問題一覧
1
In the clinical setting, when nurses are confronted with ethical dilemmas the BEST practical guide she can use is__.
Code of Ethics
2
Mr. RAD is admitted to the hospital complaining of chest pain due to clogged in his coronary arteries. He is diabetic hypertensive and considered by the physician to be a high risk for cardiovascular surgery. What PRIORITY action should the members of the health team do in this situation?
Consult the Ethics committee on what to do with the patient. l
3
Mrs. Agnes, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Gigi describes the patient in her shift report, as 'That awful, dirty old woman in Bed 14' is an example of what ethical behavior being employed by the nurse?
Ageism
4
Mr. Rey, who is on an end-stage of life has an order of 'Do Not Resuscitate' and passed away in your shift. He was declared dead by his physician at 8:30 AM. What should be your PRIORITY nursing action in this situation?
Clean the body and remove all the IV lines, tubes and other appliances.
5
When a nurse is in full support of patient's care safety and personal rights throughout her hospital stay, she is implementing what ethical principle?
Advocacy
6
While performing your assessment you are guided that the organs found in the epigastrium include which of the following?
Duodenum, pancreas, portion of the liver and pyloric end of the stomach.
7
When conducting a nursing history on the Health Perception, Health Management pattern of functioning what is the APPROPRIATE question to be asked pre-operatively?
Are you aware of risk factors for your disease?
8
Patient was visited by the anesthesiologist and explained the anesthesia for his surgery. Which of the following type of anesthesia would you expect to be ordered?
General
9
There are pre-operative medications given to the patient. Which of the following drugs are given in order to decrease intra-operative anesthetic requirements and pain?
Demerol (Meperidine HC1)
10
The goals for patient's safety in the operating room is imperative for all members of the surgical team. Which of the following Universal Safety Protocol are adopted and validated PRIOR to surgery?
I. Patient's identity
II. Surgical procedure
III. Surgical site
IV. Surgical equipment
I, II & III
11
A community clinic does primary care for patients. Most often the one who manages this is which of the following?
Barangay health worker
12
Upon assessment, the patient was referred immediately to a 25-bed-capacity hospital, which does not have any capacity to do intensive diagnostic examinations. You are a nurse in this hospital, which you know is a LEVEL ________.
1
13
In the tertiary hospital where the patient was again referred, he was considered an emergency case. The nurse immediately called for a specialist who is ________.
Urologist
14
After a thorough assessment by the physician-specialist, an order for an immediate stonogram was made. The nurse was instructed to call which of the following section of the hospital? (neurolithiasis)
CT scan
15
After the procedure the patient was ordered for Lithotripsy (binebreak yung stones), under spinal anesthesia. The nurse has to call the department of ________.
Surgery
16
When the patient turned 69 years old. Orinase was discontinued and NPH insulin is prescribed for her. After several months, she is determined to be suffering from the Somogyi effect. Which of the following conditions will most likely result when the patient is receiving too much insulin?
Developing an elevation of the blood glucose level
17
A few days later, the patient comes into the emergency department via ambulance stretcher and reveals a work-up of a blood sugar level at 800mg/dl, ketones are absent in the urine, she is dehydrated, and has an altered mental status. Based on the data, the patient is most likely suffering from what specific medical condition?
Hyperosmolar nonketotic coma (HNKC)
18
Upon interview, the patient reported that she often felt nauseated, restless, perspired a lot, felt fatigued, and was often hungry when she was younger. What do these signs indicate?
Hypoglycemia
19
Upon further assessment, you noticed that she had many scratches on her right ankle, a resulting infection and cellulitis. When you ask her about the scratches the patient states. 'Oh, my cat must have been using my leg as a scratching post again and I did not even feel it'. Which diabetic complications suspect the patient to have?
Neuropathy
20
You should check the patient for suspect disturbed thought processes related to depressed metabolism and altered cardiovascular and respiratory status. What is the rationale for orienting the patient to time, place, date, and events?
Provides reality orientation to patient
21
Which of the following is the MAJOR PURPOSE of an organizational structure? It is a ______.
framework of relationship of units, departments and channels of communication
22
Line and staff functions are identified in the presented Organizational Chart. What does line authority mean?
A direct responsibility over a subordinate within an organization.
23
Which of the following statements is CORRECT of nursing service system in health care?
A situational leadership style provides effective means in achieving patient outcomes.
24
The mode of nursing service delivery system is being revisited in respond to patient's outcome. Which of the following is NOT TRUE of the manager's role in the health care delivery system?
Act as a liaison in litigation cases in court.
25
Budgeting is an important aspect of financial management. When a unit manager allocates expenses for unit supplies, stocks and medical-surgical supplies. This is considered _________.
operational budget
26
The physician ordered to start Ms. Mely on Total Parenteral Nutrition (TPN). What Is your INITIAL step to be undertaken PRIOR to this intervention?
Identify allergies of patient to the supplemental nutrition.
27
Choose from the following the primary goals of TPN?
I. promote weight gain
II. improve nutritional status
III. maintain muscle mass
IV. establish nitrogen balance
V. enhance healing process
I, II, III, IV & V
28
When a patient is undergoing TPN, you have to monitor closely for the _______.
serum glucose level
29
While Mrs. Mely is on TPN she suddenly complained of slight chest pain, dyspnea and appears cyanotic. You suspect that she is experiencing what possible IMMEDIATE complication?
Air embolism
30
What PRIORITY nursing action should you do with the presenting clinical manifestations of the patient?
Stop temporarily the Total Parenteral Nutrition
31
Mang Luis, is a newly diagnosed patient with Chronic Obstructive Lung Disease (COPD). Which of the following PRIORITY teaching instructions should he be given in relation to his condition?
Know early signs of respiratory infection.
32
Which of the following health interventions should be included in your teaching plan for Mang Luis?
Reduce risk for infection.
33
Pulmonary Rehabilitation for COPD has a duration of at least 4 to 12 weeks. Which of the following should be avoided while patient is having this program?
Peripheral muscle wasting
34
Weight loss and Malnutrition are commonly observed among patients with COPD. They should be taught to avoid ________.
have full stomach even when in dyspneic condition
35
Which of the following energy conserving strategies should NOT be done by COPD patients?
Stand in front of the mirror while shaving or combing hair
36
When performing an interview, which is the BEST initial question should you ask when a patient is on pain?
How would you describe your pain?
37
Which of the following imaging test that uses transducer will be likely be ordered by the physician to detect gallstones?
Abdominal Ultrasound
38
The test revealed presence of gallstones and inflamed gall bladder. The patient was advised to undergo open cholecystectomy. This operation compared to laparoscopic cholecystectomy are _________.
I. invasive
II. less pain
III. longer recovery
IV. shorter hospital stay
I & III
39
After 2 hours post-operatively, the nurse observed reddish drainage from the operative area of the patient. Which of the following nursing actions should you performed FIRST?
Check where is the source of possible bleeding.
40
After several days in the hospital, the physician ordered for the patient to be discharged. Which of the following is PRIORITY restriction that you should emphasize when he goes home?
Driving while using narcotic drug.
41
Which of the following characteristics of Cushing disease is TRUE?
I. The disease occurs in women between 20 to 40 year of age.
II. The use of corticosteroids for multiple immune conditions is a cause of the disease process.
III. Condition is aggravated by excessive production of ACTH.
IV. The surgical treatment of choice in Transphenoidalhypophysectomy
I, II, III, & IV
42
When one has a Cushing disease the focal structure affected is the __________.
pituitary gland
43
Which of the following clinical manifestations will NOT be a complaint from Sarah's condition?
Absence of growth in the pubic area
44
The attending physician ordered a Magnetic Resonance Imaging (MRI) to patient Sarah in order to validate the medical impression. This imaging technique is done to detect ________.
hemorrhagic injury in the brain
45
While patient Sarah is confined in the hospital, the safety measure to be observed by the nurses is prevention from fall. This is brought about by the patient being prone to fracture as a result of ____.
osteoporosis
46
As a nurse you are guided that pain is usually described BEST as a phenomenon which is a ______.
Subjective unpleasant experience
47
When a patient has a pneumothorax, the nurse's assessment findings will likely reveal_______.
I. absent breath sounds on the affected side
II. decreased chest expansion unilaterally
III. sharp chest pain
IV. burning chest pain
I, II,III
48
Which of the following statements is NOT true of Pneumothorax?
The loss of positive intra-pleural pressure can produce pneumothorax
49
The physician inserted a chest tube drainage to Mr. Alda in order to help re-expand the lungs. Which of the following should you prepare FIRST as a nurse in case of emergency when the tube is accidentally disconnected?
A bottle of sterile water.
50
In order to relieve Mr. Alda of pain, the physician prescribed morphine So4 2mg/IV PRN for untolerable pain. The overall goal of the Health Care Professional is to provide adequate control so the patient can breathe easily. Which of the following would indicate successful attainment of this goal?
Pain scale will show 1 to 2, in a rating scale of 10 (highest, 0-lowest)
51
While you are doing your physical assessment to patient Aster, she has been exhibiting a UNIQUE clinical manifestation different from patients Claire and Sonia which is characterized by ________.
moon face, purple striae on trunk and buffalo hump
52
Which one of the following diagnostic tests do you expect NOT to be ordered by Dr. Lim to patient Aster who is suspected to have Cushing Syndrome?
C reactive Protein level
53
Which clinical manifestation should Nurse Rachel watch for patient Claire if she is suffering from hyperthyroidism?
Fine motor tremor
54
Patient Sonia, who has hypothyroidism is given which one of the following drug therapy?
Levothyroxine
55
Which of the following should be AVOIDED by patient Sonia while she is being treated for hypothyroidism?
Exposure to cold temperature.
56
Which of the following can Nurse Eileen adopt to visualize her future?
Gantt chart
57
She started to create her personal and professional portfolio as a preparation for her application to a university medical center in Metro Manila. Which of the following is NOT a major purpose of keeping a portfolio?
Set system for a possible shift to another job.
58
One area of the professional portfolio is to indicate one's philosophy of life. Which of the following work place values should Nurse Eileen consider as NOT favorable to be written in her portfolio?
Time and compensation limiting her pursuit of excellence in her job.
59
In order for Nurse Eileen to be active as a bedside nurse, she has to comply with the renewal of PRC ID by undertaking continuing professional development (CPD) as mandated by the CPD law. The purposes of which are ________.
I. promote and upgrade the practice of the profession
II. improve the competence of the professional
III. international alignment of competence
IV. develop quality assurance for accreditation
I, II, & III
60
Nurse Eileen is aware that in her personal and professional portfolio has to include and keep up to date the following EXCEPT _________.
Photographs
61
Which of the following is an EXTRANEOUS of the study?
Age of patients.
62
Which of the following variables will he likely EXCLUDE in his study?
Salary of nurses
63
He plans to use a Likert scale to determine:
Level of satisfaction
64
Which criterion refers to the ability of the instrument to detect fine differences among the subjects being studied?
Sensitivity
65
This technique refers to the use of multiple referents to draw conclusions about what constitutes the truth.
Triangulation
66
Based on the research statement, what is the independent variable in the study?
Caring behavior
67
What is the dependent variable in the study?
Degree of satisfaction
68
What are the relevant related literatures that Nurse Tarly and her groupmates can utilize in this study?
1. Caring behaviour.
2. ostomy pathogenesis.
3. contentment and satisfaction.
4. Concept of body image.
I, II and III
69
If Nurse Tarly and her core group decide to formulate a directional hypothesis it will be ______.
There is an increase relationship between the caring staff nurses and degree of satisfaction of ostomized patients.
70
Based on the research problem, what is the Research design of the study?
Descriptive
71
Nurse Virgo gathers more appropriate data from Patient Benito. Which of the following APPROPRIATE questions should Nurse Virgo asks?
1."Can you describe your pain?"
2. "Is your urine yellow?"
3. "Is your stool clay colored?"
4."Do you drink alcohol often?"
1 and 4
72
Patient Benito asks Nurse Virgo, "Why can't the surgeon just take out my pancreas?" The BEST response of Nurse Virgo is ____.
Your body needs to function well with your pancreas
73
Before Surgery, Patient Benito is on nothing per orem status (NPO). She tells Nurse Virgo that he is thirsty and hungry. Which of the following is the BEST response of Nurse Virgo?
Oral and fluid intake stimulates pancreatic enzymes and pain
74
Nurse Virgo asks Patient Benito how can he help to reduce pain while waiting for his operation. Which is the MOST appropriate question of Nurse Virgo? (pancreatitis)
Is your present position reducing pain?
75
Which of the statements of Patient Benito will convince Nurse Virgo that his instructions for the prevention of pancreatitis were understood by the patient? I will _________.
Try to stop drinking alcohol
76
The professional conduct of doctors, nurses and other health care providers in the health facilities belong to which of the following quality standards?
Organizational ethics
77
The positive practice environment (PPE) is part of the quality standards of every health facility in the country today. Which of the following is NOT a component of the PPE in the work setting?
Electrical wires
78
When a health facility formulates its Vision- Mission to guide Management and health personnel in the workplace is what part of quality standards?
Leadership and management
79
When Nurse Sarah distributed a Patient satisfaction survey form to be filled by the consumer upon discharge in a hospital setting is in compliance to what quality standards?
Improving performance of health care personnel.
80
When an accurate documentation whether done manually or by electronic by the health care professionals in their work setting is a component of what quality standards in a health care delivery system?
Information management
81
As a nurse, what is your PRIORITY step to be done in this situation?
Take the vital signs and report to the physician.
82
A 12 lead EKG was ordered by the physician. Which finding in the EKG is suggestive evidence that the patient has myocardial infarction (MI)?
ST segment elevation
83
The physician confirmed that the patient is suffering from MI. She was advised to be hospitalized and was given streptokinase. Which of the following is the DESIRED effect of the drug?
Dissolve clot formation
84
As a nurse you are aware that the heart muscles damage after an attack without treatment becomes permanent within _____ hours?
4-6
85
In designing a care plan, which modifiable risk factors have to be emphasized to the patient to prevent for another heart attack to happen?
1. Smoking
2. High blood pressure.
3. high cholesterol
4. Overweight
1,2,3, 4
86
The licensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to _______.
Demonstrate expected competency standards
87
The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following EXCEPT ______.
Issue permit for the opening of nursing programs in the country
88
Ms. Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother. She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ____.
Code of ethics for nurses
89
Nurse Rey with the members of the team from a tertiary hospital is going for their annual outreach program “Operation Tuli”. There were 300 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Rey was asked to participate in performing circumcision with the rest of the doctors. Nurse Rey can be liable of committing ______.
Malpractice
90
Which of the following actions is likely to constitute GROSS Negligence?
A patient suffering from bleeding due to post-operative wound and the Nurse failed to report to the attending physician.
91
Mr. Rey had his insulin therapy on the day of his admission. On second day he developed allergic reactions after 2 hours of the administration. What clinical manifestations do you expect the nurse write in her documentation as a reaction to this drug?
1. Redness
2. Swelling
3. Tenderness
4. Induration
1 & 2
92
Mr. Rey has been anxious regarding his diagnosis as well as the reaction to the insulin therapy. As a nurse, the PRIORITY nursing actions to overcome this anxiety behavior is to _____
Take time to explain his disease process and effects of insulin
93
When a patient is suffering from Ketoacidosis, you expect that the entry of Nurse assessment findings in the chart will include the following clinical manifestations EXCEPT ________.
Cheyne stokes breathing
94
Nurse Gladys who is on morning shift was making her rounds when observed Mr. Joe, who is suffering from Congestive heart failure is complaining of heaviness of his legs. She observed the patient an edema of his lower extremities. If the edema is 3+, what do expect the nurse to write in her assessment findings?
Deeper pit, rebounds in 30 seconds.
95
When auscultating the breath sounds of patients with respiratory disorder they are instructed to breathe thru their mouth. A possible complaint the nurse has to watch and be written in her documentation when performing this procedure is which of the following?
Tachycardia
96
Nurse Ella admitted the patient and started to do her assessment. What sign is elicited by the nurse when a deep palpation of the left iliac fossa is done and causes pain on the right iliac fossa of the patient?
Rovsing sign
97
After a thorough physical examination, laboratory and diagnostic test the physician ordered an emergency open appendectomy due to a suspected ruptured appendicitis. This is done to prevent which of the following MAJOR complication?
Sepsis
98
The nurse prepares the patient for surgery. The overall goals by the surgical team for the patient going for operation include which of the following?
I. Relief of pain
II. Preventing fluid volume deficit
III. Reducing anxiety reaction
IV. Eliminating infection
I, II, III, & IV
99
As a safety alert, which of the following nursing measures should AVOIDED by the nurse prior to appendectomy?
Administration of enema.
100
In wound care management, the nurse is aware NOT to perform which of the following intervention?
Application of cold pack solutions.
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100問 • 5ヶ月前問題一覧
1
In the clinical setting, when nurses are confronted with ethical dilemmas the BEST practical guide she can use is__.
Code of Ethics
2
Mr. RAD is admitted to the hospital complaining of chest pain due to clogged in his coronary arteries. He is diabetic hypertensive and considered by the physician to be a high risk for cardiovascular surgery. What PRIORITY action should the members of the health team do in this situation?
Consult the Ethics committee on what to do with the patient. l
3
Mrs. Agnes, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Gigi describes the patient in her shift report, as 'That awful, dirty old woman in Bed 14' is an example of what ethical behavior being employed by the nurse?
Ageism
4
Mr. Rey, who is on an end-stage of life has an order of 'Do Not Resuscitate' and passed away in your shift. He was declared dead by his physician at 8:30 AM. What should be your PRIORITY nursing action in this situation?
Clean the body and remove all the IV lines, tubes and other appliances.
5
When a nurse is in full support of patient's care safety and personal rights throughout her hospital stay, she is implementing what ethical principle?
Advocacy
6
While performing your assessment you are guided that the organs found in the epigastrium include which of the following?
Duodenum, pancreas, portion of the liver and pyloric end of the stomach.
7
When conducting a nursing history on the Health Perception, Health Management pattern of functioning what is the APPROPRIATE question to be asked pre-operatively?
Are you aware of risk factors for your disease?
8
Patient was visited by the anesthesiologist and explained the anesthesia for his surgery. Which of the following type of anesthesia would you expect to be ordered?
General
9
There are pre-operative medications given to the patient. Which of the following drugs are given in order to decrease intra-operative anesthetic requirements and pain?
Demerol (Meperidine HC1)
10
The goals for patient's safety in the operating room is imperative for all members of the surgical team. Which of the following Universal Safety Protocol are adopted and validated PRIOR to surgery?
I. Patient's identity
II. Surgical procedure
III. Surgical site
IV. Surgical equipment
I, II & III
11
A community clinic does primary care for patients. Most often the one who manages this is which of the following?
Barangay health worker
12
Upon assessment, the patient was referred immediately to a 25-bed-capacity hospital, which does not have any capacity to do intensive diagnostic examinations. You are a nurse in this hospital, which you know is a LEVEL ________.
1
13
In the tertiary hospital where the patient was again referred, he was considered an emergency case. The nurse immediately called for a specialist who is ________.
Urologist
14
After a thorough assessment by the physician-specialist, an order for an immediate stonogram was made. The nurse was instructed to call which of the following section of the hospital? (neurolithiasis)
CT scan
15
After the procedure the patient was ordered for Lithotripsy (binebreak yung stones), under spinal anesthesia. The nurse has to call the department of ________.
Surgery
16
When the patient turned 69 years old. Orinase was discontinued and NPH insulin is prescribed for her. After several months, she is determined to be suffering from the Somogyi effect. Which of the following conditions will most likely result when the patient is receiving too much insulin?
Developing an elevation of the blood glucose level
17
A few days later, the patient comes into the emergency department via ambulance stretcher and reveals a work-up of a blood sugar level at 800mg/dl, ketones are absent in the urine, she is dehydrated, and has an altered mental status. Based on the data, the patient is most likely suffering from what specific medical condition?
Hyperosmolar nonketotic coma (HNKC)
18
Upon interview, the patient reported that she often felt nauseated, restless, perspired a lot, felt fatigued, and was often hungry when she was younger. What do these signs indicate?
Hypoglycemia
19
Upon further assessment, you noticed that she had many scratches on her right ankle, a resulting infection and cellulitis. When you ask her about the scratches the patient states. 'Oh, my cat must have been using my leg as a scratching post again and I did not even feel it'. Which diabetic complications suspect the patient to have?
Neuropathy
20
You should check the patient for suspect disturbed thought processes related to depressed metabolism and altered cardiovascular and respiratory status. What is the rationale for orienting the patient to time, place, date, and events?
Provides reality orientation to patient
21
Which of the following is the MAJOR PURPOSE of an organizational structure? It is a ______.
framework of relationship of units, departments and channels of communication
22
Line and staff functions are identified in the presented Organizational Chart. What does line authority mean?
A direct responsibility over a subordinate within an organization.
23
Which of the following statements is CORRECT of nursing service system in health care?
A situational leadership style provides effective means in achieving patient outcomes.
24
The mode of nursing service delivery system is being revisited in respond to patient's outcome. Which of the following is NOT TRUE of the manager's role in the health care delivery system?
Act as a liaison in litigation cases in court.
25
Budgeting is an important aspect of financial management. When a unit manager allocates expenses for unit supplies, stocks and medical-surgical supplies. This is considered _________.
operational budget
26
The physician ordered to start Ms. Mely on Total Parenteral Nutrition (TPN). What Is your INITIAL step to be undertaken PRIOR to this intervention?
Identify allergies of patient to the supplemental nutrition.
27
Choose from the following the primary goals of TPN?
I. promote weight gain
II. improve nutritional status
III. maintain muscle mass
IV. establish nitrogen balance
V. enhance healing process
I, II, III, IV & V
28
When a patient is undergoing TPN, you have to monitor closely for the _______.
serum glucose level
29
While Mrs. Mely is on TPN she suddenly complained of slight chest pain, dyspnea and appears cyanotic. You suspect that she is experiencing what possible IMMEDIATE complication?
Air embolism
30
What PRIORITY nursing action should you do with the presenting clinical manifestations of the patient?
Stop temporarily the Total Parenteral Nutrition
31
Mang Luis, is a newly diagnosed patient with Chronic Obstructive Lung Disease (COPD). Which of the following PRIORITY teaching instructions should he be given in relation to his condition?
Know early signs of respiratory infection.
32
Which of the following health interventions should be included in your teaching plan for Mang Luis?
Reduce risk for infection.
33
Pulmonary Rehabilitation for COPD has a duration of at least 4 to 12 weeks. Which of the following should be avoided while patient is having this program?
Peripheral muscle wasting
34
Weight loss and Malnutrition are commonly observed among patients with COPD. They should be taught to avoid ________.
have full stomach even when in dyspneic condition
35
Which of the following energy conserving strategies should NOT be done by COPD patients?
Stand in front of the mirror while shaving or combing hair
36
When performing an interview, which is the BEST initial question should you ask when a patient is on pain?
How would you describe your pain?
37
Which of the following imaging test that uses transducer will be likely be ordered by the physician to detect gallstones?
Abdominal Ultrasound
38
The test revealed presence of gallstones and inflamed gall bladder. The patient was advised to undergo open cholecystectomy. This operation compared to laparoscopic cholecystectomy are _________.
I. invasive
II. less pain
III. longer recovery
IV. shorter hospital stay
I & III
39
After 2 hours post-operatively, the nurse observed reddish drainage from the operative area of the patient. Which of the following nursing actions should you performed FIRST?
Check where is the source of possible bleeding.
40
After several days in the hospital, the physician ordered for the patient to be discharged. Which of the following is PRIORITY restriction that you should emphasize when he goes home?
Driving while using narcotic drug.
41
Which of the following characteristics of Cushing disease is TRUE?
I. The disease occurs in women between 20 to 40 year of age.
II. The use of corticosteroids for multiple immune conditions is a cause of the disease process.
III. Condition is aggravated by excessive production of ACTH.
IV. The surgical treatment of choice in Transphenoidalhypophysectomy
I, II, III, & IV
42
When one has a Cushing disease the focal structure affected is the __________.
pituitary gland
43
Which of the following clinical manifestations will NOT be a complaint from Sarah's condition?
Absence of growth in the pubic area
44
The attending physician ordered a Magnetic Resonance Imaging (MRI) to patient Sarah in order to validate the medical impression. This imaging technique is done to detect ________.
hemorrhagic injury in the brain
45
While patient Sarah is confined in the hospital, the safety measure to be observed by the nurses is prevention from fall. This is brought about by the patient being prone to fracture as a result of ____.
osteoporosis
46
As a nurse you are guided that pain is usually described BEST as a phenomenon which is a ______.
Subjective unpleasant experience
47
When a patient has a pneumothorax, the nurse's assessment findings will likely reveal_______.
I. absent breath sounds on the affected side
II. decreased chest expansion unilaterally
III. sharp chest pain
IV. burning chest pain
I, II,III
48
Which of the following statements is NOT true of Pneumothorax?
The loss of positive intra-pleural pressure can produce pneumothorax
49
The physician inserted a chest tube drainage to Mr. Alda in order to help re-expand the lungs. Which of the following should you prepare FIRST as a nurse in case of emergency when the tube is accidentally disconnected?
A bottle of sterile water.
50
In order to relieve Mr. Alda of pain, the physician prescribed morphine So4 2mg/IV PRN for untolerable pain. The overall goal of the Health Care Professional is to provide adequate control so the patient can breathe easily. Which of the following would indicate successful attainment of this goal?
Pain scale will show 1 to 2, in a rating scale of 10 (highest, 0-lowest)
51
While you are doing your physical assessment to patient Aster, she has been exhibiting a UNIQUE clinical manifestation different from patients Claire and Sonia which is characterized by ________.
moon face, purple striae on trunk and buffalo hump
52
Which one of the following diagnostic tests do you expect NOT to be ordered by Dr. Lim to patient Aster who is suspected to have Cushing Syndrome?
C reactive Protein level
53
Which clinical manifestation should Nurse Rachel watch for patient Claire if she is suffering from hyperthyroidism?
Fine motor tremor
54
Patient Sonia, who has hypothyroidism is given which one of the following drug therapy?
Levothyroxine
55
Which of the following should be AVOIDED by patient Sonia while she is being treated for hypothyroidism?
Exposure to cold temperature.
56
Which of the following can Nurse Eileen adopt to visualize her future?
Gantt chart
57
She started to create her personal and professional portfolio as a preparation for her application to a university medical center in Metro Manila. Which of the following is NOT a major purpose of keeping a portfolio?
Set system for a possible shift to another job.
58
One area of the professional portfolio is to indicate one's philosophy of life. Which of the following work place values should Nurse Eileen consider as NOT favorable to be written in her portfolio?
Time and compensation limiting her pursuit of excellence in her job.
59
In order for Nurse Eileen to be active as a bedside nurse, she has to comply with the renewal of PRC ID by undertaking continuing professional development (CPD) as mandated by the CPD law. The purposes of which are ________.
I. promote and upgrade the practice of the profession
II. improve the competence of the professional
III. international alignment of competence
IV. develop quality assurance for accreditation
I, II, & III
60
Nurse Eileen is aware that in her personal and professional portfolio has to include and keep up to date the following EXCEPT _________.
Photographs
61
Which of the following is an EXTRANEOUS of the study?
Age of patients.
62
Which of the following variables will he likely EXCLUDE in his study?
Salary of nurses
63
He plans to use a Likert scale to determine:
Level of satisfaction
64
Which criterion refers to the ability of the instrument to detect fine differences among the subjects being studied?
Sensitivity
65
This technique refers to the use of multiple referents to draw conclusions about what constitutes the truth.
Triangulation
66
Based on the research statement, what is the independent variable in the study?
Caring behavior
67
What is the dependent variable in the study?
Degree of satisfaction
68
What are the relevant related literatures that Nurse Tarly and her groupmates can utilize in this study?
1. Caring behaviour.
2. ostomy pathogenesis.
3. contentment and satisfaction.
4. Concept of body image.
I, II and III
69
If Nurse Tarly and her core group decide to formulate a directional hypothesis it will be ______.
There is an increase relationship between the caring staff nurses and degree of satisfaction of ostomized patients.
70
Based on the research problem, what is the Research design of the study?
Descriptive
71
Nurse Virgo gathers more appropriate data from Patient Benito. Which of the following APPROPRIATE questions should Nurse Virgo asks?
1."Can you describe your pain?"
2. "Is your urine yellow?"
3. "Is your stool clay colored?"
4."Do you drink alcohol often?"
1 and 4
72
Patient Benito asks Nurse Virgo, "Why can't the surgeon just take out my pancreas?" The BEST response of Nurse Virgo is ____.
Your body needs to function well with your pancreas
73
Before Surgery, Patient Benito is on nothing per orem status (NPO). She tells Nurse Virgo that he is thirsty and hungry. Which of the following is the BEST response of Nurse Virgo?
Oral and fluid intake stimulates pancreatic enzymes and pain
74
Nurse Virgo asks Patient Benito how can he help to reduce pain while waiting for his operation. Which is the MOST appropriate question of Nurse Virgo? (pancreatitis)
Is your present position reducing pain?
75
Which of the statements of Patient Benito will convince Nurse Virgo that his instructions for the prevention of pancreatitis were understood by the patient? I will _________.
Try to stop drinking alcohol
76
The professional conduct of doctors, nurses and other health care providers in the health facilities belong to which of the following quality standards?
Organizational ethics
77
The positive practice environment (PPE) is part of the quality standards of every health facility in the country today. Which of the following is NOT a component of the PPE in the work setting?
Electrical wires
78
When a health facility formulates its Vision- Mission to guide Management and health personnel in the workplace is what part of quality standards?
Leadership and management
79
When Nurse Sarah distributed a Patient satisfaction survey form to be filled by the consumer upon discharge in a hospital setting is in compliance to what quality standards?
Improving performance of health care personnel.
80
When an accurate documentation whether done manually or by electronic by the health care professionals in their work setting is a component of what quality standards in a health care delivery system?
Information management
81
As a nurse, what is your PRIORITY step to be done in this situation?
Take the vital signs and report to the physician.
82
A 12 lead EKG was ordered by the physician. Which finding in the EKG is suggestive evidence that the patient has myocardial infarction (MI)?
ST segment elevation
83
The physician confirmed that the patient is suffering from MI. She was advised to be hospitalized and was given streptokinase. Which of the following is the DESIRED effect of the drug?
Dissolve clot formation
84
As a nurse you are aware that the heart muscles damage after an attack without treatment becomes permanent within _____ hours?
4-6
85
In designing a care plan, which modifiable risk factors have to be emphasized to the patient to prevent for another heart attack to happen?
1. Smoking
2. High blood pressure.
3. high cholesterol
4. Overweight
1,2,3, 4
86
The licensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to _______.
Demonstrate expected competency standards
87
The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following EXCEPT ______.
Issue permit for the opening of nursing programs in the country
88
Ms. Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother. She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and plunging neckline shirt. In doing this performance Ms. Sanchez is violating the ____.
Code of ethics for nurses
89
Nurse Rey with the members of the team from a tertiary hospital is going for their annual outreach program “Operation Tuli”. There were 300 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Rey was asked to participate in performing circumcision with the rest of the doctors. Nurse Rey can be liable of committing ______.
Malpractice
90
Which of the following actions is likely to constitute GROSS Negligence?
A patient suffering from bleeding due to post-operative wound and the Nurse failed to report to the attending physician.
91
Mr. Rey had his insulin therapy on the day of his admission. On second day he developed allergic reactions after 2 hours of the administration. What clinical manifestations do you expect the nurse write in her documentation as a reaction to this drug?
1. Redness
2. Swelling
3. Tenderness
4. Induration
1 & 2
92
Mr. Rey has been anxious regarding his diagnosis as well as the reaction to the insulin therapy. As a nurse, the PRIORITY nursing actions to overcome this anxiety behavior is to _____
Take time to explain his disease process and effects of insulin
93
When a patient is suffering from Ketoacidosis, you expect that the entry of Nurse assessment findings in the chart will include the following clinical manifestations EXCEPT ________.
Cheyne stokes breathing
94
Nurse Gladys who is on morning shift was making her rounds when observed Mr. Joe, who is suffering from Congestive heart failure is complaining of heaviness of his legs. She observed the patient an edema of his lower extremities. If the edema is 3+, what do expect the nurse to write in her assessment findings?
Deeper pit, rebounds in 30 seconds.
95
When auscultating the breath sounds of patients with respiratory disorder they are instructed to breathe thru their mouth. A possible complaint the nurse has to watch and be written in her documentation when performing this procedure is which of the following?
Tachycardia
96
Nurse Ella admitted the patient and started to do her assessment. What sign is elicited by the nurse when a deep palpation of the left iliac fossa is done and causes pain on the right iliac fossa of the patient?
Rovsing sign
97
After a thorough physical examination, laboratory and diagnostic test the physician ordered an emergency open appendectomy due to a suspected ruptured appendicitis. This is done to prevent which of the following MAJOR complication?
Sepsis
98
The nurse prepares the patient for surgery. The overall goals by the surgical team for the patient going for operation include which of the following?
I. Relief of pain
II. Preventing fluid volume deficit
III. Reducing anxiety reaction
IV. Eliminating infection
I, II, III, & IV
99
As a safety alert, which of the following nursing measures should AVOIDED by the nurse prior to appendectomy?
Administration of enema.
100
In wound care management, the nurse is aware NOT to perform which of the following intervention?
Application of cold pack solutions.