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RECALLS 3 - NP2
100問 • 5ヶ月前
  • CILENEY
  • 通報

    問題一覧

  • 1

    Situation: Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research. 1. The team leader decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means, she was further asked the reasons for its use. Nurse Trining's answer should be, which of the following? 1. To fully understand what the research is all about and what will happen should the participants opt to involve themselves in the research study 2. To get assurance that participants have the right to withdraw from participating in the research at any given time. 3. To get a complete and full information as to the objective of the study, procedures to be implemented, data collection, benefits and harm and options in the method of treatment. 4. To get assurance how anonymity and confidentiality will be maintained. The team leader decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means, she was further asked the reasons for its use. Nurse Trining's answer should be, which of the following?

    1, 2, 3 & 4

  • 2

    As to the observance of respecting privacy, Nurse Trining explained about

    confidentiality

  • 3

    In nursing, Nurse Trining explained that the MAIN goal of conducting a research is to _______.

    establish a credible body of evidence to support and improve the delivery of care.

  • 4

    In conducting a study on sleep, Nurse Trining was asked which of the types of research will be used should it involve collecting numerical data which is most often under considerable control. Her answer should be ___.

    Quantitative

  • 5

    Should a 24-hour period clinical observations and activities be considered in conducting the research on sleep, the type of study that Trining will be conducting is ______.

    Exploratory

  • 6

    Patient Presley asks the nurse why such a diagnostic procedure is required. What is the MOST APPROPRIATE answer can the nurse give?

    Urinary tract infections are strongly associated with the occurrence of preterm labor

  • 7

    Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse Hope about the purpose of this medication?

    Promote fetal lung maturity.

  • 8

    Patient Presley who is ordered for diagnostic pelvic ultrasound asks what preparation she'll take. Appropriate preparations for this procedure include __________.

    voiding

  • 9

    Pelvic ultrasound can detect, which of the following?

    Congenital defects in the structure, fetal gender, H-mole

  • 10

    The labor progress and the physician performed amniotomy. Nurse Hope should FIRST assess for ____.

    fetal heart rate (FHR) pattern

  • 11

    Which intervention should the nurse use to promote rest?

    Develop a routine with the patient to balance her studies and her rest needs.

  • 12

    Patient Sienna who seems to be irritated with the nurse said 'I don't want to talk with you because you're only a nurse. I will wait for my doctor.' Which of the following should the nurse say in response to the patient?

    So then you would prefer to speak with your doctor?

  • 13

    Nurse Mauve is now on ethical dilemma. This occurs when ______.

    there is a conflict of two or more ethical principles

  • 14

    Despite the reaction of the patient, which of the ethical' principles that the nurse is responsible of providing all patients with caring attention and information?

    Beneficence.

  • 15

    Nurse Mauve should plan to initiate which action to provide a safe environment?

    Take off the room lights and draw the window shades.

  • 16

    Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic process and often provide more information than can gained by broad testing strategies. History taking includes the following, EXCEPT ____________.

    Religious Affiliation

  • 17

    The objective of taking the history of present illness is to illicit chronologic description and duration of the chief complaint. Which of the following questions would try to answer what Nurse Nanie wishes to illicit?

    2,3 & 4

  • 18

    Past medical history section of Krini contains the following, but NOT ___________.

    Current history

  • 19

    Which of the following statements is TRUE?

    No proper history can be obtained without observation of child and the mother.

  • 20

    In order not to frighten small children, it is best to examine things that are uncomfortable or frightening to them last so as not to lose their cooperation. This means the LAST thing do child which of the following, EXCEPT _________.

    Undressing the child

  • 21

    Patient Ximena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do?

    Discuss the prescription with the physician.

  • 22

    The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse?

    Document the patient's refusal to take the medication.

  • 23

    As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit?

    Interdependently

  • 24

    Patient Ximena sought referral to an abortion clinic from the nurse. She reasons out that her pregnancy a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse?

    Inform her that abortion is morally and legally wrong by virtue of the law.

  • 25

    The incoming nurse on duty reported, the nurse is administering a medication, the patient says, 'This pill looks different from the one I had taken before.' What is the APPROPRIATE action of the nurse?

    Check the original medication prescription.

  • 26

    She was asked by the nurse supervisor about her concern and what are the considered ideal fetal positions for a healthy delivery?

    Right occipitoposterior with full flexion.

  • 27

    The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse's CORRECT response is

    to assess fetus’ well-being

  • 28

    The newly hired nurse asks for advice from the supervisor. The supervisor notices that the newly hired nurse felt uneasy upon learning that the fetus is on breech presentation. Which of the following is the BEST RESPONSE by the supervisor?

    'I understand how you feel. Tell me more.'

  • 29

    After the successful vaginal delivery, medication was ordered to be given immediately. The supervisor reassured the newly hired nurse that everything will be fine because the medication will ______.

    hasten uterine contractility and control bleeding

  • 30

    The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do?

    Relate to each twin individually to enhance the attachment process.

  • 31

    Which additional finding confirms the diagnosis that the patient has mastitis?

    Hard mass and reddened area

  • 32

    Lillian asks the nurse the cause of this ailment. Which of the following would the nurse explain as predisposing factors of mastitis? (Select a that apply) I. Milk stasis II. Nipple trauma III. Using alcohol in cleaning nipples IV. Baby's sitting position

    I and II

  • 33

    Lillian complains of unbearable pain. Which of the following characteristics are EMPHASIZED in a culturally sensitive nursing care? (Select all that apply) I. The expression of pain is affected by learned behavior. II. Physiologically, all individuals experience pain in a similar manner. III. Some Asian people has high response to pain medications. IV. Patients should be assessed for pain regardless of overt symptomatology.

    III and IV

  • 34

    Nurse Addison provides instructions about measures to prevent postpartum mastitis who is breast feeding her newborn. Which of the following would indicate that the mother needs further instruction? 'I should____.’

    wash my nipples with soap and water prior to feeding

  • 35

    Considering her level of knowledge and the anxiety of her condition, Patient Lillian raised questions on possible ways of relieving her breast discomfort. Which of the statements NEEDS further instructions?

    'I have to stop breastfeeding until this condition resolves.'

  • 36

    Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn's condition is used at how many minutes after birth?

    1 to 5

  • 37

    Nurse Lyca is aware that testing of vision in infants and children has been treated separately from the testing of adult. Which of the statement is NOT true?

    Some infants who appear visually impaired early in life will not show normal visual responses several weeks or months later.

  • 38

    The false statement about physiologic jaundice in the statements below is

    Caused by impairment in the removal of bilirubin deficiency in the production of glucoronide transferase.

  • 39

    Neonatal jaundice FIRST becomes visible in which of the following parts? 1. Face 2. Forehead 3. Trunk 4. Extremities

    1 & 2

  • 40

    When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT ____.

    maintaining physiological homeostasis with bilirubin levels increasing

  • 41

    When the patient was informed about induction, she asks Nurse Aurora what it is all about. Which of the following statement by the nurse is correct? Induction is a _______.

    deliberate initiation of uterine contractions that stimulates labor

  • 42

    Which of the following statement is NOT an indication for any uterine stimulants (Oxytocin)?

    Preinducting cervical ripening

  • 43

    Oxytocin drip was started to induce labor. Which assessment findings should cause the nurse to IMMEDIATELY discontinue the oxytocin infusion? (Select all that apply) I. Fatigue and drowsiness II. Early decelerations of the fetal heart rate. III. Uterine hyperstimulation IV. Late decelerations of the fetal heart rate

    III and IV

  • 44

    Simultaneous with the oxytocin drip (left arm) is the prescribed intravenous (IV) lidocaine (Xylocaine). Nurse Aurora should dilute the concentrated solution of lidocaine (right arm) with which solution?

    Normal saline 0.99 percent

  • 45

    Take home medications given to Patient Lily includes digitalis therapy which was given to patient since she was pregnant. Which of the following would the nurse anticipate with patient's drug therapy?

    Addition of diuretic to the regimen.

  • 46

    When preparing the patient for suctioning, what is the FIRST step?

    Perform hand hygiene

  • 47

    Patient Irma will be placed in which of the following position? Select all that apply. 1. Fowler 2. Semi-Fowler 3. Supine 4. Sim

    1 & 2

  • 48

    Usually the common indication (s) for the tracheostomy in Patient Irma's condition is which of the following? (Select all that apply.) 1. Prolonged intubation. 2. Sepsis 3. Hypoventilation associated with neurologic disorders. 4. Severe Sleep Obstructive Apnea Syndrome (SOAS)

    1, 2, 3 & 4

  • 49

    The PRIORITY nursing objective when caring a patient with a tracheostomy is ______.

    To provide patent airway

  • 50

    The TOP nursing expected outcome when performing suctioning is ______.

    Secretions removed without complication.

  • 51

    The first standard step in oxygen therapy that the nurse should do is _______.

    check the chart for ordered flow rate and oxygen delivery method

  • 52

    In planning for Sonny's oxygen therapy, the nurse should consider which of the following, EXCEPT _____.

    determine the age of Excel.

  • 53

    Which of the following is the PRIORITY action of the nurse for Sonny who in on oxygen therapy?

    Turn on the oxygen.

  • 54

    What PRIORITY precautionary measure should be done by the nurse during the oxygen therapy?

    Put No Smoking sign.

  • 55

    One evening, Sonny complained of dyspnea despite continuous oxygen therapy. What should be the FIRST action of the nurse?

    Reassess the client.

  • 56

    What should be the INITIAL STEP in the process of change for the senior nurse.

    Identify the inefficiency that needs improvement or correction.

  • 57

    Which patient should the nurse assign to the midwife because of patient needs that cannot be met by the nursing assistant? A patient requiring _______.

    dressing change of post caesarian surgery

  • 58

    Which situation represents the primary nursing care delivery model?

    The nurse performs all tasks needed by the individual patient to optimize health.

  • 59

    What modality of nursing care is implemented when a private duty nurse is responsible for providing holistic care to her post-caesarian patient during the shift?

    Total care

  • 60

    At which stage of Lewin's planned change indicates the nurse identifying, planning and implementing appropriate strategies ensuring that driving forces exceed restraining forces?

    movement

  • 61

    Situation: Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020. Based on the nurse's computation utilizing Nagele's rule, the patient's expected date of birth (EDB) will be on ________.

    July 17, 2021

  • 62

    Which of the following is the MOST common emotional response among women during the first trimester of pregnancy?

    Ambivalence

  • 63

    Olivia mentioned that she can experience uterine squeezing. Which of the following signs of normal pregnancy should the nurse consider?

    Braxton-Hicks contractions

  • 64

    Nurse Emma advised the patient to quit smoking because nicotine will contribute to ________.

    low birth weight infant.

  • 65

    Emotional lability is common to pregnant women. Identify which following reactions is accepted as part of a normal pregnancy?

    Mood swings

  • 66

    Which of the following would BEST help Nurse Lingling in conducting evaluation?

    Change in behavior

  • 67

    Which of the following aspects should nurses continually teach patients to do? 1. Disease or disorder 2. Diet modification 3. Treatments 4. Self care

    1, 2, 3, 4

  • 68

    The first step in teaching is assessing which of the following? 1. Learning needs 2. Knowledge deficit 3. Education background 4. Social Status

    1, 2, 3

  • 69

    Which of the following environmental factors affect learning?

    All of the above

  • 70

    Which of the following are good sources for teaching?

    AOTA

  • 71

    In what way will the nurse handle the situation of Ramon's dying, depressed father?

    Encourage the mother to express more about her thoughts and feelings.

  • 72

    The APPROPRIATE nursing diagnosis to protect the patient from further injury is, which of the following?

    Risk for injury related to thrombocytopenia.

  • 73

    Mouth sores have developed in the child's mouth. The father asks nurse the reasons for this. The MOST APPROPRIATE response is ______.

    Mouth sores result because the cells of the mouth are sensitive to chemotherapy.

  • 74

    Ramon died at 10:00 PM. His father cried much and refused to move Ramon's body. What is the APPROPRIATE approach of the nurse?

    Leave the mother and the child for the last time.

  • 75

    The nurse's MAIN responsibility in preparing Ramon's discharge is, which of the following?

    Prepare Ramon's cadaver.

  • 76

    To be able to justify the conduct of any in-service training program in a hospital, which of the following should be the bases for the implementation of the program?

    Needs assessment, Needs analysis, Incident Reports

  • 77

    The BEST rationale for the conduct of the program is which of the following?

    Deliver safe and quality nursing care to patients on intravenous therapy

  • 78

    Which of the following is the most common complication that IV patients may contract while on IV therapy?

    Phlebitis

  • 79

    Participants may avail of Continuing Professional Development (CPD) units if Nurse Mendoza had filed the program to be CPD accredited to which of the following?

    Professional Regulation Commission

  • 80

    The participants should know the way by which they may obtain CPD units aside from attending in-service training programs, which are, EXCEPT _________.

    joining nursing service committees

  • 81

    Nurse Hailey discusses the 2020 National Health Goals. Which of the following statements is an EXCEPTION in planning sexual health programs.

    Reduce deaths from cancer resulting from uterine myomas.

  • 82

    Maternal and child Nursing is a concept under the National Goals. Which objective should Nurse Bailey emphasize to support the program?

    Promote the well-being of the mother's family life and family planning.

  • 83

    Which of the following topics should the patient feel MORE comfortable when reproductive anatomy and physiology is discussed with the nurse?

    Sexual health education.

  • 84

    When can the patient tell all information to the nurse?

    Once the feeling of security is established in the nurse-patient relationship

  • 85

    Which nursing diagnosis is NOT RELEVANT to sexual health?

    Anxiety-related inability to conceive after six months.

  • 86

    Nurse Sophie administers oxygen to patient Ruby and implements additional measures to prevent a sickling crisis from occurring?

    Maintains adequate hydration.

  • 87

    On the assessment of the infusion at 2 pm, what would be the level of the remaining amount in the IV bag after running at 80 ml/hr from 9 am for a 1000 ml solution?

    None of the above

  • 88

    The patient began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. The patient complains of difficulty of breathing, itching and a tight sensation in the chest. Which is the IMMEDIATE action of the nurse?

    Stop the infusion.

  • 89

    Nurse Sophie checks the gauge of the patient's intravenous catheter. Which is the smallest gauge catheter that the nurse can use to administer blood?

    22-Gauge

  • 90

    The nurse reviews the patient's plan of care. Which of the following nursing diagnoses will be the PRIORITY?

    Fluid volume, deficit

  • 91

    The BEST reason why Nurse Nilda opted to review Erikson's psychosocial theory is, which of the following statements?

    Completion of task results in a sense of competence and a healthy personality.

  • 92

    Nurse Nilda immediately responds to any cry from her pediatric patients because it is, which of the following reasons?

    a powerful influence over that individual's interactions with others for the remainder of his/her life

  • 93

    Nurse Nilda is attending to a two-year-old Neneng who was admitted due to chronic bronchitis. Neneng sports a long hair that extends up to her shoulder. As part of the morning care, Nurse Nilda decided to style Neneng's hair into a pony tail. However, Neneng vehemently resisted her hair being tied by a rubber band. The BEST thing that Nurse Nilda should do is, which of the following?

    Allow Neneng's preference.

  • 94

    Joji 17 years old, is admitted in a private room due to influenza. In one of Nurse Nilda's conversation is with Joji, the patient expressed is unhappiness with the program he is taking up in college. This is not his choice but rather the choice of his parents. In which of Erikson's stage of development does this case fall?

    Identity versus role confusion

  • 95

    When a 3-year-old patient of Nurse Nilda asserts to choose the pants and shirt to wear to include food preference. Based on Erikson's developmental tasks, the child's such behavior is attributed to their which of the following?

    discovering they have a will of their own

  • 96

    When a patient is admitted to the OB ward with complains of dizziness and body weakness, this is an example of ________.

    subjective data

  • 97

    What are the possible cases that need informed consent?

    Subjecting the patient to an invasive procedure

  • 98

    Which of the following is a PRIORITY case for an incident report to be accomplished?

    Patient fell from the bed.

  • 99

    On which occasion would a nurse can be charged with negligence?

    Giving the patient the wrong medication.

  • 100

    What tasks can be delegated to his nursing assistant during his tour of duty.

    Taking vital signs.

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    問題一覧

  • 1

    Situation: Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research. 1. The team leader decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means, she was further asked the reasons for its use. Nurse Trining's answer should be, which of the following? 1. To fully understand what the research is all about and what will happen should the participants opt to involve themselves in the research study 2. To get assurance that participants have the right to withdraw from participating in the research at any given time. 3. To get a complete and full information as to the objective of the study, procedures to be implemented, data collection, benefits and harm and options in the method of treatment. 4. To get assurance how anonymity and confidentiality will be maintained. The team leader decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means, she was further asked the reasons for its use. Nurse Trining's answer should be, which of the following?

    1, 2, 3 & 4

  • 2

    As to the observance of respecting privacy, Nurse Trining explained about

    confidentiality

  • 3

    In nursing, Nurse Trining explained that the MAIN goal of conducting a research is to _______.

    establish a credible body of evidence to support and improve the delivery of care.

  • 4

    In conducting a study on sleep, Nurse Trining was asked which of the types of research will be used should it involve collecting numerical data which is most often under considerable control. Her answer should be ___.

    Quantitative

  • 5

    Should a 24-hour period clinical observations and activities be considered in conducting the research on sleep, the type of study that Trining will be conducting is ______.

    Exploratory

  • 6

    Patient Presley asks the nurse why such a diagnostic procedure is required. What is the MOST APPROPRIATE answer can the nurse give?

    Urinary tract infections are strongly associated with the occurrence of preterm labor

  • 7

    Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse Hope about the purpose of this medication?

    Promote fetal lung maturity.

  • 8

    Patient Presley who is ordered for diagnostic pelvic ultrasound asks what preparation she'll take. Appropriate preparations for this procedure include __________.

    voiding

  • 9

    Pelvic ultrasound can detect, which of the following?

    Congenital defects in the structure, fetal gender, H-mole

  • 10

    The labor progress and the physician performed amniotomy. Nurse Hope should FIRST assess for ____.

    fetal heart rate (FHR) pattern

  • 11

    Which intervention should the nurse use to promote rest?

    Develop a routine with the patient to balance her studies and her rest needs.

  • 12

    Patient Sienna who seems to be irritated with the nurse said 'I don't want to talk with you because you're only a nurse. I will wait for my doctor.' Which of the following should the nurse say in response to the patient?

    So then you would prefer to speak with your doctor?

  • 13

    Nurse Mauve is now on ethical dilemma. This occurs when ______.

    there is a conflict of two or more ethical principles

  • 14

    Despite the reaction of the patient, which of the ethical' principles that the nurse is responsible of providing all patients with caring attention and information?

    Beneficence.

  • 15

    Nurse Mauve should plan to initiate which action to provide a safe environment?

    Take off the room lights and draw the window shades.

  • 16

    Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic process and often provide more information than can gained by broad testing strategies. History taking includes the following, EXCEPT ____________.

    Religious Affiliation

  • 17

    The objective of taking the history of present illness is to illicit chronologic description and duration of the chief complaint. Which of the following questions would try to answer what Nurse Nanie wishes to illicit?

    2,3 & 4

  • 18

    Past medical history section of Krini contains the following, but NOT ___________.

    Current history

  • 19

    Which of the following statements is TRUE?

    No proper history can be obtained without observation of child and the mother.

  • 20

    In order not to frighten small children, it is best to examine things that are uncomfortable or frightening to them last so as not to lose their cooperation. This means the LAST thing do child which of the following, EXCEPT _________.

    Undressing the child

  • 21

    Patient Ximena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do?

    Discuss the prescription with the physician.

  • 22

    The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse?

    Document the patient's refusal to take the medication.

  • 23

    As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit?

    Interdependently

  • 24

    Patient Ximena sought referral to an abortion clinic from the nurse. She reasons out that her pregnancy a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse?

    Inform her that abortion is morally and legally wrong by virtue of the law.

  • 25

    The incoming nurse on duty reported, the nurse is administering a medication, the patient says, 'This pill looks different from the one I had taken before.' What is the APPROPRIATE action of the nurse?

    Check the original medication prescription.

  • 26

    She was asked by the nurse supervisor about her concern and what are the considered ideal fetal positions for a healthy delivery?

    Right occipitoposterior with full flexion.

  • 27

    The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse's CORRECT response is

    to assess fetus’ well-being

  • 28

    The newly hired nurse asks for advice from the supervisor. The supervisor notices that the newly hired nurse felt uneasy upon learning that the fetus is on breech presentation. Which of the following is the BEST RESPONSE by the supervisor?

    'I understand how you feel. Tell me more.'

  • 29

    After the successful vaginal delivery, medication was ordered to be given immediately. The supervisor reassured the newly hired nurse that everything will be fine because the medication will ______.

    hasten uterine contractility and control bleeding

  • 30

    The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do?

    Relate to each twin individually to enhance the attachment process.

  • 31

    Which additional finding confirms the diagnosis that the patient has mastitis?

    Hard mass and reddened area

  • 32

    Lillian asks the nurse the cause of this ailment. Which of the following would the nurse explain as predisposing factors of mastitis? (Select a that apply) I. Milk stasis II. Nipple trauma III. Using alcohol in cleaning nipples IV. Baby's sitting position

    I and II

  • 33

    Lillian complains of unbearable pain. Which of the following characteristics are EMPHASIZED in a culturally sensitive nursing care? (Select all that apply) I. The expression of pain is affected by learned behavior. II. Physiologically, all individuals experience pain in a similar manner. III. Some Asian people has high response to pain medications. IV. Patients should be assessed for pain regardless of overt symptomatology.

    III and IV

  • 34

    Nurse Addison provides instructions about measures to prevent postpartum mastitis who is breast feeding her newborn. Which of the following would indicate that the mother needs further instruction? 'I should____.’

    wash my nipples with soap and water prior to feeding

  • 35

    Considering her level of knowledge and the anxiety of her condition, Patient Lillian raised questions on possible ways of relieving her breast discomfort. Which of the statements NEEDS further instructions?

    'I have to stop breastfeeding until this condition resolves.'

  • 36

    Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn's condition is used at how many minutes after birth?

    1 to 5

  • 37

    Nurse Lyca is aware that testing of vision in infants and children has been treated separately from the testing of adult. Which of the statement is NOT true?

    Some infants who appear visually impaired early in life will not show normal visual responses several weeks or months later.

  • 38

    The false statement about physiologic jaundice in the statements below is

    Caused by impairment in the removal of bilirubin deficiency in the production of glucoronide transferase.

  • 39

    Neonatal jaundice FIRST becomes visible in which of the following parts? 1. Face 2. Forehead 3. Trunk 4. Extremities

    1 & 2

  • 40

    When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT ____.

    maintaining physiological homeostasis with bilirubin levels increasing

  • 41

    When the patient was informed about induction, she asks Nurse Aurora what it is all about. Which of the following statement by the nurse is correct? Induction is a _______.

    deliberate initiation of uterine contractions that stimulates labor

  • 42

    Which of the following statement is NOT an indication for any uterine stimulants (Oxytocin)?

    Preinducting cervical ripening

  • 43

    Oxytocin drip was started to induce labor. Which assessment findings should cause the nurse to IMMEDIATELY discontinue the oxytocin infusion? (Select all that apply) I. Fatigue and drowsiness II. Early decelerations of the fetal heart rate. III. Uterine hyperstimulation IV. Late decelerations of the fetal heart rate

    III and IV

  • 44

    Simultaneous with the oxytocin drip (left arm) is the prescribed intravenous (IV) lidocaine (Xylocaine). Nurse Aurora should dilute the concentrated solution of lidocaine (right arm) with which solution?

    Normal saline 0.99 percent

  • 45

    Take home medications given to Patient Lily includes digitalis therapy which was given to patient since she was pregnant. Which of the following would the nurse anticipate with patient's drug therapy?

    Addition of diuretic to the regimen.

  • 46

    When preparing the patient for suctioning, what is the FIRST step?

    Perform hand hygiene

  • 47

    Patient Irma will be placed in which of the following position? Select all that apply. 1. Fowler 2. Semi-Fowler 3. Supine 4. Sim

    1 & 2

  • 48

    Usually the common indication (s) for the tracheostomy in Patient Irma's condition is which of the following? (Select all that apply.) 1. Prolonged intubation. 2. Sepsis 3. Hypoventilation associated with neurologic disorders. 4. Severe Sleep Obstructive Apnea Syndrome (SOAS)

    1, 2, 3 & 4

  • 49

    The PRIORITY nursing objective when caring a patient with a tracheostomy is ______.

    To provide patent airway

  • 50

    The TOP nursing expected outcome when performing suctioning is ______.

    Secretions removed without complication.

  • 51

    The first standard step in oxygen therapy that the nurse should do is _______.

    check the chart for ordered flow rate and oxygen delivery method

  • 52

    In planning for Sonny's oxygen therapy, the nurse should consider which of the following, EXCEPT _____.

    determine the age of Excel.

  • 53

    Which of the following is the PRIORITY action of the nurse for Sonny who in on oxygen therapy?

    Turn on the oxygen.

  • 54

    What PRIORITY precautionary measure should be done by the nurse during the oxygen therapy?

    Put No Smoking sign.

  • 55

    One evening, Sonny complained of dyspnea despite continuous oxygen therapy. What should be the FIRST action of the nurse?

    Reassess the client.

  • 56

    What should be the INITIAL STEP in the process of change for the senior nurse.

    Identify the inefficiency that needs improvement or correction.

  • 57

    Which patient should the nurse assign to the midwife because of patient needs that cannot be met by the nursing assistant? A patient requiring _______.

    dressing change of post caesarian surgery

  • 58

    Which situation represents the primary nursing care delivery model?

    The nurse performs all tasks needed by the individual patient to optimize health.

  • 59

    What modality of nursing care is implemented when a private duty nurse is responsible for providing holistic care to her post-caesarian patient during the shift?

    Total care

  • 60

    At which stage of Lewin's planned change indicates the nurse identifying, planning and implementing appropriate strategies ensuring that driving forces exceed restraining forces?

    movement

  • 61

    Situation: Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020. Based on the nurse's computation utilizing Nagele's rule, the patient's expected date of birth (EDB) will be on ________.

    July 17, 2021

  • 62

    Which of the following is the MOST common emotional response among women during the first trimester of pregnancy?

    Ambivalence

  • 63

    Olivia mentioned that she can experience uterine squeezing. Which of the following signs of normal pregnancy should the nurse consider?

    Braxton-Hicks contractions

  • 64

    Nurse Emma advised the patient to quit smoking because nicotine will contribute to ________.

    low birth weight infant.

  • 65

    Emotional lability is common to pregnant women. Identify which following reactions is accepted as part of a normal pregnancy?

    Mood swings

  • 66

    Which of the following would BEST help Nurse Lingling in conducting evaluation?

    Change in behavior

  • 67

    Which of the following aspects should nurses continually teach patients to do? 1. Disease or disorder 2. Diet modification 3. Treatments 4. Self care

    1, 2, 3, 4

  • 68

    The first step in teaching is assessing which of the following? 1. Learning needs 2. Knowledge deficit 3. Education background 4. Social Status

    1, 2, 3

  • 69

    Which of the following environmental factors affect learning?

    All of the above

  • 70

    Which of the following are good sources for teaching?

    AOTA

  • 71

    In what way will the nurse handle the situation of Ramon's dying, depressed father?

    Encourage the mother to express more about her thoughts and feelings.

  • 72

    The APPROPRIATE nursing diagnosis to protect the patient from further injury is, which of the following?

    Risk for injury related to thrombocytopenia.

  • 73

    Mouth sores have developed in the child's mouth. The father asks nurse the reasons for this. The MOST APPROPRIATE response is ______.

    Mouth sores result because the cells of the mouth are sensitive to chemotherapy.

  • 74

    Ramon died at 10:00 PM. His father cried much and refused to move Ramon's body. What is the APPROPRIATE approach of the nurse?

    Leave the mother and the child for the last time.

  • 75

    The nurse's MAIN responsibility in preparing Ramon's discharge is, which of the following?

    Prepare Ramon's cadaver.

  • 76

    To be able to justify the conduct of any in-service training program in a hospital, which of the following should be the bases for the implementation of the program?

    Needs assessment, Needs analysis, Incident Reports

  • 77

    The BEST rationale for the conduct of the program is which of the following?

    Deliver safe and quality nursing care to patients on intravenous therapy

  • 78

    Which of the following is the most common complication that IV patients may contract while on IV therapy?

    Phlebitis

  • 79

    Participants may avail of Continuing Professional Development (CPD) units if Nurse Mendoza had filed the program to be CPD accredited to which of the following?

    Professional Regulation Commission

  • 80

    The participants should know the way by which they may obtain CPD units aside from attending in-service training programs, which are, EXCEPT _________.

    joining nursing service committees

  • 81

    Nurse Hailey discusses the 2020 National Health Goals. Which of the following statements is an EXCEPTION in planning sexual health programs.

    Reduce deaths from cancer resulting from uterine myomas.

  • 82

    Maternal and child Nursing is a concept under the National Goals. Which objective should Nurse Bailey emphasize to support the program?

    Promote the well-being of the mother's family life and family planning.

  • 83

    Which of the following topics should the patient feel MORE comfortable when reproductive anatomy and physiology is discussed with the nurse?

    Sexual health education.

  • 84

    When can the patient tell all information to the nurse?

    Once the feeling of security is established in the nurse-patient relationship

  • 85

    Which nursing diagnosis is NOT RELEVANT to sexual health?

    Anxiety-related inability to conceive after six months.

  • 86

    Nurse Sophie administers oxygen to patient Ruby and implements additional measures to prevent a sickling crisis from occurring?

    Maintains adequate hydration.

  • 87

    On the assessment of the infusion at 2 pm, what would be the level of the remaining amount in the IV bag after running at 80 ml/hr from 9 am for a 1000 ml solution?

    None of the above

  • 88

    The patient began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. The patient complains of difficulty of breathing, itching and a tight sensation in the chest. Which is the IMMEDIATE action of the nurse?

    Stop the infusion.

  • 89

    Nurse Sophie checks the gauge of the patient's intravenous catheter. Which is the smallest gauge catheter that the nurse can use to administer blood?

    22-Gauge

  • 90

    The nurse reviews the patient's plan of care. Which of the following nursing diagnoses will be the PRIORITY?

    Fluid volume, deficit

  • 91

    The BEST reason why Nurse Nilda opted to review Erikson's psychosocial theory is, which of the following statements?

    Completion of task results in a sense of competence and a healthy personality.

  • 92

    Nurse Nilda immediately responds to any cry from her pediatric patients because it is, which of the following reasons?

    a powerful influence over that individual's interactions with others for the remainder of his/her life

  • 93

    Nurse Nilda is attending to a two-year-old Neneng who was admitted due to chronic bronchitis. Neneng sports a long hair that extends up to her shoulder. As part of the morning care, Nurse Nilda decided to style Neneng's hair into a pony tail. However, Neneng vehemently resisted her hair being tied by a rubber band. The BEST thing that Nurse Nilda should do is, which of the following?

    Allow Neneng's preference.

  • 94

    Joji 17 years old, is admitted in a private room due to influenza. In one of Nurse Nilda's conversation is with Joji, the patient expressed is unhappiness with the program he is taking up in college. This is not his choice but rather the choice of his parents. In which of Erikson's stage of development does this case fall?

    Identity versus role confusion

  • 95

    When a 3-year-old patient of Nurse Nilda asserts to choose the pants and shirt to wear to include food preference. Based on Erikson's developmental tasks, the child's such behavior is attributed to their which of the following?

    discovering they have a will of their own

  • 96

    When a patient is admitted to the OB ward with complains of dizziness and body weakness, this is an example of ________.

    subjective data

  • 97

    What are the possible cases that need informed consent?

    Subjecting the patient to an invasive procedure

  • 98

    Which of the following is a PRIORITY case for an incident report to be accomplished?

    Patient fell from the bed.

  • 99

    On which occasion would a nurse can be charged with negligence?

    Giving the patient the wrong medication.

  • 100

    What tasks can be delegated to his nursing assistant during his tour of duty.

    Taking vital signs.