NP2 RECALL

Question 1

. As a Community Nurse, Nurse Donna 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. Reproductive Health Act of 2012
b. The Responsible Parenthood and Reproductive Health Act of 2012
c. The Responsible Parenthood and Reproductive Parenthood of 2012
d. RH Bill

Answer 1

B

Question 2

This Law provides reproductive health care program to all citizens prioritizing, which of the following?

1. Women
2. The poor
3. Marginalized
4. Those invulnerable or crisis situations

a. A. 1, 2, 3 and 4
b. B. 1, 2 & 3
C. 1 only
D. 1 & 2

Answer 2

A

Question 3

When conducting health education on Reproduction Health, it is important that Nurse Donna 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. A. 1, 2 and 3
b. B. 1, 2, 3 and 4
c. 1, 3 and 4
d. 2, 3 & 4

Answer 3

B

Question 4

Reproductive Health services include the following, EXCEPT:

a. Gender-based Violence
b. Finding the correct partner
c. Management and prevention of maternal and perinatal
d. Malnutrition and anemia

Answer 4

B

Question 5

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. A. 1 & 2
b. B. 1, 2 and 3
c. 1, 2, 3, & 4
d. 2, 3, & 4

Answer 5

C

Question 6

SITUATION 3
Patient Natalia a gravida 1, para 0. Patient
is admitted at the labor room. Her cervix is 100% effaced, and upon IE, her
cervix is 3 cm dilated, the fetus is at
+ 1 station. Staff Nurse Karina attends to her.

Question 7

Taken from the assessment data above that the fetus is at + station, how will Nurse Karina interpret this? That the head of the fetus is _________.

a. Below the ischial spines
b. Visible at the vaginal opening
c. Not yet engaged
d. Entering the pelvic inlet

Answer 7

A

Question 8

Nurse Karina monitors the contractions of the patient. She recorded the contractions as follows: started at 10:00 A.M; another began at 10:15 A.M. In MINUTES, what is the frequency of the contractions?

a. 10
b. 9
c. 15
d. 14

Answer 8

C

Question 9

Nurse Karina assesses the duration of the patient’s contractions by timing them from ________ to ________.

a. Beginning of one contraction to the beginning of the next contraction
b. End of the contraction to the beginning of the next contraction
c. End of the contraction to the end of the next contraction
d. Beginning of one contraction to the end of the same contraction

Answer 9

D

Question 10

After doing Leopold’s maneuvers on the patient I labor, the nurse determines that the fetus is in the ROA position. Where should the nurse place the Doppler to BEST auscultate the fetal heart tones?

a. Below the umbilicus near the left groin
b. Below the umbilicus on the right side
c. Above the umbilicus in the midline
d. Above the umbilicus on the left on the left side

Answer 10

B

Question 11

Patient Natalia was given epidural anesthesia. This indicates late deceleration of the fetus and so the nurse has to do important nursing interventions. ARRANGE the following nursing interventions in ORDER or PRIORITY.

1. Increase intravenous fluids
2. Change position of the patient to the left side lying
3. Reassess fetal heart rate pattern
4. Document intervention and maternal/fetal response

a. 3 2 1 4
b. 3 4 1 2
c. 4 2 3 1
d. 2 3 4 1

Answer 11

A

Question 12

SITUATION 4
A nurse is performing an
admission assessment on Sheldon a 4-year-old, who has been diagnosed with
nephrotic syndrome.

Question 13

hat sign will BEST support the medical diagnosis of nephrosis?

a. Gross hematuria, tea-colored, scanty urine
b. History of a streptococcal infection
c. Periorbitaledema
d. Anasarca

Answer 13

D. ANASARCA-WHOLE BODY EDEMA

Question 14

Sheldon receives prednisone as the major treatment for his nephrosis. Which of the following actions should be observed by the nurse in the administration of prednisone?

a. All of the options.
b. Administer the drug on a full stomach.
c. Monitor Carlo’s temperature.
d. Protect Carlo from infection.

Answer 14

A

Question 15

Which side effect of prednisone will be MOST prominent on Tonton and for which he should be prepared before its administration?

a. Hypotension
b. Decreased weight
c. mooning of face
d. vomiting

Answer 15

C

Question 16

What is the nursing diagnosis for a child with severe edema caused from nephrotic syndrome? It is risk for_________.

a. Impaired skin integrity
b. Constipation
c. Ineffective thermoregulation
d. Imbalanced nutrition more than body requirements

Answer 16

A

Question 17

What will be the APPROPRIATE recommend diet for Sheldon?

a. High iron, no protein
b. High calorie, high protein
c. High sodium, high protein
d. Low sodium, moderate protein

Answer 17

D

Question 18

SITUATION 5
Nurse Odette 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.

Question 19

Nurse Odette recalls that one of the major responsibilities of a Headnurse is record keeping. These are many reasons for keeping records in health care, but two stand out above all others. These are to ______.

1. Compile a complete record of the patient’s journey through services
2. Enable continuity of care for the patient both within and between services.
3. Make available for legal purposes
4. Protect nurses from ligitation

a. A. 1 & 4
b. B. 2 &
c. 3 & 4
d. 1 & 2

Answer 19

C

Question 20

he following statements demonstrate to Nurse Odette that record keeping is good, EXCEPT:

a. Entries are dated and timed as close to the actual time of the events as possible.

b. Relevant information about the condition of the patient/ client at any given time and the measures you have taken to respond to their needs.

c. Abbreviation is used.

d. A full account of your assessment and the care you have planned and provided.

Answer 20

C

Question 21

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. Good memory
c. Quality of nursing documentation
d. Knowledge

Answer 21

C

Question 22

Which statement is incorrect regarding record keeping?

a. Patients now have a legal right to see their own records.

b. Keeping records of patient care and treatment is NOT an integral part of nursing practice.

c. Any later alteration or addition must be carefully indicated, ensuring that the original entry can still be clearly read.

d. All records must be signed by the person making the entry together with the date and time of the entry.

Answer 22

B

Question 23

When the patients asks where to get his/her medical record after discharge, the correct answer is _______.

a. Office of the Attending Physician
b. Medical Record Section
c. Admission Section
d. Office of the Administrative Officer

Answer 23

B

Question 24

SITUATION
Patient Ussopp, who is in the third trimester,
arrives at the hospital with vaginal bleeding. She states that she snorted
cocaine approximately 2 hours ago.

Question 25

Which defined complication is MOST likely causing the client’s vaginal bleeding?

a. Premature separation of normally implanted placenta
b. Pregnancy outside the uterus
c. Termination of pregnancy before the age of viability
d. Abnormal lower implantation of the placenta
Correct answer
a. Premature separation of normally implanted placenta

Answer 25

A

Question 26

The abdominal pain associated with abruption placentae may be INITIALLY caused by which of the following?

a. Disseminated intravascular coagulation
b. Blood in the myometrium
c. Hemorrhagic shock
d. Concealed haemorrhage

Answer 26

B

Question 27

The bleeding following severe abruption placentae is usually caused by which of the following condition?

a. Thrombocytopenia

b. Hyperglobulinemia
c polycythemia
d hypofibrinogenemia

Answer 27

A

Question 28

What should the nurse prepare for the POSSIBLE order of the physician?

a. The administration of the oxytocin
b. A high- forceps birth
c. An immediate caesarean birth
d. The insertion of a fetal monitor

Answer 28

C

Question 29

Abruption Placenta can cause hemorrhagic disorder which can lead to hypovolemic shock. What is the LATE sign of hypovolemic shock that the nurse should watch for?

a. Hypertension
b. Tachycardia
c. hypotension
d. tachypnea

Answer 29

C

Question 30

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.

Question 31

The goal of a neutral thermal environment is to assist the newborns to stabilize its temperature that does not drop below which of the following?

a. 98.6 degree F
b. 99.5 degree F
c. 97.7 degree F
d. 96.7 degree F

Answer 31

C