NP2

82. Advertisement (ads) on television is said to be a contributory factor for obesity. What could be a GOOD advice to adolescents like Myra regarding these ads that can be contributory to malnutrition? * a. "Check nutritional contents before buying foods." b. "Follow your desire for food and drinks." c. "What you see is what you get." d. "There is no truth in advertisements."

A

83. Myra went to see a nutritionist. She is overweight for her height. What is the normal weight, in POUNDS, for Myra who is 5 feet tall? * a. 90 b. 75 c. 85 d. 80

A

9. Which of the following directly VIOLATES the Patient's Bill of Rights? * a. Informing patients about the billing policies of the hospital b. Disclosing the HIV result to remembers of the patient's family. c. Honestly telling the patient about his current condition d. Immediately referring results of laboratory to the physician.

B

35. At 7 AM, the nurse receives the information that Joyjoy has a 6 AM fasting blood glucose level of 1809 mg/dL. What should be her PIORITY nursing action? * a. Inform Adel that a complex carbohydrate such as cheese should be eaten. b. Encourage Adel to start exercising and to continue for 5 minutes. c. Tell Adel that the prescribed dose of regular insulin should be administered. d. Ask Adel to obtain again an immediate glucometer reading.

C

36. Which of the following should be the PRIMARY consideration by the nurse when charting the Chief Complaint? The ___________. * a. Number of significant accompanying symptoms b. Objective symptom presented c. Subjective symptom presented d. Significant reason for the child's hospitalization

C

38. When getting the data on the subjective symptom of the abdominal pain, which of the following should the nurse RELY on? * a. Mother's verbal complaint b. Result of the abdominal percussion c. Patient's verbal complaint d. Result of auscultation of the abdomen

C

45. The nurse is planning a meal that would provide IRON for a child with bleeding disorders. Which dinner menu would be the BEST? * a. Chicken nuggets, macaroni, peas, cantaloupe, milk b. Fish sticks, French fries, banana, cookies, milk c. Ground beef patty, lima beans, wheat roll, raisins, milk d. Peanut butter and jelly sandwich, apple slices, milk

C

51. What are some of the general symptoms the PRIMARY HIV infection? The nurse enumerated the following. Which among these are CORRECT? 1. Fatigue 4. Sore throat 2. Headache 5. Cough 3. Fever 6. Dyspnea * a. 1, 2, 3, 5, 6 b. 1, 2, 4, 5, c. 1, 2, 3, 4 d. 2, 3, 4, 6

C

58. The abusive parent usually manifests one of the following characteristics EXCEPT________ * a. History of severe mental illness b. History of drug abuse c. Belongs to low-income group d. Low tolerance for frustration

C

62. Which among the infants would show signs that he/she is experiencing maternal deprivation? * a. Hyperactive b. Overweight c. prone to illness d. responsive to stimuli

C

64. When teaching a mother how to prevent accidents while caring for her 6-month-old infant, Nurse Ella should emphasize that at this age, the infant can already do which of the following developmental milestone? * a. Stand while holding on to furniture. b. Crawl short distances. c. Roll over from back to abdomen. d. Sit up without assistance.

C

68. As member of the health team, nurses are expected to collaborate with other health care professionals for unity and cooperation. What bio- ethical principle is this? * a. Fidelity b. Stewardship c. Solidarity d. Totality

C

73. Looking at the medication sheet, the charge nurse noted that Nurse Jon used the CORRECT ROUTE in the administration of the vaccine, which was_______________. * a. Rectal b. Intradermal c. Subcutaneous d. Intramuscular

C

74. After administration of the vaccine, health teaching was also charted by the staff nurse. Which of the following is the CORRECT one? * a. Immediate follow-up check up b. Nothing Per Orem c. No pregnancy for 3 months d. Avoid exposure to Rubella

C

77. When questioned, Stella admitted that she sometimes has several glasses of wine with dinner. Her alcohol consumption puts her fetus at risk for which condition? * a. Alcohol addiction b. Anencephaly c. Learning disability d. Down syndrome

C

78. To help determine whether Stella is at risk for a toxoplasmosis infection, what will the nurse ask the client? * a. "Have you ever had osteomyelitis?" b. "Have you recently has a rubeola vaccination?" c. "Do you have any cats at home?" d. "Do you have any birds at home?"

C

81. Which of the following is NOT a CORRECT statement about malnutrition? Malnutrition is for ____________. * a. Both the urban and rural areas b. Both the poor and the rich c. The underweight as family income increases d. The overweight as family income increases

C

80. Stella also admitted to Nurse Belle that she also use cocaine at least once per day, skipping meals at times. Which nursing diagnosis is MOST appropriate for her? * a. Activity intolerance related to decreased tissue oxygenation. b. Risk for infection related to metabolic and vascular abnormalities. c. Impaired gas exchange related to respiratory effects of substance abuse. d. Impaired nutrition: less than body requirements related to limited food intake.

D

84. How can Myra be helped to reduce her weight? She can be advised to cut intake of which of the following? * a. Salt, protein and fats b.Carbohydrates, vitamins and salts c. Carbohydrates, fats and salts d. Fats, protein and sweets

D

6. Which of the following is NOT aligned to ethics in nursing? A Nurse ______. * a. Has the freedom to do what he likes sans responsibility b. Is obliged to avoid what is wrong and do what is good c. Is a person capable of knowing what is right or wrong d. Should have a sense of accountability for his actions

A

60. What typical assessment findings are observed to a patient who is a victim of sexual abuse * a. Recurrent UTI b. Fracture and bruises c. Enuresis d. Failure to thrive syndrome

A

61. Which of the following will Nurse Ella EMPHASIZE regarding the importance of play during infancy? Play enhances _______ development. * a. Cognitive b. Emotional c. Physical d. Social

A

63. What should Nurse Ella include in the accident prevention teaching plan for a mother with 4-month-old infant? * a. Keep crib rails up to the highest position. b. Cover electric outlets with safety plugs. c. Remove poisonous substances from low areas. d. Remove small objects from the floor.

A

67. Each person has a responsibility to take care of his/her body. In case a part is defective, it can be removed for the benefit of the remaining parts. What bio- ethical principle is this? * a. Totality b. Stewardship c. Solidarity d. Fidelity

A

71. Using the chart data, which nursing intervention was CORRECTLY done by Nurse Jon for Mrs. Mayor? * a. Rubella vaccination b. Rhogam injection c. Neonatal 50% glucose infusion d. Maternal blood transfusion

A

72. Nurse Jon charted an IMPORTANT plan of care for Mrs. Mayor. He indicated in her charting that the patient should report immediately signs and symptoms of a virus-causing- disease which may affect the cardiovascular system of the fetus during which of the period of pregnancy? * a. First month b. Third month c. Second Month d. Fourth Month

A

75. Nurse Jon should also include in his charting an additional health education to Mrs. Mayor that is: rubella virus can be transmitted via the placenta by the process of ______________. * a. Simple diffusion b. Pinocytosis c. Active Transport d. Facilitated Diffusion

A

76. In taking the Obstetrical score, how will Nurse Belle record Gravida, Para and (TPAL)? * a. G5, P4, T1, P1, A2, L2 b. G5, P2, T1, P1, A2, L2 c. G3, P2, T1, P2, A2, L1 d. G4, P4, T2, P3, A3, L2

B

47. Which of the following infection will mothers with diabetes have FREQUENTLY? * a. Moniliasis b. Herpes zoster c. psoriasis d. herpes simplex

A

50. What is the PRIMARY effect to the newborn of a diabetic mother? * a. Hypoglycemia b. Anemia c. hyperinsulinism d. hyperglycemia

A

14. Chelsea, one of the pregnant women, asked Nurse Mia to teach her the proper positioning of the baby while breastfeeding. Among Nurse Mia's answers, which one is NOT CORRECT? * a. The baby can lie down perpendicularly with the mother to promote better bonding. b. The baby's face should be towards the mother's breast to have an eye to eye contact. c. The baby's head and body should be aligned to promote better swallowing. d. The baby's tummy should be close to the mother's tummy for better support.

A

19. After throat swab for culture and sensitivity, the nurse would expect the physician to prescribe an appropriate antibiotic. Which of the following is the purpose of this medication? It is to prevent _______. * a. Recurrence b. Transmission c. Inhalation d. Inflammation

A

24. Nurse Alice emphasized that patient safety is___________. * a. Preventing errors and adverse reactions to patients associated with health care b. Being careful in caring for patients at all times c.Providing treatment and care to patients and documenting the same d. Being mindful of the needs of others at all times

A

25. Nurse Alice has provided instructions that all care provided by nurses must be documented, as one of their legal responsibilities. In case errors occur, which is the correct way of documenting it? * a.Wrong medicine given to wrong patient. Physician notified. Patient observed b. Medication inadvertently omitted. Supervisor notified. c. Medication given to patient A instead to patient B. Patient advised. d. Wrong dose of medicine administered to patient. Sorry.

A

26. In conducting quality improvement, Nurse John should look into which of the following as her basis, EXCEPT: * a. Patient's complaint data b. Patient's satisfaction survey c. Incident reports d. Patient's chart

A

29. Some of the nursing staff seemed to have a sense of entitlement according to nursing department leadership. They behaved as though they had unlimited job security (because of the strength of the nursing unions). Which of the following action is the BEST? * a. Develop a documentation-and-tracking process for the observations b. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight emotional support. c. Continue to work on increasing staff accountability for service behaviors. d. Develop new evidence-based general care guidelines for nurse-patient interactions.

A

30. Which of the following requires quality improvement? Select all that apply. 1. Patient's fall/injury 2. Infection 3. Safety 4. Pressure ulcers * a. 1, 2, & 4 b. 3 only c. 1 & 4 d. 1, 2, 3, & 4

A

31. When planning a teaching program for a child who has recently been diagnosed with type 1 diabetes, what will be the nurse's FIRST concern for the Adel and her parents? To let them ______. * a. Assess their own feelings about diabetes b. Learn how to monitor blood glucose level c. Understand why activities must be limited d. Learn how to administer insulin injections

A

34. When teaching Joyjoy on dietary management, what should the nurse emphasis MOST? * a. Food in the form of concentrated glucose should be available all the time. b. Meals should be preferably prepared and eaten at home c. Food should be weighed on a gram scale all the time. d. Meals should be prepared separately from the rest of the family.

A

39. The "response" should be based from which of the following categories of the FDAR? * a. Intervention made b. Laboratory Findings c. Focus d. Assessment

A

4. Baby Boy Max just had a ventriculoperitoneal shunt. His parents were worried about the prognosis. What information should Nurse Ben give to the parents to allay their worry? * a. The shunt may need to be revised as the child grows older. b. If any brain damage has occurred, it is reversible during the first year of life. c. Hydrocephalus usually is self- limiting by 2 years of age and then the shunt is removed. d. The prognosis is excellent and the valve is permanent.

A

41. When counselling parents of a child who has recently been diagnosed with hemophilia, what must Nurse Chloe KNOW about Law's condition whose father is normal and the mother is the carrier? * a. It is likely that all sons are affected. b. There is a 50% probability that sons will have the disease. c. Every daughter is likely to be a carrier. d. There is a 25% chance a daughter will be a carrier

A

42. Law has slipped on the ice and bumped his knee. Which among the following should Nurse Chloe prepare to administer, as per doctor's order? Intravenous infusion of ______? * a. Cryoprecipitate b. Factor VIII c. Factor X d. Desmopressin ( DDAVP)

A

44. A nurse analyzes the laboratory results of Law. The nurse understands that the MOST likely ABNORMAL finding in Law is which of the following? * a. Partial thromboplastin time b. Hemoglobin level c. Hematocrit level d. Platelet count

A

46. Gestational diabetes is said to exist in pregnancy because of the diabetogenic effect of what hormone secreted by the placenta? * a. Human placental lactogen b. Human chorionic gonadotropin c. Estrogen and progesterone d. Relaxin

A

28. The BEST quality improvement intervention that Nurse John can do is which of the following? * a. Maintain ongoing informal communication with staff. b. Analyze patients complaint record c. Interview staff individually and in group d. Recommend increase in salary of nursing staff.

C

10. Autonomy is the prerogative of the patient to give consent or refusal of treatment with the EXCEPTION of which of the following situations? * a. Erroneous belief of a head of a church b. Negative effect of superstition c. Near death d. Peer pressure

B

16. Which of the following would be the possible disorder? * a. Tetanus b. Rheumatic fever c. Scarlet fever d. Influenza

B

17. Jam question whether her other children can catch the same disease. Which of the following should be the nurse's response? * a. Your other children should be taking antibiotics to prevent them from catching the same disease. b. It is caused by an autoimmune reaction and is not contagious. c. You appear concerned that your daughter's disease is contagious. d. The fact that you brought Alice to the hospital early enough will decrease the chance for her siblings getting it.

B

2. Nurse Ben understands that hydrocephalus, if left untreated, can cause mental retardation because of which of the following rationales? * a. Hypertonic CSF disturbs normal plasma concentration, depriving nerve cells of vital nutrients. b. Gradually increasing size of the ventricles presses the brain against the bony cranium; anoxia and decreased blood supply result. c. Increasing head size necessitates more oxygen and nutrients than normal blood flow can supply. d. CSF dilutes blood supply, causing cells to atrophy.

B

21. An eight-year-old- patient is to receive Aminophylline 3 mg/kg TID. If the girl weights 25 kg, how much Aminophylline should she receive daily? * a. 125 mg b. 225 mg c. 200 mg d. 100 mg

B

37. Using the FDAR (Focus Data Action and Response) Charting, which of the following presenting data would be PRIMARY "Focus" * a. Vomiting in small amount b. Watery stools 4x in 30 minutes c. Generalized abdominal pain d. Temperature of 38.1 centigrade

B

43. Nurse Chloe is providing home care instructions to the mother of Law. Which of the following complications should Nurse Thelma tell the mother, should repeated bleeding continues? * a. Leukemia b. Hemarthrosis c. Ecchymosis d. Hematoma

B

49. Aside from an endocrinologist, to whom should the nurse also plan to refer the patient to? * a. General practitioner b. Neurologist c. Surgeon d. Hyperglycemia

B

52. When can AIDS be manifested? The nurse answer was. "It can be as early as _______." * a. 1 year or as late as 2 years b. 2 years or as late as 10 years c. 1 year d. 6 months

B

53. Nurse Cara also asked the participants if they got to know the transmission of HIV based from her lecture? Which is Not correct? * a. Accidental blood exposure b. Kissing c. Unprotected sex d. Mother to child transmission

B

56. As the nurse's legal responsibility, which is the APPROPRIATE agency should she notify FIRST? a. City Health Office to do a vaginal examination to confirm the pregnancy b. DSWD for notifying the girl's mother about the pregnancy test positive result. c. Board members of Child Protective Services for proper intervention d. Philippine National Police concerning a possible sex crime

B

57. If Diana is really a victim of incest and the agency opts that she be admitted in the hospital, where should she be placed? * a. With an older friendly child b. In a room near the nurse's station c. With another 5 year old d. In a private room

B

65. Nurse Ella assesses the oral cavity of a 6-month-old child and finds out that the tooth that buds first is the __________. * a. Upper molars b. Lower central incisor c.Canines d. Lower molars

B

70. As a means to solve any crisis or scarcity in any health care systems, providing an equitable distribution of resources is based on what bio- ethical principle? * a. Paternalism b. Justice c. Fidelity d.Stewardship

B

32. An evening snack is planned for Joyjoy receiving NPH (Novolin N) insulin. This will provide _____. * a. Encouragement for the child to stay on a diet b. Calories to help the child gain weight c. Nourishment to counteract late insulin activity d. Energy for immediate utilization

C

33. When teaching about insulin and its potential for hypoglycemia, the nurse should include that its PEAK EFFECT occurs in which number of HOURS? * a. 1 to 2 b. 5 to 10 c. 4 to 12 d. 2 to 4

C

13. A mother questioned Nurse Mia in the event that she does not produce milk, what should she do? The BEST answer of Nurse Mia would be___________. * a. "If it is difficult on your part, then you can use local herbs said to help the production of the breast milk." b. "That's a big problem ma'am, but you can still try again." c. "Just continue breastfeeding. This will stimulate the hypothalamus in the production of breast milk." d. I empathize with you. I too, do not have breast milk."

C

15. To convince the pregnant mothers to breastfeed their newborns upon delivery, the BEST thing that Nurse Mia must do is to ______________ * a. Explain the hospital policy on "No breastfeeding; No admission" b. Relate her own experience on breastfeeding c. Prepare the mothers physically, emotionally and psychologically d. Ask other mothers to convince them to breastfeed

C

18. In addition to carditis, which of the following should the nurse assess the child? * a. Oliguria and edema b. Malabsorption and diarrhea c. Arthralgia and low grade fever d. Bronchitis and pneumonia

C

22. Mrs. Madrigal is to receive Digoxin 0.325 mg p.o. because of her heart ailment. The stock is 0.250 mg per tablet. How many TABLETS should the nurse request for 7 days supply for the patient? * a. 9 b. 7 c. 10 d. 8

C

27. The FIRST step in the Quality Improvement process is which of the following? * a. Assess progress. b. Examine the data. c. Confirm the existence of the problem by gathering data. d. Set goals.

C

8. What bio-ethical principle is violated by a nurse if he provides his patient fraudulent information about his diagnosis and prognosis? * a. Justice b. Autonomy c. Beneficence d. Veracity

D

1. When helping the parents understand the baby's problem, which of the following should be Nurse Ben's ACCURATE explanation? * a. "The CSF is prevented from adequate absorption by a blockage in the ventricles of the brain." b. "Too much Cerebro Spinal Fluid (CSF) is produced within the ventricles of the brains." c. "The flow of CSF through the brain cells does not empty effectively into the spinal cord." d. "There is a part of the brain surface that usually absorbs CSF after its production that is not functioning adequately.

D

11. Nurse Mia explains that exclusive breastfeeding is giving the baby_______. * a. Breast milk and introducing solids at one month b. Breast milk with drops of syrup c. Breast milk alternating with sips of boiled water d. Only breast milk for 6 months

D

12. She further explains that the specific objectives of exclusive and extended breastfeeding from 2005 to 2010 are the following EXCEPT_________. * a. 50% of infants are exclusively breastfeeding up to 6 months b. 90% of infants are started on complementary feeding by 6 months of age. c. 70% of newborns are initiated to breastfeeding within an hour after birth. d. Twelve (12) months is the median duration of breastfeeding.

D

20. If left untreated, such condition can progress to which of the following complication. * a. Kidney failure b. Left-sided heart failure c. Right-sided heart failure d. Angina pectoris

D

23. In giving insulin to an OB diabetic patient, the nurse must use an APPROPRIATE needle size and length, which among the following will this be? * a. 23 G, 3/8 b. 22 G, 2/8 c. 24 G, 4/8 d. 25 G, 5/8

D

3. What is the IMPORTANT nursing care of an infant with increased intracranial pressure? * a. Check the infant's reflexes at regular intervals. b. Monitor the infant's level of consciousness by stimulating frequently. c. Weight the infant daily before feeding. d. Elevate the infant's head higher than the hips.

D

40. Which of the following can be the LEAST source of data for this case? * a. Vital signs b. Laboratory Findings c. Intake and output d. Immunization record

D

48. In 36 weeks, amniocentesis was orders by the doctor for this patient. What is the purpose of this procedure? To detect/determined ______. * a. An increase level of bilirubin b. Genetic abnormalities c. Down syndrome d. Fetal lung maturity

D

5. What is the drug that will lessen CSF production that Nurse Ben will anticipate the doctor to order? * a. Spironolactone b. Lasix c. Mannitol d. Diamox

D

54. On the question as to which of the following are the effects of AIDS on pregnancy, one teenager cited a wrong answer which was ____. * 1/1 a. Mild weight loss b. Prematurity c. Repeated abortion d. Infertility

D

55. HIV transmission from mother to infant occur at post-natal period during _____. * a. Bathing b. Washing of vagina c. Bottle feeding d. Breastfeeding

D

59. When a patient, who allegedly has been sexually abused, the nurse should be aware that legal proceedings may be necessary. Because of this possibility, which of the following actions is MOST important to be done by the nurse? * a. Determining if there are other injuries such as bruises and hematomas. b. Asking the parents for their approval for diagnostic examinations for the child. c. Assessing the child's physical, intellectual and emotional developmental levels. d. Documenting physical findings and interactions during admission.

D

66. What bio- ethical principle guides the nurses when taking care and being responsible for patients? * a. Solidarity b. Fidelity c. Totality d. Stewardship

D

69. When another person or entity intrudes in the affairs of the patient to promote justice and welfare, what bio- ethical principle does he/she promotes * a. Welfare b. Stewardship c. Justice d. Paternalism

D

7. A professional nurse has a duty to know and respect the Patient's Bill of Rights. Which of the following is NOT included in the Patient's Bill of Rights. The right to/for ______. * a. A considered and respectful care. b. Privacy and confidentiality c. A complete and current information about his illness d. Expect continuity of care from discharge to full recovery

D

79. Stella asks Nurse Belle whether she can take castor oil for her constipation. How should the nurse respond? "No". it can ______." * a. Lead to increased absorption of fat-soluble vitamins b. Promote sodium retention c. Produce an adverse effects d. Initiate premature uterine contractions

D