board question
問題一覧
1
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.
2
Mr. Mamamow, underwent an invasive diagnostic test to determine the location of the blockage which is needed for his CABG. This procedure is
cardiac catheterization
3
The nurse is teaching breathing exercises to Mr. Mamamow. At what phase of the peri-operative care is this BEST performed?
During the briefing period prior to the surgical procedure. A
4
Which of the following is a blood thinning drug and temporarily stopped by the physician prior to CABG due to possible bleeding.
Pradaxa
5
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.
6
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
7
When a 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
8
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
9
When a patient is ordered corticosteroids, which of the following drugs will produce therapeutic effects of reducing pain?
Prednisone
10
When severe vomiting occurs in this patient, it results to what particular condition?
Alkalosis
11
Which of the following statements is
INCORRECT of collaboration in a health care setting?
Interprofessional collaboration & multidisciplinary collaboration can be used interchangeably.
12
Nurse Dasurb received an order from attending physician of patient Dawter who was having a severe abdominal pain of almost a double dose of morphine S04. The nurse consulted her unit manager and the pharmacist regarding the order which was also questioned. The nurse called the attention of the physician regarding the dose of the drug and changed the order to an acceptable level. What relevant principle of collaboration is applied in this case?
I. Shared vision
II. Respect and trust
III. Communication
IV. Interpersonal relationship
I, II, II and IV
13
In a tertiary hospital where Geegee works as unit manager, an interdisciplinary team mode is adapted on collaboration of care. With this type of model, how is DECISION making made?
Partnership with the patient & team for the final decision.
14
Nurse Yowdawter, is a member of the Quality Assurance team of 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 & push control on others
15
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
16
In collecting sputum specimens, the nurse should instruct Roy to
breathe deeply and cough, expectorate into the sputum container,
17
The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative this type of pneumonia is
streptococcus pneumoniae
18
The nurse did an admission procedure. The BEST position to be assumed by Rohee is
Semi-fowler at least 30 degrees.
19
When a patient is diagnosed to have pneumonia, the breath sounds detected by the nurse on auscultation of the affected area would ibe
fine crackles
20
When there is respiratory depression resulting from drug overdose, the nurse have to watch for which of the following?
Bradypnea
21
When a patient is with hypothyroidism, the assessment findings of the nurse that is NOT present is
fine tremors of hands
22
In assessing the thyroid gland for size, shape, symmetry , consistency and presence of tenderness, the MOST appropriate examination modality is
palpation
23
After several thyroid diagnostic tests, Ms.
Nohwas ordered to take thyroid hormone (Levothyroxine). Which of the following nursing actions is NOT ADVISABLE in administering this drug? The nurse should give
a single dose daily after breakfast
24
After several thyroid diagnostic tests, Ms.
Nohwas ordered to take thyroid hormone (Levothyroxine). Which of the following nursing actions is NOT ADVISABLE in administering this drug? The nurse should give
a single dose daily after breakfast
25
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
26
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 intervention?
Space nursing activities to promote rest and sleep.
27
Which of the following statements indicates an effective communication technique used by the unit manager to her staff?
"We need to discuss strategic approaches to facilitate delivery of nursing service with less expenses on our consumers."
28
For the past 6 months, several nurses are resigning. Some have verbalized 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
29
Delegation is a critical component of leadership and governance. Which of the following empowering activities should the unit manager applies in delegation?
In delegation, facilitating professional growth and development of a staff is necessary.
30
Nurse Lany is guided that the initial step of delegation is
Determine the competency level of staff for the task being given
31
The unit manager is planning to take her regular official business leave for the Year. She has written a letter of recommendation to her immediate supervisor for her assistant unit manager to assume her position while she is on leave. This is an example of delegation by
Succession
32
When preparing a teaching plan for patient Shell, the following are the instructions provided to patients with Diabetes Mellitus. Which ONE of the teaching plan is considered NOT a PRIORITY concern when discussing the list with the patient?
Exercise in extreme heat and cold.
33
Shell was taught by Nurse Petron on how to administer self - injection insulin and rotation sites with use of the chart every day till her discharge.
The following is the procedure for the self- injection of insulin. Which of the following are the correct sequence in self administration of the drug?
I. Inject the insulin, push the plunger all the way in
II. With one hand stabilize the skin by spreading a large area
III. Pull the needle straight out of the skin and press cotton ball over injection site
IV. Pick-up syringe with the other had hold and insert needle to the skin.
V. Dispose syringe in a hard plastic container.
II, IV, I, III and V
34
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 beans, coffee
35
Considering that patient Caltex is a 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
36
The resumption 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 the SAFE period for an uncomplicated MI to
'resume sexual activity?
One month after MI.
37
Situation: Horavi, a 22-yr old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which November 16. The scheduled oath-taking ceremony was set on January 6, 2019.
To obtain her license to practice, she must do the following, EXCEPT:
Must register in the registration division of the PRC.
38
Situation: Horavi, a 22-yr old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which November 16. The scheduled oath-taking ceremony was set on January 6, 2019.
Nurse Horavi has to renew her professional identification card on or before
November 16, 2022
39
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
40
After 3 years being assigned in the Operating Room, Horavi is in interested to actively join which appropriate professional organization?
ORNAP
41
What would Horavi do to keep abreast with the latest trends in peri-operative nursing?
Attend training and seminars
42
In assessing a patient suffering from peritonitis, which of the following manifestations is
NOT likely to be present?
Abdominal gas
43
The overall goals set by the members of the health team once the patient is admitted include which of the following?
I. Relief of the abdominal pain
II. Resolution of inflammation Ill.
III. Provision of normal nutritional status
IV. Prevention from complications
I, II, III and IV
44
Diagnostic tests were ordered to the patient which included: complete blood count (CBC) and abdominal CT scan. The primary purpose for ordering CT scan is to determine PRESENCE
Abscess
45
Which of the following drugs do you expect to be ordered by the physician for severe acute pain?
Levorphanol (Lev-Drmn)
46
The physician 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
47
Which of the following statements is TRUE of
Quality Improvement?
Continually improve every process in the organization
48
As a QA nurse, which of the following can Nurse Cassidy adopts as concurrent evaluation of patient's outcomes in the unit?
I. Direct observation of patient's condition.
II. Patient's interview in the unit.
III.Face to Face interview with nursing staff.
IV.Nursing audit from the patient's chart.
I, II, III and IV
49
Nurse Cassidy distributed the patient satisfaction form to the admitted patients in the hospital, this tool is in compliance to the quality standards
patient care
50
The QA team was alerted 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?
I. Electrical wires
II. Combustuble materials
III.Entry, Exit of the building
IV.Infected waste materials
I, II, III and IV
51
The QA team has been bombarded by complaints of patients on their long waiting period in the OPD before the health care professionals are examining them. In response to the concern, which type of quality assessment should the team implement?
Structure evaluation
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51問 • 2年前問題一覧
1
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.
2
Mr. Mamamow, underwent an invasive diagnostic test to determine the location of the blockage which is needed for his CABG. This procedure is
cardiac catheterization
3
The nurse is teaching breathing exercises to Mr. Mamamow. At what phase of the peri-operative care is this BEST performed?
During the briefing period prior to the surgical procedure. A
4
Which of the following is a blood thinning drug and temporarily stopped by the physician prior to CABG due to possible bleeding.
Pradaxa
5
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.
6
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
7
When a 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
8
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
9
When a patient is ordered corticosteroids, which of the following drugs will produce therapeutic effects of reducing pain?
Prednisone
10
When severe vomiting occurs in this patient, it results to what particular condition?
Alkalosis
11
Which of the following statements is
INCORRECT of collaboration in a health care setting?
Interprofessional collaboration & multidisciplinary collaboration can be used interchangeably.
12
Nurse Dasurb received an order from attending physician of patient Dawter who was having a severe abdominal pain of almost a double dose of morphine S04. The nurse consulted her unit manager and the pharmacist regarding the order which was also questioned. The nurse called the attention of the physician regarding the dose of the drug and changed the order to an acceptable level. What relevant principle of collaboration is applied in this case?
I. Shared vision
II. Respect and trust
III. Communication
IV. Interpersonal relationship
I, II, II and IV
13
In a tertiary hospital where Geegee works as unit manager, an interdisciplinary team mode is adapted on collaboration of care. With this type of model, how is DECISION making made?
Partnership with the patient & team for the final decision.
14
Nurse Yowdawter, is a member of the Quality Assurance team of 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 & push control on others
15
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
16
In collecting sputum specimens, the nurse should instruct Roy to
breathe deeply and cough, expectorate into the sputum container,
17
The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative this type of pneumonia is
streptococcus pneumoniae
18
The nurse did an admission procedure. The BEST position to be assumed by Rohee is
Semi-fowler at least 30 degrees.
19
When a patient is diagnosed to have pneumonia, the breath sounds detected by the nurse on auscultation of the affected area would ibe
fine crackles
20
When there is respiratory depression resulting from drug overdose, the nurse have to watch for which of the following?
Bradypnea
21
When a patient is with hypothyroidism, the assessment findings of the nurse that is NOT present is
fine tremors of hands
22
In assessing the thyroid gland for size, shape, symmetry , consistency and presence of tenderness, the MOST appropriate examination modality is
palpation
23
After several thyroid diagnostic tests, Ms.
Nohwas ordered to take thyroid hormone (Levothyroxine). Which of the following nursing actions is NOT ADVISABLE in administering this drug? The nurse should give
a single dose daily after breakfast
24
After several thyroid diagnostic tests, Ms.
Nohwas ordered to take thyroid hormone (Levothyroxine). Which of the following nursing actions is NOT ADVISABLE in administering this drug? The nurse should give
a single dose daily after breakfast
25
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
26
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 intervention?
Space nursing activities to promote rest and sleep.
27
Which of the following statements indicates an effective communication technique used by the unit manager to her staff?
"We need to discuss strategic approaches to facilitate delivery of nursing service with less expenses on our consumers."
28
For the past 6 months, several nurses are resigning. Some have verbalized 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
29
Delegation is a critical component of leadership and governance. Which of the following empowering activities should the unit manager applies in delegation?
In delegation, facilitating professional growth and development of a staff is necessary.
30
Nurse Lany is guided that the initial step of delegation is
Determine the competency level of staff for the task being given
31
The unit manager is planning to take her regular official business leave for the Year. She has written a letter of recommendation to her immediate supervisor for her assistant unit manager to assume her position while she is on leave. This is an example of delegation by
Succession
32
When preparing a teaching plan for patient Shell, the following are the instructions provided to patients with Diabetes Mellitus. Which ONE of the teaching plan is considered NOT a PRIORITY concern when discussing the list with the patient?
Exercise in extreme heat and cold.
33
Shell was taught by Nurse Petron on how to administer self - injection insulin and rotation sites with use of the chart every day till her discharge.
The following is the procedure for the self- injection of insulin. Which of the following are the correct sequence in self administration of the drug?
I. Inject the insulin, push the plunger all the way in
II. With one hand stabilize the skin by spreading a large area
III. Pull the needle straight out of the skin and press cotton ball over injection site
IV. Pick-up syringe with the other had hold and insert needle to the skin.
V. Dispose syringe in a hard plastic container.
II, IV, I, III and V
34
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 beans, coffee
35
Considering that patient Caltex is a 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
36
The resumption 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 the SAFE period for an uncomplicated MI to
'resume sexual activity?
One month after MI.
37
Situation: Horavi, a 22-yr old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which November 16. The scheduled oath-taking ceremony was set on January 6, 2019.
To obtain her license to practice, she must do the following, EXCEPT:
Must register in the registration division of the PRC.
38
Situation: Horavi, a 22-yr old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which November 16. The scheduled oath-taking ceremony was set on January 6, 2019.
Nurse Horavi has to renew her professional identification card on or before
November 16, 2022
39
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
40
After 3 years being assigned in the Operating Room, Horavi is in interested to actively join which appropriate professional organization?
ORNAP
41
What would Horavi do to keep abreast with the latest trends in peri-operative nursing?
Attend training and seminars
42
In assessing a patient suffering from peritonitis, which of the following manifestations is
NOT likely to be present?
Abdominal gas
43
The overall goals set by the members of the health team once the patient is admitted include which of the following?
I. Relief of the abdominal pain
II. Resolution of inflammation Ill.
III. Provision of normal nutritional status
IV. Prevention from complications
I, II, III and IV
44
Diagnostic tests were ordered to the patient which included: complete blood count (CBC) and abdominal CT scan. The primary purpose for ordering CT scan is to determine PRESENCE
Abscess
45
Which of the following drugs do you expect to be ordered by the physician for severe acute pain?
Levorphanol (Lev-Drmn)
46
The physician 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
47
Which of the following statements is TRUE of
Quality Improvement?
Continually improve every process in the organization
48
As a QA nurse, which of the following can Nurse Cassidy adopts as concurrent evaluation of patient's outcomes in the unit?
I. Direct observation of patient's condition.
II. Patient's interview in the unit.
III.Face to Face interview with nursing staff.
IV.Nursing audit from the patient's chart.
I, II, III and IV
49
Nurse Cassidy distributed the patient satisfaction form to the admitted patients in the hospital, this tool is in compliance to the quality standards
patient care
50
The QA team was alerted 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?
I. Electrical wires
II. Combustuble materials
III.Entry, Exit of the building
IV.Infected waste materials
I, II, III and IV
51
The QA team has been bombarded by complaints of patients on their long waiting period in the OPD before the health care professionals are examining them. In response to the concern, which type of quality assessment should the team implement?
Structure evaluation