Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RN 2023 cutie > PREBOARDS 2_NP 4 > Flashcards

PREBOARDS 2_NP 4 Flashcards

You may prefer our related Brainscape-certified flashcards:
NCLEX-RN® flashcards
1
Q
  1. Nurse Jihyo comes into the maternal ward and assesses the fundus of a two-day post-partum mother. Nurse Jihyo would be correct to report to the patient’s primary healthcare provider what finding?

*
1 punto
A. The client verbalizes afterpains
B. Nurse Jihyo palpates the fundus 2cm below the umbilicus
C. The client reports pain upon massaging the fundus
D. The uterus remains soft upon massaging

A

D. The uterus remains soft upon massaging - it should become firm to decrease risk for hemorrhage. Soft uterus can cause excessive amount of bleeding.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Situation: Nurse Momo assists a primigravida mother who just gave birth 12 hours ago. Nurse Evelynn puts in the effort to help the patient transition into motherhood.

  1. As the patient takes hold of her newborn, nurse Momo would be correct to suggest which position to ensure maternal and child bonding?

*
1 punto
A. She lies in bed and places the infant on her
B. She slowly rocks with her infant while sitting in a rocking chair
C. She gently burps the infant while holding the infant over her shoulder
D. She speaks and looks directly at the infant’s face

A

A. She lies in bed and places the infant on her - position was asked

D. She speaks and looks directly at the infant’s face

If the mother makes eye to eye contact with her infant, it indicative of effective maternal-child bonding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. Nurse Momo visits the patient 3 days after giving birth and notices that the patient is occupied with taking care of the baby as she is “getting to know” the baby as much as possible. Nurse Momo knows that according to Reva Rubin, the mother is in what phase of behavioral adjustment?

*
1 punto
A. Taking-in phase
B. Letting-in phase
C. Taking-hold phase
D. Letting-go phase

A

C. Taking-hold phase - they have a stronger interest to take care of the infant

Phase 1: Taking In - 1-3 days postpartum. Mother is still internalizing and dependent with the caregiver. They become passive in taking care of the baby

Phase 2: Taking Hold - 3-9 days postpartum. Growing responsibility, strives to learn and become independent.

Phase 3: Letting Go - 10days - 6 weeks postpartum. Can resume sexual activity after the episiotomy has healed. If no suture, sexual activity resumes after pain subsides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. Nurse Momo has been suspecting post-partum blues since the patient verbalized a sense of disappointment, periods of sadness, and agitation. Nurse Momo would be correct if she gave which advice?

*
1 punto
A. Refer the patient to a psychiatrist
B. Comfort the patient and reassure her that this is normal among post-partum mothers
C. Allow these feelings to run its course as all of these will pass
D. Recommend consistent breastfeeding of the infant

A

D. Recommend consistent breastfeeding of the infant - counteracts the hormonal drop and stimulates maternal-child bonding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. The patient asks about ways to avoid post-partum blues when she returns home. Nurse Momo would be correct to give the following advice, except?

*
1 punto
A. Recommend that she take some time everyday to do something for herself
B. Advise the patient to strive for perfection so that she won’t feel bad about herself
C. Help the client build a healthy balance in sleep, exercise, and nutrition
D. Encourage the client to verbalize emotions to support person

A

B. Advise the patient to strive for perfection so that she won’t feel bad about herself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. As nurse Momo further assesses the patient’s condition, nurse Momo would be most concerned about which of the following statements as it would be indicative of post-partum psychosis?

*
1 punto
A. “I’ve been extremely tired since giving birth”
B. “I wish my baby had a fairer complexion”
C. “The baby was heavier than I thought when I carried her”
D. “Motherhood is tiring; I’m glad I haven’t had any children”

A

D. “Motherhood is tiring; I’m glad I haven’t had any children” - already not in reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Situation: Nurse Nayeon is caring for a woman who is 20 weeks AOG. The patient verbalizes concerns about her diet, nutrition, and weight related to her pregnancy. Nurse Nayeon prepares herself to correct any incorrect information about the client’s nutritional beliefs.

  1. The patient stated that she gained so much weight despite being 5 months pregnant and she intends to reduce her food intake, specifically carbohydrates. Nurse Nayeon would correct the patient’s belief by stating:

*
1 punto
A. “You would be correct since restricting carbohydrates during pregnancy can help prevent gestational diabetes and maternal obesity”
B. “You should eat the same number of calories you were eating before pregnancy”
C. “You’ve been gaining too much weight so you should eat less that 1500 calories per day”
D. “You should avoid restricting carbohydrates from your diet lower than the prescribed intake as it can cause growth restriction to the developing fetus”

A

D. “You should avoid restricting carbohydrates from your diet lower than the prescribed intake as it can cause growth restriction to the developing fetus”

Carbs helps in the growth and development of brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. The patient was informed about the benefits of Folic acid prior to nurse Nayeon’s visit. Which statement by the patient would warrant correction from nurse Nayeon?

*
1 punto
A.Folic acid can mask the signs of pernicious anemia
B. Folic acid will help prevent megaloblastic anemia
C. Folic acid is essential in red blood cell formation
D. Folic acid is vital in the prevention of neural tube defects

A

A.Folic acid can mask the signs of pernicious anemia

Pernicious anemia is the adverse effect of folic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. Nurse Nayeon, after providing health teaching, knows that which of the following statements from the patient indicate correct understanding about iron supplementation?

*
1 punto
A. “Crushing the iron pills will reduce its metallic aftertaste”
B. “Taking the iron pills with a carbonated drink will increase its effect”
C. “It is recommended to take the iron pills with milk”s
D. “I can take orange juice with my iron pills”

A

D. “I can take orange juice with my iron pills”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. With the client being in her 2nd trimester, Nurse Nayeon knows that the patient would need calcium supplementation and would need which of the following to improve the intestinal absorption of calcium?

*
1 punto
A. Fat-soluble vitamins
B. Proteins
C. Intrinsic factor
D. Minerals

A

A. Fat-soluble vitamins - vit D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. What can nurse Nayeon ask to obtain the most accurate nutrition history from her pregnant client?

*
1 punto
A. “How much protein do you eat on a daily basis?”
B. “Do you feel satisfied with your nutrition”
C. “Can you tell me what you ate over the past 24 hours?”
D. “What is the ideal nutrition for you?”

A

C. “Can you tell me what you ate over the past 24 hours?”

24 hour history reacall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Situation: Patient Ahri returns to the health clinic 14 days after giving birth and complains about her breasts being red, swollen, and painful. Mastitis was suspected for patient Ahri.

  1. Ahri states that she can’t breastfeed for too long as it becomes to painful and feels “inadequate and not a good mother” What is the priority nursing diagnosis for patient Ahri?

*
1 punto
A. Risk for impaired attachment
B. Risk for impaired parenting
C. Pain related to development of mastitis
D. Ineffective role performance

A

C. Pain related to development of mastitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. Mastitis is confirmed and is found to be localized in the left breast. What nursing intervention should be implemented for nurse Ahri?

*
1 punto
A. Stop breastfeeding until the pain subsides
B. Recommend that patient Ahri continue breastfeeding as usual
C. Teach patient Ahri to breastfeed on the unaffected breast and then to the affected breast
D. Suggest to patient Ahri to bottle-feed her child

A

C. Teach patient Ahri to breastfeed on the unaffected breast and then to the affected breast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Situation: Patient Trina, who delivered a healthy newborn 10 days ago, returned to the clinic with an elevated body temperature and complained that her breast is painful and swollen, looks red, and feels warm to touch. Upon assessment, it was found that she developed mastitis.

  1. While Nurse Mai was doing her routine assessment, Patient Trina asked her what could have caused the development of this infection. In order to maintain the mother-infant relationship, how will the nurse respond to the mother?

*
1 punto
A.“Your infection originated from an organism in your infant’s nasal and oral cavity which then spread to your breast while breastfeeding”
B. “I believe that the infection you have is called Epidemic Mastitis as it is transmitted from the infant to the mother during feeding”
C. “This happens when the mother’s nipple becomes cracked and an acquired bacteria in the hospital infects your infant and infection spreads to the breast”
D. “It is important to be aware that this infection is most likely caused by a lack of proper hygiene”

A

C. “This happens when the mother’s nipple becomes cracked and an acquired bacteria in the hospital infects your infant and infection spreads to the breast”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. Nurse Mai is putting together a list of instructions for breastfeeding mothers containing preventive measures against postpartum mastitis. The list shall include all but one of the following.

*
1 punto
A. Gently wipe the breast area with cotton and alcohol regularly.
B. Expose the nipples to air for at least part of the day
C. Apply vitamin E ointment on the breast area every day to help soften the nipples.
D. Ensure that the infant is in the correct position during feeding.

A

A. Gently wipe the breast area with cotton and alcohol regularly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. Nurse Mai knows that patients with active infection experience a great deal of pain. Which of the statements by Patient Trina demonstrates that she understands Nurse Mai’s instructions on how to alleviate her breast discomfort?

*
1 punto
A. “I will make sure to breastfeed my infant as frequently as possible to reduce my discomfort”
B. “Applying moist heat, like warm packs, in my breast area at home can help relieve my discomfort”
C. “I should avoid wearing bra during active infection to prevent further irritation”
D. “I’m going to start nursing in the affected breast and then move on to the other one.”

A

A. “I will make sure to breastfeed my infant as frequently as possible to reduce my discomfort”
B. “Applying moist heat, like warm packs, in my breast area at home can help relieve my discomfort”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Situation: Gina Linnetti, a 33-year-old G3P2, came to the clinic with her husband for a routine prenatal visit. During the session, the couple expressed their interest in learning about options for preventing future pregnancy once she gives birth to their third child.

  1. After discussing several contraception options, Gina tells the nurse that she would like to use a fertility awareness method of contraception. Which of the following interventions will be most effective in meeting Gina’s learning needs?

*
1 punto
A. The nurse should instruct her to record if she feels hot and whether she is experiencing excessive sweating
B. The nurse should instruct her to assess whether her cervical mucus is thin and watery
C. The nurse should teach her to monitor her emotional state for sudden outbursts of anger or bouts of crying
D. The nurse should teach her assess if her breasts feel sensitive to cool air.

A

B. The nurse should instruct her to assess whether her cervical mucus is thin and watery - means that the patient is ovulating already

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  1. Should Gina decide to use Combination Oral Contraceptives (COC) as her method of family planning, what is a warning sign that a knowledgeable nurse would ask her to disclose before taking COCs?

*
1 punto
A. A stuffy or runny nose
B. Arthritis-like symptoms
C. Weight gain over 5 lb
D. Severe migraine headache

A

D. Severe migraine headache - contraindication for COCs since it increases blood pressure. Spike in BP can cause seizure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  1. What crucial information must the nurse ensure that Gina understands, particularly during the first week of taking COCs?

*
1 punto
A. Advise the couple to abstain from engaging in sexual intercourse during the initial week of the COCs.
B. Advise the couple to use a second form of contraception during the first week
C. Instruct Gina to immediately report to the clinic if nausea occurs early in taking the pills.
D. Instruct Gina to immediately report breakthrough bleeding as it is a danger sign when taking the pills

A

B. Advise the couple to use a second form of contraception during the first week - advise condom use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
  1. Gina inquired about depot medroxyprogesterone acetate, also known as DMPA, which is administered intramuscularly as a form of contraception. Which of the following statements best demonstrates her understanding of the risks associated with this method?

*
1 punto
A. “From now on, I have decided to reduce my cigarette smoking to no more than one pack per day.”
B. “I will ensure to set a reminder to drink a glass of milk or take calcium supplement daily”
C. “I understand that I should avoid swimming for more than one hour at any time.”
D. “I will wear protective clothing to prevent exposure of the injection site to direct sunlight”

A

B. “I will ensure to set a reminder to drink a glass of milk or take calcium supplement daily”

DMPA side effect increases the risk for osteoporosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
  1. Nearing the end of the session, Gina revealed that she is considering undergoing tubal ligation. Which information about this type of family planning approach must the nurse discuss with the client in order to ensure that they are making an informed decision?

*
1 punto
A. Sperm can no longer reach the ova because fallopian tubes are blocked
B. Sperm cannot enter the uterus because the cervical entrance is blocked
C. Prostaglandin released from the cut fallopian tubes effectively kill sperm
D. The ovary stops releasing ova because there is nowhere for them to go

A

A. Sperm can no longer reach the ova because fallopian tubes are blocked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Situation: Gloria, a pregnant client at 37 weeks of gestation came to the clinic with labor pains. Internal examination revealed that her cervix was already dilated, and she was immediately transferred to the labor room, where the physician ordered to induce labor.

  1. The following conditions warrant the administration of uterine stimulants, except?

*
1 punto
A. Managing an incomplete abortion
B. Inducing labor
C. Controlling postpartum bleeding
D. Augmenting labor in cephalopelvic disproportion

A

D. Augmenting labor in cephalopelvic disproportion - this should be in CS delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  1. An intravenous line has been established and a Pitocin drip has been initiated. Which assessment finding should prompt the nurse to immediately discontinue the Pitocin infusion?

*
1 punto
A. Patient Gloria complained of fatigue and dizziness
B. Early decelerations of FHR
C. Late decelerations of FHR
D. Hypotonic uterine contractions

A

C. Late decelerations of FHR

Early deceleration - onset of contraction. Head compression stimulates vagus nerve > slows heart rate. Monitor FHT

Late deceleration - end of the contraction. Due to utero placental insufficiency > decreased fetal oxygen. Stop the oxytocin, reposition to left side lying. Administer O2 as prescribed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  1. Should Gloria complain of headache and experience bouts of vomiting during the oxytocin infusion, which nursing intervention should the nurse prioritize?

*
1 punto
A. Slow the rate of the infusion
B. Stop infusion and report to physician
C. Put patient to left side lying position
D. Continue monitoring the patient

A

Oxytocin is a uterine stimulant with SE of urinary retention > FVE > Cerebral edema > seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
  1. Which of the following assessment findings would cause the nurse to question the physician’s decision to administer oxytocin to Gloria?

*
1 punto
A. Her membranes had ruptured after only an hour into the labor
B. Her blood pressure reads 130/80
C. Her fetus is large for gestational age as seen in sonogram
D. She had amniocentesis performed in the 16th week of her pregnancy.

A

C. Her fetus is large for gestational age as seen in sonogram

Contraindication for oxytocin administration: LGA babies > CS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
  1. Nurse Claire is knowledgeable about the nonpharmacological pain management techniques during labor. In an attempt to assist Gloria manage her labor pains, she implemented a program of mindful relaxation and levels of progressive breathing that encouraged Gloria to “flow with” rather than struggle against contractions. Which of the following approaches to childbirth is she using?

*
1 punto
A. Bradley Method
B. Psychosexual method
C. The Dick-read method
D. The Lamaze philosophy

A

B. Psychosexual method

Bradley - has coach, assumes that childbirth is a joyful natural process between partners

Dick-read - prevents fear by patient education

Lamaze - breathing techniques and guided imagery “distraction”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Situation: Nursing research is vital to improving healthcare delivery and outcomes. Hence, all nurses are required to utilize evidence and research to identify appropriate nursing interventions, to conduct research activities in accordance with their competencies, and to share knowledge and findings with other nurses.

  1. Phil, a nurse researcher, is conducting research on the efficacy of a novel wound gel preparation on some participants while maintaining the use of older, but more well-known, products on others. What research design is Phil utilizing?

*
1 punto
A. Quantitative
B. Qualitative
C. Experimental
D. Quasi-experimental

A

C. Experimental

Has control group, manipulation, randomization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q
  1. Manny, a nurse researcher, is contemplating about utilizing a novel, non-pharmacological relaxation approach that has been proven to be effective in managing anxious clients. Which of the following criteria is being considered by this researcher?

*
1 punto
A. Significance
B. Reliability
C. Feasibility
D. Interest

A

A. Significance - tests if the prob or research has the potential to contribute to nursing research or science

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q
  1. A group of fourth-year nursing students are conducting a study that seeks to determine the difference in religious practices of two groups of people. Which of the following research designs should they use?

*
1 punto
A. Analytic
B. Comparative Study
C. Case study
D. Historical

A

B. Comparative Study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q
  1. Nurse Lily understands that utilizing the PICO format is an effective way in stating the problem you wish to investigate. As a researcher, she knows that the letter “P” in PICO stands for?

*
1 punto
A. Patterns
B. Population
C. Probability
D. Purpose

A

B. Population

P - population
I - Intervention
C - Comparison
O - Outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q
  1. As a nurse equipped with expertise in research, you should be aware that the lowest level of “best evidence” for evidence-based practice among the following is?

*
1 punto
A. Clinical experiences
B. Opinions of experts
C. Client values and preferences
D. Trial and error

A

D. Trial and error - invalid evidence and can harm the participants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Situation: Jay is a recent recruit to the clinical research department of their hospital and plans to brush up on his understanding of dependent and independent variables.
32. When asked about the difference between dependent and independent variable, Jay knows that an independent variable is?

*
1 punto
A. It is the outcome of the research study
B. It is manipulated by the researcher
C. It is what the researchers predict will be changed following their intervention
D. It is not manipulated by the researchers

A

B. It is manipulated by the researcher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q
  1. As he was reading through his references, he came across a study that seeks to determine how deep breathing affects nursing students’ exam scores and their anxiety levels. What was the independent variable for this study?

*
1 punto
A. Anxiety levels
B. Exam scores
C. Deep breathing
D. Nursing students

A

C. Deep breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q
  1. Jay knows that the dependent variable in the following research question is?
    “What effect does oral nutrition supplementation have on serum albumin levels in adult patients with chronic kidney disease undergoing dialysis treatments?”

*
1 punto
A. Patients receiving dialysis treatments
B. Serum albumin levels
C. Oral nutrition supplementation
D. Adult patients with chronic kidney disease

A

B. Serum albumin levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q
  1. Later, he encountered a study that sought to ascertain the extent to which maternal employment among healthcare professionals has an impact on the health of infants during the first six months of life. What was the dependent variable for this study?

*
1 punto
A. Maternal employment
B. Health care professionals
C. First 6 months of life
D. Infant health

A

D. Infant health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q
  1. What is the primary difference between independent and dependent variables?
    *
    1 punto
    A. Only the independent variable is considered as an intervention, even though both independent variables and dependent variables are manipulated
    B. Only the dependent variable is considered as an intervention, even though both independent variables and dependent variables are manipulated
    C. The dependent variable is expected to change in response to manipulation of the independent variable.
    D. The independent variable is expected to change in response to manipulation of the dependent variable.
A

C. The dependent variable is expected to change in response to manipulation of the independent variable.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Situation: Haley, who recently passed the Philippine Nurse Licensure Exam, plans to review her knowledge regarding the Code of Ethics for Registered Nurses in order to guide her practice.

  1. According to Section 8 of the Code of Ethics for Registered Nurses, nurses are expected to take appropriate steps to safeguard the patients’ rights and privileges. Which of the following nurses’ roles is being described in this section?

*
1 punto
A. Health educator
B. Steward
C. Advocate
D. Researcher

A

C. Advocate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q
  1. According to the preamble of the code of ethics for registered nurses, which of the following pertains to the fundamental right of every individual?

*
1 punto
A. Health
B. Justice
C. Fairness
D. Dignity

A

A. Health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q
  1. Which of the following served as the principal basis for the formulation of the Registered Nurse Code of Ethics?

*
1 punto
A. The Philippine Nursing Law
B. The Universal Healthcare Law
C. The Patient’s Bill of Rights
D. The Code of Good governance

A

D. The Code of Good governance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q
  1. In accordance with Article VI, Section 17 of the Code of Ethics for Registered Nurses, RNs must be members of which of the following?

*
1 punto
A. The National League for Nursing (NLN)
B. Critical Care Nurses Association of the Philippines
C. Accredited Professional Organization (the PNA)
D. ADPCN

A

C. Accredited Professional Organization (the PNA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q
  1. Under Article V, Section 14, all of the following are considered as commitments of a registered nurse, except?

*
1 punto
A. Preservation of life
B. Respect for human rights
C. Promotion of Healthy environment
D. Promoting Health education

A

D. Promoting Health education

42
Q

Situation: In an attempt to improve the quality of nursing care provided to the patients, a group of nurses assigned to the Medical-surgical ward intends to undertake a study on the intraoperative experience of patients. The research team is aware of the legal implications and considerations associated with conducting the study.

  1. When conducting a study, which ethical principle does the researcher adhere to when they take measures to ensure that the participants are not harmed in any way?

*
1 punto
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice

A

B. Nonmaleficence

43
Q
  1. Which of the following ethical principles is upheld when a respondent’s identity cannot be determined – not even by the researcher – from their individual responses in a research study?

*
1 punto
A. Justice
B. Anonymity
C. Beneficence
D. Nonmaleficence

A

B. Anonymity

44
Q
  1. Nurses who have prior experience in conducting a research study are cognizant of the fact that they are obligated to provide all information regarding the study that may or may not affect the participant, which is also referred to as?

*
1 punto
A. Right to Self-determination
B. Right to Full Disclosure
C. Right not to be Harmed
D. Right to Confidentiality

A

B. Right to Full Disclosure

45
Q
  1. As the nurse researchers are knowledgeable about their legal responsibilities, the participants were provided with a full disclosure of the study. Subsequently, they signed an informed consent indicating their agreement to voluntarily participate in the study. Which ethical principle is being observed by the researchers as they complete these steps?

*
1 punto
A. Veracity
B. Beneficence
C. Autonomy
D. Justice

A

C. Autonomy

46
Q
  1. Which of the following should the nurse researchers conducting the study establish as their highest priority?

*
1 punto
A. Ensuring the safety and security of research subjects.
B. Ensuring accurate data collection
C. Ensuring appropriate respondents are selected
D. Completing the study on time

A

A. Ensuring the safety and security of research subjects.

47
Q

Situation: With 12 years of experience as a staff nurse, Sonia relied on her knowledge of the Philippines Nursing Law in order to to safeguard herself by being aware of her entitlements as a nurse and to contribute to the advancement of the nursing profession.

  1. Sonia is aware that in the event of a vacancy on the BON, who would be in charge of appointing another member to serve on the Board?

*
1 punto
A. the PNA
B. the president of the Philippines
C. the chairperson of BON
D. the PRC

A

B. the president of the Philippines

48
Q
  1. The Board of Nursing is responsible for overseeing schools or universities that offer nursing programs. Ocular inspections are conducted in collaboration with who?

*
1 punto
A. DepEd
B. Commission of Higher Education
C. PRC
D. PNA

A

B. Commission of Higher Education

49
Q
  1. In accordance with RA 9173, The Chairperson and Members of the Board shall hold office for a term of how long?

*
1 punto
A. 9 years
B. 5 years
C. 6 years
D. 3 years

A

D. 3 years

50
Q
  1. Nurse Sonia understands that a member of a BON may continue to hold office beyond the prescribed number of years due to the lack of a successor having been appointed. Which of the following concepts applies in this case?

*
1 punto
A. Hold-over doctrine
B. Ad interim
C. Regular appointment
D. None of the Above

A

A. Hold-over doctrine

51
Q
  1. Which of the following is TRUE regarding the qualifications of the Chairperson and Members of the Board?

*
1 punto
A. Be a natural born citizen and resident of the Philippines
B. Be a registered nurse and holder of a master’s degree in nursing, education or other allied medical profession conferred by a college or university duly recognized by the Government
C. all of these choices are correct
D. Be a member of good standing of the accredited professional organization of nurses

A

C. all of these choices are correct

52
Q

Situation: Mitchell, the head nurse in the emergency department of Dunphy Medical Center, led an in-service training program on staff development.

  1. Nurse Mitchell intends to entrust various tasks to an unlicensed nursing attendant. As an experienced nurse, she understands that the most significant factor to take into account when delegating a task to a staff member is:

*
1 punto
A. Responsibility
B. Authority
C. Adaptability
D. Competence

A

D. Competence - assess this before delegating a task

53
Q
  1. Which of the following statements regarding delegation is incorrect?

*
1 punto
A. It is an act of transferring accountability to the delegate
B. The delegate assumes responsibility for the actual performance of the task
C. It allows more time for the delegator to do other tasks
D. It enhances the skills and abilities of the delegate

A

A. It is an act of transferring accountability to the delegate

We can delegate responsibility but accountability is shared.

54
Q
  1. Mitchell reported a mass casualty incident in the vicinity of the hospital and instructed the ER Team to prepare for an influx of injured patients. The staff exhibited a high level of anxiety, resulting in confusion and disorganization among the team. Mitchell, a seasoned head nurse, understands that the most appropriate leadership approach in this situation is?

*
1 punto
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic

A

A. Autocratic

55
Q
  1. In order to assess the knowledge of the new staff nurse assigned to the emergency department, Mitchell tasked her to develop a Nursing Care Plan for a patient with COPD. What level of delegation is this?

*
1 punto
A. Level I
B. Level II
C. Level III
D. Level IV

A

C. Level III - research the topic, outline the options, and make recommendation for the plan of care of the patient

56
Q
  1. As a head nurse, Nurse Mitchell is always looking for ways to make things better for his team. He is dedicated to minimizing any obstacles that may prevent him from achieving his goals of improvement for his staff and the department. Which type of leadership theory best describes Nurse Mitchell?

*
1 punto
A. Transactional leadership
B. Charismatic theory
C. Transformational leadership
D. Path Goal Theory

A

D. Path Goal Theory

Key: minimizing any obstacles that may prevent achieving goal

57
Q

Situation: Nurse Rosa, a skilled nurse working in an orthopedic joint clinic is caring for Client Ray who was diagnosed with Bursitis.

  1. When providing care for a client with bursitis, Nurse Rosa recognizes that which of the following is not beneficial in managing the client’s condition?

*
1 punto
A. Rest
B. NSAIDs
C. Bursectomy
D. Hot compress

A

D. Hot compress

Bursitis - inflammation of the bursa seen in joints (arthritis)

58
Q
  1. Patient Jake, a recent kidney transplant recipient, was diagnosed with Tendonitis and is in discomfort. As a competent nurse with knowledge of pharmacology, Nurse Rosa is aware that which of the following medications, when used, increases the risk of tendonitis?

*
1 punto
A. Ciprofloxacin
B. Sulfadiazine
C. Darifenacin
D. Pentosan polysulfate sodium

A

A. Ciprofloxacin - Adverse effect is increased risk for tendonitis

59
Q

Situation: Patient Terry was admitted in the emergency room of Lynx Medical Center after experiencing symptoms of mild indigestion that worsened into choking and a heavy sensation in the upper chest that were not relieved by rest and medication.

  1. After assessing the patient, Nurse Amy suspects that Patient Terry has angina. As an experienced nurse, she anticipates that the client will be diagnosed with which type of angina?

*
1 punto
A. Variant angina
B. Intractable angina
C. Stable angina
D. Unstable angina

A

D. Unstable angina

60
Q
  1. Assuming that Patient Terry is 68 years old and suffering from angina, what often-presenting symptom would the nurse expect to see in an older adult patient like him?

*
1 punto
A. Pain
B. Dyspnea
C. Weakness
D. Disorientation

A

B. Dyspnea - angina in elderly can manifest as difficulty in breathing

61
Q
  1. As a knowledgeable nurse, in which position should Nurse Amy place the patient with angina?

*
1 punto
A. Sim’s
B. Low-fowler’s
C. R side-lying
D. Trendelenburg

A

B. Low-fowler’s - aka Semi-Fowler’s

62
Q
  1. The physician requested a 12-lead EKG and laboratory tests. Which of the following alterations in the patient’s EKG is indicative of ischemia?

*
1 punto
A. T-wave inversion, ST-segment depression, or development of abnormal Q wave
B. T-wave elevation, ST-segment depression, or development of normal Q wave
C. T-wave inversion, ST-segment elevation, or development of abnormal Q wave
D. T-wave elevation, ST-segment elevation, or development of normal Q wave

A

C. T-wave inversion, ST-segment elevation, or development of abnormal Q wave

63
Q
  1. The primary goal of medical treatment for angina is to reduce the amount of oxygen required for the heart to function properly and to increase its oxygen supply. This is accomplished by managing underlying risk factors as well as using pharamcologic therapy, such as Nitroglycerin. As a nurse, you know that the main rationale for administering nitroglycerin to a patient with stable angina pectoris is?

*
1 punto
A. Prevention of thrombus formation
B. Negative inotropic effects; indicated in patients not responsive to beta-blockers; used as primary treatment for vasospasm
C. Short- and long-term reduction of myocardial oxygen consumption through selective vasodilation
D. Reduction of myocardial oxygen consumption by blocking beta-adrenergic stimulation of the heart

A

C. Short- and long-term reduction of myocardial oxygen consumption through selective vasodilation

It is a vasodilator

A - anticoagulants
B - CCB
D - Beta Blockers

64
Q
  1. Following sublingual administration of nitroglycerin to a patient with angina, it is the nurse’s responsibility to monitor the client for any adverse reaction to the medication. As a nurse with extensive knowledge on pharmacology, which patient response would you consider a positive outcome? Select all that does not apply:

*
1 punto
A. Hypotension
B. Relief of chest pain (if present)
C. Decreased heart rate
D. Mental status change

A

A. Hypotension
D. Mental status change

65
Q
  1. Patients with Angina Pectoris are typically advised to self-administer nitroglycerin on as needed basis, and it is the nurse’s primary responsibility to educate the patient about the medication and how to take it. Which of the following comments made by Patient Terry suggest a need for additional instruction?

*
1 punto
A. “I should make sure to replenish my nitroglycerin supply every 6 months.”
B. “I need to carry nitroglycerin at all times as a precaution.”
C. “I should not crush the tablet in between the teeth at all times.”
D. “I need to make sure that I don’t swallow my saliva until my nitroglycerin tablets are completely dissolved.”

A

C. “I should not crush the tablet in between the teeth at all times.” - can be crushed for faster absorption

66
Q
  1. Restoring the blood supply to the myocardium can also be done through reperfusion treatments. These include CABG and Percutaneous Coronary Intervention (PCI) procedures such as Percutaneous Transluminal Coronary Angioplasty (PTCA) and Intracoronary Stents. Nurse Amy knows that all of the following statements are true regarding PTCA, except?

*
1 punto
A. A balloon-tipped catheter is passed into the affected coronary artery and placed across the area of the atheroma.
B. The balloon is rapidly inflated and deflated with controlled pressure.
C. It is performed through a surgical incision.
D. A stent is placed to maintain the patency of the artery, and the balloon is removed.

A

C. It is performed through a surgical incision. - it is a skin puncture only

67
Q
  1. As an experienced nurse working at the heart institute, Nurse Amy is also aware that the goal of PTCA is to achieve the following, except? Select all that apply.
    I. Improve blood flow
    II. Residual stenosis of less than 5%
    III. Increase in the vein’s lumen
    IV. No clinically obvious blood vessel trauma
    *
    1 punto
    A. I, II, III
    B. II, III
    C. I, IV
    D. I, II, III, IV
A

B. II, III

68
Q
  1. The physician also prescribed Coumadin for Patient Terry who is experiencing angina. Which statement best describes how the medication work as a pharmacologic management of angina?

*
1 punto
A. Prevent thrombus formation
B. Have negative inotropic effects; indicated in patients not responsive to beta-blockers; used as primary treatment for vasospasm
C. Short- and long-term reduce myocardial oxygen consumption through selective vasodilation
D. Prevent platelet aggregation

A

A. Prevent thrombus formation

69
Q

Situation: The future RN and topnotcher is getting ready to solve medication computation problems for the upcoming board exam.

  1. Baby Ju, a 9-month-old infant, is to receive D5 ¼NS to be infused at a rate of 7mL/kg/hr. If the infant weighs 19.8 lbs., how many ml/hr should the nurse infuse the prescribed solution?

*
1 punto
A. 95 ml/hr
B. 75 ml/hr
C. 63 ml/hr
D. 57 ml/hr

A

C. 63 ml/hr

Desired/Stock X Quantity

70
Q
  1. The physician prescribed ampicillin oral suspension 75 mg to be administered PO every 12 hours for 7 days. Stock: 125 mg/5 mL in a 30 mL bottle. How many cc will the nurse administer per dose?

*
1 punto
A. 1.5 cc
B. 3 cc
C. 6 cc
D. 7.5 cc

A

B. 3 cc

71
Q
  1. The physician prescribed ampicillin oral suspension 75 mg to be administered PO every 12 hours for 7 days. Stock: 125 mg/5 mL in a 30 mL bottle. How many bottles will the nurse request for the seven-day course of antibiotics?

*
1 punto
A. 2 bottles
B. 1 bottle
C. 3 bottles
D. 5 bottles

A

A. 2 bottles
3mL X 2 (12hrs/day) = 6mL in one day
Needs 6 mL in one day X 7 days = 42 mL/30mL = 1.

72
Q
  1. A 7-month-old infant weighing 11 kg is to receive ampicillin 25 mg/kg IV every 6 hours. How many milligrams should Nurse Jen administer per dose?

*
1 punto
A. 211 mg
B. 255 mg
C. 260 mg
D. 275 mg

A

D. 275 mg

73
Q
  1. A healthcare provider prescribes Atropine Sulfate 0.6 mg IM on call to OR. Available: 500 mcg/1 mL ampule. How many milliliters will the nurse inject for each dose?

*
1 punto
A. 0.5 mL
B. 0.6 mL
C. 1 mL
D. 1.2 mL

A

D. 1.2 mL

1mg = 1000 mcg

74
Q
  1. The physician orders an IV infusion of PNSS 1 L to infuse over the next 16 hours. Calculate the correct flow rate if the IV tubing used is a microset.

*
1 punto
A. 63 gtts/min
B. 15 gtts/min
C. 60 gtts/min
D. 16 gtts/min

A

A. 63 gtts/min

75
Q
  1. The physician orders an IV infusion of PNSS 1 L to infuse over the next 16 hours using a microset. An intravenous line has been inserted into the patient. How much PNSS will the patient receive every hour?

*
1 punto
A. 15
B. 16
C. 60
D. 62.5

A

D. 62.5

76
Q

Situation: Alvin, the future RN and topnotcher, is preparing for the next board exam by working on medicine computation problems.

  1. Using a microset to administer PNSS 1L at 10 gtts/min. How many hours will it take to infuse the 1L solution?

*
1 punto
A. 100 hrs
B. 50 hrs
C. 150 hrs
D. 200 hrs

A

A. 100 hrs

77
Q
  1. Administer PNSS 1L at 30 gtts/min using a microset. How many mL of D5W are you going to give the patient in an hour?

*
1 punto
A. 40
B. 30
C. 20
D. 10

A

Bonus

78
Q
  1. Administer PNSS 1L for 9 hours using a macroset with a drop factor of 20 gtts/mL. What is the flow rate?

*
1 punto
A. 80 gtts/min
B. 12 gtts/min
C. 37 gtts/min
D. 20 gtts/min

A

C. 37 gtts/min

79
Q

Situation: A patient with breast cancer who underwent a right radical mastectomy is being cared for by nurse Jamie at the surgical nursing unit.

  1. Which intervention does she include in the nursing plan of care for this patient?

*
1 punto
A. When evaluating the surgical dressing, pay attention to the right posterior axilla region.
B. Only take serum samples for testing from the right arm.
C. Place the client lying on their back, with their right arm raised on a pillow.
D. Only take blood pressure readings from the right arm.

A

A. When evaluating the surgical dressing, pay attention to the right posterior axilla region.

80
Q
  1. The client with breast cancer is given cyclophosphamide, and Nurse Jamie gives them instructions on how to take it. Which of the client’s statements points to the need for more instruction?

*
1 punto
A. “If I lose my hair, it will grow back.”
B. “I need to limit my fluid intake while taking this medication.”
C. “If I develop a sore throat, I should notify the health care provider.”
D. “I need to avoid contact with anyone who recently received a live virus vaccine.”

A

B. “I need to limit my fluid intake while taking this medication.” - we need to increase fluid intake

81
Q
  1. With a diagnosis of infiltrating ductal carcinoma of the breast, another patient is admitted to the hospital. Which anticipated symptom should the nurse evaluate the patient for?

*
1 punto
A. Bilateral palpable masses
B. A fixed, irregularly shaped mass
C. Pain in the breast and edema
D. A round-shaped mass that is moveable

A

B. A fixed, irregularly shaped mass

82
Q
  1. A client visits the office for a follow-up consultation two months after undergoing a right radical mastectomy for breast cancer. The client was informed about the danger for cancer in the left breast after receiving a diagnosis of cancer in the right breast. The client responded, “I don’t need to do that anymore,” when questioned about her breast self-examination (BSE) routines following the operation. The nurse views this reaction as which coping mechanism?

*
1 punto
A. Denial
B. Grief and mourning
C. Change in body image
D. Change in role pattern

A

A. Denial - can lead to self care deficit

83
Q
  1. The patient is informed by Nurse Jamie that the following are risk factors for Breast CA: Select all that apply
    I. Old Age
    II. Genetic Mutations BRCA1 and BRCA2
    III. Family History
    IV. Exposure to the drug diethylstilbestrol (DES).
    *
    1 punto
    A. I and II
    B. III only
    C. I, III and IV
    D. All of the Above
A

D. All of the Above

84
Q

Situation: The leading cause of cancer-related mortality in the country is lung cancer. Millions of Filipinos are at high risk of acquiring lung cancer since over a quarter of the population, or those over the age of 15, smokes tobacco.

  1. A group of nursing students are given instruction about the dangers of smoking by nurse Rendona. Which student statement demonstrates the need for extra instruction?

*
1 punto
A. “Chewing tobacco is much safer than is smoking tobacco.”
B. “Smoking during pregnancy increases the risk of stillbirth.”
C. “My health is at risk when my family smokes in the house.”
D. “Inhaling smoke from other people is a public health issue.”

A

A. “Chewing tobacco is much safer than is smoking tobacco.” - all forms of tobacco are risk for lung cancer

85
Q
  1. She emphasized the following key lung cancer risk factors, except:

*
1 punto
A. Tobacco Smoke
B. Second-Hand smoke
C. Exposure to asbestos
D. Infection with H Pylori

A

D. Infection with H Pylori

86
Q
  1. “How do the lungs develop?” asks one of the students. Nurse Rendona correctly answers the student if she states that:

*
1 punto
A. “ Lung Cancer starts as tumours can begin anywhere in the lungs but most begin in the glandular tissue on the stomach’s inner surface”
B. “ Lung Cancer develops through glandular tissue from the lungs, to the liver and pancreas”
C. “Lung Cancer develops rapidly in which cells in the colon anor rectum grows out of control”
D. “ Lung Cancer develops as damaged bronchial epithelial cells mutate over time to become neoplastic”

A

D. “ Lung Cancer develops as damaged bronchial epithelial cells mutate over time to become neoplastic”

87
Q
  1. As part of her discussion on Lung Ca’s various clinical manifestations, Nurse Rendona also included the following: Select all that apply
    A. Change in Respiratory Pattern
    B. Persistent cough or change in cough
    C. Hemoptsis
    D. Excessive Smoking
    E. Exposure to hazardous asbestos
    *
    1 punto
    A. I, III and IV
    B. I, III and V
    C. I, II and III
    D. All of the Above
A

C. I, II and III

IV and V are risk factors

88
Q
  1. The earliest indication of lung cancer, according to nurse Rendona, is?

*
1 punto
A. Chest Pain
B. Wheezing
C. Blood-tinged Sputum
D. Cough

A

D. Cough - nonproductive cough or nagging cough

89
Q
  1. Which of the student’s statements best demonstrates the need for additional instruction?

*
1 punto
A. “This type of cancer is more likely to develop in smokers.”
B. “A diet high in fat will help prevent this type of cancer.”
C. “A risk factor for this disease is a history of a sexually transmitted infection.”
D. A yearly digital rectal exam should be used to monitor men over 50.

A

B. “A diet high in fat will help prevent this type of cancer.” - it precipitates, not prevent

90
Q
  1. Which late sign or symptom of this oncological emergency has she discussed in relation to a client who has metastatic prostate cancer and the signs and symptoms of hypercalcemia?

*
1 punto
A. Headache
B. Dysphagia
C. Constipation
D. Changes in electrocardiograms

A

D. Changes in electrocardiograms (shortened ST segment, widened T wave)

91
Q
  1. The majority of prostate cancer risk factors, according to nurse Nani, are linked to what hormone exposure?

*
1 punto
A. Estrogen
B. Progesterone
C. Testosterone
D. Cushing Triad

A

C. Testosterone

92
Q
  1. One of the students questions Nurse Nani about the prostate cancer risk factors. Choose all that apply.
    I. Age (Over the age of 50)
    II. Race
    III. Family Hx
    IV. High Fat Diet
    *
    1 punto
    A. I and II
    B. I, II and III
    C. I, II and IV
    D. All of the Above
A

D. All of the Above

93
Q
  1. What is the protein produced by normal, as well as malignant, cells of the prostate gland?

*
1 punto
A. PSE
B. PSA
C. ASAP

A

B. PSA

94
Q

Situation: A patient with peptic ulcer illness is given advice on symptom management by nurse Jona.

  1. Which of the client’s statements best demonstrates that he understands the medical condition?

*
1 punto
A. “It’s important that I eat slowly and thoroughly chew my food.”
B. “An evening snack would be appropriate.”
C. “I can take aspirin to get rid of the stomach ache.”
D. “I should take Pepcid (famotidine) and my antacid at the same time.

A

A. “It’s important that I eat slowly and thoroughly chew my food.”

95
Q
  1. Which symptoms or signs of an acid-base imbalance should Nurse Jona look out for?

*
1 punto
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis

A

B. Metabolic alkalosis

96
Q
  1. What should be monitored when the nurse evaluates the patient for gastrointestinal perforation?

*
1 punto
A. Slow, strong pulses
B. Increase in bowel sounds
C. Positive guaiac stool tests
D. Sudden, severe abdominal pain

A

D. Sudden, severe abdominal pain

97
Q
  1. A Propantheline was prescribed to a patient as an additional kind of care for peptic ulcer disease. How should the client be instructed to take this medication by Nurse Nani?

*
1 punto
A. With meals
B. With antacids
C. Just after meals
D. 30 minutes before meals

A

D. 30 minutes before meals - neutralize acid before eating

98
Q
  1. A Helicobacter pylori infection has been discovered in another client who has a peptic ulcer. Clarithromycin, esomeprazole, and amoxicillin are among the drugs being discussed with the client by nurse Nani. Which of the client’s statements best demonstrates that they comprehend the pharmaceutical regimen?

*
1 punto
A. “These drugs will kill the bacteria, and my ulcer will heal.”
B. I only use these meds when I’m experiencing discomfort from my ulcer.
C. The drugs will eliminate the bacteria and stop the formation of acid.
D. These drugs will cover the ulcer and lessen my stomach’s production of acid.

A

C. The drugs will eliminate the bacteria and stop the formation of acid.

99
Q

Situation: Basic Life Support, or BLS, generally the type of care that first-responders, healthcare providers provides to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway that requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.

  1. Nurse Jes notices the client is experiencing ventricular tachycardia after hearing the alert sound on the telemetry monitor and viewing the monitor. To the client’s room, the nurse immediately went. What should the nurse do initially when she gets at the patient’s bedside?

*
1 punto
A. Call a code.
B. Prepare for cardioversion.
C. Prepare to defibrillate the client.
D. Check the client’s level of consciousness.

A

D. Check the client’s level of consciousness.

100
Q
  1. A client who has no pulse has had the patch electrodes of an automated external defibrillator (AED) placed on his or her chest. The defibrillator identified ventricular fibrillation as the rhythm. Which procedure should the nurse get ready to carry out next?

*
1 punto
A. Administer rescue breathing during the defibrillation
B. Perform cardiopulmonary resuscitation (CPR) for 1 minute before defibrillating
C. Charge the machine and immediately pushes the “discharge” buttons on the console
D. Order any personnel away from the client, charge the machine, and defibrillate through the console

A

D. Order any personnel away from the client, charge the machine, and defibrillate through the console

RN 2023 cutie (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions