnosis of "Nutrition: Less than body requirements". Which of the following interventions will be most helpful in resolving this nursing problem? A. Two large meals a day instead of several several minimeals and snacks B. Special IBD diet diet (diet that has been proven effective for treating IBD) IBD) C. Salt-free diet high high in potassium, vitamins, vitamins, and minerals minerals Reproduction is strictly prohibited… RN International Review Center 5
D. Diet as tolerated with lactose, lactose, hydrolyzed milk instead of milk milk products, and omission of highly seasoned foods, and reduction of fiber CORRECT ANSWER: D RATIONALE: RATIONALE: There is no special diet for IBD, a well balanced diet is indicated, preferably a bland diet with no gastric irritants and reduced fiber or roughage- emedicinehealth.com & carl balita nursing review p272 33. Emotional intelligence intelligence consists of a number of competencies. Some Some of these are listed below. Which is NOT NOT a characteristic of emotional intelligence? A. Self-e Self-este steem em B. Self-a Self-awar warene eness ss C. Empa Empath thy y D. Self-regul Self-regulatio ation n CORRECT ANSWER: D RATIONALE: RATIONALE: According to Hein’s definition emotional intelligence is the use, recognition, communication, manipulation and management of emotions emotions to affect growth & development. Self regulation is not an emotional emotional activity and is usually an end result of the of E.I. and its composite interaction with toher G & D factors. (www.eqi.org) 34. Data collection for driving driving and restraining forces, including including costs, desirability, and feasibility, feasibility, is a: A. people people issue issue B. struct structura urall issue C. political political issue D. technology technology issue issue CORRECT ANSWER: A RATIONALE: RATIONALE: Driving and restraining restraining forces are essentially essentially people issues which which serves as motivating motivating factors. It cannot be structural as it does not deal with systems, nor is it political because it is not guided by certain ideologies nor is it technology because it does not utilize tools & machines. 35. One of four factors describing the experience experience of sexually abused children and the effect it has on their growth growth and development is somatization that occurs when: A. a child blames him-or him-or herself for the the sexual abuse and begins to to withdraw and isolate isolate B. newspapers and the media don't keep sexual abuse private private and accidentally or on purpose reveal the name of the victim C. the child has been blamed by the abuser for his or her sexual behaviors, saying saying that the child asked to be touched or did not make the abuser stop D. the child is shared by other members of the family family or friends when the sexual abuse becomes public knowledge CORRECT ANSWER: A RATIONALE: RATIONALE: Somatization is brought about by un-resolved and undifferentiated stress, choices B,C,B are all heavy stressors especially to the already already abused child and may cause . Choice A is already a manifestation manifestation of depression & inability to handle stress. 36. The painful phenomenon known known as "back labor" occurs in a client whose whose fetus in what position? position? A. Brow Brow Positi Position on B. Right Occipito-A Occipito-Anteri nterior or Position C. Breech Breech Positi Position on D. Left Occipito-Posterior Occipito-Posterior Position CORRECT ANSWER: D RATIONALE: RATIONALE: back labor occurs when the baby is in an awkward position as it enters the birth canal — such as when the baby's head is pressing against the mother's tailbone (sacrum).which is the left occipal area of the fetus is in posterior position 37. FOCUS FOCUS methodolo methodology gy stands for: for: A. Focus, Organize, Organize, Clarify, Clarify, Understand, Solution B. Focus, Opportunity, Opportunity, Continuous, Continuous, Utilize, Utilize, Substantiate Substantiate C. Focus, Organize, Organize, Clarify, Clarify, Understand, Understand, Substantiate Substantiate D. Focus, Opportunity, Opportunity, Continuous(process), Continuous(process), Understand Solution CORRECT ANSWER: C RATIONALE: RATIONALE: This is the definition of the FOCUS Methodology in Research and Problem solving which a more systematic approach that can be used in making a clearer goals for creating and undertaking a research. 38. While community health nurses focus on the individual individual or the family, which of the the following do they also have as their final objective? A. The well-being well-being of the chronica chronically lly ill Reproduction is strictly prohibited… RN International Review Center 6
B. The financial financial well well being being of the family family C. The well-being well-being of the extended extended family family D. The well-being well-being of the communi community ty CORRECT ANSWER: D RATIONALE: RATIONALE: According to the concepts of community health nursing, the practice of CHN covers not just the individual, but the family and whole community was well. (CHN-DOH p.17) 39. Which of the following following is the best example of the ethical ethical principle of fidelity? fidelity? A. Doing whatever the client or or the client's client's physician asks asks of you B. Keeping a promise to to return to the client's client's room at a given time C. Being a good friend to the the client by sharing secrets D. Saving the client time time and money by not wasting wasting supplies CORRECT ANSWER: B RATIONALE: RATIONALE: In ethics fidelity often is related to the concept of faithfulness and keeping a promise. 40. Which of the following factors factors is most important in determining determining the success of relationships used in delivering delivering nursing care? A. Type of illnes illness s of the client client B. Transferen Transference ce and counter counter transferenc transference e C. Effective Effective communica communication tion D. Personalit Personality y of the participa participants nts CORRECT ANSWER: C RATIONALE: RATIONALE: Communication is the most important component or factor in establishing any forms of relationships. It determines the the success or failures of a relationship based on the the quality of communication communication ensuing between two parties. 41. Which of the following statements best describes the term glove type burn?
A. The parent was wearing heavy gloves or stockings on his or her hands while while immersing the child in hot scalding water. B. The parents have dipped the the child into hot liquid liquid while he or she was asleep. C. The child was wearing wearing a glove when immersed immersed in hot liquid. liquid. D. The bum has the look of a glove immersed immersed in hot scalding water. water. CORRECT ANSWER: D RATIONALE: RATIONALE: Glove type burn is a type of burn that shaped like a glove. 42. The school nurse keeps a list of enrolled students who who have medical or religious objections objections lo immunizations and those who are likely to have decreased immunity The nurse likely keeps this just to: A. provide statistics statistics for the Department Department of Health B. reassure the family family that the nurse will will respect the family's family's wishes at all times C. meet national government requirements D. facilitate exclusion exclusion in case of an outbreak outbreak of a highly communicable communicable disease in the school school CORRECT ANSWER: A RATIONALE: RATIONALE: Recording are done to provide statistics. 43. Preschoolers are able to see things from which of the following following perspectives? A. Their Their peers peers B. Their own own and their their caregiver caregivers s C. Their own own and their mother's mother's D. Only Only their their own CORRECT ANSWER: D RATIONALE: RATIONALE: Prescholers like children ages 4 years old normally has imaginary playmates or friends. 44. In conflict conflict management, the win-win win-win approach occurs when: A. there are two two conflicts and the parties agree to each win one B. each party gives in on 50% of the disagreements making up the conflict conflict C. both parties involved are are committed to solving solving the conflict D. the conflict is settled settled out of court so the legal system and the parties win win CORRECT ANSWER: C RATIONALE: RATIONALE: This conflict resolution strategy is called collaboration, where both parties look for mutually satisfying solutions. 45. According to the social-interactional social-interactional systemic perspective of child child abuse and neglect, four factors place the family family members at risk for abuse. These risk factors are the family itself, the caregiver the child, and Reproduction is strictly prohibited… RN International Review Center 7
A. B. C. D.
the presence presence of a famil family y crisis crisis gene geneti tics cs the national national emphasi emphasis s on sex chronic chronic poverty poverty
CORRECT ANSWER: A RATIONALE: RATIONALE: Family crisis according according to cornell.edu can include poverty as a risk factor. factor. 46. When a person is discussing discussing the strong influences influences that child-rearing child-rearing methods have on the development development of the child, this person is most probably coming from which of the following viewpoints or theories? A. Natura Naturalis listic tic B. Natu Nature re C. Neocla Neoclassi ssic c D. Nurt Nurtur ure e CORRECT ANSWER: D RATIONALE: RATIONALE: In the rearing method theories “nature vs. nurture” nurture is geared towards the external environment and not the genetic predisposition. predisposition. This includes child rearing rearing methods, show of care, discipline 47. In working with with the caregivers of a child with an acute acute or chronic illness, illness, the nurse would: A. teach care dairy and let let the caregivers do a return return demonstration just just before discharge B. delegate care of the child child to a nurse's aide and and make certain he or she understands the care delegated delegated and completes it C. teach care early and allow the caregivers to provide provide daily care for as many aspects of the child's care as possible D. take responsibility for the child's child's care until the day before discharge, and then give caregivers caregivers instructions CORRECT ANSWER: A RATIONALE: RATIONALE: Asking the caregiver to give a return demonstration of the care given to the patient will actually demonstrate the learning, as well as an understanding of the type of care a s well as the quality of care that needs to be given. 48. Which of the following signs and symptoms symptoms would you most likely find when assessing assessing an infant with Arnold-Chiari Arnold-Chiari malformation? A. Weakness of the leg muscles, muscles, loss of sensation in the legs, and restlessness restlessness B. Difficulty swallowing, swallowing, diminished diminished or absent gag reflex, reflex, and respiratory distress distress C. Difficulty sleeping, sleeping, hypervigilant, and and an arching of the back D. Paradoxical irritability, irritability, diarrhea, and and vomiting. CORRECT ANSWER: A RATIONALE: RATIONALE: wikipedia- Chiari is often associated with major headaches, sometimes mistaken as migraines. Chiari headaches usually include intense throbbing in the back of the head. Chiari also includes extreme muscle soreness and low energy levels. It also can cause a hoarseness in the voice. 49. A patient calls you and frantically frantically reports that her child has gotten into her ferrous ferrous sulfate pills and ingested a number of these pills. The child is now vomiting, has bloody diarrhea, and is complaining of abdominal pain. You will tell the mother to: A. call emergency medical services (EMS) and get the child to to the emergency room B. relax because these symptoms will pass and the child will will be fine C. administer administer syrup syrup of ipecac ipecac D. call the poison poison control control center center CORRECT ANSWER: C RATIONALE: RATIONALE: The mother has already called you, the nurse so no need to call EMS, EMS, the best advice the nurse can give is letter C to induce vomiting to stop absorption of the medication. 50. A client says she heard from a friend that you stop stop having periods once you are on “the pill". The most appropriate appropriate response would be A. "The pill prevents the uterus from making making such endometrial lining; that is why why periods may often be scant or skipped occasionally." B. "If your friend has missed missed her period, she should stop taking the pills and get a pregnancy test as soon as possible." C. "The pill should cause a normal menstrual period period every month. It sounds like your friend has not been taking taking the pills properly." D. "Missed periods can be very very dangerous and may lead to to the formation of precancerous cells." CORRECT ANSWER: C RATIONALE: RATIONALE: wikipedia -Other possible side effects are: vaginal discharge, changes in menstrual flow, flow, breakthrough bleeding, nausea, nausea, vomiting, vomiting, headaches, headaches, changes in the breasts, changes in blood pressure, pressure, loss of scalp hair, skin problems and skin improvements. Reproduction is strictly prohibited… RN International Review Center 8
51. You are the nurse assigned to work with a child child with acute glomerulonephritis. glomerulonephritis. Try following the prescribed prescribed treatment regimen, the child child experiences a remission. You are not checking to make sure the child does not have a relapse. Which finding would most lead you to the conclusion that a relapse is happening? A. Elevated temperature, cough, sore sore throat, changing complete blood count (CBC) (CBC) with differential differential B. A urine dipstick measurement of 2+ proteinuria proteinuria or more for 3 days, or the child found to have 3-4+ proteinuria plus edema C. The mine dipstick showing glucose in the the urine for 3 days. Extreme thirst, increase increase in urine output and a moon face D. A temperature of 37.8 degrees C(100 degrees F), F), flank pain, burning, frequency, urgency on voiding, voiding, and cloudy urine CORRECT ANSWER: B RATIONALE: RATIONALE: In relapse cases, the child has been treated but the classic manifestations and symptoms have once again resurfaced, prompting immediate immediate treatment. That’s is why careful assessment assessment should be done. (Essential Pediatric Nursing p.998) 52. The nurse is working with an adolescent adolescent who complains of being lonely and having a lack of fulfillment fulfillment in her life. This adolescent shies away from intimate relationships at times, yet at other times she appears promiscuous. The nurse will likely work with this adolescent in which of the following areas? A. Isol Isolat atio ion n B. Loneli Lonelines ness s C. Lack of fulfillme fulfillment nt D. Identi Identity ty CORRECT ANSWER: D RATIONALE: RATIONALE: According to Erickson, Adolescent Adolescent staghe is identity vs. role role confusion, as a nurse it is our responsibility to encourage self expression for an adolescent to find identity which will result to finding love and fulfillment in themselves. 53. The use of interpersonal decision making, making, psychomotor skills, and application application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety is an example of: A. Delega Delegatio tion n B. Superv Supervisi ision on C. Responsibi Responsibility lity D. Compet Competenc ence e CORRECT ANSWER: D RATIONALE: RATIONALE: Competence is a standardized requirement for an individual to properly perform a specific job specific job.. It encompasses a combination of knowledge, of knowledge, skills and behavior utilized behavior utilized to improve performance. More generally, competence is the state or quality of being adequately or well qualified, having the ability to perform a specific role. role. 54. A child suffers a head injury in a tumbling tumbling accident in gym class. The nurse's best course of action action is to: A. get the child child up walking and make sure sure he or she stays awake B. leave the the child child and go go get help help C. leave the child in the the care of an older child child and go get help D. stay with the child, child, keep assessing, and have someone call the caregivers caregivers CORRECT ANSWER: D RATIONALE: RATIONALE: Staying with the child limits the fear/anxiety the child experiences and never move the child in case of any possible cns problems. 55. The American Academy of Pediatrics Pediatrics suggests that caregivers do which which of the following things in regard to physical activities for preschoolers? A. Push the child lo practice practice sports activities activities while they they are more flexible B. Encourage a variety of physical activities activities in a noncompetitive noncompetitive environment C. Have the child engage in in competitive sports to see where they excel excel D. Keep physical activities activities to a minimum minimum until the child child is in grade school CORRECT ANSWER: B RATIONALE: RATIONALE: The child this age is beginning to establish motor skills, that’s why non-specific activities is encouraged. This is true true for this developmental developmental stage of a child. child. 56. Which of the following arrangements arrangements is generally considered to be best for the parents of a hospitalized hospitalized infant or young child? A. Roomi Roomingng-in in B. Separate Separate caregiver caregiver sleeping sleeping room on the unit unit C. Day visits visits and sleeping sleeping at home D. Staying Staying at a nearby hotel hotel or motel Reproduction is strictly prohibited… RN International Review Center 9
CORRECT ANSWER: A RATIONALE: RATIONALE: The infant is bound to experience separation separation anxiety without the presence of the mother as well well as stranger anxiety. For any intervention, treatment, treatment, assessment to be done for an ifant a caregiver or mother mother should always be around. 57. When one person allows the conflict to be reserved reserved at his or her own expense, this is referred to in conflict conflict management as: A. losi losing ng B. winning winning while while losing losing C. the win-los win-lose e approach approach D. the lose-win lose-win approach approach CORRECT ANSWER: C RATIONALE: RATIONALE: This approach is known known as COOPERATION, COOPERATION, otherwise otherwise known as the “Win-Loose” where one party sacrifices his own belief and allow the other party to win. 58. Which of the the following statements best describes acquaintance acquaintance rape? A. Sexual intercourse when when one person engaging in the the activity is unsure unsure about wanting to do so B. When two people don't love each other and engage in in sexual activities activities C. When someone on a date tricks tricks the other person into having sexual intercourse intercourse D. Sexual intercourse committed committed with force or the threat of force without without a person's consent CORRECT ANSWER: C RATIONALE: RATIONALE: the definition of date rape is forcible sexual intercourse by a male acquaintance of a woman, during a voluntary social engagement in which the woman did not intend to submit to the sexual advances and resisted the acts by verbal refusals, denials or pleas to stop, and/or physical resistance. 59. The school nurse is teaching a health education education and hygiene course to a group of high schools males, males, which includes a number of young men who are on competitive sports teams. Which of the following health practices would the nurse most stress in preventing the transmission of human immunodeficiency virus (HIV) virus in case any team member has HIV or acquired immunodeficiency syndrome (AIDS)? A. No sharing sharing of underarm deodoran deodorantt or shower soap B. No storing storing of razors razors or toothbrushes toothbrushes C. Making certain towels have been been washed in boiling water D. Avoiding physical contact such as sports hugs or swats CORRECT ANSWER: B RATIONALE: RATIONALE: These are implements that come in direct contact with the body’s membranes and fluid secretions, and possible blood. To share these tools would be first and foremost foremost un-hygienic and would also increase probability of transmitting the virus via the secretion left on the tool. 60. At 17 weeks' gestation, gestation, a type 1 diabetic diabetic undergoes an ultrasound examination. examination. What information information about the fetus fetus at this time in pregnancy would the results of this examination provide? A. Placental Placental maturity maturity B. Estimated Estimated fetal fetal weight weight C. Gestationa Gestationall age D. Fetal lung matur maturity ity CORRECT ANSWER: A RATIONALE: RATIONALE: Noting if the placenta is already fully developed and is producing hormones, placental insulinase(a rapid degenarator of insulin) and HPL human placental lactogen who is an insulin antagonist. Lung maturity of the fetus should be tested after 24 weeks as it is when the surfactants are being produced 61. Which of the following best describes describes a difference in communicating with with school-age children versus toddlers? A. Toddlers require more empathy and and more touching and holding B. For toddlers, preparation for procedures procedures is just before the procedure and much earlier for school-aged school-aged children C. Caregivers need less information information when care involves involves a school-aged child D. The number of words is more when communicating communicating with a toddler than it is with with a school-aged children CORRECT ANSWER: B RATIONALE: RATIONALE: Toddlers do not understand procedure, the utilization of play to make the preparation for toddler can be done just before a procedure is d one, whereas the school-age child has already developed certain concepts and has already an idea as to what a procedure is(especially is it is medical or surgical in nature) is, more so that one common fear among children this age is the fear of “castration”, so they require more explanation and preparation. 62. Genetic testing testing should be performed performed on a child only if: A. the parents parents both want itit performed performed B. it is in the best intere interests sts of the child child Reproduction is strictly prohibited… RN International Review Center 10
C. it is necessary necessary for the child child to survive D. no one obje object cts s CORRECT ANSWER: A RATIONALE: RATIONALE: A child is a minor which means any form of procedure procedure or treatment should have a cocurrent consent from the parents. 63. Infant Infant head control control is judged judged by the: A. ability ability to hold head without without support support B. presence presence or absence absence of of head lag lag C. rigidity rigidity of the the neck and head head D. amount of neck wrinkl wrinkling ing CORRECT ANSWER: A RATIONALE: RATIONALE: page 697 pelliteri If they are pulled into a sitting position from a supine position, the head will lag considerably. However they should make make an effort to control and steady the head as they reach sitting position. Head lag disappears at 3 months 64. Which of the following following roles BEST BEST exemplifies the expanded role of the the nurse? A. Circulati Circulating ng nurse in in surgery surgery B. Medica Medicati tion on nurse C. Obstetric Obstetrical al nurse nurse D. Pediatric Pediatric nurse practiti practitioner oner CORRECT ANSWER: D RATIONALE: RATIONALE: A,B, & C are all traditional or common roles of nurses, whereas a pediatric nurse practitioner is an expanded role of a nurse in a sense that he/she should get s specialization training in order to practice this role. 65. The tone and pitch of the voice, volume, inflection, inflection, speed, grunts and other vocalizations vocalizations are referred to by which of the following terms? A. Parave Paraverba rball clues B. Ancil Ancillar lary y speech speech C. Third Third elemen elementt D. Enhanc Enhanceme ements nts CORRECT ANSWER: A RATIONALE: RATIONALE: Paraverbal clues or your non-verbal cues are those those factors in communication that does not require require the use of spoken or written language, but rather they are the physical manifestations and actions that accompany the spoken language, one which also connotes or heightens the message communicated or said. 66. The plan-do-st plan-do-study-ac udy-actt cycle begins with: with: A. Four Four stages stages B. Five Five agenda agendas s C. Three Three questions questions D. Two Two concept concepts s CORRECT ANSWER: D RATIONALE: RATIONALE: This type of cycle connotes two main ideas and stages, which are first, the planning phase where all aspects are identified, goals set, prioritized, evaluated for its efficacy and feasibility, then after that the implementation which is the acting or doing phase, wherein the plans are already put into action and whatever products of the study is already applied to the implementation process. 67. During your shift, shift, you noted one of your pregnant clients considered considered as “waiting case" case" manifests morning sickness sickness and which later progressed. Which assessment finding may indicate a possible developing complication? A. Matern Maternal al pulse pulse 90 B. Trace glucos glucose e in the urine C. FHT FHT 155 155 D. 1+ ketones ketones in the the urine urine CORRECT ANSWER: D RATIONALE: RATIONALE: ketones = diabetes in pregnancy. The fetus absolutely absolutely must have energy, so if your pancreas cannot make enough insulin to overcome the hormone-caused resistance, the cells start accessing other sources of energy, like fat stores. The by-product of this is ketones. 68. The nurse is working with a child child who is going to have a bone marrow aspiration. The physician physician orders TAC (tetracaine, adrenaline, and cocaine). Which of the following is the route of administration? A. Application to the the skin, covered with with a dressing prior to the procedure B. Subcut Subcutaneo aneous us C. IV using a very slow slow drip over approximately approximately 4 hours prior to procedure D. Nasal inhalation inhalation Reproduction is strictly prohibited… RN International Review Center 11
CORRECT ANSWER: C RATIONALE: RATIONALE: Anesthetic is given via IV for either complete or partial sedation. For partial sedation an adjunct topical anesthetic is applied to the site prior the procedure. 69. According to DeRosa and Kochura's (2006) article article entitled "Implement "Implement Culturally Competent Health Health Care in your Workplace." cultures have different patterns of verbal and nonverbal communication. Which difference does NOT necessarily belong? A. Personal Personal behavior behavior B. Eye contac contactt C. Subjec Subjectt matter matter D. Conversati Conversational onal style style CORRECT ANSWER: C RATIONALE: RATIONALE: This is not a mode of communication, communication, rather it is the topic which tends to be more more general if not universal. 70. The nurse instructs the caregivers of a newborn newborn to notch the diapers or fold them in such a way as to expose the cord. The major purpose of exposing the cord is to: A. remind remind the caregivers caregivers to do cord cord care B. keep the diaper diaper from rubbing rubbing the the cord C. provide air circulation for the cord D. allow visuali visualizatio zation n at all times CORRECT ANSWER: C RATIONALE: RATIONALE: page 712 pilliteri. Be certain that the diaper are folded below the level o f the umbilical cord, so that, when the diaper becomes wet, the cord does not become wet also. 71. The level of health health of an individual, family, group, population, or community community is called: A. Healt Health h assets assets B. Healt Health h statu status s C. Quality Quality of of life life D. Healt Health h needs needs CORRECT ANSWER: B RATIONALE: RATIONALE: Health status is defined a s the current state of health of an individual, group or community. 72. The nurse is teaching a group of expectant mothers about the the prevention of diaper dermatitis. The nurse explains that one of the preventive measures is the use of: A. absorbent absorbent disposabl disposable e diapers diapers B. baby powder powder or cornstar cornstarch ch C. plastic plastic panties panties over diapers diapers D. cloth cloth diape diaper r CORRECT ANSWER: A RATIONALE: RATIONALE: page 1122 wong pedia – Superabsorbent disposable paper diaper reduce diaper dermatitis. They contain an absorbent getting material that binds water tightly to decrease skin wetness, maintain pH control by providing a buffering capacity, and decreases skin irritation by preventing mixing of urine and feces in diaper. B – a management of diaper rash or use a Desitin ointment C- leads to diaper rash because of the heat created by the plastic panties D – improperly washed cloth diaper leads to rash 73. The Code Code of Nurs Nurses es A. delineates all obligations and responsibilities of the nurse B. is a binding oath, which which tells nurses how to make, ethical decisions C. assists the nurse nurse in formulating formulating a personal belief system D. supports the concept concept of respect for all persons CORRECT ANSWER: A RATIONALE: RATIONALE: Codes serves as guidelines on the performance of ones professional professional duties and responsibilities as well as how to make critical ethical decisions in line with the practice of the profession. (Professional Nursing in the Phil. Vengson p.127) 74. The obligation to correctly perform one's assigned assigned duties is: A. delega delegatio tion n B. assign assignmen mentt C. responsibi responsibility lity D. accountabil accountability ity CORRECT ANSWER: C Reproduction is strictly prohibited… RN International Review Center 12
RATIONALE: RATIONALE: A responsibility is an obligation, delegation is to share and impart responsibility, assignment is the task one is responsible for, and accountability is the taking-on of the responsibility. 75. During a routine postpartum assessment assessment following a normal vaginal delivery, delivery, the nurse notes the fundus to be slightly boggy. Which action should the nurse take to decrease the risk of u terine inversion during uterine massage? A. Massage Massage only until until cramping cramping begins B. Place one hand on the abdomen above the symphysis symphysis pubis C. Ask the client to to ambulate to the bathroom bathroom to empty her bladder bladder D. Position the client in a slight Trendelenburg Trendelenburg position position CORRECT ANSWER: A RATIONALE: RATIONALE: A floppy or boggy uterus that has not contracted down well is the main cause of postpartum hemorrhage. Your caregivers will massage the uterus strongly to make sure it is well contracted. If the bleeding stops with massage, they may give you medication to keep it contracted. If your uterus is well contracted and you continue to bleed too much, they will then look for other causes like tears in the genital tract. When a woman has postpartum hemorrhage, the doctor must determine the exact cause of the problem in order to stop the b leeding. SITUATIONAL Situation 1-
Nurse Mercy is a staff nurse in the OB ward of L aoag Medical Center.
76. When the separation begins at the center and the placenta placenta slides down the birth canal like like a folded umbrella, this is referred to as: A. Dunc Duncan an mec mecha hani nism sm B. Schu Schult ltz z mech mechani anism sm C. Brandt Brandt Andrew Andrews s maneuve maneuver r D. Ritg Ritgen en’s ’s mane maneuv uver er CORRECT ANSWER: B RATIONALE: When the placenta separates first at the center and it slide down the birth canal like a folded umbrella with the fetal side being delivered first, it is called Schultz method. The Duncan method of placental delivery is characterized by separation that begins at the edges with the maternal side being delivered first. Brandt-Andrew maneuver is a technique used to deliver placenta safely. Ritgen’s maneuver is a technique used on delivering the fetal head to promote extension and prevent lacerations.
A. B. C. D.
77. In the immediate immediate postpartum period, the the action of methylergonovine methylergonovine is to: Cause su sustained ut uterine co contraction Cause use in intermittent ut uterine co contractions Relax the uterus Indu Induce ce slee sleep p so so the the moth mother er can can res restt aft after er an exha exhaus usti ting ng labo labor r CORRECT ANSWER: A RATIONALE: Methylergonovine (and syntocinon or oxytocin) is an oxytocic drug given on the stage of labor, this drug causes sustained uterine contractions. Uterine contraction is the primary mechanism by which bleeding in the placenta site is prevented.
A. B. C. D.
78. Gina, a newly delivered multipara multipara complains of heavy and painful breasts accompanied accompanied by fever. The nurse tells Gina that it is normal breast engorgement as the fever is characterized by: More than 38 degree centigrade Does not last more than 24 hours Caused by infection Needs to be treated with antibiotics CORRECT ANSWER: B RATIONALE: Fever caused by breast engorgement does not last more than 24 hours and is usually low grade. No antibiotic is necessary as it is no caused by infection but by increased blood supply to the breast tissue.
A. B. C. D.
79. Postpartum depression occurs during which time frame? frame? Within 6 weeks after delivery Within 12 weeks Within 16 weeks Within 24 weeks CORRECT ANSWER: A RATIONALE: RATIONALE: Postpartum depression occurs during the first six weeks after delivery.
A.
80. Martha, Martha, a 38 year old multipara multipara is admitted admitted with a tentative tentative diagnosis diagnosis of femoral femoral thrombophleb thrombophlebitis itis.. The nurse assesses the patient with: Burning of urination Reproduction is strictly prohibited… RN International Review Center 13
B. C. D.
Leg pain Abdominal pain Increased lochial flow CORRECT ANSWER: B RATIONALE: Inflammation of the vein resulting in vascular occlusion of the vessels of the pelvis or lower extremities is termed thrombophlebitis.
Situation 2 -
To assure wellness and survival of children 0-59 months old, there are activities that are performed by a community health nurse: 81. A. B. C. D.
For immediate immediate care of the newborn, what should the nurse do do first? Put Put baby baby in in room roomin ingg-in in Clea Clearr airw airway ays s Brea Breast stfe feed edin ing g the bab baby y Inj Inject ect Vit. Vit. K CORRECT ANSWER: B RATIONALE: The nurse’s priority when caring for a newborn is to establish and maintain effective respiration. This is achieved by the following measures: Suctioning secretions from the mouth after delivery of the head and repeating the action after complete delive delivery ry of the newbor newborn n to remove remove amniot amniotic ic fluid fluid and secre secretio tions ns from from the airway airway that that could could cause cause aspiration and prevent newborn from b reathing effectively. Stimulating the newborn after the airway is cleared. “A crying baby is a breathing baby” as the infant takes in air and expands his lungs when he cries. Placing the newborn in trendelenburg position to promote further drainage of secretions. •
•
•
82. A. B. C. D.
What is the standard standard tool to record vital vital information about about the child and kept in the home? Growth Growth Develo Developme pment nt Recor Record d Growth Growth Monito Monitori ring ng Prom Promoti otion on Growth Growth Monito Monitori ring ng Chart Chart Growth Growth Monito Monitori ring ng Reco Record rd CORRECT ANSWER: C RATIONALE: All newborns are issued a Growth Monitoring Chart where growth rate and other vital information are recorded and kept at home by the mother. The mother brings the Growth Monitoring Chart to the clinic or center everytime the child is to have a check-up, treatment or immunization.
83. A. B. C. D.
When is the immunization immunization of a child completed? completed? 0-12 0-12 mont onths 3-4 ye years 5-6 mo months 12-2 12-24 4 mon month ths s CORRECT ANSWER: A RATIONALE: The prescribed immunization for the infant should be completed by the child’s first birthday. During the first year of life, a fully immunized child should already be immunized against the following diseases: Tuberculosis: BCG Diptheria: DPT Pertussis: DPT Tetanus: DPT Poliomyelitis: OPV Measles: Measles vaccines Hepatitis B: Hepatitis vaccine • • • • • • •
84. A. B. C. D.
Four hours after birth, which finding finding in a newborn requires requires further assessment? assessment? Yell Yellow owis ish h scler sclera a Blui Bluish sh pal palms ms and and sole soles s Moro oro ref refllex Hear Heartt rat rate e of 160 160 CORRECT ANSWER: A RATIONALE: Yellowish sclera is a sign of jaundice which is considered abnormal if it appears during the first 24 hours after birth. It indicates hemolysis of red blood cells of the newborn which could be due to ABO or RH incompatibility. Acrocyanosis or bluish discoloration of the newborn’s palms and soles are normal findings during the first 12 hours after birth. Moro reflex and heart rate are also normal findings.
85. The Ligtas Buntis Buntis Campaign of the DOH DOH aims to achieve achieve the following following goals except: Reproduction is strictly prohibited… RN International Review Center 14
A. B. C. D.
Univer Universal sal Acce Access ss to Fami Family ly Plann Planning ing Matern Maternal al Care Care Forma Formatio tion n Serv Servic ices es of Men Men Servic Services es for aging aging Couple Couples s CORRECT ANSWER: D RATIONALE: RATIONALE: Ligtas Buntis Campaign targets only men and women in their reproductive years. Its objective is “to deliver the needed FP and Maternal Care education and services to the target population In women, the reproductive age is between 15 to 49 years old. In male, the reproductive age is from 15 years old onwards.
Situation 3 - With the increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. PREVENTION. The following conditions apply.
86. Which among the following following is the primary primary focus of prevention prevention of cancer? A. Eliminati Elimination on of conditions conditions causing cancer cancer B. Diagnosis Diagnosis and treatme treatment nt C. Treatment Treatment of early early stage stage D. Early Early Detect Detection ion CORRECT ANSWER: A RATIONALE: RATIONALE: The primary focus of cancer prevention is promotion of healthy lifestyle which includes removal or lessening of factors that may cause cancer. Secondary to that is early detection to effect effect higher chances of recovery after proper treatment. 87. In the prevention and control of cancer which of the following activities is the most important function of the
community health nurse? A. Conduct Conduct of community community assembli assemblies es B. Referral to cancer specialist specialist those clients clients with symptoms symptoms of cancer C. Use the nine warning signs of cancer as parameters in our process process of detection, control, and treatment treatment modalities D. Teach women women about proper/correct nutrition CORRECT ANSWER: D RATIONALE: RATIONALE: Proper nutrition is one of the features features of health education in the prevention of cancer. 88. Who among the following following are recipients of the secondary level of of care for cancer cases? cases? A. Those under under early case case detection detection B. Those under under post post case treatme treatment nt C. Those schedul scheduled ed for surgery surgery D. Those undergoi undergoing ng treatment treatment CORRECT ANSWER: D RATIONALE: RATIONALE: Primary Care is geared towards, towards, Health education, disease prevention prevention and early diagnosis. Secondary Care connotes that patient is is already sick-bound for treatment. Tertiary Care is more more rehabilitative. 89. Who among the following following are recipients of the tertiary level level of care for cancer cancer cases? A. Those under under early early treatmen treatmentt B. Those under under support supportive ive care care C. Those under under early detectio detection n D. Those schedul scheduled ed for surgery surgery CORRECT ANSWER: B RATIONALE: RATIONALE: Refer to rationale above. 90. In Community Health nursing, nursing, despite the availability and use of many equipment equipment and devices to facilitate the job job of the community health nurse, the best tool any nurse should well be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This in nursing parlance is nothing less than the: A. nursing nursing diagnosis diagnosis B. nursin nursing g protocol protocol C. nursing nursing research research D. nursing nursing process process CORRECT ANSWER: D RATIONALE: RATIONALE: Definition of Nursing Nursing Process - Dengue hemorrhagic fever is a common health concern in Philippine society. It does not only pose a threat to health but more so to the lives of both young and old and well as rich and marginalized sectors of society. The following conditions apply Situation 4
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91. An important rote of the community community health nurse in the prevention and control of Dengue Dengue H-fever includes: A. Advising the elimination elimination of vectors by keeping keeping water containers containers covered B. Conducting strong health education drives/campaign directed towards proper garbage disposal disposal . C. Explaining to the individuals, families, families, groups and community community the nature of the disease and its causation D. Practicing residual spraying spraying with insecticides CORRECT ANSWER: C RATIONALE: RATIONALE: All the other choices will follow if the community is well educated and informed. 92. Community health nurses should be alert alert in observing a Dengue suspect. The following following is NOT an indicator for hospitalization of H-fever suspects. A. Marked Marked anorexia, anorexia, abdominal abdominal pain and vomiting vomiting B. Increasing Increasing hematoc hematocrit rit count count C. Fever for for more more than 2 days days D. Persistent Persistent headache headache CORRECT ANSWER: D RATIONALE: RATIONALE: All the other manifestations are signs that would indicate immediate hospitalization. hospitalization. 93. The community health health nurses' primary concern concern in the immediate immediate control of hemorrhage hemorrhage among patients with with dengue is: A. advising advising low fiber fiber and non-fat non-fat diet B. providing providing warmth warmth through through light weight covers covers C. observing closely the patient patient for vital signs signs leading to shock D. keeping keeping the patient patient at rest rest CORRECT ANSWER: D RATIONALE: RATIONALE: PHN immediate responsibility in cases of bleeding os to keep the patient at rest to prevent aggravating the the condition. PHN 267 94. Which of these signs may NOT be REGARDED REGARDED as a truly positive positive signs indicative of Dengue H-Fever? H-Fever? A. Prolonged Prolonged bleedin bleeding g time time B. Appearance Appearance of at at least 5 petechi petechiae ae C. Steadily increasing hematocrit count D. Fall in in the platelet platelet count count CORRECT ANSWER: B RATIONALE: RATIONALE: 20 or more petechiae for every 1 inch square means positive for the disease. 95. Which of the following following is the most important treatment treatment of patients with with Dengue H-fever? A. Give aspiri aspirin n for fever B. Replacemen Replacementt of body body fluids fluids C. Avoid Avoid unnecessary unnecessary movement movement of patient D. Ice cap over the the abdomen abdomen in case of melena melena CORRECT ANSWER: B RATIONALE: RATIONALE: PHN p.266. Situation 5 - Two children were brought to you. One with chest in-drawing and the other had diarrhea. The following questions apply.
96. Using the Integrated Management & Childhood Childhood Illness (IMCI) (IMCI) approach, how would you classify the 1st child? child? A. Bronchopneu Bronchopneumoni monia a B. No pneumonia pneumonia:: cough or or cold cold C. Severe Severe pneumon pneumonia ia D. Pneumo Pneumonia nia CORRECT ANSWER: C RATIONALE: RATIONALE: According to IMCI guidelines, a child with chest in-drawing, any danger signs and stridor in a calm child is classified as with severe pneumonia. 97. The 1st child who who is 13 months has fast fast breathing using IMCI IMCI parameters he has: A. 40 breaths breaths per minute minute or more more B. 50 breaths breaths per minute minute C. 30 breaths breaths per minute minute or more more D. 60 breaths breaths per per minute minute CORRECT ANSWER: A RATIONALE: RATIONALE: IMCI guidelines states that a child 12 mos. up with 40 or more breaths per minute is fast breathing. Reproduction is strictly prohibited… RN International Review Center 16
98. Nina, the 2nd child has diarrhea for 5 days. There There is no blood in the stool. She is irritable, irritable, and her eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you classify Nina's illness? A. Some Some dehydr dehydrati ation on B. Dyse Dysent nter ery y C. Severe Severe dehydrat dehydration ion D. No dehydra dehydratio tion n CORRECT ANSWER: A RATIONALE: RATIONALE: All are s/s of some diarrhea as classified classified by IMCI. 99. Nina's treatment treatment should include include the following following EXCEPT. EXCEPT. A. Reassess the child and classify him him for dehydration B. For infants under 6 months old who are not breastfed, breastfed, give 100-200 ml clean water as well during this this period C. Give in the health health center the recommended amount amount of ORS for for 4 hours D. Do-not give any other foods to the child for home treatment CORRECT ANSWER: D RATIONALE: RATIONALE: Plan B Treatment Plan for Some Diarrhea states that together with recommended mode of treatment, feeding should be continued. 100. While on treatment, treatment, Nina, 18 months old weighed 10kg and her temperature temperature registered at 37° C. Her Her mother says she developed cough 3 days ago. Nina has no general danger signs. She has 45 breaths/minute, no chest indrawing, no stridor. How would you classify Nina's manifestation? A. No pneumo pneumonia nia B. Severe Severe pneumon pneumonia ia C. Pneumo Pneumonia nia D. Bronchopneu Bronchopneumoni monia a CORRECT ANSWER: C RATIONALE: RATIONALE: Fast breathing without danger danger signs is indicative of pneumonia.
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