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問題一覧
1
A patient comes to the hospital asking about medication for ADHD. He asked what is the generic name For Ritalin, as he cannot afford this brand of medication. The nurse would be correct to state which generic name?
Methylphenidate hydrochloride
2
As patient Furina’s Psychiatric nurse, The nurse knows that which of the following is the drug of choice for bipolar disorder?
Eskalith
3
patient Furina Mentions That her psychiatric noticed That patient Furina’s disorder was dysthymic In nature and asks, what does it mean. The nurse would state that the disorder is marked by:
Persistent mild depression
4
when taking lithium , What precaution should the nurse give to Furuna regarding sodium intake?
Maintain normal level of sodium
5
When should Furina Have her lithium levels checked in the beginning of her treatment?
Once every three days
6
The nurse expects what potential electrolyte imbalance in a patient with Addison’s disease?
Hyperkalemia
7
The nurse educates the patient with Addison’s disease for lifelong therapy of?
Mineralocorticoids
8
Priority health education for patient with adrenal insufficiency taking corticosteroids includes which of the following?
All of the above
9
all of the following are physical Characteristics seen from a patient with Addison’s disease, EXCEPT?
Bipedal edema
10
A patient with an addisonian crisis Had undergone an ECG. which of the following waves can be expected from a patient with Addison’s disease?
Peaked T waves
11
The staff nurse is asking a student about the gland that is responsible for the secretion of corticosteroids in the human body. The student is correct when he or she answers:
Adrenal cortex
12
The nurse expects which of the following findings in a patient with cashing disease ?
1. Hypotension
2. Hyperglycemia
3. Hypokalemia
4. Hypernatremia
2,3,4
13
The following nursing diagnoses apply to a patient with cashing disease, except?
Fluid volume deficit
14
Which additional assessment findings would lead the nurse to suspect that the client client has crashing syndrome rather than obesity?
Posterior neck, fat pad, and thin extremities
15
which statement by duck client indicates an understanding of possible side effect of prednisone therapy?
“ I must take this medication exactly as my doctor ordered it. I shouldn’t skip doses.”
16
There are 17 sustainable, developmental goals, developed by the United Nations. Clean water, and sanitation is under what number?
6
17
A patient undergoes endotracheal intubation and positive pressure ventilation. The primary nursing responsibility of the nurse at this time is?
Assess the patient’s response to the equipment
18
The primary responsibility of a community health nurse is :
Health teaching
19
you ensure the appropriateness and safety of your nursing interventions, while caring for various Client groups by:
Making a thorough assessment of each clients need and problems
20
Using Patricia Benner’s stage of nursing expertise, you are an entry-level nurse. You will rank yourself as a/an?
novice nurse
21
The most appropriate nursing intervention to facilitate the clients acceptance of a change in body image would be to:
Establish a therapeutic relationship
22
The provide safe, quality nursing care to various clients in any setting, The most important tools of the nurse is.
Critical, thinking to decide appropriate nursing actions
23
The universal healthcare act mandates that institutionalization Of health technology assessment as affair, transparent, priority, setting recommended to the DOH and Philhealth. this Act is also known as?
RA 11223
24
Policies standards for bachelor of science in nursing program are according to which of the following CHED memorandum order?
CMO No.14 s. 2009
25
All of the following are included in the principles of primary health care, except?
Accountability
26
included in the elements of primary healthcare is the expanded program on immunization, which requires infant / children to be administered with six vaccine-Preventable disease, which includes all of the following, except?
Anti-rabies
27
which of the following are considered as barangay health workers, according to the primary healthcare in the Philippines ?
1.Health auxiliary Volunteers
2. Traditional birth attendance
3. public health nurse
4. Traditional healers
1,2,4
28
Supply of essential drug is also one of the elements of primary health care upon this the generics act was established. this under which republic act?
RA 6675
29
The 2 principles of primary healthcare are active partnership with the people and empowerment. empowerment is to:
Transfer knowledge, skills and attitudes
30
When planning care for a client diagnosed with Cushing’s syndrome, the nurse would include which intervention to prevent a common complication of this disorder:
Monitoring glucose levels
31
The nurse is assessing a client diagnosed with Addison’s disease for sign of hyperkalemia. which sign or symptoms would the nurse observe with this electrolyte imbalance ?
Cardiac Dysrhythmias
32
A client receiving fludrocortisone acetate for the treatment of Addison’s disease is monitored for what therapeutic response from this medication?
Promote electrolyte Balance
33
A client is recently diagnosed with cushing’s disease, and the nurse monitors the client for which manifestation most likely occurring with this diagnosis:
Mood disturbances
34
As a nurse, you are aware that cardiac surgery is a source of stress to the patient and family. Which of the following strategies should the nurse implement FIRST to overcome this stress?
Recognize fears and concerns regarding surgery and future health status
35
Mr. Mamamow, underwent an invasive diagnostic test to determine the location of the blockage which of needed for this CABG. This procedure is____________.
Cardiac Catheterization
36
The nurse is teaching breathing exercises to Mr. Mamamow. At what base of the peri-operative care Is this BEST performed?
During the briefing period prior to the surgical procedure
37
which of the following is a blood thinning drug, and temporarily stopped by the position prior to CABG due to possible bleeding.
Pradaxa
38
The nurse formulates a nursing diagnosis “ Decreased cardiac output r/t Blood loss”. Which of the following is the highest priority, nursing action?
Assess peripheral pulses, pedal, tibial and radial
39
You are the admitting nurse when Ms. PD bang Arrived in the hospital. When doing a comprehensive pain assessment, you should conduct the procedure during the __________.
Initial contact with the patient
40
When patient is having pain due to pancreatitis , You expect that the pain is located in the
epigastrium , Left upper quadrant of the abdomen, radiating to the left lumbar area
41
You are aware of several manifestations when a patient is in pain. which of the following is a behavioral response to pain?
Moaning and grimacing
42
when a patient ordered Corticosteroids, Which of the following drugs will produce therapeutic effects of reducing pain?
Prednisone
43
When severe by meeting occurs in the patient, it results to what particular condition?
Alkalosis
44
Which of the following statements is INCORRECT Of collaboration in a healthcare setting?
Interprofessional, collaboration, and multidisciplinary collaboration can be used interchangeably
45
In a tertiary hospital where Geegee works as a unit manager, and interdisciplinary mode is adapted on collaboration of care. With this type of model, how is DECISION making made?
Partnership with the patient and team for the final decision
46
nurse yowdawter, Is a member of the quality assurance team for the hospital and has been always rated As very assertive. Which of the following is NOT a characteristic of an assertive person?
She stands up with what she believes and push control on others
47
A patient is going for a coronary arterial bypass graft (CABG) Due to a 4 blocked arterial blood vessels. A surgical team has been formed with the cardiac surgeon as the head. Who is the member of the health team that prepares the pre-operative orders for the patient?
Surgeon
48
in collecting sputum specimens, the nurse should instruct Roy to ___________.
Breathe deeply and cough, expectorate into the sputum container
49
The patient’s diagnostic test revealed he was positive for bacterial pneumonia. The most likely causative this type of pneumonia is_________.
streptococcus pneumoniae
50
The nurse did an admission procedure . The BEST position to be assumed byRohee is ___________.
Semi-fowlers at least 30 degrees
51
When a patient is diagnosed to have pneumonia, the breath sounds, detect by the nurse on auscultation of the affected area would be_________.
Fine crackles
52
When there is respiratory depression, resulting from drug overdose, the nurse have to watch for which of the following?
Bradypnea
53
when patient is with hypothyroidism, the assessment findings of the nurse that is NOT Present is_____________.
fine tremors of hands
54
In assessing the thyroid gland for size, shape, symmetry, Consistency and presence of tenderness, the MOST APPROPRIATE EXAMINATION MODALITY IS_____________.
Palpation
55
after several thyroid diagnostic tests, Ms. nohwas Ordered to take thyroid hormone(Levothyroxine). Which of the following nursing action is not advisable in administering this drug? The nurse should give_____________.
A single dose daily after breakfast
56
In monitoring the effectiveness of the drug therapy, which of the following is not expected as a positive patient’s outcome
Excessive sweating at night time
57
The nurse is developing a nursing care plan for Ms. noh. If the nursing diagnosis is “ Activity intolerance r/t Fatigue and depressed cognitive process”, Which of the following is an Appropriate interventions?
Space nursing activity to promote rest and sleep
58
which of the following statements Indicates an effective communication technique used by the unit manager to her staff?
“ we need to discuss strategy approaches to facilitate delivery of nursing service with less expenses on our consumers.”
59
For the past six months, Several nurses are resigning. Some verbalize in the exit interview that there are not happy anymore. Which of the following descriptions manifest BEST, A nurse who has job satisfaction?
Empowered, enthusiastic, ethical
60
delegation is a critical component of leadership and governance . Which of the following empowering activities should the nurse manager applies in delegation?
In delegation , Facilitating, professional growth, and development of a staff is necessary
61
nurse Lani, guided that the initial step of delegation is ___________.
Determine the competency level of staff for the task being given
62
The unit manager is planning to take her regular official business live for the year. She has eaten a letter of recommendation to her immediate supervisor for her as assistant unit manager to assume her position while she is on leave. this is an example of delegation by_____________.
Succession
63
when preparing a teaching plan for patient shell, The following are the instructions provided to the patient with diabetes mellitus. Which one of the teaching plan is considered? Not a priority concern when discussing the least with the patient.
Exercise in extreme heat and cold
64
Arrange
1. inject the insulin push the plunger all the way in
2. With one hand, stabilize the skin by spreading a large area
3. Needle straight out of the skin and press cotton ball over injection site
4. Pick up syringe with the other head, hold and insert needle to the skin
5. Dispose Syringe in a hard plastic container
2,4,1,3,5
65
The doctor ordered a low saturated fat,low cholesterol diet to patient Caltex Who was also going home. From the following list of foods which meals has to be included in the instructional plan of nurse, Petron To her patient?
Baked fish, green beens, coffee
66
considering that patient Caltex is post MI patient, She was taught by the nurse on home exercises on leg Movements while Resting on bed. The expected goal of this intervention is to
Prevent venous stasis in the lower extremities
67
The reception of sexual activity is an important activity that has to be included in the home instruction to be given to patient Caltex together with her husband. Which of the following is SAFE period for an uncomplicated MI to resume sexual activity?
One month after MI
68
to obtain her license to practice, she must do the following except :
Must register in the registration division of the PRC
69
Situation: Horavi, 822 year old nurse graduate passed the November 2018 Philippine nurse licensure examination before her birthday which November 16 the scheduled out ceremony was set on January 6, 2019
question: nurse horavi has to renew her professional identification card on or before_______.
November 16, 2022
70
For nurse horavi To continually practice nursing, She must satisfy the requirements set by the PRC and comply. How many units of CPD upon renewal?
15 units
71
after three years being assigned in the operating room horavi Is in interested to actively join, which appropriate for organization?
ORNAP
72
What would horavi Do to keep abreast with the latest trend in peri-operative nursing?
Attend training and seminars
73
In assessing a patient suffering from peritonitis, Which of the following manifestations is not likely to be present?
Abdominal gas
74
The overall goals set by the members of the health team once the patient is admitted, include which of the following ?
1. Relief of the abdominal pain
2. Resolution of inflammation
3. Provision of normal nutritional status
4. Prevention from complications
123 and 4
75
Diagnostic tests were ordered to the patients which included: complete blood count(CBC) and abdominal CT scan. The primary purpose for ordering CT scan is to determine presence_________.
Abscess
76
The position ordered the patient for paracentesis. Which of the following pre procedure nursing actions should the nurse perform except________.
Place him in low lying position with knees straight
77
Which of the following statements is true of quality improvement?
Continually improved every process in the organization
78
as a QA nurse, of the following can nurse cassidy adopts as concurrent evaluation of patient’s outcomes in the unit?
1. direct observation of patient’s condition
2. patients interview in the unit
3. face-to-face interview with nursing staff
4. nursing audit from the patient’s chart
1,2,3,4
79
the nurse cassidy distributed the patient satisfaction form to the admitted patient in the hospital. This tool is compliance to the ___________ quality standards
Patient care
80
the QA team what is altered by the administration that they have to anticipate for a possible earthquake in the forthcoming days. as part of safe practice environment(SPE) standards, which of the following are to be priority, attention by the team
1. electrical wires
2.Combustuble materials
3. entry, exit of building
4. Infected waste materials
1,2,3,4
81
the QA has been bombarded by complaints of patients under their long, waiting period in the OPD before the healthcare professionals are examining them. In response to the concern, which type of quality assessment should the team implement?
Structure evaluation