CDC B part 1

100問 • 2年前

問題一覧

Situation: Alcohol can be harmless, enjoyable, and sometimes even beneficial if it is used responsibly and in moderation. However, like any other mind-altering drug, alcohol has the potential for abuse. As a nurse, it is important that you are competent in taking care of John who has been diagnosed with Alcohol Use Disorder. While reviewing John’s chart, it was stated that he is undergoing alcohol withdrawal. One of the first signs of alcohol withdrawal include:

Anxiety

Some symptoms of alcohol withdrawal include coarse tremor of hands, tongue or eyelids, nausea or vomiting, malaise, tachycardia, headache, and insomnia. Healthcare professionals should be aware that these symptoms may appear within _____ hours of cessation of heavy alcohol use

4 to 12

Alcohol withdrawal can be life-threatening. Thus, detoxification needs to be done under medical supervision. Safe withdrawal can be accomplished with the administration of these medications except:

Diphenhydramine

As a nurse, you are aware of the most serious form of thiamine deficiency in alcoholics. If John experiences diplopia as well as poor muscle control, he might be having:

Wernicke’s Encephalopathy

Denial is known to be one of the defense mechanisms that clients with alcohol use disorder often exhibit. John, for instance, told you that: “I don’t have any problem with drinking beer. I can quit anytime I want to.” Your response should be based on the concept that:

To decrease use of denial, let John see the relationship between substance use and personal problems.

Situation: The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines. Nurses have a very important role in ensuring that the immunization coverage is continuously improving across the country. The over-all goal of EPI is to:

n/a

Measles is identified to be one of the six vaccine-preventable diseases included in the EPI. The earliest month that anti- measles vaccine can be given is:

9th month

Tetanus toxoid vaccination for women is important to prevent tetanus in both mother and the infant. A fourth dose of tetanus toxoid can yield how many percent of protection to the mother?

99%

BCG (Bacillus Calmette-Guerin) vaccine contains live, attenuated bacteria. To maintain its potency, the following should be considered except:

Use only one sterile syringe and needle per client.

Signed on 1976, this law provides for compulsory basic immunization for infants and children below 8 years of age

PD 996

Situation: Leprosy is a chronic mildly communicable disease that mainly affects the skin, the peripheral nerves, the eyes and mucosal of the upper respiratory tract. The causative agent of leprosy is a:

Bacteria

The following are early signs and symptoms of leprosy except:

Clawing of fingers and toes

Which of the following test is used to diagnose leprosy?

Slit Skin Smear

Multi-drug therapy (MDT) is the use of 2 or more drugs for the treatment of leprosy. It is proven effective cure for leprosy and renders patients non-infectious a week after starting treatment. Among the choices, which drug is given for a paucibacillary leprosy patient?

Dapsone

Once a patient has complied with the prescribed treatment protocol, they are considered:

Cured

Situation: The role of the government in the healthcare is extremely important. As said, “A healthy nation is a wealthy nation.” As a new nurse, these concepts should be your bases in providing care to your patients. Universal Health Care Act prescribes reforms in the health care system. It is also known as:

RA 11223

According to the Department of Health, this is the core and center of all health reforms under the Universal Health Care.

Paradigm shift to primary care

Under the Duterte administration, this strategy was built along the health system pillars of financing, service delivery, regulation, governance, and performance accountability. It was also the basis for transitioning to universal health care.

FOURmula One (F1) Plus

During the Aquino administration, this operational strategy was launched to achieve universal health care for all Filipinos.

Kalusugan Pangkalahatan

The Department of Health holds the overall technical authority on health as it is a national health policy-maker and regulatory institution. The agency is moving guided by its roadmap, and that is:

To lead the country in the development of a people- centered health system

Situation: Dio, a 4-year-old child, went to the clinic with his mother. The mother reported that her son was bitten in the hand by a dog owned by their neighbor. Wound treatment for Dio would include the following except: I. Wounds shall be immediately and vigorously washed and flushed with soap or detergent, and water preferably for 10 minutes. II. If soap is not available, the wound shall be thoroughly and extensively washed with water. III. Apply wound dressing. IV. Wounds may be capitated using sterile adhesive strips. V. Suturing of wounds shall not be avoided at all times. VI. Apply alcohol, povidone iodine or any antiseptic.

III, V

In recognition of rabies in dogs, this can be classified as:

Positive Case Positive Case

Like Dio, anyone bitten by a rabid animal or exposed to the saliva of a rabid animal is at risk from developing rabies. Several factors influence the likelihood of rabies developing including the site of the bite. Bite on this site is considered the most severe:

Head

Dio’s mother told the clinic nurse that the dog had its shots, meaning it has no rabies. The nurse is correct if she answers:

“This is true only if the dog has had a booster shot.”

There are several causes of rabies in the community. Which of the following preventive measures should nurses emphasize?

Have the dogs vaccinated

Situation: Carson, a new nurse in the community, reviewed herself about vital statistics that studies important events such as births, illnesses, marriages, divorce, separation and deaths. Carson knows that the purpose of vital statistics is to:

Serve as bases for CHN programs to be managed properly

Carson was taken on a tour to the Paanakang Bayan where she learned that a woman had just given birth to a healthy baby boy. Carson is aware that the birth should be registered at the

Office of the Local Civil Registrar

During her visit to Paanakang Bayan, Carson spoke with a midwife who emphasized the importance of referral for childbirth to ensure the health of both the mother and child, to which Carson agreed. Later, she recalled the infant mortality rate and maternal mortality rate, and wondered which statement about maternal mortality rate (MMR) is true.

MMR is the index of the obstetrical care needed and received by women in a community.

What formula can be used to compute the Maternal Mortality Rate?

𝑴𝑴𝑹 = 𝑵𝒐.𝒐𝒇𝒅𝒆𝒂𝒕𝒉𝒔𝒇𝒓𝒐𝒎𝒎𝒂𝒕𝒆𝒓𝒏𝒂𝒍𝒄𝒂𝒖𝒔𝒆𝒔𝒓𝒆𝒈𝒊𝒔𝒕𝒆𝒓𝒆𝒅𝒇𝒐𝒓𝒂𝒈𝒊𝒗𝒆𝒏𝒚𝒆𝒂𝒓 / 𝑵𝒐.𝒐𝒇 𝒍𝒊𝒗𝒆 𝒃𝒊𝒓𝒕𝒉𝒔 𝒓𝒆𝒈𝒊𝒔𝒕𝒆𝒓𝒆𝒅 𝒐𝒇 𝒔𝒂𝒎𝒆 𝒚𝒆𝒂𝒓 × 𝟏, 𝟎𝟎𝟎

On the other hand, to know the infant mortality rate, this formula should be used:

𝑰𝑴𝑹 =𝑵𝒐.𝒐𝒇 𝒅𝒆𝒂𝒕𝒉𝒔 𝒖𝒏𝒅𝒆𝒓 𝟏 𝒚𝒆𝒂𝒓 𝒐𝒍𝒅 /𝑵𝒐.𝒐𝒇 𝒓𝒆𝒈𝒊𝒔𝒕𝒆𝒓𝒆𝒅 𝒍𝒊𝒗𝒆 𝒃𝒊𝒓𝒕𝒉𝒔× 𝟏, 𝟎𝟎𝟎

Situation: Last month, Nurse Bobby attended the PhilPEN Summit held in Tagaytay City. During the conference, along with other healthcare professionals, Nurse Bobby gained a better understanding of the importance of attending conferences and seminars to reduce the rates of lifestyle- related non-communicable diseases. Nurse Bobby made sure that he read abou

Philippine Package of Essential NCD Interventions

DOH listed the lifestyle related non-communicable diseases which are also included in the PhilPEN. Bobby is correct when he does not include which of the following?

Hyperthyroidism

During the summit, it was emphasized that the risk of death from coronary artery disease is 70 – 200 times greater for men who smoke one or more packs of cigarettes per day compared to those who do not smoke. Cigarette smoke contains compound that separate into gas and particulate, some of which are harmful to health. Those are the following except:

Kush

One of the three main strategies to address nutrition problems and Filipino practices that are related to non- communicable diseases is to aim for ideal body weight. It is said that a person is overweight if they gain more than ___ of their ideal body weight.

10%

Nurse Bobby is aware that when educating clients, he needs to emphasize that any weight reduction program should involve regular exercise. This is because:

Decreasing caloric intake alone gets the BMR down.

Situation: Tuberculosis is an infectious disease that primarily affects the lung parenchyma. You are working under the anti- TB program of the Department of Health. One of the key policies under the National Tuberculosis Control Program is case finding. Which of the following statements about case finding should nurses refer to as correct?

The primary diagnostic tool in NTP case finding is DSSM.

As a nurse, you may consider the possibility of TB diagnosis if the sputum is:

Blood-streaked

Nurse Jasmine should educate the patient who will be taking Isoniazid all of the following EXCEPT:

Increase intake of Swiss cheese for good absorption of Isoniazid

As a public health nurse, your responsibilities under the National Tuberculosis Control Program are the following: I. Maintain and update the TB register. II. Supervise rural health midwives to ensure proper implementation of TB-DOTS III. Submit quarterly reports to the Provincial Health Office or City Health Office. IV. Manage the case-finding activities

I, II, III, IV

A group of nursing students visited your health center. One of them asked you: “Since domiciliary treatment is the preferred mode of care in TB, which conditions would recommend hospitalization?” Your answers should be: I. Massive hemoptysis II. Pleural effusion III. TB pneumonia IV. TB meningitis

All of the above

Situation: While medical care focuses on disease management and cure, public health efforts focus on health promotion and disease prevention. Nurse Taylor, as a PHN, recognizes the preventive approaches as described in the nursing practice. Leavell and Clark identified three levels of prevention in the nursing practice. Which of the following is true about primary prevention?

Consists of two elements: health promotion and specific protection

Nurse Taylor took part in the water purification initiative by the Office of the City Mayor. To which level of prevention does this activity belong?

Primary

Nurse Taylor provided dietary instructions for family with overweight members. To which level of prevention does this activity belong?

Tertiary

To prevent dehydration, Nurse Taylor taught Karen, a mother, on how to give Oresol to her child suffering from diarrhea. To which level of prevention does this activity belong?

Secondary

Nurse Taylor referred a patient with spinal cord injury for occupational and physical therapy. To which level of prevention does this activity belong?

Tertiary

Situation: Primary Health Care states that the vision of “health for all” is achieved through full community participation. Community Organizing Participatory Action Research (COPAR) is a community development approach that allows the community to systematically analyze the situation, plan a solution, and implement projects. This is Nurse Joe's first time adopting methodologies related to COPAR. Which of the following does not correctly describe COPAR?

The nurse conducts data analysis and presents it to vasodilation and decreased blood pressure. the community, which enables them to generate their own solutions.

The pre-entry phase involves preparation on Nurse Joe’s part in order to select a community. Communities may be identified through different means, and one of these is through an ocular survey to gather initial data. For making an ocular survey, transect walk is usually done. The leader in this inspection or pasyal is/are:

Community members

In order for the organizing work to be successful, Nurse Joe understands the importance of building a stronger connection with the entire community. On one occasion, he visited "Tindahan ni Aling Nena" and engaged in conversations with the housewives who were sharing stories with each other. This technique of integrating with the community is known as:

Huntahan

COPAR utilizes the process of community organizing. During which stage of community organizing will Nurse Joe work alongside the community to execute their proposed projects and programs?

Mobilization

After several months, Nurse Joe and the community members achieved their goals through their collective efforts, which indicates that Nurse Joe is ready to exit. One community member asked Nurse Joe, “I heard that you're planning to organize another community. Does that mean we won't see you anymore?” The correct response would be:

“While expanding to another area, I can visit periodically as a friendly consultant.”

Situation: Nurse Jungkook is caring for a patient with hypertension. He is preparing an angiotensin-converting enzyme (ACE) inhibitor as ordered. Cough is a common and annoying side effect of ACE inhibitors. How does this class of medication cause cough?

Reduced breakdown of bradykinin causing an increase in its levels.

Nurse Jungkook keeps in mind that this class of medications normalize the blood pressure of the patient by:

Preventing vasoconstriction resulting in vasodilation and decreased blood pressure.

Situation: Lalisa is a nurse assigned in the LR/DR complex of BP General Hospital. She is caring for newborns delivered via spontaneous vaginal method. At 1 minute, Nurse Lalisa assesses the newborn and determines the APGAR score of 7. She interprets this score as:

Absence of difficulty

The most critical and immediate physiologic change required of the newborn is the onset of breathing. After Nurse Lalisa ensures proper breathing of the newborn, her next priority is:

Thermoregulation

Nurse Lalisa is teaching a student nurse about the Essential Newborn Care (ENC) Protocol. Which action requires immediate intervention?

Breastfeeding is initiated 90 minutes after birth.

Situation: Nurse Yoncé is caring for a group of patients with mental health problems. She knows that therapeutic communication and the “therapeutic use of self” are important instruments in nursing care. Yoncé is practicing about the therapeutic communication technique of broad openings. Which statement best describes this?

“What would you like to talk about today?”

A patient stated to her, “I would be much better off without anyone beside me.” Nurse Yoncé would correctly respond by saying:

“Are you telling me that you feel lonely?”

A new nurse is being taught by Nurse Yoncé. When the patient said, “I am hearing voices in my head, and I am so scared right now.” Which statement by the new nurse requires follow-up?

“How is that possible if we are just alone in this room?”

The following are considered therapeutic communication techniques aside from:

Validating patient’s delusions

When speaking to a depressed client, she encourages him to recognize and accept his own feelings. She indicates that the client’s point of view has value, and that the client has the right to have opinions, make decisions, and think independently. This therapeutic communication technique is:

Reflecting

Situation: Nurse Alex Turner is caring for a group of patients in their third trimester of pregnancy who are experiencing unusual vaginal bleeding. Which among the following conditions does Nurse Alex expect from his patients?

Abruptio placenta, placenta previa

When assessing an athletic multiparous patient with placenta previa, Nurse Alex will consider the following but not:

The degree to which the placenta covers the internal cervical os is generally estimated in centimeters.

A patient admitted with placenta previa presents with profuse vaginal bleeding. Immediate care measures must be instituted by Nurse Alex, but:

Attach internal monitoring equipment to record fetal heart sounds and uterine contractions.

Nurse Alex expects the patient with abruptio placenta to exhibit the following signs and symptoms except:

n/a

Which among the following actions of Nurse Alex towards the patient with abruptio placenta needs to be corrected?

Keep patient flat on bed rest.

Situation: Nurse Patrick is observing ethical practice when caring for patients in the Bikini Bottom Hospital. She applies her knowledge on ethical principles. this room? A 25-year-old client, Sandy, is a Jehovah’s Witness with severe thalassemia. She consented to a blood transfusion despite your knowledge about their religious practice. Nurse Patrick knows that which of the following ethical principles is followed?

Autonomy

Nurse Patrick receives a telephone call from the father of Mr. Krabs, a patient admitted at the medical ward. He is asking for health-related information. Nurse Patrick explains she cannot follow this request because of the principle of?

Confidentiality

Nurse Patrick is attending to Mr. Squarepants a patient with end-stage renal disease. When caring for him, the nurse observes that his practice is consistent with the Code of Ethics of Nurses. This is the principle of:

Fidelity

Nurse Patrick is being asked by his manager to administer a drug by intravenous push. As he is applying pressure on the plunger, he felt a strong resistance. He decided not to continue the drug administration. Which ethical principle did he apply?

Nonmaleficence

Nurse Patrick Star is caring for Plankton, a basketball player in the major league who had a tibial fracture. While performing nursing care, Plankton expresses disappointment from what happened. The nurse decided to stay with the patient and offer his time. He followed the ethical principle of:

Beneficence

SITUATION: Anton, 12-year-old boy presents in the emergency room with fever, painful joints and is fatigued. The doctor diagnosed the patient with rheumatic fever. The child’s younger brother is having a patent septal opening between the atria of his heart. This is normal in a fetus as this is called the:

Foramen ovale

SITUATION: Anton, 12-year-old boy presents in the emergency room with fever, painful joints and is fatigued. The doctor diagnosed the patient with rheumatic fever. The nurse is conducting a history taking of Anton. Which of the following should the nurse expect that lead him being diagnosed with RHD?

The patient experienced a sore throat the last month

The development of rheumatic fever occurred from a complex between host immune system and which specific causative agent?

Streptococcus pyogenes

The doctor prescribed an antibiotic that is specific to the bacteria that caused the client to develop rheumatic fever. The nurse expects to prepare which among the medication

Penadur (Penicillin G Benzathine)

One of the affected organs in rheumatic fever is the heart. It causes inflammation of all parts of the heart primarily which heart valve?

Bicuspid valve

SITUATION: The following questions involves ethical dilemma. In the workplace, nurses will have to make a decision in a difficult situation. This occurs ethical dilemma and it does not exist when:

The nurse can easily make a choice between two alternatives

Understaffing occurred in the intensive care unit as nurses called in. Mary, a nurse in medical-surgical ward was asked by her nursing supervisor to float in the ICU department. Mary is not confident to handle very critical patients as she does not have proper training. What should Mary use as a guide when she is faced with ethical dilemmas?

Code of ethics for Nurses

Since Mary refused to be pulled out in the ICU department, the nursing supervisor assigned a nursing assistant to temporarily act and convey as a licensed registered nurse. Which among the following is being violated?

RA 9173

The relative of the patient found out the unprofessional act of the nursing supervisor to assign a nursing assistant and act as a registered nurse to the patient. They will file a case in which of the following agency?

PRBON

When ethical issue arises, the nurses must maintain their professionalism. Which among the following is not part of nursing role and responsibility during ethical decision-making

The nurse must decide for the client in terms of conflict

SITUATION: Nurse Eya is assigned in the medical unit and caring for patients mostly affected by renal disorders. As a professional nurse, she is expected to be competent in taking care of them Nephrotic Syndrome is caused by damage to the renal blood vessels that functions in filtration. This kidney disorder is NOT characterized by which of the following?

Dysuria

The client is advised by the physician to have kidney transplant. The relative asked the nurse to prioritize his loved one so they can get the organ faster. However, the nurse believed that there is a system regarding organ allocation which promotes which ethical principle?

Justice

One of the plans of care for patient diagnosed with renal problem is to undergo hemodialysis twice a week. To handle this patient effectively, the nurse must be aware of the principles of hemodialysis. She needs further teaching when she states:

The pore size of the membrane allows small particles to pass through such as proteins, creatinine, urea and water molecules

The nurse is preparing the client with external arteriovenous shunt in place for hemodialysis. The nurse should make which intervention?

Ensure that small clamps are attached to the AV shunt dressing

During the hemodialysis. The patient verbalizes that he is tired and wants to quit doing the dialysis and just die. The nurse supports the client’s right to refusal of treatment. The nurse is promoting which nursing responsibility?

Advocacy

With fiscal planning, nurse managers may be directly involved in three types of budget. This type is known to be the largest of the budget expenditures.

Personnel budget

There are plans of renovating the east wing of Twice Medical Center. This will be included in planning which type of budget?

Capital budget

The cost of electricity and water consumption is included in which type of budget?

Operating budget

Which of the following is true about budgeting?

A budget is not a rule.

The nurse manager has been successful in personnel budgeting. This was measured through:

Structure audit

Situation: An arterial blood gas (ABG) test measures oxygen and carbon dioxide levels in your blood. The following questions will test your knowledge as a nurse regarding this concept. Allen’s test is performed prior to the collection of an ABG specimen to determine the presence of collateral circulation. A positive Allen’s test means that:

The radial artery can be used for puncture.

Determining normal arterial blood gas values are extremely important to assess for the presence of acid-base imbalances. The normal partial pressure of carbon dioxide in arterial blood is:

35–45

The nurse notes that the patient is experiencing respiratory alkalosis. With these results, which of the following symptoms should the nurse not expect to the client? I. Altered level of consciousness II. Nausea III. Lightheadedness IV. Increased heart rate V. Slow breathing VI. Hyperkalemia

V, VI

ABG results of Patient Karina are the following: pH 7.45, PaCO2 of 27 mmHg and HCO3 of 18 mmol/L. These indicate:

Respiratory alkalosis, compensated

Aside from ABG analysis, Patient Donghae’s capillary oxygen saturation is also monitored. The normal value for this is:

95 – 100%

Situation: A patient’s medical record is a valuable source of data for all members of the health care team. With this, nurses are accountable for practicing according to policies about recording and reporting client data. Client records are kept for several purposes including: I. Plan care for the client II. Ensure that the health agency is meeting its stated standards III. Source of data for research IV. Receive reimbursement V. Vehicle by which health professionals communicate

All of the above

Electronic health records (HER) is a digital version of patient data that is found in traditional paper records. All of the following are expected components of EHR except:

Patient and family interaction

Nurses are legally and ethically obligated to keep information about patients confidential. Nurse Patrick is not adhering to this obligation if he does which of the following?

He joins conversations of nurses discussing a patient’s condition.

After completing client care and documenting it in the progress notes, the nursing student discovered he had written in the wrong chart. What is the correct action?

Draw a single line through the documentation, write “mistaken entry” next to the original entry, and initial it.

100

A nurse responds to a client’s call light. On entering the room, the nurse sees that the client is lying on the floor, with the bed linens around the legs. What is the most correctly written chart entry?

Recorder responded to client’s call light, upon entering the room, found client on floor.

PALMR

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問題一覧

Anxiety

4 to 12

Alcohol withdrawal can be life-threatening. Thus, detoxification needs to be done under medical supervision. Safe withdrawal can be accomplished with the administration of these medications except:

Diphenhydramine

As a nurse, you are aware of the most serious form of thiamine deficiency in alcoholics. If John experiences diplopia as well as poor muscle control, he might be having:

Wernicke’s Encephalopathy

To decrease use of denial, let John see the relationship between substance use and personal problems.

n/a

Measles is identified to be one of the six vaccine-preventable diseases included in the EPI. The earliest month that anti- measles vaccine can be given is:

9th month

Tetanus toxoid vaccination for women is important to prevent tetanus in both mother and the infant. A fourth dose of tetanus toxoid can yield how many percent of protection to the mother?

99%

BCG (Bacillus Calmette-Guerin) vaccine contains live, attenuated bacteria. To maintain its potency, the following should be considered except:

Use only one sterile syringe and needle per client.

Signed on 1976, this law provides for compulsory basic immunization for infants and children below 8 years of age

PD 996

Bacteria

The following are early signs and symptoms of leprosy except:

Clawing of fingers and toes

Which of the following test is used to diagnose leprosy?

Slit Skin Smear

Dapsone

Once a patient has complied with the prescribed treatment protocol, they are considered:

Cured

RA 11223

According to the Department of Health, this is the core and center of all health reforms under the Universal Health Care.

Paradigm shift to primary care

FOURmula One (F1) Plus

During the Aquino administration, this operational strategy was launched to achieve universal health care for all Filipinos.

Kalusugan Pangkalahatan

The Department of Health holds the overall technical authority on health as it is a national health policy-maker and regulatory institution. The agency is moving guided by its roadmap, and that is:

To lead the country in the development of a people- centered health system

III, V

In recognition of rabies in dogs, this can be classified as:

Positive Case Positive Case

Head

Dio’s mother told the clinic nurse that the dog had its shots, meaning it has no rabies. The nurse is correct if she answers:

“This is true only if the dog has had a booster shot.”

There are several causes of rabies in the community. Which of the following preventive measures should nurses emphasize?

Have the dogs vaccinated

Serve as bases for CHN programs to be managed properly

Carson was taken on a tour to the Paanakang Bayan where she learned that a woman had just given birth to a healthy baby boy. Carson is aware that the birth should be registered at the

Office of the Local Civil Registrar

MMR is the index of the obstetrical care needed and received by women in a community.

What formula can be used to compute the Maternal Mortality Rate?

On the other hand, to know the infant mortality rate, this formula should be used:

Philippine Package of Essential NCD Interventions

DOH listed the lifestyle related non-communicable diseases which are also included in the PhilPEN. Bobby is correct when he does not include which of the following?

Hyperthyroidism

Kush

10%

Nurse Bobby is aware that when educating clients, he needs to emphasize that any weight reduction program should involve regular exercise. This is because:

Decreasing caloric intake alone gets the BMR down.

The primary diagnostic tool in NTP case finding is DSSM.

As a nurse, you may consider the possibility of TB diagnosis if the sputum is:

Blood-streaked

Nurse Jasmine should educate the patient who will be taking Isoniazid all of the following EXCEPT:

Increase intake of Swiss cheese for good absorption of Isoniazid

I, II, III, IV

All of the above

Consists of two elements: health promotion and specific protection

Nurse Taylor took part in the water purification initiative by the Office of the City Mayor. To which level of prevention does this activity belong?

Primary

Nurse Taylor provided dietary instructions for family with overweight members. To which level of prevention does this activity belong?

Tertiary

To prevent dehydration, Nurse Taylor taught Karen, a mother, on how to give Oresol to her child suffering from diarrhea. To which level of prevention does this activity belong?

Secondary

Nurse Taylor referred a patient with spinal cord injury for occupational and physical therapy. To which level of prevention does this activity belong?

Tertiary

The nurse conducts data analysis and presents it to vasodilation and decreased blood pressure. the community, which enables them to generate their own solutions.

Community members

Huntahan

COPAR utilizes the process of community organizing. During which stage of community organizing will Nurse Joe work alongside the community to execute their proposed projects and programs?

Mobilization

“While expanding to another area, I can visit periodically as a friendly consultant.”

Reduced breakdown of bradykinin causing an increase in its levels.

Nurse Jungkook keeps in mind that this class of medications normalize the blood pressure of the patient by:

Preventing vasoconstriction resulting in vasodilation and decreased blood pressure.

Absence of difficulty

The most critical and immediate physiologic change required of the newborn is the onset of breathing. After Nurse Lalisa ensures proper breathing of the newborn, her next priority is:

Thermoregulation

Nurse Lalisa is teaching a student nurse about the Essential Newborn Care (ENC) Protocol. Which action requires immediate intervention?

Breastfeeding is initiated 90 minutes after birth.

“What would you like to talk about today?”

A patient stated to her, “I would be much better off without anyone beside me.” Nurse Yoncé would correctly respond by saying:

“Are you telling me that you feel lonely?”

A new nurse is being taught by Nurse Yoncé. When the patient said, “I am hearing voices in my head, and I am so scared right now.” Which statement by the new nurse requires follow-up?

“How is that possible if we are just alone in this room?”

The following are considered therapeutic communication techniques aside from:

Validating patient’s delusions

Reflecting

Abruptio placenta, placenta previa

When assessing an athletic multiparous patient with placenta previa, Nurse Alex will consider the following but not:

The degree to which the placenta covers the internal cervical os is generally estimated in centimeters.

A patient admitted with placenta previa presents with profuse vaginal bleeding. Immediate care measures must be instituted by Nurse Alex, but:

Attach internal monitoring equipment to record fetal heart sounds and uterine contractions.

Nurse Alex expects the patient with abruptio placenta to exhibit the following signs and symptoms except:

n/a

Which among the following actions of Nurse Alex towards the patient with abruptio placenta needs to be corrected?

Keep patient flat on bed rest.

Autonomy

Confidentiality

Fidelity

Nonmaleficence

Beneficence

Foramen ovale

The patient experienced a sore throat the last month

The development of rheumatic fever occurred from a complex between host immune system and which specific causative agent?

Streptococcus pyogenes

The doctor prescribed an antibiotic that is specific to the bacteria that caused the client to develop rheumatic fever. The nurse expects to prepare which among the medication

Penadur (Penicillin G Benzathine)

One of the affected organs in rheumatic fever is the heart. It causes inflammation of all parts of the heart primarily which heart valve?

Bicuspid valve

SITUATION: The following questions involves ethical dilemma. In the workplace, nurses will have to make a decision in a difficult situation. This occurs ethical dilemma and it does not exist when:

The nurse can easily make a choice between two alternatives

Code of ethics for Nurses

RA 9173

PRBON

When ethical issue arises, the nurses must maintain their professionalism. Which among the following is not part of nursing role and responsibility during ethical decision-making

The nurse must decide for the client in terms of conflict

Dysuria

Justice

The pore size of the membrane allows small particles to pass through such as proteins, creatinine, urea and water molecules

The nurse is preparing the client with external arteriovenous shunt in place for hemodialysis. The nurse should make which intervention?

Ensure that small clamps are attached to the AV shunt dressing

Advocacy

With fiscal planning, nurse managers may be directly involved in three types of budget. This type is known to be the largest of the budget expenditures.

Personnel budget

There are plans of renovating the east wing of Twice Medical Center. This will be included in planning which type of budget?

Capital budget

The cost of electricity and water consumption is included in which type of budget?

Operating budget

Which of the following is true about budgeting?

A budget is not a rule.

The nurse manager has been successful in personnel budgeting. This was measured through:

Structure audit

The radial artery can be used for puncture.

Determining normal arterial blood gas values are extremely important to assess for the presence of acid-base imbalances. The normal partial pressure of carbon dioxide in arterial blood is:

35–45

V, VI

ABG results of Patient Karina are the following: pH 7.45, PaCO2 of 27 mmHg and HCO3 of 18 mmol/L. These indicate:

Respiratory alkalosis, compensated

Aside from ABG analysis, Patient Donghae’s capillary oxygen saturation is also monitored. The normal value for this is:

95 – 100%

All of the above

Electronic health records (HER) is a digital version of patient data that is found in traditional paper records. All of the following are expected components of EHR except:

Patient and family interaction

Nurses are legally and ethically obligated to keep information about patients confidential. Nurse Patrick is not adhering to this obligation if he does which of the following?

He joins conversations of nurses discussing a patient’s condition.

After completing client care and documenting it in the progress notes, the nursing student discovered he had written in the wrong chart. What is the correct action?

Draw a single line through the documentation, write “mistaken entry” next to the original entry, and initial it.

100

Recorder responded to client’s call light, upon entering the room, found client on floor.