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NLE PRACTICE > 2016 > Flashcards

2016 Flashcards

1
Q

What identifying information, when asked, would NOT break the principle of
Confidentiality?

a. Address
b. Civil Status
c. Income
d. Name

A

C

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2
Q

Where would you find the patient’s current diagnosis?

a. Admission sheet
b. Doctor’s order sheet
c. Medication sheet
d. Nurses’ notes

A

A

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3
Q

Nurse Pat has been working in the pediatric ward for many years now. He has developed a high perceptual acuity in which he performs by his instinct. Nurse
Pat is in what stage of Patricia Benner’s Stages of Nursing Expertise?

a. Competent
b. Expert
c. Novice
d. Proficient

A

B

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4
Q

Which part of the lungs found at the end of the terminal bronchioles does gas
exchange occurs?

a. Alveoli
b. Bronchi
c. Bronchioles
d. Carina

A

A

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5
Q

You are assigned to a patient who will undergo right leg amputation. Which of
the following should you perform before the surgery?

a. Clean the right leg
b. Cover the leg
c. Elevate the leg
d. Mark the leg

A

D

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6
Q

What is your top priority when doing your post mortem care?

a. Close the deceased’s eyes
b. Cover the body
c. Remove all contraptions
d. Treat the body with respect

A

D

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7
Q

In the assessment phase of the nursing process, what is the next step after
gathering data?

a. Analyze
b. Collate
c. Evaluate
d. Validate

A

D

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8
Q

In clearing the respiratory airways, what is the maximum time to suction?

a. 10 seconds
b. 15 seconds
c. 30 seconds
d. 1 minute

A

A

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9
Q

What is the first line of drug used in hyperthyroidism?

a. Beta Blockers
b. Levothyroxine
c. Methimazole
d. PTU (Propylthiouracil)

A

D

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10
Q

A patient had undergone Thyroidectomy. As the nurse, what should you prepare
and keep at the bedside?

a. Ambubag
b. Nasogastric tube
c. Oxygen set
d. Tracheostomy set

A

D

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11
Q

What acid-base imbalance is present when an individual experiences
decompensated shock?

a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis

A

A

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12
Q

As a knowledgeable nurse, you know that thyroid medications such as
Levothyroxine is given, EXCEPT:

a. Before breakfast
b. With meals
c. 1 hour before meals
d. 3-4 hours after meals

A

B

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13
Q

A patient is to undergo Billroth II procedure. As a knowledgeable nurse, you know that in this procedure:

a. Antrum is completely removed
b. Part of stomach is anastomosed to the duodenum
c. Part of stomach is anastomosed to the ileum
d. Part of stomach is anastomosed to the jejunum

A

D

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14
Q

A nurse is caring for a client with Alzheimer’s Disease who is having difficulty recognizing objects that are well known, including persons. The nurse documents that the client is experiencing:

a. Aphasia
b. Agnosia
c. Apraxia
d. Ataxia

A

B

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15
Q

A patient suffering from shock has a cold sweaty pallid skin, a weak rapid
pulse, irregular breathing, dry mouth, dilated pupils, and a reduced flow of urine. Which of the following assessment findings indicates hypovolemic shock?

a. Pulse less than 60 bpm
b. Pupils unequally dilated
c. Respiratory rate more than 30 cpm
d. Systolic blood pressure less than 90 mmHg

A

D

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16
Q

Which of the following would be the best indication that fluid replacement for
the client with hypovolemic shock is adequate?

a. Diastolic blood pressure above 90 mmHg
b. Systolic blood pressure above 110 mmHg
c. Urine output greater than 30 ml per hour
d. Urine output of 20 to 30 ml per hour

A

C

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17
Q

You are a nurse assigned to care for a client who is on intracranial pressure (ICP)
monitoring. As a knowledgeable nurse, you should watch out for which major
complication of ICP monitoring?

a. Apnea
b. Coma
c. High blood pressure
d. Infection

A

D

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18
Q

The nurse is preparing to remove a fecal impaction on an elderly client through
enema. It is MOST important that the nurse must remember that:

a. Cardiac dysrhythmias can result during the process
b. Family members should be taught on how to do the procedure
c. Increased fiber intake can minimize such problem
d. Procedure is done prior to bath

A

A

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19
Q

An elderly client diagnosed with tuberculosis has difficulty coughing up
secretions for sputum specimen. As the nurse assigned to this client, you plan to
assist by:

a. Asking the client to drink a warm liquid
b. Force fluids for the next 8 hours
c. Raise the head of the bed for at least 45 degrees
d. Spraying the oropharynx with saline

A

C

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20
Q

A patient comes to you with a complaint of vertigo. As a knowledgeable nurse,
you know that the client may have problem with which portion of the ear?

a. External ear
b. Inner ear
c. Middle ear
d. Tympanic membrane

A

B

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21
Q

The nurse is planning a discharge teaching on a client who has a post-operative wound on the leg. During the teaching session, the nurse notices that the wound site is red, edematous, and has induration. What do these signs suggests?

a. Dehiscence
b. Evisceration
c. Hemorrhage
d. Infection

A

D

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22
Q

As a knowledgeable nurse, you know that which adverse effect must be
watched for carefully when Furosemide (Lasix) is administered?

a. High serum sodium level
b. Increase in blood pressure
c. Increase in blood volume
d. Low serum potassium level

A

D

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23
Q

Which is the most common complication after an abdominal aortic aneurysm
resection?

a. Enteric fistula
b. Graft occlusion
c. Hemorrhage and shock
d. Renal failure

A

D

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24
Q

A client has an admitting diagnosis of Meningitis. In reviewing the laboratory
analysis of the client’s cerebrospinal fluid (CSF), the nurse would expect to note:

a. Clear color
b. Elevated sedimentation rate
c. High protein
d. Increased glucose

A

C

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25
Q

For a client admitted with head injury whose neck has been stabilized, the
preferred bed position is:

a. 30 degree head elevation
b. Flat
c. Side-lying
d. Trendelenburg’s

A

A

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26
Q

Which of the following is NOT part of the four essential newborn care protocol of
Unang Yakap?

a. Immediate thorough drying
b. Early skin-to-skin contact
c. Early breastfeeding
d. Crede’s prophylaxis, Vitamin K injection

A

D

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27
Q

After a placental delivery. What is the proper way of disposing the placenta?

a. According to hospital policy
b. Give it to the family
c. Bury it
d. None of the above

A

A

28
Q

Which of the following is the most common complication after experiencing
Hydatidiform mole?

a. Choreoamnionitis
b. Choreocarcinoma
c. Ectopic pregnancy
d. Recurrence of Hydatiform mole

A

B

29
Q

Which of the following organism causes Pelvic Inflammatory Disease?

a. Chlamydia
b. Staphylococcus
c. Streptococcus
d. Trichomoniasis

A

A

30
Q

A patient is to be assessed for scoliosis. How would you position the patient
during assessing the scoliosis’ degree of curvature?
a. In sitting position, feet together and bend
b. In standing position, feet apart and bend
c. In standing position, feet together and bend
d. In standing position only

A

C

31
Q

As the school nurse, how would you perform your assessment of the children’s
eyes?
a. Pull down lower eyelid by your thumb, instruct child to look down
b. Pull down lower eyelid by your thumb, instruct child to look up
c. Pull up upper eyelid by your index finger, instruct child to look up
d. Pull up upper eyelid by your thumb, instruct child to look down

A

B

32
Q 
In case of accidentally splashing chemicals on your eyes at home, what would 
be the most appropriate to do?
a. Rinse eyes with medicated eye drops
b. Rinse eyes with PNSS
c. Rinse eyes with sterile water
d. Rinse eyes with tap water
A

D

33
Q

You are assigned in a barangay as a Public Health Nurse. What is the most
appropriate way to maximize your schedule for the whole barangay?
a. Give them your personal phone number
b. Move or live in an area close to the health center
c. Post your schedule on the front door of your office
d. Any of the above

A

C

34
Q

In conducting your home visit, what would be your next step after greeting the patient?

a. Assess the environment
b. Perform the bag technique
c. Put down the PHN bag at a low flat table
d. State the purpose

A

D

35
Q

A beautiful young woman was elected as a leader by the people in your
community. What is your next action?

a. Elect another leader because she will get married and leave
b. Have her sign a contract not to leave for 10 years
c. Let her be. See how it will go.
d. Tell her not to fall in love with anyone in the community

A

C

36
Q

The elected beautiful young woman has been invited to join the NPA (New
People’s Army). She has decided to join them, what will you do?

a. Respect her decision
b. Advise her not to join
c. Tell her to rethink about her decision
d. None of the above

A

A

37
Q

You are a community health nurse for a home visit to a 9 year old child who
constantly misses school due to being sick. You notice the child is pale with
bruises all over his body. You suspect Leukemia. What is your next action?

a. Take him to the hospital immediately
b. Instruct complete bed rest and advise to forego school
c. Administer antibiotic
d. None of the above

A

A

38
Q

Which of the following is not a test for Tuberculosis?

a. CBC
b. Sputum exam
c. Tuberculin test
d. Widal test

A

D

39
Q

How many years are the mother and baby protected from tetanus upon
receiving TT4?

a. 3 years
b. 5 years
c. 10 years
d. Lifetime

A

C

40
Q

What is the most dangerous part to be affected in Tetanus?

a. Face and back
b. Head and face
c. Neck and back
d. Arms and legs

A

C

41
Q 
Which of the following would you assess in a child who is suspected to be 
neglected?
a. Burns on the forearm
b. Malnutrition and dehydration
c. Scar on scalp
d. Unusual bruising
A

B

42
Q

A client with generalized anxiety disorder states, “I have learned that the best
thing I can do is to forget my worries.” How would the nurse evaluate this
statement?

a. The client is developing insight.
b. The client needs encouragement to verbalize feelings.
c. The client’s coping skills have improved.
d. The client’s treatment has been successful.

A

B

43
Q

A client with anxiety is beginning treatment with Lorazepam (Ativan). It is most important for the nurse to assess the client’s

a. Family and social support
b. Motivation for treatment
c. Use of alcohol
d. Use of coping mechanisms

A

C

44
Q

How would you describe a depressed patient in the chart?

a. Avoids eye contact; alone; guarding behavior
b. Cries; pouts; alone
c. Curses; staring eyes; closed fist
d. Frowns, grinds teeth, staring eyes

A

B

45
Q

How would you describe a mad patient in the chart?

a. Alone; avoids eye contact; with guarding behavior
b. Cries; avoids eye contact; pouts
c. Frowns; avoids eye contact; grinds teeth
d. Frowns; staring eyes; grinds teeth

A

D

46
Q

The client who believes everyone is out to get him or her is experiencing a(n)

a. Hallucination
b. Idea of reference
c. Nihilistic delusion
d. Persecutory delusion

A

D

47
Q

The nurse observes a client who is becoming increasingly upset. He is rapidly
pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling.
His speech is high pitched and random; he seems preoccupied with his thoughts.
He is pounding his fist into his other hand. The nurse identifies his anxiety level as
a. Mild
b. Moderate
c. Panic
d. Severe

A

C

48
Q

When assessing a client with anxiety, the nurse’s questions should be

a. Avoided until the anxiety is gone
b. Open ended
c. Postponed until the client volunteers information
d. Specific and direct

A

D

49
Q

When assessing a client with anxiety, the nurse’s questions should be

a. Avoided until the anxiety is gone
b. Open ended
c. Postponed until the client volunteers information
d. Specific and direct

A

D

50
Q

What are the four basic management functions?

a. Planning, analysis, controlling and supervising
b. Planning, organizing, controlling, and evaluation
c. Planning, organizing, leading, and controlling
d. Planning, staffing, analysis, and controlling

A

C

51
Q

You are currently the nurse supervisor of a hospital which is subjected to
accreditation. When the accreditation body visits the hospital, you know that all
of the following should be prepared beforehand, EXCEPT?
a. Adjusting the hospital machines, as directed
b. Evaluation forms and Peer reviews
c. PRC licenses of all nurses
d. None of the above

A

B

52
Q

As an emergency room nurse, you need to be competent in all aspects of care
including quick but accurate prioritization of patients while being able to attend
to other needs in the ER such as preparing the equipment and machines while
also carrying out doctor’s orders. What skill would the nurse must have during
these times?
a. Agility
b. Critical thinking
c. Judgment
d. Multitasking

A

D

53
Q

What republic act seeks to address the prevalence of violence against women
and children, abuses on women and their children by their intimate partners?
a. RA 7163
b. RA 8353
c. RA 9173
d. RA 9262

A

D

54
Q 
Which of the following ethical principle states that “there is always an exemption 
to the rule”?
a. Beneficence
b. Divine command
c. Law of Epikia
d. Primum non nocere
A

C

55
Q

What is most common malpractice done at the hospital by the nurse?

a. False nursing diagnoses
b. Medication errors
c. Mistaken patient identity
d. Patient falls

A

A

56
Q

Which of the following relationships do not constitute the principle of testimonial
privilege?
a. Boyfriend and girlfriend, who are about to get married
b. Husband and wife
c. Lawyer and client
d. Teacher and student

A

A

57
Q 
What is the ethical principle wherein you support your patient’s and the patient’s 
family’s decision?
a. Autonomy
b. Beneficence
c. Fidelity
d. Veracity
A

A

58
Q 
The nurse accidentally administers an extra dose of medication to the patient. 
What is the nurse liable for?
a. Malpractice
b. Medication error
c. Negligence
d. None of the above
A

C

59
Q

What type of research would you use to study the effects of smoking in
pregnancy, without the study being unethical?
a. Ex post facto
b. Prospective
c. Quasi-experimental
d. True Experimental

A

A

60
Q

What type of research is suitable to use when you want to study about how the
nurses in your hospital perform their charting five years ago?
a. Ethnographic
b. Historical
c. Phenomenological
d. Retrospective

A

B

61
Q

A group of researchers want to study the sleep pattern of night duty nurses. The
researchers plan to observe the nurses for a 24-hour period. What type of study is
this?
a. Case study
b. Ethnographical
c. Phenomenological
d. Retrospective

A

B

62
Q

SITUATION: Touch is a powerful communication tool. It can elicit both negative and positive reactions, depending on the people involved and the circumstances of the interaction. Communicating and interacting via the sense of touch is also referred to as
Haptic communication. In this premise, touch can be categorized according to the
message communicated.
63. When the nurse touches the patient’s abdomen for physical examination, what
kind of touch is elicited?

a. Love-intimacy
b. Friendship-warmth
c. Functional-professional
d. Social-polite

A

C

63
Q

Which of the five categories of touch must NEVER be done in any premise or
situation?

a. Friendship-warmth
b. Love-intimacy
c. Sexual-arousal
d. Social-polite

A

C

64
Q 
Which touch indicates a strong liking for the other person, such as engaging in a 
mutual embrace among your best buddies?
a. Friendship-warmth
b. Love-intimacy
c. Sexual-arousal
d. Social-polite
A

A

65
Q

You sighted a child hugging ang kissing his parents. You know that this touch is at
which level?

a. Friendship-warmth
b. Functional-professional
c. Love-intimacy
d. Social-polite

A

C

66
Q

You are newly hired as a staff nurse. In meeting the chief nurse for the first time,
both of you engaged in a handshake. What type of touch is this?
a. Friendship-warmth
b. Functional-professional
c. Love-intimacy
d. Social-polite

A

D

NLE PRACTICE (3 decks)

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