…. Part 6

d. Provide the patient with personal space.

167. Nurse Barbara is preparing to establish rapport with a patient with severe levels of anxiety. which of the following should she do initially? a. Share an activity with the client b. Provide feedback to the patient's condition c. Instruct the other nurses to have frequent interactions with the patient d. Provide the patient with personal space.

b. Methylphenidate hydrchloride

168. A patient comes to the hospital asking about his medications for ADHD. He asked what is the generic name for Ritalin as he cannot afford this brand of medication. The nurse would be correct to state which generic name? a. Moclobemide b. Methylphenidate hydrchloride c. Tramadol hydrochloride d. Mirtazapine

b. Eskalith

169. As patient Furina's psychiatric nurse, the nurse knows that which of the following is the drug of choice for bipolar disorder? a. Selegreline b. Eskalith c. Zoloft d. Ritalin

c. Persistent mild depression

170. Patient Furina mentions that her psychiatrist noticed that patient Furina's disorder was dysthymic in nature and asks what does it mean. The nurse would state that the disorder is marked by: a. Major depression with hypomanic episodes b. Manic episodes with or without major depression c. Persistent mild depression d. Alternating periods of depressed moods and hypomania

b. Maintain normal level of sodium

171. When taking lithium, what precaution should the nurse give to Furina regarding sodium intake? a. Keep sodium level higher than normal b. Maintain normal level of sodium c. Limit sodium intake d. Sodium intake has no effect on lithium intake

a. Once every three days

172. When should Furina have her lithium levels checked in the beginning of her treatment? a. Once every three days b. Once every five days C. Once every week d. Once every two weeks

b. Hyperkalemia

173. The nurse expects what potential electrolyte imbalance in a patient with Addison's Disease? a. Hypernatremia b. Hyperkalemia c. Hyperphosphatemia d. Hyperaldosteronism

b. mineralocorticoids

174. The nurse educates the patient with Addison's Disease for lifelong therapy of? a. aldosterone b. mineralocorticoids c. levothyroxine d. catecholamines

d. All of the above

175. Priority health education for patients with adrenal insufficiency taking corticosteroids includes which of the following? a. wearing of a MedicAlert bracelet b. avoidance of driving and operating on heavy machinery c. not stopping the medication abruptly d. All of the above

b. bipedal edema

176. All of the following are physical characteristics seen from a patient with Addison's disease, EXCEPT? a. bronze-colored skin b. bipedal edema c. weight loss d. hyperpigmentation of skin

d. peaked T waves

177. A patient with an Addisonian crisis had undergone an ECG. Which of the following waves can be expected from a patient with Addison's Disease? a. abnormal U wave b. shortened QRS complex c. shortened PR interval d. peaked T waves Hyperkalemia: inc ST-T (ST segment elevation ,peaked T wave)

a. adrenal cortex

178. The staff nurse is asking a student about the gland that is responsible for the secretion of corticosteroids in the human body. The student is correct when he/she answers: a. adrenal cortex b. adrenal medulla c. pituitary gland d. hypothalamus

c. 2, 3, 4

179. The nurse expects which of the following findings in a patient with Cushing's Disease? 1. Hypotension 2. Hyperglycemia 3. Hypokalemia 4. Hypernatremia a. 2 and 3 b. 1, 2, 4 c. 2, 3, 4 d. 1, 2, 3, 4

d. Fluid Volume Deficit

180. The following nursing diagnoses apply to a patient with Cushing's Disease, except? a. Disturbed Body Image b. Risk for Infection c. Risk for Injury d. Fluid Volume Deficit

D. posterior neck fat pad and thin extremities

181. Which additional assessment finding would lead the nurse to suspect that the client has Cushing's syndrome rather than obesity? A. large thighs and upper arms B. pendulous abdomen and large hips C. abdominal striae and ankle enlargement D. posterior neck fat pad and thin extremities

B. "I must take this medicine exactly as my doctor ordered it. I shouldn't skip doses."

182. Which statement by the client indicates an understanding of the possible side effects of Prednisone therapy? A. "I should limit my potassium intake because hyperkalemia is a side-effect of this drug.' B. "I must take this medicine exactly as my doctor ordered it. I shouldn't skip doses." C. "This medicine will protect me from getting any colds or infections." D. "My incision will heal much faster because of this drug."

C. Six

183. There are 17 Sustainable Developmental Goals developed by the United Nations. Clean Water and Sanitation is under what number? a. Seven b. Three c. Six d. Eleven

b. Assess the patient's response to the equipment

184. A patient undergoes endotracheal intubation and positive pressure ventilation. The primary nursing responsibility of the nurse at this time is? a. Prepare the patient for emergency surgery b. Assess the patient's response to the equipment b c. Maintain the sterility of the ventilation system d. Facilitate verbal communication

a. Health teaching

185. The primary responsibility of a community health nurse is: a. Health teaching b. Implement health policies c. Evaluate health programs d. Solve health issues in the community

d. making a thorough assessment of each client's needs and problems

186. You ensure the appropriateness and safety of your nursing interventions while caring for various client groups by: a. identifying the correct nursing diagnosis and plan b. referring the care to physicians, and other members of the health care team c. creating plans of care for clients d. making a thorough assessment of each client's needs and problems

C. Novice Nurse

187. Using Patricia Benner's stages of nursing expertise, you are an entry-level nurse. You will rank yourself as a/an? a. Advanced Beginner b. Proficient Nurse C. Novice Nurse d. Competent Nurse

B. establish a therapeutic relationship

188. The most appropriate nursing intervention to facilitate the client's acceptance of a change in body image would be to: A. encourage dependence B. establish a therapeutic relationship C. joke with the client D. establish a social relationship

A. critical thinking to decide appropriate nursing actions

189. To provide safe, quality nursing care to various clients in any setting, the most important tool of the nurse is: A. critical thinking to decide appropriate nursing actions b B. understanding of various nursing diagnoses C. observation skills for data collection D. possession of scientific knowledge about client needs

C. R.A. 11223

190. The Universal Health Care Act mandates the institutionalization of health technology assessment as a fair and transparent priority setting recommended to the DOH and PhilHealth. This act is also known as? a. R.A. 11233 b. R.A. 9173 C. R.A. 11223 d. R.A. 10354

C. CMO No. 14 s. 2009

191. Policies and Standards for Bachelor of Science in Nursing Program are according to which of the following CHED memorandum order? a. CMO No. 19 s. 2010 b. CMO No. 12 s. 2007 C. CMO No. 14 s. 2009 d. CMO No. 12 s. 2006

c. Accountability

192. All of the following are included in the principles of Primary Health Care, except? a. Affordability b. Accessibility c. Accountability d. Acceptability

d. Antirabies

193. Included in the elements of Primary Health Care is the Expanded Program on Immunization which requires infants/children to be administered with six-vaccine-preventable disease which includes all of the following, except? a. Poliomyelitis b. Measles c. Pertussis d. Antirabies

d. 1,2 and 4

194. Which of the following are considered as barangay health workers according to the Primary Health Care in the Philippines? 1. Health auxiliary volunteers 2. Traditional birth attendants 3. Public Health Nurse 4. Traditional Healers a. 1 and 3 b. 1, 2, and 3 c. 2 only d. 1,2 and 4

a. R. A. 6675

195. Supply of essential drugs is also one of the elements of Primary Health Care, upon this, The Generics Act was established. This is under which Republic Act? a. R. A. 6675 b. R. A. 9165 C. R. A. 6657 d. R.A. 9569

b. transfer knowledge, skills, and attitude

196. The 2 Core Principles of Primary Health Care are active partnership with the people and empowerment. Empowerment is to: a. increase dependency on health care workers b. transfer knowledge, skills, and attitude c. voice out opinions of the community d. make resources available for the people

a. Monitoring glucose levels

197. When planning care for a client diagnosed with Cushing's syndrome, the nurse would include which intervention to prevent a common complication of this disorder: a. Monitoring glucose levels b. Encouraging rigorous exercise C. Monitoring epinephrine levels d. Encouraging visits from friends

b. Cardiac dysrhythmias

198. The nurse is assessing a client diagnosed with Addison's disease for signs of hyperkalemia. Which sign/symptom would the nurse observe with this electrolyte imbalance? a. Polyuria b. Cardiac dysrhythmias C. Dry mucous membranes d. Prolonged bleeding time

a. Promote electrolyte balance

199. A client receiving fludrocortisone acetate for the treatment of Addison's disease is monitored for what therapeutic response from this medication? a. Promote electrolyte balance t b. Stimulate thyroid production C. Stimulate the immune response d. Stimulate thyrotropin production

b. Mood Disturbances

200. A client is recently diagnosed with Cushing's Disease, and the nurse monitors the client for which manifestation most likely occurring with this diagnosis: a. Hypovolemia b. Mood Disturbances c. Deficient Fluid Volume d. Hypoglycemia

B. Recognize fears and concerns regarding surgery and future health status.

201. 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? A. Identify coping mechanisms helpful to the patient and family members B. Recognize fears and concerns regarding surgery and future health status. C. Explore support system available during the entire hospitalization period. D. Reinforce understanding of the surgical procedure hospitalization and recovery.

D. cardiac catheterization

202. Mr. Mamamow, underwent an invasive diagnostic test to determine the location of the blockage which is needed for his CABG. This procedure is A. cardiac CT scan B. carotid doppler C. magnetic resonance imaging D. cardiac catheterization

C. During the briefing period prior to the surgical procedure.

203. The nurse is teaching breathing exercises to Mr. Mamamow. At what phase of the peri-operative care is this BEST performed? A. After surgery when he is inside the recovery room. B. Immediately after he has signed the informed consent. C. During the briefing period prior to the surgical procedure. D. When he is back to his room from the recovery unit.

A. Pradaxa

204. Which of the following is a blood thinning drug and temporarily stopped by the physician prior to CABG due to possible bleeding. A. Pradaxa B. Ibuprofen C. Paracetamol D. Toradol

B. Assess peripheral pulses, pedal, tibial and radial.

205. The nurse formulates a nursing diagnosis "Decreased cardiac output R/T blood loss". Which of the following is the highest priority nursing action? A. Auscultate for heart sounds and rhythm. B. Assess peripheral pulses, pedal, tibial and radial. C. Monitor EKG pattern for cardiac dysrhythmia. D. Assess arterial blood pressure very 15 min. until stable.

B. Initial contact with the patient

206. 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 A. evaluation of nursing pain management B. Initial contact with the patient C. course of pain management D. the time the physician instructed you to do

D. epigastrium, left upper quadrant of the abdomen radiating to the left lumbar area

207. When a patient is having pain due to Pancreatitis, you expect that the pain is located in the A. hypogastrium, right upper quadrant of the abdomen radiating to the left lumbar area B. epigastrium, right upper quadrant of the abdomen radiating to the left lumbar area C. hypogastrium, left upper quadrant of the abdomen radiating to the left lumbar area D. epigastrium, left upper quadrant of the abdomen radiating to the left lumbar area

D. Moaning and grimacing.

208. You are aware of several manifestations when a patient is in pain. Which of the following is a behavioral response to pain? A. Changes in skin color B. Increase in blood pressure C. depth in respiration. D. Moaning and grimacing.

D. Prednisone

209. When a patient is ordered corticosteroids, which of the following drugs will produce therapeutic effects of reducing pain? A. Spironolactone B. Diazepam C. Atropine S04 D. Prednisone

C. Alkalosis

210. When severe vomiting occurs in this patient, it results to what particular condition? A. Hyperkalemia B. Hypocalcemia C. Alkalosis D. Acidosis

D. Interprofessional collaboration & multidisciplinary collaboration can be used interchangeably.

211. Which of the following statements is INCORRECT of collaboration in a health care setting? A. Trust and respect are core values of a collaborative organization. B. A shared vision is essential for collaboration in any health care operations C. Successful conflict resolution can help collaborative teams overcome differences D. Interprofessional collaboration & multidisciplinary collaboration can be used interchangeably.

C. Partnership with the patient & team for the final decision.

213. 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? A. Shared responsibility of the group for the problem-solving final decision. B. One person makes the final decision for the treatment. C. Partnership with the patient & team for the final decision. D. All members work together for both alternative & final decisions.

B. She stands up with what she believes & push control on others

214. 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? A. Intervene with the situation calmly and confidently B. She stands up with what she believes & push control on others A C. Articulate clearly the importance of nursing perspective. D. Use "I" when stating thought and feelings & persuading others.

C. Surgeon

215. 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? A. Cardiologist B. Anesthesiologist C. Surgeon D. Medical Internist

B. breathe deeply and cough, expectorate into the sputum container.

216. In collecting sputum specimens, the nurse should instruct Roy to A. breathe slowly, cough and expectorate into the specimen container B. breathe deeply and cough, expectorate into the sputum container. C. cough and expectorate saliva into the specimen container. D. cough and expectorate into the specimen container.

C. streptococcus pneumonia

217. The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative this type of pneumonia is A. legioneila pneumonia B. mycoplasma pneumonia C. streptococcus pneumonia D. hemophilus pneumonia

B. Semi-fowler at least 30 degrees.

218. The nurse did an admission procedure. The BEST position to be assumed by Rohee is A. left lateral position with the affected side inferior. B. Semi-fowler at least 30 degrees. C. Dorsal position with pillow under the chest D. lying on his side, the affected side of the lungs should be superior

C. fine crackles

219. When a patient is diagnosed to have pneumonia, the breath sounds detected by the nurse on auscultation of the affected area would be A. wheezing sounds B. stridor C. fine crackles D. deep and low-pitched breath sounds

D. Bradypnea

220. When there is respiratory depression resulting from drug overdose, the nurse have to watch for which of the following? A. Hyperventilation B. Tachypnea C. Biot's respiration D. Bradypnea

D. fine tremors of hands

221. When a patient is with hypothyroidism, the assessment findings of the nurse that is NOT present is A. brittle nails B. hair loss C. dry skin D. fine tremors of hands

C. palpation

222. In assessing the thyroid gland for size, shape, symmetry consistency and presence of tenderness, the MOST appropriate examination modality is A. auscultation B. percussion C. palpation D. inspection

B. a single dose daily after breakfast

223. 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. A single dose daily before breakfast B. a single dose daily after breakfast C. it with a full glass of water D. It without mixing with fruit juices

B. excessive sweating at night time

224. In monitoring the effectiveness of the drug therapy, which of the following is NOT expected as a POSITIVE patient's outcome? A. regular bowel function B. excessive sweating at night time C. participates in self- care activities. D. metabolism returns to normal

C. Space nursing activities to promote rest and sleep.

225. 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? °A. Increase mobility through early ambulation. B. Allow self-care activities with active exercises. C. Space nursing activities to promote rest and sleep. D. Avoid a stimulating interesting conservation.

D. "We need to discuss strategic approaches to facilitate delivery of nursing service with less expenses on our consumers."

226. Which of the following statements indicates an effective communication technique used by the unit manager to her staff? A. "We need to improve our nursing services; otherwise top management will take over". B. "Let's limit requesting supplies and equipment, our budget for our promotion might be affected. C. "There are a lot of redundant position in our unit. there is a need to retrench some staff. D. "We need to discuss strategic approaches to facilitate delivery of nursing service with less expenses on our consumers."

B. Empowered, enthusiastic, ethical

227. 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? A. Competitive, self-centered, euphoric. B. Empowered, enthusiastic, ethica C. Loner, egoistic, reactive. D. Outgoing, sensitive, competitive

A. In delegation, facilitating professional growth and development of a staff is necessary.

228. Delegation is a critical component of leadership and governance. Which of the following empowering activities should the unit manager applies in delegation? A. In delegation, facilitating professional growth and development of a staff is necessary. B. When delegating a responsibility to a nursing staff, modification of standards of care is permitted. C. Delegation of responsibility inpatient care has to start, from top management to the staff-nurse level D. Delegation requires responsibility with corresponding accountability of a staff

C. Determine the competency level of staff for the task being given

229. Nurse Lany is guided that the initial step of delegation is A. demonstrate the task and let the staff continue the next activities B. assess the capability of the staff, change him if not performing C. Determine the competency level of staff for the task being given D. Explain the task to be done with the accompanying job description

C. Succession

230. 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 A. rank B. Authority C. Succession D. General

B. Exercise in extreme heat and cold.

231. 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? A. Diet and genetic counseling. B. Exercise in extreme heat and cold. C. Regular exercise, diet and medications. D. Monitoring of blood sugar and urine ketones

A. I, II, III and IV

249. 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 A. I, II, III and IV B. II and III C. I and II D. I, II and III

D. Structure evaluation

250. 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? A. Outcome evaluation B. Process evaluation C. Ongoing evaluation D. Structure evaluation

B. II, IV, I, III and V

232. 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 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. A. I. IV. III, II and V B. II, IV, I, III and V C. III, II, I, V and IV D. IV, III, I, V and II

D. Baked fish, green beans, coffee

233. 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? A. Pork steak, mixed vegetables with butter and ° cheese. B. Hamburger, macaroni salad and milk shake. C. Fried chicken, green beans, and skim milk. D. Baked fish, green beans, coffee

D. prevent venous stasis in the lower extremities

234. 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 *A. facilitate better digestion of food B. prevent stasis of urine and stone formation C. facilitate circulation for skin integrity D. prevent venous stasis in the lower extremities

A. One month after MI.

235. 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? A. One month after MI. B. 12 to 14 days after MI C. Two months after MI D. 7 to 10 days after MI

B. Must register in the registration division of the PRO

236. To obtain her license to practice, she must do the following, EXCEPT: A. Must take the oath to any government official B. Must register in the registration division of the PRO C. Must take the oath of professionals before any member of the PR-BON D. Must be issued a certificate of registration (COR) and profession identification card (PIN).

B. November 16, 2022

237. Nurse Horavi has to renew her professional identification card on or before A. January 6, 2021- B. November 16, 2022 C. November 16, 2021 D. January 6, 2022

D. 15 units

238. 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? A. 45 units B. 10 units C. 25 units D. 15 units

A. ORNAP

239. After 3 years being assigned in the Operating Room, Horavi is in interested to actively join which appropriate professional organization? A. ORNAP B. NLGN C. ADPON D. APO

A. Attend training and seminars

240. What would Horavi do to keep abreast with the latest trends in peri-operative nursing? A. Attend training and seminars B. Perform researches C. All of these D. Pursue graduate studies

C. Abdominal gas

241. In assessing a patient suffering from peritonitis, which of the following manifestations is NOT likely to be present? A. Rebound tenderness B. Abdominal guarding C. Abdominal gas D. Abdominal rigidity

D. I, II, III and IV

242. 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 III. Provision of normal nutritional status IV. V. Prevention from complication A. I, II, III B. I and II C. II and III D. I, II, III and IV

D. Abscess

243. 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 A. Amylase content B. Bacteria C. Fluid shifts D. Abscess

B. Levorphanol (Lev-Drmn)

244. Which of the following drugs do you expect to be ordered by the physician for severe acute pain? A. Acetaminophen (Tylenol) B. Levorphanol (Lev-Drmn) C. Percodan (Aspirin) D. Codeine (Ambenyl)

B. Place him in low- lying position with knees straight

245. The physician ordered the patient for paracentesis. Which of the following pre-procedure nursing actions should the nurse perform EXCEPT A. Place him in upright position on the edge of the bed place B. Place him in low- lying position with knees straight C. Check for the signed consent form D. Instruct patient to urinate to empty bladder

B. Continually improve every process in the organization

246. Which of the following statements is TRUE of Quality Improvement? A. Focuses on the organizational structure than patient care. B. Continually improve every process in the organization C. Centered on people rather than processes. D. An approach that is externally driven by the stakeholder.

C. I, II, III and IV

247. 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. A. III and IV B. I, II and III C. I, II, III and IV D. I and II

C. patient care

248. Nurse Cassidy distributed the patient satisfaction form to the admitted patients in the hospital, this tool is in compliance to the quality standards A. human resource B. organizational structure C. patient care D. legal - ethical

A. I, II, Il and IV

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 A. I, II, Il and IV B. III and IV C. I and II D. I, II and III