MCN Flashcards
Situation- Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. In 36 weeks, amniocentesis was orders by the doctor for this patient. What is the purpose of this Procedure? To detect/determined
a. Down syndrome
b. An increase level of bilirubin
c. Fetal lung maturity
d. Genetic abnormalities
c. Fetal lung maturity
Situation – Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients. Amy, a multiparous patient, 28 hours after Ceasarian delivery (CS), who is breastfeeding, Complains of severe abdominal cramps. Nurse Kayla explains that these are caused by which of
The following?
a. Side effects of the medications Administered after delivery.
b. Flatulence accumulation after CS
c. Healing of the abdominal incision after CS.
d. Release of Oxytocin during the breastfeeding session.
d. Release of Oxytocin during the breastfeeding session.
Situation – Liza is a new nurse in the Obstetrics Ward. She remember her Clinical instruction
Saying that a nurse must learn how to communicate well with her patients. In the course of Liza’s duty in the OB Ward, she also learned that she has to adjust her style of Communication for different types of patients. Thus, Liza should adjust to which of the following Characteristics of Grace? Select all that apply.
1. Level of usual communication
2. Pace of interaction
3. Display of emotions
4.Full development of topic
a. 3 and 4
b. 1,2,3
c. 1 and 2
d. 1,2,3,4
c. 1 and 2
Situation- To ensure patient safety at all times, personal and professional growth of nursing is a
Necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb.
During the Orientation Program, the need to enhance her skills, knowledge and attitude was Emphasized.
Nursing programs that are based on needs assessment and needs analysis and should be offered
Free is which of the following?
a. Nursing Education Program
b. In-service Training Program
c. Continuing Development Program
d. Post-Graduate Program
b. In-service Training Program
Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing
Assistants, and other nursing staff in providing emotional support to the ward’s patients. Some of the nursing staff seemed to have a sense of entitlement according to nursing Department leadership. They behaved as though they had unlimited job security (because of the
Strength of the nursing unions). Which of the following action is the BEST?
a. Develop new evidence-based general care guidelines for nurse-patient interactions.
b. Continue to work on increasing staff accountability for service behaviors.
c. Develop a documentation-and-tracking process for the observations
d. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight Emotional support.
d. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight Emotional support.
Situation -Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child Home because the school Nurse James has verified that he has an inflamed throat. Nurse James Urges his mother to seek treatment because if the causative agent is beta-hemolytic Streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the
Possibility of endocarditis. Which of the following would be the possible disorder?
a. Tetanus
b. Scarlet fever
c. Rheumatic fever
d. Influenza
c. Rheumatic fever
Situation – Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. The Headnurse of Pediatric Ward asked a staff nurse who is assigned to a 3 month old infant. At What age will her patient start to drink from a cup? The staff nurse’s answer should be
a. 9
b. 24
c. 5
d. 12
d. 12
Situation- Nurse Carmi made a study on domestic violence against women in a certain province In Luzon.
In as much as the research may have some risks on the part of the subject who is 21 years old, Nurse Carmi must assure the subject of her anonymity, confidentiality and respect for her human Rights. ONE ABSOLUTE WAY is to get an informed and written consent from whom?
a. Guardians
b. Parents
c. Subject herself
d. Husband
c. Subject herself
Situation – Nurse Carmi made a study on domestic violence against women in a certain province In Luzon.
Nurse Carmi plans to gather 6 participants who are victims of domestic violence where she will Base her questionnaires. What technique in qualitative research is applicable to this plan?
a. Case study
b. Interview
c. Data triangulation
d. Focus group discussion
d. Focus group discussion
Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health.
As a Community Nurse, Nurse Myrna should be able to demonstrate knowledge of current laws On reproductive health in which she practices. One of the topic topics that Nurse Myrna will Discuss is RA 10354 which is entitled
a. The Responsible Parenthood and Reproductive Health Act of 2012
b. The Responsible Parenthood and Reproductive Parenthood of 2012
c. Reproductive Health Act of 2012
d. RH Bill
a. The Responsible Parenthood and Reproductive Health Act of 2012
Situation- Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. Patient’s participation in the planning phase of the nursing diagnosis depends on select All that apply.
1. Development Status
2. Psychological condition
3. Level of intelligence
4. Comprehension of his disease
a. 2&3
b. 3&4
c. 1,2,3,&4
d. 1& 2
c. 1,2,3,&4
Situation – Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned. Autonomy is the prerogative of the patient to give consent or refusal of treatment with the EXCEPTION of which of the following situations?
a. Peer pressure
b. Negative effect of superstition
c. Erroneous belief of a head of a church
d. Near death
b. Negative effect of superstition
Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing
Assistants, and other nursing staff in providing emotional support to the ward’s patients. The BEST quality improvement intervention that Nurse Mila can do is which of the following?
a. Interview staff individually and in group
b. Analyze patients complaint record
c. Recommend increase in salary of nursing staff.
d. Maintain ongoing informal communication with staff.
a. Interview staff individually and in group
Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health.
This Law provides reproductive health care program to all citizens prioritizing, which of the Following?
1. Women
2. The poor
3. Marginalized
4. Those in vulnerable or crisis situations
a. 1,2&3
b. 1 only
c. 1, 2, 3 and 4
d. 1&2
c. 1, 2, 3 and 4
Situation – Nurses Jessy and Karyl are assigned in high risk maternity ward. Here are some cases Which they handle for the morning shift. What would Nurse Jessy monitor to suspect MgSo4 toxicity on Mrs. Purisima?
a. Hypertension
b. Decreased deep tendon reflexes.
c. Rapid pulse rate and hyperventilation.
d. Tingling in the toes.
b. Decreased deep tendon reflexes.
Situation – Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Headnurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. On record keeping, the Area Supervisor reminds Nurse Melissa that for most Nurses who find
Themselves involved in legal proceedings, the best defense to win the case is
a. Honesty
b. Knowledge
c. Quality of nursing documentation
d. Good memory
c. Quality of nursing documentation
Situation – Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. When a 15-year-old female patient is so engrossed and worries as to what her friends think About her, she is categorized to be in the psychosocial development stage. Nurse Nene needs to Inform the mother that this is a normal behaviour. In what stage of the psychosocial development Is the patient in?
a. Autonomy versus Doubt and Shame
b. Identity versus Role Confusion
c. Industry versus Inferiority
d. Initiative versus Guilt
b. Identity versus Role Confusion
An evening snack is planned for Adel receiving NPH (Novolin N) insulin INTERMMEDIATE. This Will provide
a. Energy for immediate utilization
b. Calories to help the child gain weight
c. Nourishment to counteract late insulin activity
d. Encouragement for the child to stay on a diet
c. Nourishment to counteract late insulin activity
Situation – Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast With the legal aspects of pediatric nursing care. The Right to Information does not include
a. Result of the evaluation of the nature and extent of his/her disease
b. Any change in the plan of care before the change is made
c. Extent to which payment maybe expect from Philhealth
d. Discount for the professional fee of the attending doctor(s)
d. Discount for the professional fee of the attending doctor(s)
Situation – Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned. Which of the following is NOT aligned to ethics in nursing? A Nurse
a. Has the freedom to do what he likes sans responsibility
b. Is obliged to avoid what is wrong and do what is good
c. Should have a sense of accountability for his actions
d. Is a person capable of knowing what is right or wrong
a. Has the freedom to do what he likes sans responsibility
Situation – Nurse Crissel was talking about HIV – AIDS to a group of teen-agers. Here are some Questions which were asked by them during the open forum. On the question as to which of the following are the effects of AIDS on pregnancy, one teenager Cited a wrong answer which was
a. Infertility
b. Mild weight loss
c. Prematurity
d. Repeated abortion
a. Infertility
Situation – Nurse Carmi made a study on domestic violence against women in a certain province In Luzon. To have a better analysis and interpretation of finding, Nurse Carmi reviewed and compared them With other findings of previous researches on the same topic. This is done MAINLY by doing back To which part of the study? The
a. Related Literature and studies
b. Conceptual framework of the study
c. Theoretical framework of the study
d. Statement of the problem
a. Related Literature and studies
Situation – Preterm newborns are considered high risk because of their immaturity to adapt to The extrauterine life. They need special treatment and specialized process of nursing care. Which of the following conditions is NOT INCLUDED among the effects of cold stress?
a. Metabolic acidosis
b. Cerebral palsy
c. Hypoglycemia
d. Increase intracranial pressure
b. Cerebral palsy
Situation- Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health. Factors that affect reproductive health care, which of the following?
1. Economic circumstances
2. Education,
3. Living conditions and family environment
4. Social and gender relationships
a. 2,3,&4
b. 1, 2 and 3
c. 1&2
d. 1,2,3,&4
d. 1,2,3,&4
Situation Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients. Three hours postpartum, a primiparous patient’s fundus is firm and midline. On perineal Inspection by Nurse Kayla, she observes a small constant trickle of blood. What will the nurse Suspect for the patient to have?
a. Perineal lacerations
b. Retained placenta
c. Bladder distention
d. Uterine inversion
a. Perineal lacerations
Situation- Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center.
Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care. Based on the Right to Privacy and Confidentiality under the Patient’s Bill of Rights, the patient has the right to demand the following, but NOT ______ pertaining to his care as confidential.
a. Communication
b. Information
c. Financial Status
d. Records
c. Financial Status
Situation- Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Headnurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. The following statements demonstrate to Nurse Melissa that record keeping is good, EXCEPT:
a. A full account of your assessment and the care you have planned and provided.
b. Abbreviation is used
c. Relevant information about the condition of the patient/ client at any given time and the measures you have taken to Respond to their needs
d. Entries are dated and timed as close to the actual time of the events as possible
a. A full account of your assessment and the care you have planned and provided.
Situation – Nurse Miriam Kate is the Charge of the Obstetrics & Gynecology Ward of a Government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset By problems such as having inadequate supplies. One major way of preventing cross-infection is frequent handwashing. However, today, Nurse Angelina just found out there is water interruption. The INITIAL step that Nurse Angelina ought To do is report the problem to
a. Manila Water
b. Nurse Supervisor
c. Chief Nurse
d. Head nurse
d. Head nurse
Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing
Assistants, and other nursing staff in providing emotional support to the ward’s patients. In conducting quality improvement, Nurse Mila should look into which of the following as her Basis, EXCEPT:
a. Incident reports
b. Patient’s satisfaction survey
c. Patient’s chart
d. Patient’s complaint data
c. Patient’s chart
Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health.
This Law provides reproductive health care program to all citizens prioritizing, which of the Following?
1. Women
2.The poor
3. Marginalized
4. Those in vulnerable or crisis situations
a. 1,2,3 and 4
b. 1, 2& 3
c. 1&2
d. 1 only
a. 1,2,3 and 4
When teaching about insulin and its potential for hypoglycemia, the nurse should include that its PEAK EFFECT occurs in which number of HOURS?
a. 5 to 10
b. 4to 12
c. 1to 2
d. 2 to 4
b. 4to 12
Situation- Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. 51. The factors that affect the ability of individuals to cope are_____. Select all that apply.
1. Level of development
2. Coping skills
3. Previous experiences with illness and hospitalization 4. Seriousness of diagnosis
a. 2,3, and 4
b. 1, 2,3, and 4
c. 1, 2, and 3
d. 1, 2 and 4
b. 1, 2,3, and 4
Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health.
When conducting health education on Reproduction Health, it is important that Nurse Myrna Examines her values because of which of the following reasons?
1. We all hold personal values that can influence how we respond to our clients.
2. One’s values may change in response to life experiences.
3. Encounters with clients and colleagues may influence your beliefs without your having much Of a chance to reflect on these changes.
4. Others exist at a deeper level, so that we don’t necessarily recognize the influence they have On our behavior and judgments as health care providers
a. 1, 2 and 3
b. 2,3&4
c. 1,2, 3 and 4
d. 1, 3 and 4
c. 1,2, 3 and 4
Situation – Nurse Carmi made a study on domestic violence against women in a certain province In Luzon. Since she wanted to capture the essence and emotion of the victims she choose to use the Qualitative design. Which among the statements below is CORRECT about qualitative design?
a. Allows estimation of relationship between studied variables
b. It commences study at present but consummates at any future time
c. It provides insights into attitudes, beliefs, motives and behaviors of target population
d. It tests result through numerical data and subjects them to statistical analysis.
c. It provides insights into attitudes, beliefs, motives and behaviors of target population
