Recalls 4 - NP2 Flashcards
1
Q
Patient Natalie, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes. Nurse Gracie was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.
- In any type of charting or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Fe? Nursing __________.
A. Assessment
B. Process
C. Actions
D. Diagnosis
A
A. Assessment
2
Q
- Which of the following are the purposes of documentation? To ________.
I. Ensure the development of organized comprehensive care plan
II. Have a clear and accurate record of what was done to the patient.
III. Have an evidence of the health care member’s accountability in giving care
IV. Detect patients who are clinically deteriorating
A. II, III, IV
B. I, II, III, IV
C. I, II, III
D. I, III, IV
A
C. I, II, III
3
Q
- Which of the following is the CORRECT definition of focus charting?
A. It is an electronically form of documentation of nursing care done to a patient by a registered nurse.
B. It is a note, written or electronically generated, to provide documentation related to a specific focus.
C. It is a nurse-centered way of documentation that describes the patient status and nursing care rendered.
D. It is a nurse-centered approach to documentation.
A
B. It is a note, written or electronically generated, to provide documentation related to a specific focus.
4
Q
- In the given situation, which is the FOCUS?
A. Patient Natalie as the admitting nurse
B. Lumbo-sacral pains and strong uterine contractions
C. 15 years old, G0P1, AOG of 36 weeks
D Admission at 6:30 in the morning
A
B. Lumbo-sacral pains and strong uterine contractions
5
Q
- What is the term used to describe the patient’s data or assessment, the action done based on
A. Progress Note
B. Flow sheets
C. Standard of Care
D. Focus Format
A
D. Focus Format
6
Q
Situation
This is the first postoperative day for patient Shiela who delivered by caesarean section
(CS). Nurse Gemma a newly hired staff was assigned to her
- Patient Shiela asks the nurse why she has to get up and walk the day after surgery. Which of the following is the BEST response of the nurse? Walking hastens _________.
A. Hastens lactation
B. Relieves pain
C. Heals wounds
D. Fast recovery from anesthesia
A
C. Heals wounds
7
Q
- Which laboratory finding should the nurse assess on the patient 24 hours after caesarian section delivery upon doctor’s request?
A. Trace 1+ proteinuria
B. Hematocrit 35%
C. White blood cell count 20,000/cu.mm
D. Hemoglobin 7.0 g/dL
A
D. Hemoglobin 7.0 g/dL
8
Q
- Patient Shiela complains of “afterpains”. What should be the nurse IMMEDIATE action?
A. Advise her to stop breast-feeding for a day
B. Encourage her to drink more water
C. Assess vital signs and pain level
D. Administer an analgesic STAT
A
C. Assess vital signs and pain level
9
Q
- Patient Shiela is to be discharge 3 days after CS delivery. Which of the following observations of the nurse would cause the delay of her discharge and would warrant notification to the physician?
A. Moderate amount of lochia rubra
B. Fundus is firm at umbilicus
C. Pulse rate of 61 beats/minute taken in 24 hours
D. Five voidings totaling 240 cc in 12 hours
A
D. Five voidings totaling 240 cc in 12 hours
10
Q
10.On the third postpartum day, Patient Shiela reports that she has voided five times that morning. What should the nurse INITIALLY do?
A. Insert a Foley catheter
B. Collect the next voiding and measure the urine amount
C. Catheterize the client to check for residual urine
D. Call the physician
A
A. Insert a Foley catheter
11
Q
Situation
Patient Apple, 19 years old, is in her first trimester of pregnancy. Because it is her first
pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which
she expects the nurse to answer her.
- The nurse asked for the personal data of the patient which, to some, Patient Apple did not like to answer. And so she asked: “Why do you need to know if I am married?” what should be a good response of the nurse? “I asked your marital status because _________.
A. If you do not have a husband, then that can pose a big problem for you.”
B. If you are married then your husband will also suffer from discomforts like you.”
C. You need your husband to accompany you every prenatal check-up.”
D. Your husband is your best support system during your pregnancy.”
A
D. Your husband is your best support system during your pregnancy.”
12
Q
- The patient asked what is the term for signs such as breast changes, urinary frequency, fatigue, morning sickness and amenorrhea?
A. Probable signs
B. Presumptive signs
C. Possible signs
D. Positive signs
A
B. Presumptive signs
13
Q
- The patient asked what causes newborn babies with total absence of extremities. The nurse answered that the cause for Amelia is intake of which of the following medications during pregnancy ___________.
A. Anti-emetics
B. Antibiotics
C. analgesics
D. anti-bacterials
A
A. Anti-emetics
14
Q
- The patient complained that every morning, she becomes nauseated and oftentimes, she would vomit excessively. “What could be the cause of this,” she asked? The nurse’s answer is: “It is due to increase level of ________.”
A. Heart burn
B. Estrogen
C. heart rate
D. Progesterone
A
B. Estrogen
15
Q
- The nurse advised patient Patient Apple to report to her physician which of the following MOST important sign, if ever she will suffer from it?
A. Cough
B. Vaginal bleeding
C. Headache
D. strong fetal movement
A
B. Vaginal bleeding
16
Q
As a newly-hired staff nurse of the hospital, Jubilee learned that the hospitals have an
in-service training for its staff. The in-service trainings conducted are based on hospital and staff’s
needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital
Initiative (MBFHI).
- What is the FIRST step among the ten steps for successful breastfeeding?
A. Have a written breastfeeding policy that is routinely communicated to all staff.
B. Inform all pregnant women about the benefits and management of breastfeeding.
C. Foster the establishment of breastfeeding support groups.
D. Train all health care staff in skills necessary to implement the policy.
A
A. Have a written breastfeeding policy that is routinely communicated to all staff.
17
Q
- When practicing rooming-in, how long should the baby stay with the mother? ______ hours.
A. 8
B. 24
C. 12
D. 10
A
B. 24
18
Q
- What is the CORRECT time for which the mother should initiate breastfeeding? It should be _______ hours after birth.
A. ½
B. 1
C. 3
D. 2
A
A. ½
19
Q
- Jubilee learned that newborn infants should ONLY be given, which of the following?
A. Fruit juice
B. Breastmilk
C. water
D. cow’s milk
A
B. Breastmilk
20
Q
- Which is the LAST part of the initiative, as recommended by WHO and UNICEF, for the MBFHI external team to do before its final designation as MBFHI Hospital?
A. Assess business facilities if they follow the 10 steps for successful breastfeeding.
B. Develop a research on the benefits of breastfeeding within the institution.
C. Disseminate the benefits of breastfeeding to communities.
D. Follow up mothers if they are exclusively breastfeeding.
A
A. Assess business facilities if they follow the 10 steps for successful breastfeeding.
21
Q
Situation
Heather is 23 years old. She and her boyfriend, Patrick, are planning to get married in a
couple of months. Thereafter, they plan to have three babies. For this reason they sought
reproductive health counseling for their benefit and the proper growth and development of their
future children. Nurse Susane was there to help them.
- Heather asks what she must do in order to be healthy in case she becomes pregnant. Which among the answers of Nurse Susane should NOT be followed by Heather?
A. Get support from husband and family.
B. May have a massage from a lay midwife.
C. To readily accept her pregnancy.
D. Early prenatal check-up
A
B. May have a massage from a lay midwife.
22
Q
- Patrick asks what possible contribution he could give for the normal development of the baby. Nurse Susane agreed that his BEST contribution would be the following EXCEPT __________.
A. Stroke Heather’s abdomen and talk to baby
B. Provide Heather nutritious food and drinks
C. Join wife during prenatal check-up
D. May smoke once in a while
A
D. May smoke once in a while
23
Q
- For the normal developmental of the fetus, Nurse Susane taught the couple that Heather should prevent Folic Acid Deficiency anemia by good diet, correct way of cooking vegetables and taking Folic Acid supplements. Which of the following is NOT included among the outcomes of folic acid deficiency to the baby?
A. Cleft lip
B. Cleft palate
C. Neural tube defect
D. Fractures of all types
A
D. Fractures of all types
24
Q
- Heather asks the nurse what possible diseases should she avoid that would guarantee health for the baby? These are:
- Rubella
- Rheumatic fever
- Anemia
- Chronic hypertension
A. 1, 2, 3
B. 1, 2, 3, 4
C. 1, 2, 4
D. 2, 3, 4
A
B. 1, 2, 3, 4
25
25. Nurse Susane advised the couple that the BEST way to check the condition of the mother and the baby is to have _________.
A. Regular well-selected exercise
B. Regular prenatal check-up
C. Music therapy
D. Good food
B. Regular prenatal check-up
26
Situation
A hospitalized adolescent Scottie suddenly has a seizure while his family is visiting. Nurse
Nisha notes whole body rigidity followed by general jerking movements. Scottie vomits immediately
after seizure.
26. Which of the following would be the PRIORITY nursing diagnosis for Scottie?
A. Fluid volume deficit related to vomiting.
B. Altered family processes related to chronic illness.
C. High risk for infection related to vomiting.
D. Risk for aspiration related to loss of consciousness
D. Risk for aspiration related to loss of consciousness
27
28. Scottie will be taking phenytoin (Dilantin) regularly for seizure control. Which of the following will be the MOST important teaching to Scottie’s family?
A. Administer acetaminophen to promote sleep.
B. Serve a diet that is high in iron
C. Maintain good oral hygiene and dental care
D. Omit medication if the child is seizure free.
C. Maintain good oral hygiene and dental care
28
27. Which of the following would be the LEAST PRIORITY nursing care for a child with seizure disorder?
A. Observation and recording all seizures.
B. Ensuring safety and protection from injury.
C. Teaching the family about anticonvulsant drug therapy: indication, dosage, route and effects.
D. Assessing for signs and symptoms of Increased Intracranial Pressure.
D. Assessing for signs and symptoms of Increased Intracranial Pressure.
29
29. After teaching the parents about their child’s unique psychological needs related to a seizures disorder and possible stressors, which of the following concerns voiced by them would indicate the need for additional teaching? The child’s ___________.
A. Feeling different from peers
B. Cognitive delays
C. Poor self-image
D. Dependency
B. Cognitive delays
30
30. Which of the following is NOT a focus for teaching plan for an adolescent with a seizure disorder?
A. Obtaining a driver’s license
B. Increase risk for infections
C. Peer pressure
D. Drug and alcohol use
B. Increase risk for infections
31
33. A woman 2 ½ months pregnant calls you by telephone because she passed out some “berry-like” blood clots and now has continued dark brown vaginal bleeding. Which of the following is the BEST instruction you should give her?
A. “Continue normal activity but take your pulse and respiratory rate every 4 hours.”
B. “Come to the health facility if uterine contractions start.”
C. “Come to the health facility with any vaginal material passed out.”
D. “Maintain bedrest and count the number of perineal pads used every hour.”
C. “Come to the health facility with any vaginal material passed out.”
31
Situation
Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for
regular pre-natal consultation in any health facility near her place of abode. A nurse can play an
important role in making these pregnant women aware of these risks in all stages of pregnancy.
31. What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for?
A. Vitamin B12
A. Potassium
C. Vitamin C
D. Folic Acid
D. Folic Acid
32
32. A woman in labor is at risk for abruptio placenta. Which of the following assessments would MOST convince you and the pregnant woman to believe that this has happened?
A. Painless vaginal bleeding and downward trend of BP.
B. And increased blood pressure and scanty urination.
C. Pain at the lower quadrant and increased pulse rate.
D. Sharp fundal pain and discomfort between contractions.
D. Sharp fundal pain and discomfort between contractions.
33
34. A woman, 33 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to read daily?
A. Serum creatinine
B. Red blood cell count
C. Sodium and potassium levels
D. White blood cell count
D. White blood cell count
34
35. An 18 –year –old delivers to an 8 –pound – baby after 10 hours of labor. In the post-partal period, which of the following would be a PRIORITY concern to assess for by the nurse?
A. Endometritis
B. Thrombophlebitis
C. Bleeding
D. Amniotic embolus
C. Bleeding
35
Situation
Head nurse Eva supervises Nurse Hannah who is assigned to take care of a newborn baby
boy named Edwin with a cleft palate.
36.The mother asks the head nurse why the pediatrician recommended that closure of the palate should be done before he is 6 months old. She asked Nurse Hannah to answer her. Which of the following is Nurse Hannah’s APPROPRIATE response?
A. “After age 2, surgery is very frightening and should be avoided if possible.”
B. “The eruption of the 2-year molars often complicates the surgical procedure.”
C. “Surgery should be performed before the child starts to use faulty speech patterns.”
D. “As he gets older the palate gets wider and more difficult to repair.”
C. “Surgery should be performed before the child starts to use faulty speech patterns.”
36
37. The head nurse continued to ask Nurse Hannah, “A cleft lip predispose an infant to infections PRIMARILY because of which of the following reasons?”
A. Waste products that accumulate along the defect.
B. Inadequate circulation in the defective area.
C. Deficient nutrition from ineffective feeding.
D. Mouth breathing that dries the oropharyngeal mucous membranes.
D. Mouth breathing that dries the oropharyngeal mucous membranes.
37
38.Which SIGNIFICANT statement of the mother predisposes her son to cleft lip or palate?
A. “On my 6 months of pregnancy, I saw a rabbit with the same case of my son.”
B. “I am asthmatic and I usually take steroids.”
C. “My mother- in- law doesn’t like me, that’s why she cursed me.”
D. “I believe my enemy did some forms of witchcraft on me.”
B. “I am asthmatic and I usually take steroids.”
38
39.For an infant born with a unilateral cleft lip and palate, which of the following type of feeding will be BEST to use?
A. Rubber-tipped syringe or medicine dropper.
B. Full breast feeding.
C. IV fluids on limited number of ounces.
D. Cross-cut rubber nipple.
D. Cross-cut rubber nipple.
39
40.Which of the following is the number ONE consideration in the care of an infant after the surgical repair of a cleft lip?
A. Preventing the infant from crying
B. Feeding the infant with a spoon for 2 days after surgery
C. Placing the infant in a semi-sitting position
D. Keeping the infant NPO for 1 say after surgery.
C. Placing the infant in a semi-sitting position
40
Situation 10
Joyce, on her 35 weeks of gestation, is admitted because of hypertension, BP of
185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet
privileges. The physician orders MgSo4. Nikita is the nurse assigned to her.
41.Which of the following would Nurse Nikita anticipate in then patient’s maternal history?
A. On and off vaginal spotting
B. Esophageal discomfort is experienced after a heavy meal.
C. Weight gain of 20lbs in the 1st and 2nd Trimester
D. Fetus moves very frequently
C. Weight gain of 20lbs in the 1st and 2nd Trimester
41
42.When a patient is on an imposed bedrest, which of the following can help the patient cope? These are the following, EXCEPT __________.
A. Let the patient lie on her side to allow more blood to the uterus.
B. Increase fluid intake to 8 glasses a day to prevent constipation.
C. Discourage participation of family in patient care to prevent further anxiety.
D. Use relaxation techniques to help cope with stress such as music and books.
C. Discourage participation of family in patient care to prevent further anxiety.
42
43.MgSo4 injections are painful to the patient. Which of the following is the BEST route for injection to prevent such negative experience for patient Joyce?
A. Intravenous injection at the main IV line.
B. Intravenous injection given through “piggy back”.
C. Intramuscular on each of the deltoid muscle.
D. Deep intramuscular using z-track technique on buttocks.
B. Intravenous injection given through “piggy back”.
43
44.The nurse must be alert to MgSo4 toxicity. Which of the following in NOT included?
A. Fetal bradycardia
B. Urine output of <30 ml per hour
C. Respiration of <12 per min
D. Increase in maternal pulse rate
C. Respiration of <12 per min
44
45.Which of the following hospital environment will be MOST conducive to Joyce’s condition? A room that is / with ____________.
A. Bright and well-ventilated
B. 2 or three other patients
C. Quiet and non-stimulating
D. A call button for watcher’s use.
C. Quiet and non-stimulating
45
Situation 11
Mrs. Paula, 20 years old, visited the prenatal clinic with her husband Christian. Nurse
Cynthia noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient
asks the clinic nurse about pregnancy and childbearing.
46.Based from the assessment of the nurse, what would be the estimated age of gestation, in WEEKS, if then fundus is at the level of the umbilicus?
A. 8
B. 10
C. 6
D.12
E. None of the Above
E. None of the Above
46
47.When is the placenta, which is the source of estrogen and progesterone, fully developed? It is on the __________ weeks of pregnancy?
A. 8
B. 20
C. 16
D.28
B. 20
47
48.Mrs. Paula related that she oftentimes feel nauseated in the afternoon. Which of the following should Nurse Cynthia advise her to do?
A. Eat sky flakes and follow it up with water
B. Drink iced carbonated drinks
C. Drink hot chocolate or coffee
D. Eat frequent but small amount of foods.
A. Eat sky flakes and follow it up with water
48
49.Which of the following periods of pregnancy does organogenesis occur?
A. Third
B. First
C. Second
D. Fourth
B. First
49
50.What sign of pregnancy is morning sickness characterized by nausea?
A. Probable, subjective
B. Presumptive, subjective
C. Probable, objective
D. Presumptive, objective
B. Presumptive, subjective
50
Situation 12
A mother in her first trimester of pregnancy is asthmatic and has taken steroids. This
resulted to her baby with cleft lip and cleft palate.
51.While assessing a newborn with cleft lip, the nurse should be alerted on which of the following that will MOST likely be compromised?
A. Locomotion
B. Respiratory status
C. GI function
D. Sucking ability
D. Sucking ability
51
52.What is the MOST APPROPRIATE response of the nurse to the mother’s question as to when the child will be ready for a cleft palate repair? Cleft palate repair is usually done __
A. When a large-holed feeding bottle is ineffective for his feeding
B. When the child is completely weaned from bottle feeding
C. Prior to the development of speech
D. After the child has been toilet trained
C. Prior to the development of speech
52
53. Elbow restraints are the choice during the patient’s operation. When is the right time to introduce the use of these restraints?
It should be during the _________ phase.
A. Pre-operative
B. Rehabilitative
C. intra- operative
D. post- operative
D. post- operative
53
54.Before bringing the child to the operating room, what condition of the patient needs immediate notification of the surgeon by the nurse that will warrant suspension of surgery?
A. Colic
B. Atopic dermatitis
C. nasopharyngitis
D. eye deviation
C. nasopharyngitis
54
55.Include in the post-op plan of care is collaboration and referral of the patient with cleft palate to which of the following APPROPRIATE health care provider?
A. Speech therapist
B. Dentist
C. dietetian
D. gynecologist
A. Speech therapist
55
Situation 13
The giving of medication to a pediatric patient is a serious responsibility of a nurse.
The need for accuracy in giving medication is greater than with adult patients. Nurse Yuuh has just
been assigned to the Pediatric Wards.
56. Dosage, when giving medicine to pediatric patients, varies according to which of the following? Select all that apply
1. Size
3. Age of child
2. Surface area
4. Height
A. 3 only
B. 1 and 2
C. 1, 2, 3
D. 1, 2, 3, 4
D. 1, 2, 3, 4
56
57. Nurse Yuuh is being reviewed by her Headnurse on administering oral medication on pediatric patients. Which of the following statements below is CORRECT?
A. The child should be told to place the tablet in the middle of his tongue and to drink water, fruit juice, milk in order to wash down the tablet.
B. A child’s reaction to a dose ordered by a physician is not less predictable than adult’s reaction.
C. When giving oral medication, the child as young as two years of age CANNOT be taught to swallow drugs.
D. The possibility of error is greater in the giving of medication to children than to adults.
D. The possibility of error is greater in the giving of medication to children than to adults.
57
58.In children and infants, which part is often used for intramuscular injection to reduce the risk of vascular and peripheral nerve (sciatic) injuries?
A. Deltoid muscle
B. Gluteus maximus
C. Dorsogluteal
D. Vastus lateralis
D. Vastus lateralis
58
59.Comprehensive surveys of research reports and case study literature about intramuscular injections revealed that administering medication intramuscularly can produce a variety of serious adverse effects. When asked by the Headnurse what possible complications can arise, Nurse Yuuh should include which of the following?
1. Skin and tissue trauma
2. Muscle fibrosis and contracture
3. Nerve palsies and paralysis
4. Infectious processes such as abscesses or gangrene
A. 1, 3, and 4
B. 1, 2, 3, 4
C. 2, 3, 4
D. 1, 2, 3
B. 1, 2, 3, 4
59
60.Prior to administering the drugs ordered by the Pediatrician, Nurse Yuuh needs to know if she is giving the ordered medication to the right patient. The FIRST step is __________.
A. Check patient’s identification bracelet.
B. Compare medication to order to identification bracelet and patient’s stated name and birth date.
C. Verify patient’s allergies with chart and with patient.
D. Ask patient to state their name and birth date
B. Compare medication to order to identification bracelet and patient’s stated name and birth date.
60
Situation 14
Nicole, 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever
and irritability. The mother informed Nurse Olive, who is assigned to Nicole that patient had upper
respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media
(AOM).
61.Nurse Olive makes her INITIAL assessment on Nicole. The patient keeps on crying and constantly pulls her right ear. What is her MOST APPROPRIATE action?
A. Assess the description and frequency of pain.
B. Take Karen’s vital signs.
C. Request parent to carry the child.
D. Refer to the attending physician.
C. Request parent to carry the child.
61
62.Nurse Olive is preparing to administer ofloxacin eardrop on Nicole per Doctor’s order. She needs to hold the bottle with her hands to warm up the solution to prevent dizziness for _
A. 10 minutes
B. 5 minutes
C. 3-5 minutes
D. 1 to 2 minutes
D. 1 to 2 minutes
62
63.After washing her hands and gently cleaning any discharge that can be removed easily from the outer ear, Nurse Olive positions the child. Which of the following steps follows?
A. Gently press the tragus of the ear four times in a pumping motion.
B. Drop the medicine into the ear canal.
C. Gently pull the outer ear
D. Keep the up for five minutes
C. Gently pull the outer ear
63
64.Based on her knowledge on otitis media, Nurse Romana recalls that children are predisposed to AOM due to their Eustachian tubes being, which of the following? Select all that apply.
1. Shorter
2. More horizontal
3. More prone to obstruction by enlarge adenoids
4. Longer
A. 1, 2, 4
B. 1 and 3
C. 3 and 4
D. 1, 2 and 3
D. 1, 2 and 3
64
65.To promote drainage and reduce pressure from fluid, Nurse Olive’s nursing intervention is to have the child assume any of the following positions, EXCEPT:
A. Have the child sit up
B. Put the pillows behind the head
C. Lie on the non-affected area
D. Lie on the affected ear
C. Lie on the non-affected area
65
Situation 15
Itchy, 16 years of age, has been ordered to be discharged. Nurse Worms is faced with
a dilemma as Itchy refuse to be discharge.
66.Which of the moral problems is Nurse Worms faced with?
A. Ethical sensitivity
B. Ethical responsiveness
C. Ethical valuing
D. Ethical reasoning
D. Ethical reasoning
66
67.Which of the following are the rights and responsibilities of Nurse Worms’ client while confined in the hospital?
A. Code of Ethics
B. Bioethical Ethics
C. Hospital Client Advocacy
D. Patient’s Bill of Rights
D. Patient’s Bill of Rights
67
68.Which of the following principles of bioethics is referred to when Nurse Worms provides information and supports her client and family in making a decision?
A. Fidelity
B. Nonmaleficense
C. Justice
D. Autonomy
A. Fidelity
68
69.When Nurse Worms values client advocacy, she follows which of the following guidelines?
A. She is more loyal to the hospital than to her client.
B. She chooses the client’s well-being over client’s autonomy.
C. She gives priority to the good of the individual client rather than to the good of society in general.
D. She makes decisions for her clients who are not aware of their rights and privileges.
C. She gives priority to the good of the individual client rather than to the good of society in general.
69
70.Which of the following actions best describe the use of the professional value of altruism?
A. Protects the privacy of client regarding the client’s health condition.
B. Demonstrates an understanding of the culture of her client.
C. Lobbies for universal access to healthcare.
D. Becomes a mentor to her novice nurses.
B. Demonstrates an understanding of the culture of her client.
70
Situation 16
Miss Greigh an OB Nurse Specialists, was invited in a forum. The topic was about
HIV-AIDS and the group was composed of ten pregnant women, and five newly married women
whose husbands are seafarers
71. Miss Greigh’s first topic was on HIV transmission. After explaining the different transmission modes, she asked the group: : “Which among the following is the MAJOR mode of transmission of the disease?”
A. Blood Transfusion
B. Needle pricks
C. Sexual intercourse
D. Kissing
C. Sexual intercourse
71
72.One of the pregnant women asked the BEST way to prevent HIV transmission from a pregnant HIV (+) mother to child?
A. Deliver the child via normal delivery with cervical support
B. Stop pregnancy by abortion
C. Drink antiviral medicines as prescribed by physician
D. Prenatal check-up more than the standards
C. Drink antiviral medicines as prescribed by physician
72
73.A 20-year-old newly-wed woman, whose husband has recently been diagnosed with HIV, asked: “Will my baby have HIV too?” What is the BEST answer that Miss Greigh should give the client?
A. “No, definitely not because your child has not been exposed to any type of HIV transmission.”
B. “Yes, because HIV is definitely transmitted to the child form the mother through the placenta.
C. “One way of transmitting HIV from the mother to the baby is through the placenta. However, your child may or may not have been transmitted with HIV virus.”
D. “It depends on the viral load of the mother and many other factors. Let us just see you after you give birth.”
D. “It depends on the viral load of the mother and many other factors. Let us just see you after you give birth.”
73
74. Miss Greigh continued with her health teaching. This time she describes four main routes of HIV transmission. Which one is NOT included?
A. Childbirth and breastfeeding
B. Unprotected vaginal and anal or oral sex
C. Breathing the same air as someone living with HIV does
D. Sharing unsterilized injecting drug equipment.
C. Breathing the same air as someone living with HIV does
74
75. Miss Greigh gave a few questions to her audience about HIV transmission to find out if they were able to learn about it. “Which of the following is the LEAST among HIV transmission that can directly enter the body via the blood stream or mucous membranes?” This can be through the ___________.
A. Urethra or inside the foreskin of the penis
B. Lining of the vagina, cervix or womb
C. Dermis of the skin
D. Lining of the anus
C. Dermis of the skin
75
Situation 17
Kylie is 19 years old, a grade 12 student. She recently confessed to Nurse Kris that she
had sexual intercourse with her boyfriend (BF), 18 years old classmate of hers. She believes that she
is pregnant because she missed menstruating for 3 months. She also related that her BF has recently
been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV
because of his “closeness to a guy who has overtly expressed his feelings on him.”
76. Kylie wants to know his BF’s real diagnosis even through a private message in Facebook. The following information that all employees are enjoined to observe strictly.
I. Operate and hold diagnosis under strict confidentiality
II.Sign a non-disclosure agreement between nurses and their patients.
III.Abide with the institution’s privacy and security policies.
IV.Disclose only the result of the best to the patient himself.
In terms of legalities, which of the following should Nurse Patty explain t Cathlyn?
A. II, III, IV
B. I, II, III
C. I, II, III, IV
D. I, II, IV
B. I, II, III
76
77. Nurse Kris can also explain the purpose of security measures for data protection which is to maintain the availability, integrity and confidentiality of personal data of all patients.
I. Unlawful destruction
II.Alteration
III.Disclosure
IV.Unlawful processing
Which of the following actions of anybody is against personal data protection?
A. I,II, III
B. II, III, IV
C. I, II, III, IV
D. I, III, IV
C. I, II, III, IV
77
78.To erase the doubt of Kylie as to whether she has been infected with HIV by her BF, what is the BEST advice of the nurse?
A. Wait until you have access to the diagnosis of your BF.
B. Submit herself for Elisa Test considering window period.
C. Wait until the baby is born.
D. Go for Elisa Test immediately
D. Go for Elisa Test immediately
78
79.In case the personal data of Kylie’s BF has been accessed accidentally by “somebody”, who has the right to file a complaint?
A. Cathlyn’s BF
B. The other guy
C. the parents
D. Cathlyn
A. Cathlyn’s BF
78
80.How long should personal data of an HIV patient be stored on laptops or other portable devices which permits his identification? For as long as __________.
A. The patient likes
B. His doctor likes
C. It is needed as part of an international or national research
D. It is necessary for the purpose for which it was collected and processed
D. It is necessary for the purpose for which it was collected and processed
79
Situation 18
Rob, 15 years old, has been informed that she is due for discharge. He has an
emergency appendectomy. Nurse Yuuh give him some discharge instructions.
81. Rob is noted to be very conversant. To make her discharge instructions clear, Nurse Yuuh should emphasize which of the following?
I. Tell Rob that he can clarify or ask questions.
II.Tell him that it is alright to interrupt if he had to ask a question to clarify
III.Advise him to listen ,well
IV.Ask for the presence of his mother
A. 4 only
B. 1 and 2
C. 1, 2 and 3
D. 1 only
C. 1, 2 and 3
80
82.Nurse Yuuh’s discharge instruction should contain, which of the following?
I. Take home medication, if any.
II.Date to follow up
III.Activity and exercise
IV.Diet
A. 2, 3 and 4
B. 1, 2 and 3
C. all the options
D. 3 and 4
C. all the options
81
83.To make Nurse Yuuh’s discharge instructions to be more effective the following strategies should be used, EXCEPT _____________.
A. Treat him as a child.
B. Use simple understandable words
C. Eye to eye contact to show interest on what is being said
D. Ask for feedback
A. Treat him as a child.
82
84.To get feedback on the discharge instructions, which questions should Nurse Yuuh ask?
A. Can you repeat to me what my instructions were?
B. If you understood my instructions then you surely be well
C. Did you understand my instructions?
D. Are my instructions clear?
A. Can you repeat to me what my instructions were?
83
85.The BEST statement of goodbye that Nurse Yuuh is _________.
A. “Bye Rob.”
B. “Bye Rob. See you again in the hospital.”
C. “Bye Rob. I don’t want to see you again in the hospital.”
D. “Bye Rob. Remember all my instructions. Keep well.”
D. “Bye Rob. Remember all my instructions. Keep well.”
84
Situation 19
Tiana is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to
review about the female reproductive cycle, menstrual disorders and appropriate management.
86. Tiana thought that one of her activities would be health teaching and counseling. Which of the following statements by the client regarding premenstrual syndrome would need a further explanation?
A. “I will limit my intake of sodas, coffee and tea.”
B. “I will make sure that I will eat small frequent balanced meals.”
C. “I will stop any physical exercise one week prior to menstruation to conserve my energy.”
D. “I will decrease my intake of high sodium containing foods such as canned goods.”
C. “I will stop any physical exercise one week prior to menstruation to conserve my energy.”
85
87.The nurse read on how to make a nursing diagnosis for premenstrual syndrome. Which of the following is NOT TRUE about premenstrual syndrome?
A. Signs and symptoms of premenstrual period recur in the luteal phase of the menstrual cycle.
B. Signs and symptoms of premenstrual period recur in the luteal phase of the menstrual cycle.
C. Symptom-free period occurs in the follicular phase and must include 7 symptom-free days.
D. Symptoms are severe enough to have an impact on work, lifestyle and relationship.
E. None of the Above
E. None of the Above
86
88.Nurse Tiana read about the nursing management of primary dysmenorrhea. Which of these should Tiana render?
I. Use of cold compress
II.Soft rhythmic rubbing of the abdomen
III.Analgesics as ordered
IV.Antispasmodics as ordered
A. II, III, IV
B. I, II, III
C. I, III, IV
D. I, II, IV
A. II, III, IV
87
89.What is the condition wherein menstrual interval is 45-50 days?
A. Metrorrhagia
B. Menorrhagia
C. Dysmenorrhea
D. Oligomenorrhea
D. Oligomenorrhea
88
90.What is the condition whereby during menstruation, the patient feels lower abdominal pain that radiates to her back down to her thighs?
A. Hypergonadotrophic amenorrhea
B. Secondary dysmenorrhea
C. Hypogonadotrophic amenorrhea
D. Primary dysmenorrhea
D. Primary dysmenorrhea
89
92.Which of the following resources should be requisitioned as TRAINING MATERIAL/ SUPPLY?
A. Bond Paper
B. Sound system
C. food and drinks
D. tables and chairs
A. Bond Paper
89
Situation 20
Anne, head nurse at the OB-DR Ward, is planning to have an in-service training for 25
staff nurses. Based from needs assessment, the training will be on Lactation for 3 days.
91.In order to make the activity a success, which of the following resources would be MOST important?
A. Number of speakers
B. Location of venue
C. Number of Participants
D. Budget Allocation
C. Number of Participants
90
93.Based from the studies, which among the following is the MOST needed resource of nurses in order to attend in-service training programs?
A. Clothes
B. Time
C. Drinks
D. Notebooks
B. Time
91
94.Evaluation of the training is an important form of feedback in order to improve future offerings. Which of the following should be given MOST emphasis?
A. Taste and amount of food serve.
B. Discipline of participants
C. Convenience of the venue
D. Knowledge and skills gained
D. Knowledge and skills gained
92
95.When asking mothers to become real models for demonstrating breastfeeding, the nurse’s MOST important responsibility is which of the following?
A. Word of thanks
B. Stipend/honorarium
C. Priority care
D. Free hospitalization
A. Word of thanks
93
Situation 21
Nurses Patti and Aika are doing research on, “The common errors regarding Standard
of Nursing Documentation in the Obstetrics Ward of Medical Center.”
96.Which could be the MAJOR Purpose of the study? To __________.
A. Improve the clarity of documentation
B. Duplicate the study in other hospitals
C. Reduce, if not eliminate, errors in documentation
D. Protect the hospital and staff from being sued
A. Improve the clarity of documentation
93
97. Which of the following could be the BEST Method to gather the research data?
A. Nursing Audit
B. Focus Group Discussion
C. Phenomenological
D. Survey
A. Nursing Audit
93
98.What is the term used to describe the arrangement of statistical data that exhibits the number of times the values of a variable occurs?
A. Frequency distribution
B. Frequency
C. Skewness
D. Survey
B. Frequency
94
99.In statistics, what is the definition of percentage? It is __________.
A. Whole population
B. A value on a scale of 100
C. A share of profits
D. Part of a whole expressed in hundredths
D. Part of a whole expressed in hundredths
95
100. Based from the study’s findings, to whom are the study’s recommendations generally addressed? Using the situation a forecited, the recommendation should be addressed to _________.
I. Nursing educators
II.Staff nurses
III. Nursing Service Administrators
IV. Hospital Administrators
A. I, II, III
B. I, III, IV
C. I, II, III, IV
D. II, III, IV
A. I, II, III
