BOARD QUESTION
問題一覧
1
Which of the following laws mandates that universal access for individuals, particularly adults, couples, women, and adolescents, to quality reproductive health services essential in promoting their right to health be given?
A. RA 10354
2
John obtained his PRC identification card on August 7, 2023, 3 days after his birthday. Knowing this, when will John's PRC ID expire?
August 4,2026
3
3. To renew one's license, one must participate in Continuing Professional Development (CPD) programs. How many CPD units are required for the renewal?
15
4
RA 7164 or The Philippine Nursing Act of 1991 was the former law that regulated the nursing profession in the country. What law was enacted to repeal the former and acts as the current Nursing Law of the Philippines?
RA 9173
5
5. According to the Nursing Law, in order to pass the board exam, an aspiring nurse must obtain a minimum score
for each subject.
60%
6
RA 9173 also mandates the qualifications to be a member of the Board of Nursing. Which among the following does not count as a qualification?
Have at least 10 years of continuous practice of the profession anywhere prior to appointment
7
According to RA 9173, how many members does the Board of Nursing have?
7
8
To be a faculty n a college of nursing, RA 9173 provides the qualifications needed. Which among the following are these? Select all that apply.
I. Have at least years of clinical practice in a field of specialization
Il. Be a member of good standing in the accredited professional organization
III. Must have a master's degree in nursing
Il only
Il only
9
Rene is planning to conduct a qualitative study on the communication patterns and practices of an indigenous group in Northern Luzon. What would be the most appropriate research design that he should use?
Ethnography
10
Jeff wishes to know the effect of different types of 2nd generation antipsychotics on the emotional state of schizophrenic patients in the ward. Upon conducting this research, Jeff randomly assigns each patient in the area to be given a specific antipsychotic as part of his study. What research design is Jeff using?
Experimental
11
Defamation is defined as the act of damaging
an individual reputation. Which among the following are considered as forms of defamation?
Select all that apply.
I. Libel
II. Slander
III. Battery
IV. Assault
Rationale: Libel and slander are the two main forms of defamation. Libel refers to defamation by means of print, writing, pictures, or publishing (e.g., writing
in the chart that the physician is incompetent). slander refers to defamation by verbal means.
I, II
12
Nurse Kel tells everyone that their Head Nurse, Hero, cheated on her husband through their Facebook group chat and a public post, What type of tort did Nurse Kel commit?
Libel
13
Hero, in retaliation, announces to all their co-workers during her shift that Kel has been stealing opioid medication from the area due to his addiction. What can Hero be liable for?
Slander
14
Which of the following statements regarding battery and assault are true?
Assault describes an unjustifiable threat to a person while battery involves willful touching of a person that may or may not cause them harm.
15
Mary overhears the nurse telling her brother that if he keeps on moving around and avoiding taking his medications, the nurse will restrain him.Mari can sue the nurse for
Assault
16
This is known as an agreement by the client to accept receiving a specific treatment or undergoing a procedure after being provided information regarding said intervention
Informed consent
17
Which of the following statements made by the client indicates that informed consent was achieved properly?
"Compared to the alternative treatments think this procedure would best suit my lifestyle”
18
Which of the following individuals can give informed consent?
Chris, a young adult who is illiterate
19
Nurses act as witnesses when the physician obtains informed consent from the patient. As a witness the nurse should ensure the following except?
The client accepted the procedure
20
Nurse Nina found that the surgeon already obtained the patient consent while she was not around. To best assess if the client understood the explanation given during obtaining informed consent, what can the nurse do?
Have them explain in their own words what they have been told
21
Which of the fellowing statements best describes an ethical dilemma?
A conflict between the nurse’s duty and the patient's best interest
22
When a nurse faces an ethical dilemma, what would be the best guide that they can use in their practice?
Code of Ethics
23
In a crisis situation) what would be the best
leadership style to be employed?
Authoritarian
24
Which leadership style involves minimal leader participation and based on noninterference?
Laissez-Faire
25
25. Head Nurse Ray is confident in his staff as all of them are experienced nurses and lets them decide how to go about with patient care. This has also led him to not be as hands-on with them as he used to.What leadership style is Ray using?
Laissez-Faire
26
Head Nurse Ray states that a Laissez-Faire leadership is the best type of leadership as it as has greatly helped him in this area. Is Ray's statement true?
No, one style is not necessarily better as each have their own advantages and disadvantages
27
Dave, a nurse administrator, knows that in the creation of policies it is a matter of group discussion and decision-making. During staff meetings on updating facility policies, he ensures that everyone in the team has a say and decides via making a consensus among members. What leadership style does Dave employ?
Democratic
28
Abby wishes to study the lived experiences of patients with leukemia undergoing chemotherapy.What would be the appropriate research design to use?
Phenomenology
29
Jared aims to determine the average levels of anxiety among first time mothers during their first prenatal visit. What would be the appropriate (research design for him to use?
Descriptive
30
A mother came for a consultation of her child with pus draining from the eyes. Upon inquiry, the nurse noted that the child had measles within the last 2 months. What should Nurse Abby
recommend according to the IMCI guidelines?
Advice to apply Tetracycline ointment
31
Another parent came in regarding Amie's diarrhea which started in the past 15 days. The parent reported blood in the child's stool Which of the following options Shows the CORRECT TREATMENT for the illiness classification appropriate for Amie?
DYSENTERY: Give ciprofloxacin for 3 days and remind to follow-up in 3 days.
32
Cyrus came to the clinic for consult of his younger son. Which of the following is NOT INCLUDED among the DANGER SIGNS to assess by the nurse?
Child is actively playing
33
If a child requires urgent referral, the nurse should:
Complete assessment immediately, give urgent pre-referral treatments and prepare caregiver for travel to the hospital
34
Which of the following signs indicate severe dehydration?
No movement at all
35
The nurse is currently monitoring Marie who is pregnant with twins. The nurse should monitor closely for which PRIORITY complication associated with Marie's pregnancy?
Maternal Anemia
36
Which of the following signs/symptoms would
nurse expect to see in a patient with olacental abruption?
Increasing fundal height measurement
37
Nurse Kath prepares the client with complete placenta previa in preparation for delivery Which of the following options should Nurse Kath teach this client?
Deep breathing and coughing exercises
38
Nurse Jena plans to incorporate injury prevention guidelines in the pediatric ward. Which interventions should be done to promote safety specifically for(INFANTS AND TODDLERS?
I. Use large and soft toys wthout small
II. Place stuffed toys and comforters in the crib to promote comfort
III. Raise crib sides all the time
IV. Allow the toddler to remain in the
bathroom alone to promote autonomy while
I, III
39
Ron, a 2-year old child, came with his father at the clinic. The nurse was asked regarding the age-appropriate toys for Ron. Which toy is the BEST choice for Ron based on his age?
Stacking blocks
40
Kevin 16-year-da faie, recently underwent an appendectomy. What should Nurse Clara PRIORITIZE to promote normal growth an development postoperatively?
Allow Kevin to interact wily children ofthe Peers same age group
41
Mark, a 55-year-old male diagnosed with Type 1 DM, was being taught by the clinic nurse regarding his condition. Which statement by Mark indicates the need for further teaching?
"I need to stop taking my insulin if I am vomiting."
42
A nurse was asked by a 88 year old client with Type 2 DMregarding the factors that may cause the cancellation of the scheduled CT scan with contrast media. What laboratory test should be done prior to CT scan?
BUN and CREA
43
A client with DM regularly performs blood sugar monitoring at home. Which test can BEST assess the client's average blood sugar over the period of 3 months?
HBA1C
44
What should a nurse anticipate when assessing a child for symptoms of neurogenic diabetes insipidus (DI)?
Polyuria
45
A nurse should locate and remove a client's CLONIDINE patch if:
Latest BP of 80/50 mmHg
46
A nurse is caring for a G3P1 client at the Clinic, The Client is being induced for pregnancy-induced hypertension using IV oxytocin, What events would warrant the discontinuation of oxytocin?
I. 3 contractions within 10 minutes
II. Decrease in fetal heart rate after the peak of contractions during each of the last 3 contractions
III. Client is completely dilated
IV. Contractions every 3 minutes lasting 90 seconds each
Il and IV
47
Nurse Jena provided discharge instructions to the parents of a 2-year-old child who underwent orchiopexy indicated for cryptorchidism Which statement DOES NOT INDICATE a NEED for further instruction?
"I'II follow the doctor's advice when my child can play again.
48
Eric, a newborn male infant diagnosed with cryptorchidism, was brought to the ward. The findings were shared with his parents. Nurse Janna would teach the parents regarding the psychosocial effect if the undescended testicle were not corrected?
Infertility
49
Jonna recently passed the board exam. How many continuing professional development (CPD) units should be acquired by Jonna after earning her n first license?
None
50
In line with Department Order No. 182, how many hours a day per week should a health personnel work If the hospital has a bed capacity of 250?
8 hours
51
The nurse did not intervene when a client became hypotensive after surgery. Due to the nurse's action, the client required emergency surgery to stop postoperative bleeding that night.
What legal consequence could the nurse face for failing to act?
Malpractice
52
Nurse Harry is currently working night shift at the Medical-Surgical Ward. While doing his rounds, he found a patient lying on the floor. Nurse Harry immediately ensured client's safety, completed an IR, and notified the physician about the fall. Which action should the nurse implement NEXT?
Document the event and follow-up nursing interventions
53
Ari was admited to the hospital voluntarily:however, she became verbally abusive after her nurse rejected her desire to be discharged. The nurse immediately applied physical restraints and called security. What are the legal consequences of the nurse's action to Ari? Select all that apply.
I. False imprisonment
II. Libel
III. Battery
IV. Slander
I, III
54
An intern asked the nurse which of the following is required to be renewed every 3 years in the Philippines?
Professional Identification Card
55
Which of the following is an example of an accurate nursing documentation?
The client's abdominal wound dressing is dry, intact and without any drainage.
56
Which nursing action should be completed before a physician performs a lumbar drain?
Ensuring that the consent form is signed and in the chart
57
Which of the following statements would be the
BEST documentation when a nurse suspects a child abuse or neglect?
Child states, My uncle hit me with his phone.
58
A client came to the ER after her father physically assaulted her at their home. She shared, "My father may come to the hospital anytime.Please help me hide from him." Which nursing intervention will best protect the client at the hospital?
Place the client as "confidential"
59
A Mantoux Test was done to the client. After 48 hours, his right forearm is reddened and raised about 5mm where the test was given. This would be read as having which of the following results?
Positive
60
As a knowledgeable nurse, you know that the most definitive diagnostic test for TB is?
Sputum culture
61
Which of the following antituberculosis drugs can cause damage to the eighth cranial nerve?
Streptomycin
62
The community health nurse is conducting a health teaching to clients diagnosed with TB who has been receiving medication for 2 weeks. Which of the following statements will alert the nurse that further teaching is required?
"I can return to work if a sputum culture comes back negative
63
The nurse is preparing to give a bed bath to an immobilized client with tuberculosis.The nurse would wear which items when performing this care?
Particulate respirator, gown, and gloves
64
Which of the following medications can be used as chemoprophylaxis against Malaria?
Chloroquine
65
When counseling a patient about how to avoid contracting malaria during travel, the healthcare provider should not include which of the following in the teaching plan?
Ensure that you are Vaccinated against malaria
66
Following her business trip to Palawan, Tina is suspected to have Malaria, which is endemic to the province. When asked by the client about the most important diagnostic test for malaria, the nurse will answer which of the following?
Blood smear
67
The community health nurse knows that the following should be done in the event that an imminent malaria epidemic occurs except?
Planting of Neem tree or other herbal plants
68
Which of the following statements made by the residents depicts understanding of the health teaching?
"We should participate in indiscriminate fogging regularly to kill mosquitoes, including the larvae"
69
Community health nurses should be alert in observing a Dengue suspect. Which of the following is not an indicator for hospitalization in patients with DHF?
Cough of 30 days
70
Which of the following is used as a screening test for dengue hemorrhagic fever?
Rumpel-leede test
71
As a knowledgeable nurse, you know that which of the following is the most important supportive and symptomatic treatment should be provided to patients with DHF?
Rapid replacement of body fluid
72
Nurse Sam knows that the nurse's primary concern in the immediate control of hemorrhage in patients with dengue is?
Close observation of the patient for vital signs leading to shock
73
Kris was diagnosed with rubeola. As a knowledgeable community health nurse, Nurse Jecka knows that kolpik spots are highly characteristic of the prodromal phase of the disease.
When assessing the patient, which observation should she expect?
Small blue-white spots with a red base found
74
Kris is being admitted to the hospital. When preparing for the admission of the child, which precautions should be implemented?
Airborne
75
The nurse is teaching Nanay Linda about the ways she can prevent the spread of measles in their home. Which of the following statements by Nanay Linda demonstrates the need for further teaching?
"I will only allow him to return to school once the spots in his mouth disappear”
76
As Kris is about to be discharged, Nanay Linda asked the nurse on how she could take care of her child at home. Which of the following responses will not demonstrate the nurse's understanding of the disease?
"Ensure that your child takes aspirin a: brescribed by the physician to reduce his fever”
77
As a community health nurse, you are aware that management of a child with measles includes the administration of which of the following?
Retinol capsule regardless of when the last dose was given
78
When asked on ways in which HIV can be passed from one person to another, Nurse Gigi knows that all of the following statements made by a participant is true /except?
"I can also get the virus by sharing toilets and bathrooms with an infected person"
79
After the session, a pregnant woman approached Nurse Gigi and asked if there is a way to prevent HIV transmission from a pregnant HIV positive mother to child. Which of the following is the best response the nurse can provide to the worried mother?
Take ART As prescribed
80
Patient X, an HIV positive adolescent who has been receiving antiretroviral therapy, asked the nurse what it means now that he already has an undetectable viral load. How should the nurse respond?
"It means ART has been effective in decreasing the viral load"
81
The nurse is caring for a patient who has tested positive for HIV and arrived at the clinic with a report of fever, nonproductive cough, and fatigue. The patient's CD4 count is 166 cells/mcL. When assessing the patient's skin, which of the following findings would prompt the nurse to immediately notify the physician?
Purplish-red raised lesions
82
Francis rushed to the ER after being accidentally bitten in the face while playing with his dog that has not been vaccinated against rabies. Upon assessment, it was revealed that the wound is only superficial and did not bleed. Which of the following statement by the newly licensed nurse requires intervention by the senior nurse?
"There is no need for you to receive rabies immunoglobulin as it is not indicated for minor abrasions."
83
Which of the following is not a route of transmission of Rabies?
Ingestion
84
Which of the following nursing interventions should Nurse Dino do first when a patient who was found to have been bitten by a stray dog arrives at the clinic?
Cleanse the bite with soap and running water
85
Duday, 35-year-old female, came to the clinic complaining of burning sensation while urinating and feeling the need to urinate more often. She was diagnosed with urolithiasis. When asked if there is an herbal medicine she could use, which of the following should the nurse advise her to take?
Sambong
86
The nurse is teaching Duday how to take the herbal medicine.
Which of the following statements made by Duday will indicate understanding of the health teaching? “Sambong”
'I will make sure to chop and boil its leaves in water for 15 minutes until one glassful remains"
87
Situation: A patient came to the ER presenting with irritability, lower back pain, headache, fever for four days, and muscle cramps. The patient reports accidentally stepping on a nail while gardening about 2 weeks ago. The patient was diagnosed with Tetanus.The following question applies.
The nurse was asked on the ways tetanus can be transmitted. Which of the following responses will demonstrate the nurse's understanding of the disease?
"Tetanus can be transmitted though contamination of wounds"
88
Michael, a 45-year-old male is admitted at Mariwasa Medical Clinic complaining of intense pain at the lower left part of his abdomen. He said he's having diarrhea, defecating about 10-20 liquid stools. He also notices that his feces have traces of red blood in them. Nurse Maria knows that the patient is having clinical manifestations of:
Ulcerative Colitis
89
Nurse Maria is aware that Patient Michael's condition is characterized as:
multiple ulcerations, diffuse inflammations, and desquamation or shedding of the colonic epithelium that starts from the rectum
90
The following are complications that may arise if the progression of ulcerative colitis worsens, EXCEPT:
Gastric ulceration
91
Patient Michael's inflammation and ulceration worsens and progressed up to the transverse colon. Nurse Maria anticipates which procedure will be performed to relieve the patient's symptoms?
Total colectomy
92
The doctor ordered Oral Azithromycin for Patient Nezuko due in the morning to manage her UTI. After Nurse Tanjiro prepares the medication, she receives a call light from multiple patients asking for her assistance. She realizes that as she tends to other patient's urgent concerns, her medication to patient Violeta will be delayed. Since her unit is understaffed, her best action is to:
Delegate and endorse the task of medication administration to another registered nurse
93
Patient Billy arrives at the Emergency Room complaining of weakness, fatigue, leg cramps, numbness and tingling sensations. He has a diagnosis of Left-Sided Heart Failure and was given Lasix prior to occurring symptoms. Laboratory results shows that he has sodium levels of 137 mEq/dL, potassium levels of 2.8 mEq/dL, and calcium levels of 9 mg/dL. Based from these findings, Nurse Isabella knows that the patient is having:
Hypokalemia
94
An order was given by the doctor to provide IV potassium to improve the patient Billy's potassium levels and alleviate his occurring symptoms. Nurse Isabella is now monitoring for signs of possible excessive potassium levels. Which of the following requires immediate intervention in monitoring for hyperkalemia?
Placing the patient on cardiac monitor
95
Charmaine, a newly registered nurse, was tasked to give IV potassium chloride to patient Jerry diagnosed with hypokalemia. She was instructed by her preceptor to never give IV potassium via IV push.She asked why and her preceptor would answer the following EXCEPT:
It may have lesser effects in the body
96
Patient Flor was rushed to the emergency room showing signs of extreme muscle weakness, paralysis, and nausea. She was attached to a cardiac monitor and it showed Peak T waves, depressed ST segment, and a short QT interval. Nurse Marielle is aware that the patient hyperkalemic. The following are medications that should be given to the patient EXCEPT:
Calcium Gluconate
97
Sarah, a 1-week post-operative patient was observed to be having symptoms of muscle rigidity and tingling sensations of extremities.When Nurse Jes touched her cheek, she immediately twitched. Nurse Jes is aware that the patient has:
Hypocalcemia
98
One of the management to treat the patient Sarah's symptoms is to provide calcium replenishment. The doctor ordered to give calcium to treat the muscle spasms. The following medications can be given to treat hypocalcemia EXCEPT:
calcitonin
99
Nurse Beatrix is assessing various patients in Medical-Surgical Ward . He determines which of the following is NOT at risk for increased calcium levels?
63-year-old patient with renal failure
100
Patient Limuel who is diagnosed with hyperparathyroidism is rushed to the hospital with symptoms of muscle weakness, anorexia, nausea, and vomiting. Laboratory results indicate which of the following calcium values is correct?
Calcium levels of 15 mg/dL
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51問 • 2年前問題一覧
1
Which of the following laws mandates that universal access for individuals, particularly adults, couples, women, and adolescents, to quality reproductive health services essential in promoting their right to health be given?
A. RA 10354
2
John obtained his PRC identification card on August 7, 2023, 3 days after his birthday. Knowing this, when will John's PRC ID expire?
August 4,2026
3
3. To renew one's license, one must participate in Continuing Professional Development (CPD) programs. How many CPD units are required for the renewal?
15
4
RA 7164 or The Philippine Nursing Act of 1991 was the former law that regulated the nursing profession in the country. What law was enacted to repeal the former and acts as the current Nursing Law of the Philippines?
RA 9173
5
5. According to the Nursing Law, in order to pass the board exam, an aspiring nurse must obtain a minimum score
for each subject.
60%
6
RA 9173 also mandates the qualifications to be a member of the Board of Nursing. Which among the following does not count as a qualification?
Have at least 10 years of continuous practice of the profession anywhere prior to appointment
7
According to RA 9173, how many members does the Board of Nursing have?
7
8
To be a faculty n a college of nursing, RA 9173 provides the qualifications needed. Which among the following are these? Select all that apply.
I. Have at least years of clinical practice in a field of specialization
Il. Be a member of good standing in the accredited professional organization
III. Must have a master's degree in nursing
Il only
Il only
9
Rene is planning to conduct a qualitative study on the communication patterns and practices of an indigenous group in Northern Luzon. What would be the most appropriate research design that he should use?
Ethnography
10
Jeff wishes to know the effect of different types of 2nd generation antipsychotics on the emotional state of schizophrenic patients in the ward. Upon conducting this research, Jeff randomly assigns each patient in the area to be given a specific antipsychotic as part of his study. What research design is Jeff using?
Experimental
11
Defamation is defined as the act of damaging
an individual reputation. Which among the following are considered as forms of defamation?
Select all that apply.
I. Libel
II. Slander
III. Battery
IV. Assault
Rationale: Libel and slander are the two main forms of defamation. Libel refers to defamation by means of print, writing, pictures, or publishing (e.g., writing
in the chart that the physician is incompetent). slander refers to defamation by verbal means.
I, II
12
Nurse Kel tells everyone that their Head Nurse, Hero, cheated on her husband through their Facebook group chat and a public post, What type of tort did Nurse Kel commit?
Libel
13
Hero, in retaliation, announces to all their co-workers during her shift that Kel has been stealing opioid medication from the area due to his addiction. What can Hero be liable for?
Slander
14
Which of the following statements regarding battery and assault are true?
Assault describes an unjustifiable threat to a person while battery involves willful touching of a person that may or may not cause them harm.
15
Mary overhears the nurse telling her brother that if he keeps on moving around and avoiding taking his medications, the nurse will restrain him.Mari can sue the nurse for
Assault
16
This is known as an agreement by the client to accept receiving a specific treatment or undergoing a procedure after being provided information regarding said intervention
Informed consent
17
Which of the following statements made by the client indicates that informed consent was achieved properly?
"Compared to the alternative treatments think this procedure would best suit my lifestyle”
18
Which of the following individuals can give informed consent?
Chris, a young adult who is illiterate
19
Nurses act as witnesses when the physician obtains informed consent from the patient. As a witness the nurse should ensure the following except?
The client accepted the procedure
20
Nurse Nina found that the surgeon already obtained the patient consent while she was not around. To best assess if the client understood the explanation given during obtaining informed consent, what can the nurse do?
Have them explain in their own words what they have been told
21
Which of the fellowing statements best describes an ethical dilemma?
A conflict between the nurse’s duty and the patient's best interest
22
When a nurse faces an ethical dilemma, what would be the best guide that they can use in their practice?
Code of Ethics
23
In a crisis situation) what would be the best
leadership style to be employed?
Authoritarian
24
Which leadership style involves minimal leader participation and based on noninterference?
Laissez-Faire
25
25. Head Nurse Ray is confident in his staff as all of them are experienced nurses and lets them decide how to go about with patient care. This has also led him to not be as hands-on with them as he used to.What leadership style is Ray using?
Laissez-Faire
26
Head Nurse Ray states that a Laissez-Faire leadership is the best type of leadership as it as has greatly helped him in this area. Is Ray's statement true?
No, one style is not necessarily better as each have their own advantages and disadvantages
27
Dave, a nurse administrator, knows that in the creation of policies it is a matter of group discussion and decision-making. During staff meetings on updating facility policies, he ensures that everyone in the team has a say and decides via making a consensus among members. What leadership style does Dave employ?
Democratic
28
Abby wishes to study the lived experiences of patients with leukemia undergoing chemotherapy.What would be the appropriate research design to use?
Phenomenology
29
Jared aims to determine the average levels of anxiety among first time mothers during their first prenatal visit. What would be the appropriate (research design for him to use?
Descriptive
30
A mother came for a consultation of her child with pus draining from the eyes. Upon inquiry, the nurse noted that the child had measles within the last 2 months. What should Nurse Abby
recommend according to the IMCI guidelines?
Advice to apply Tetracycline ointment
31
Another parent came in regarding Amie's diarrhea which started in the past 15 days. The parent reported blood in the child's stool Which of the following options Shows the CORRECT TREATMENT for the illiness classification appropriate for Amie?
DYSENTERY: Give ciprofloxacin for 3 days and remind to follow-up in 3 days.
32
Cyrus came to the clinic for consult of his younger son. Which of the following is NOT INCLUDED among the DANGER SIGNS to assess by the nurse?
Child is actively playing
33
If a child requires urgent referral, the nurse should:
Complete assessment immediately, give urgent pre-referral treatments and prepare caregiver for travel to the hospital
34
Which of the following signs indicate severe dehydration?
No movement at all
35
The nurse is currently monitoring Marie who is pregnant with twins. The nurse should monitor closely for which PRIORITY complication associated with Marie's pregnancy?
Maternal Anemia
36
Which of the following signs/symptoms would
nurse expect to see in a patient with olacental abruption?
Increasing fundal height measurement
37
Nurse Kath prepares the client with complete placenta previa in preparation for delivery Which of the following options should Nurse Kath teach this client?
Deep breathing and coughing exercises
38
Nurse Jena plans to incorporate injury prevention guidelines in the pediatric ward. Which interventions should be done to promote safety specifically for(INFANTS AND TODDLERS?
I. Use large and soft toys wthout small
II. Place stuffed toys and comforters in the crib to promote comfort
III. Raise crib sides all the time
IV. Allow the toddler to remain in the
bathroom alone to promote autonomy while
I, III
39
Ron, a 2-year old child, came with his father at the clinic. The nurse was asked regarding the age-appropriate toys for Ron. Which toy is the BEST choice for Ron based on his age?
Stacking blocks
40
Kevin 16-year-da faie, recently underwent an appendectomy. What should Nurse Clara PRIORITIZE to promote normal growth an development postoperatively?
Allow Kevin to interact wily children ofthe Peers same age group
41
Mark, a 55-year-old male diagnosed with Type 1 DM, was being taught by the clinic nurse regarding his condition. Which statement by Mark indicates the need for further teaching?
"I need to stop taking my insulin if I am vomiting."
42
A nurse was asked by a 88 year old client with Type 2 DMregarding the factors that may cause the cancellation of the scheduled CT scan with contrast media. What laboratory test should be done prior to CT scan?
BUN and CREA
43
A client with DM regularly performs blood sugar monitoring at home. Which test can BEST assess the client's average blood sugar over the period of 3 months?
HBA1C
44
What should a nurse anticipate when assessing a child for symptoms of neurogenic diabetes insipidus (DI)?
Polyuria
45
A nurse should locate and remove a client's CLONIDINE patch if:
Latest BP of 80/50 mmHg
46
A nurse is caring for a G3P1 client at the Clinic, The Client is being induced for pregnancy-induced hypertension using IV oxytocin, What events would warrant the discontinuation of oxytocin?
I. 3 contractions within 10 minutes
II. Decrease in fetal heart rate after the peak of contractions during each of the last 3 contractions
III. Client is completely dilated
IV. Contractions every 3 minutes lasting 90 seconds each
Il and IV
47
Nurse Jena provided discharge instructions to the parents of a 2-year-old child who underwent orchiopexy indicated for cryptorchidism Which statement DOES NOT INDICATE a NEED for further instruction?
"I'II follow the doctor's advice when my child can play again.
48
Eric, a newborn male infant diagnosed with cryptorchidism, was brought to the ward. The findings were shared with his parents. Nurse Janna would teach the parents regarding the psychosocial effect if the undescended testicle were not corrected?
Infertility
49
Jonna recently passed the board exam. How many continuing professional development (CPD) units should be acquired by Jonna after earning her n first license?
None
50
In line with Department Order No. 182, how many hours a day per week should a health personnel work If the hospital has a bed capacity of 250?
8 hours
51
The nurse did not intervene when a client became hypotensive after surgery. Due to the nurse's action, the client required emergency surgery to stop postoperative bleeding that night.
What legal consequence could the nurse face for failing to act?
Malpractice
52
Nurse Harry is currently working night shift at the Medical-Surgical Ward. While doing his rounds, he found a patient lying on the floor. Nurse Harry immediately ensured client's safety, completed an IR, and notified the physician about the fall. Which action should the nurse implement NEXT?
Document the event and follow-up nursing interventions
53
Ari was admited to the hospital voluntarily:however, she became verbally abusive after her nurse rejected her desire to be discharged. The nurse immediately applied physical restraints and called security. What are the legal consequences of the nurse's action to Ari? Select all that apply.
I. False imprisonment
II. Libel
III. Battery
IV. Slander
I, III
54
An intern asked the nurse which of the following is required to be renewed every 3 years in the Philippines?
Professional Identification Card
55
Which of the following is an example of an accurate nursing documentation?
The client's abdominal wound dressing is dry, intact and without any drainage.
56
Which nursing action should be completed before a physician performs a lumbar drain?
Ensuring that the consent form is signed and in the chart
57
Which of the following statements would be the
BEST documentation when a nurse suspects a child abuse or neglect?
Child states, My uncle hit me with his phone.
58
A client came to the ER after her father physically assaulted her at their home. She shared, "My father may come to the hospital anytime.Please help me hide from him." Which nursing intervention will best protect the client at the hospital?
Place the client as "confidential"
59
A Mantoux Test was done to the client. After 48 hours, his right forearm is reddened and raised about 5mm where the test was given. This would be read as having which of the following results?
Positive
60
As a knowledgeable nurse, you know that the most definitive diagnostic test for TB is?
Sputum culture
61
Which of the following antituberculosis drugs can cause damage to the eighth cranial nerve?
Streptomycin
62
The community health nurse is conducting a health teaching to clients diagnosed with TB who has been receiving medication for 2 weeks. Which of the following statements will alert the nurse that further teaching is required?
"I can return to work if a sputum culture comes back negative
63
The nurse is preparing to give a bed bath to an immobilized client with tuberculosis.The nurse would wear which items when performing this care?
Particulate respirator, gown, and gloves
64
Which of the following medications can be used as chemoprophylaxis against Malaria?
Chloroquine
65
When counseling a patient about how to avoid contracting malaria during travel, the healthcare provider should not include which of the following in the teaching plan?
Ensure that you are Vaccinated against malaria
66
Following her business trip to Palawan, Tina is suspected to have Malaria, which is endemic to the province. When asked by the client about the most important diagnostic test for malaria, the nurse will answer which of the following?
Blood smear
67
The community health nurse knows that the following should be done in the event that an imminent malaria epidemic occurs except?
Planting of Neem tree or other herbal plants
68
Which of the following statements made by the residents depicts understanding of the health teaching?
"We should participate in indiscriminate fogging regularly to kill mosquitoes, including the larvae"
69
Community health nurses should be alert in observing a Dengue suspect. Which of the following is not an indicator for hospitalization in patients with DHF?
Cough of 30 days
70
Which of the following is used as a screening test for dengue hemorrhagic fever?
Rumpel-leede test
71
As a knowledgeable nurse, you know that which of the following is the most important supportive and symptomatic treatment should be provided to patients with DHF?
Rapid replacement of body fluid
72
Nurse Sam knows that the nurse's primary concern in the immediate control of hemorrhage in patients with dengue is?
Close observation of the patient for vital signs leading to shock
73
Kris was diagnosed with rubeola. As a knowledgeable community health nurse, Nurse Jecka knows that kolpik spots are highly characteristic of the prodromal phase of the disease.
When assessing the patient, which observation should she expect?
Small blue-white spots with a red base found
74
Kris is being admitted to the hospital. When preparing for the admission of the child, which precautions should be implemented?
Airborne
75
The nurse is teaching Nanay Linda about the ways she can prevent the spread of measles in their home. Which of the following statements by Nanay Linda demonstrates the need for further teaching?
"I will only allow him to return to school once the spots in his mouth disappear”
76
As Kris is about to be discharged, Nanay Linda asked the nurse on how she could take care of her child at home. Which of the following responses will not demonstrate the nurse's understanding of the disease?
"Ensure that your child takes aspirin a: brescribed by the physician to reduce his fever”
77
As a community health nurse, you are aware that management of a child with measles includes the administration of which of the following?
Retinol capsule regardless of when the last dose was given
78
When asked on ways in which HIV can be passed from one person to another, Nurse Gigi knows that all of the following statements made by a participant is true /except?
"I can also get the virus by sharing toilets and bathrooms with an infected person"
79
After the session, a pregnant woman approached Nurse Gigi and asked if there is a way to prevent HIV transmission from a pregnant HIV positive mother to child. Which of the following is the best response the nurse can provide to the worried mother?
Take ART As prescribed
80
Patient X, an HIV positive adolescent who has been receiving antiretroviral therapy, asked the nurse what it means now that he already has an undetectable viral load. How should the nurse respond?
"It means ART has been effective in decreasing the viral load"
81
The nurse is caring for a patient who has tested positive for HIV and arrived at the clinic with a report of fever, nonproductive cough, and fatigue. The patient's CD4 count is 166 cells/mcL. When assessing the patient's skin, which of the following findings would prompt the nurse to immediately notify the physician?
Purplish-red raised lesions
82
Francis rushed to the ER after being accidentally bitten in the face while playing with his dog that has not been vaccinated against rabies. Upon assessment, it was revealed that the wound is only superficial and did not bleed. Which of the following statement by the newly licensed nurse requires intervention by the senior nurse?
"There is no need for you to receive rabies immunoglobulin as it is not indicated for minor abrasions."
83
Which of the following is not a route of transmission of Rabies?
Ingestion
84
Which of the following nursing interventions should Nurse Dino do first when a patient who was found to have been bitten by a stray dog arrives at the clinic?
Cleanse the bite with soap and running water
85
Duday, 35-year-old female, came to the clinic complaining of burning sensation while urinating and feeling the need to urinate more often. She was diagnosed with urolithiasis. When asked if there is an herbal medicine she could use, which of the following should the nurse advise her to take?
Sambong
86
The nurse is teaching Duday how to take the herbal medicine.
Which of the following statements made by Duday will indicate understanding of the health teaching? “Sambong”
'I will make sure to chop and boil its leaves in water for 15 minutes until one glassful remains"
87
Situation: A patient came to the ER presenting with irritability, lower back pain, headache, fever for four days, and muscle cramps. The patient reports accidentally stepping on a nail while gardening about 2 weeks ago. The patient was diagnosed with Tetanus.The following question applies.
The nurse was asked on the ways tetanus can be transmitted. Which of the following responses will demonstrate the nurse's understanding of the disease?
"Tetanus can be transmitted though contamination of wounds"
88
Michael, a 45-year-old male is admitted at Mariwasa Medical Clinic complaining of intense pain at the lower left part of his abdomen. He said he's having diarrhea, defecating about 10-20 liquid stools. He also notices that his feces have traces of red blood in them. Nurse Maria knows that the patient is having clinical manifestations of:
Ulcerative Colitis
89
Nurse Maria is aware that Patient Michael's condition is characterized as:
multiple ulcerations, diffuse inflammations, and desquamation or shedding of the colonic epithelium that starts from the rectum
90
The following are complications that may arise if the progression of ulcerative colitis worsens, EXCEPT:
Gastric ulceration
91
Patient Michael's inflammation and ulceration worsens and progressed up to the transverse colon. Nurse Maria anticipates which procedure will be performed to relieve the patient's symptoms?
Total colectomy
92
The doctor ordered Oral Azithromycin for Patient Nezuko due in the morning to manage her UTI. After Nurse Tanjiro prepares the medication, she receives a call light from multiple patients asking for her assistance. She realizes that as she tends to other patient's urgent concerns, her medication to patient Violeta will be delayed. Since her unit is understaffed, her best action is to:
Delegate and endorse the task of medication administration to another registered nurse
93
Patient Billy arrives at the Emergency Room complaining of weakness, fatigue, leg cramps, numbness and tingling sensations. He has a diagnosis of Left-Sided Heart Failure and was given Lasix prior to occurring symptoms. Laboratory results shows that he has sodium levels of 137 mEq/dL, potassium levels of 2.8 mEq/dL, and calcium levels of 9 mg/dL. Based from these findings, Nurse Isabella knows that the patient is having:
Hypokalemia
94
An order was given by the doctor to provide IV potassium to improve the patient Billy's potassium levels and alleviate his occurring symptoms. Nurse Isabella is now monitoring for signs of possible excessive potassium levels. Which of the following requires immediate intervention in monitoring for hyperkalemia?
Placing the patient on cardiac monitor
95
Charmaine, a newly registered nurse, was tasked to give IV potassium chloride to patient Jerry diagnosed with hypokalemia. She was instructed by her preceptor to never give IV potassium via IV push.She asked why and her preceptor would answer the following EXCEPT:
It may have lesser effects in the body
96
Patient Flor was rushed to the emergency room showing signs of extreme muscle weakness, paralysis, and nausea. She was attached to a cardiac monitor and it showed Peak T waves, depressed ST segment, and a short QT interval. Nurse Marielle is aware that the patient hyperkalemic. The following are medications that should be given to the patient EXCEPT:
Calcium Gluconate
97
Sarah, a 1-week post-operative patient was observed to be having symptoms of muscle rigidity and tingling sensations of extremities.When Nurse Jes touched her cheek, she immediately twitched. Nurse Jes is aware that the patient has:
Hypocalcemia
98
One of the management to treat the patient Sarah's symptoms is to provide calcium replenishment. The doctor ordered to give calcium to treat the muscle spasms. The following medications can be given to treat hypocalcemia EXCEPT:
calcitonin
99
Nurse Beatrix is assessing various patients in Medical-Surgical Ward . He determines which of the following is NOT at risk for increased calcium levels?
63-year-old patient with renal failure
100
Patient Limuel who is diagnosed with hyperparathyroidism is rushed to the hospital with symptoms of muscle weakness, anorexia, nausea, and vomiting. Laboratory results indicate which of the following calcium values is correct?
Calcium levels of 15 mg/dL