<?xml version="1.0"?>
<catalog testname="NURSING LECENSURE EXAM">
	<group type="questions" testno="3" testsection="NLE Assessment" testpart="NURSING PRACTICE I - BASIC FOUNDATION OF NURSING PRACTICE"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE I - BASIC FOUNDATION OF NURSING PRACTICE</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="1" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gigi is aware that a record should contain descriptive, objective, observations about what the nurse sees, hears, feels and smells. The following describes what a record ought to be, EXCEPT.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Maria appears depressed.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Patient states "I wish to end my life."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Maria is uncooperative as manifested by her refusal to take a bath.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maria is anxious as manifested by her tossing in bed and disarrayed beddings.]]></answer> 
						<situation><![CDATA[Quality documentation and reporting are necessary to enhance efficient, individualized patient care. Nurse Gigi is assigned to Maria who is diagnosed with diabetes.]]></situation> 
				</query>
				<query>
					<question ctrlno="2" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When documenting the intake-output of Maria. Nurse Gigi should remember that she must use precise measurements to ensure accuracy. Which of the following reflects accuracy?<br><br>
					<span style="font-weight:normal">
					1. Maria drank an adequate amount of fluid during the shift.<br>
					2. Maria's intake during the shift is 360 ml.<br>
					3. Maria's wound is 1 cm in length.<br>
					4. Maria's wound is large and gaping.<br></span>
					]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 and 3]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 and 4]]></answer> 
						<situation><![CDATA[Quality documentation and reporting are necessary to enhance efficient, individualized patient care. Nurse Gigi is assigned to Maria who is diagnosed with diabetes.]]></situation> 
				</query>
				<query>
					<question ctrlno="3" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses are ethically obligated to keep information about client's illness and treatment confidential. The person who has the legitimate access to the patient's record is the _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Husband]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Primary nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Attending physician (doctor)]]></answer> 
						<situation><![CDATA[Quality documentation and reporting are necessary to enhance efficient, individualized patient care. Nurse Gigi is assigned to Maria who is diagnosed with diabetes.]]></situation> 
				</query>
				<query>
					<question ctrlno="4" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Another guideline for good documentation and reporting that nurse Gigi recalls is about completion. When the nurse Gigi administers medication, the following should be included, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nursing measure taken for negative response.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Any preliminary observation.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Preliminary observations.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient's response.]]></answer> 
						<situation><![CDATA[Quality documentation and reporting are necessary to enhance efficient, individualized patient care. Nurse Gigi is assigned to Maria who is diagnosed with diabetes.]]></situation> 
				</query>
				<query>
					<question ctrlno="5" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gigi is making a discharged plan. The items she needs to document and report should include. EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Needs for referrals]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nurses' observation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient's goals or expected outcomes]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Client's involvement in the care plan]]></answer> 
						<situation><![CDATA[Quality documentation and reporting are necessary to enhance efficient, individualized patient care. Nurse Gigi is assigned to Maria who is diagnosed with diabetes.]]></situation> 
				</query>
				<query>
					<question ctrlno="6" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[By virtue of section 16 of the Philippine Nursing Law. the first step we need to do after passing the Nursing Licensure Examination is to ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Apply for a Professional identification card.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Get an official copy of her board rating from the PRC office.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Apply for the Certificate of Registration Professional License.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Take the oath of profession before the Professional Regulatory Board of Nursing.]]></answer> 
						<situation><![CDATA[Nurse Leah has just passed the Nursing Licensure Examination. She needs to refresh herself regarding law that governs the practice of nursing in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="7" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which government body has the power to revoke or suspend Leah's certificate of registration professional license, should she commit unprofessional and unethical conduct in the future?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Philippine Nurses Association.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Professional Regulatory Board of Nursing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Professional Regulation Commission.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Commission on Higher Education.]]></answer> 
						<situation><![CDATA[Nurse Leah has just passed the Nursing Licensure Examination. She needs to refresh herself regarding law that governs the practice of nursing in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="8" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What nursing Republic Act should Nurse Leah refer to?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[RA 9171]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[RA 7164]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[RA 7664]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[RA 6175]]></answer> 
						<situation><![CDATA[Nurse Leah has just passed the Nursing Licensure Examination. She needs to refresh herself regarding law that governs the practice of nursing in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="9" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Since she needs to work in a hospital to get hospital experience, which part of the Nursing Law should Leah focus for her safe practice as a novice nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Nursing research]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nursing education]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing personnel system]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Scope of nursing practice]]></answer> 
						<situation><![CDATA[Nurse Leah has just passed the Nursing Licensure Examination. She needs to refresh herself regarding law that governs the practice of nursing in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="10" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Leah eventually gets employed in the hospital, she will initially be required to utilize which of the following in rendering care to her clients?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health teaching]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Nursing process]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Traditional and innovative approaches]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Therapeutic use of self]]></answer> 
						<situation><![CDATA[Nurse Leah has just passed the Nursing Licensure Examination. She needs to refresh herself regarding law that governs the practice of nursing in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="11" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Susan develops patient safety goals. What nursing goal is APPROPRIATE for safety environment? Select all that apply.<br><br>
<span style="font-weight:normal">
1. Reduce the risk for patient harm resulting from falls.<br>
2. Create a clean, orderly environment of patient.<br>
3. Prevent high concentration drug errors.<br>
4. Develop clean and simple signage for direction.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2. 3 and 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[3 and 4]]></answer> 
						<situation><![CDATA[Nurse Susan is a beginning nurse in the Medical Ward. She made her nursing activities, to maintain a safe environment and prevent risk for infection among her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="12" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Susan should prevent or reduce infectious agents PRIMARILY through the following practices. Select all that apply.<br><br>
<span style="font-weight:normal">
1. Clean the room with antiseptic solutions.<br>
2. Proper garbage disposal.<br>
3. Mandatory hand washing upon entry to hospital.<br>
4. Improve safety administration of medicines.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[2, 3 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 3 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 and 4]]></answer> 
						<situation><![CDATA[Nurse Susan is a beginning nurse in the Medical Ward. She made her nursing activities, to maintain a safe environment and prevent risk for infection among her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="13" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Susan must comply with the policies of health care facilities regarding isolation precautions. The BASIC isolation precaution in the hospital is _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Limited visitors who are within the patient's age.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Strict utilization of personal things.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Posting of signs of silence.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Private room placement.]]></answer> 
						<situation><![CDATA[Nurse Susan is a beginning nurse in the Medical Ward. She made her nursing activities, to maintain a safe environment and prevent risk for infection among her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="14" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Susan includes air-borne precautions in addition to standard precautions to be observed at all times. These include, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Limited patient transport.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Positioning and draping of patients.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Wearing of mask and gloves.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hand washing techniques.]]></answer> 
						<situation><![CDATA[Nurse Susan is a beginning nurse in the Medical Ward. She made her nursing activities, to maintain a safe environment and prevent risk for infection among her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="15" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the BEST SEQUENCE of communication techniques to use during an assessment interview? Begin with _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Giving a broad opening and move to listening techniques.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Giving information and move to asking focused questions.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Asking focused questions and closed-ended questions.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Providing information and proceed to stating observations.]]></answer> 
						<situation><![CDATA[Applying therapeutic communication skills is vital in the nurse-client relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="16" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are caring for Malou, sixteen years old, suffering from acute leukemia. You want to actively listen to her concern and understand meanings. You know that a barrier to active listening is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dependent behavior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Non-judgmental behavior]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Treatment-cantered behavior]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Individualized behavior]]></answer> 
						<situation><![CDATA[Applying therapeutic communication skills is vital in the nurse-client relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="17" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You ask you newly admitted patient. "What can we do to help you" I know that these open-ended questions will ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Put the patient at ease.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allow the patient to elaborate on his response.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Result an specific information from the patient.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Allow the patient to briefly answer the question.]]></answer> 
						<situation><![CDATA[Applying therapeutic communication skills is vital in the nurse-client relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="18" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As you listen to a patient, you need to provide feedback that is _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Well-timed and general]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Specific and descriptive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Behavior-focused and evaluative]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[General and content-focused]]></answer> 
						<situation><![CDATA[Applying therapeutic communication skills is vital in the nurse-client relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="19" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is TRUE in relation to the use of humor?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Humor is used to build rapport.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Constant use of humor can be healing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Laughter increases neurotransmitters.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Humor should focus on client's humanity.]]></answer> 
						<situation><![CDATA[Applying therapeutic communication skills is vital in the nurse-client relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="20" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The order of the physician is for immediate intubation. For the priority equipment, supplies and materials to be used for the procedure, the nurse should collaborate with the ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Operating room]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Central supply unit]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Emergency department]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anesthesia department]]></answer> 
						<situation><![CDATA[Mr. BC is confined in the ICU in a provincial hospital for complication of his type II diabetes. He is edematous and complained of severe chest pain. His vital signs are: BP 160/98, temperature 37.2°C; PR - 90 bpm; RR - 30 bpm.]]></situation> 
				</query>
				<query>
					<question ctrlno="21" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nursing care had to be done by the ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nursing student]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nursing aide]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Staff nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of the above]]></answer> 
						<situation><![CDATA[Mr. BC is confined in the ICU in a provincial hospital for complication of his type II diabetes. He is edematous and complained of severe chest pain. His vital signs are: BP 160/98, temperature 37.2°C; PR - 90 bpm; RR - 30 bpm.]]></situation> 
				</query>
				<query>
					<question ctrlno="22" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In as much as you have not been trained in initiating intravenous infusion, who among the following cannot also do it?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Nursing aide]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Charge nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Staff nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Physician]]></answer> 
						<situation><![CDATA[Mr. BC is confined in the ICU in a provincial hospital for complication of his type II diabetes. He is edematous and complained of severe chest pain. His vital signs are: BP 160/98, temperature 37.2°C; PR - 90 bpm; RR - 30 bpm.]]></situation> 
				</query>
				<query>
					<question ctrlno="23" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Turning Mr. BC every two hours would be difficult if you do it alone. In order to keep the patient safe, the most number of nurse who can team up with you will be _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[One]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Two]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Three]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Four]]></answer> 
						<situation><![CDATA[Mr. BC is confined in the ICU in a provincial hospital for complication of his type II diabetes. He is edematous and complained of severe chest pain. His vital signs are: BP 160/98, temperature 37.2°C; PR - 90 bpm; RR - 30 bpm.]]></situation> 
				</query>
				<query>
					<question ctrlno="24" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If Mr. BC would be for dialysis and you need to bring him to the dialysis unit, who among the following could be the BEST to help you wheel him to the area? A _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nurse aide]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Physician]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Member of the family]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Institutional worker]]></answer> 
						<situation><![CDATA[Mr. BC is confined in the ICU in a provincial hospital for complication of his type II diabetes. He is edematous and complained of severe chest pain. His vital signs are: BP 160/98, temperature 37.2°C; PR - 90 bpm; RR - 30 bpm.]]></situation> 
				</query>
				<query>
					<question ctrlno="25" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following ethical concepts apply to Patient Terry's case?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Theology]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bioethics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Morality]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Deontology]]></answer> 
						<situation><![CDATA[Terry, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Terry requested Nurse Zenaida not to tell her parents about her being pregnant. She also expressed desire to; terminate her pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="26" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Zenaida should be guided by the steps in helping Terry sake an ethical decision. Sequence the steps below.<br><br>
<span style="font-weight:normal">
1. Cather duty.<br>
2. Identify options or alternatives.<br>
3. Act and assess the outcomes of decision.<br>
4. Make decision.<br>
5. Identify and clarify the ethical problem.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3, 1, 5, 2 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1.5, 2, 3 and 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3, 5, 2 and 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[2, 4, 1.3 and 5]]></answer> 
						<situation><![CDATA[Terry, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Terry requested Nurse Zenaida not to tell her parents about her being pregnant. She also expressed desire to; terminate her pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="27" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The initial advice of Nurse Zenaida to patient Terry is which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Terry will request the doctor to inform the parents.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Advice her that as a minor, her parents should be duly informed about her pregnancy.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Terry will inform her teacher about her condition and to request the teacher to tell her parents.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Terry will choose a significant other close to the parents to be the one to relay about her pregnancy.]]></answer> 
						<situation><![CDATA[Terry, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Terry requested Nurse Zenaida not to tell her parents about her being pregnant. She also expressed desire to; terminate her pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="28" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Terry analyzed the advice of Nurse Zenaida and realized the value of life and family. This attitude of realization is termed as _________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ethics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Values clarification]]></answer> 
						<situation><![CDATA[Terry, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Terry requested Nurse Zenaida not to tell her parents about her being pregnant. She also expressed desire to; terminate her pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="29" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Terry's decision regarding her pregnancy is termed as ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<situation><![CDATA[Terry, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Terry requested Nurse Zenaida not to tell her parents about her being pregnant. She also expressed desire to; terminate her pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="30" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Chief nurse explains to Miss Jenny that the philosophy of nursing in the tertiary hospital is consistent with generally accepted definition of nursing which is?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Caring of the sick only because the "well" patients are taken care of by primary hospitals.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allowing the patient to determine the medical and nursing plan of action.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Putting the patient in the best condition for nature to act.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Caring for the sick and well.]]></answer> 
						<situation><![CDATA[Miss Jeriny is being interviewed by the Chief Nurse in relation to her application in tertiary hospital as staff nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="31" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The chief nurse further explained to Miss Jenny that of the many functions of the nurse the only one dependent or interdependent function is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Observation of signs and symptoms.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Application and execution of doctor's order.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Supervision of patient and those participating in his care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Application and execution of nursing procedure and techniques.]]></answer> 
						<situation><![CDATA[Miss Jeriny is being interviewed by the Chief Nurse in relation to her application in tertiary hospital as staff nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="32" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When asked whether nursing is a profession or not, she quoted one authority who holds the view that a profession is characterized by the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It is developing science.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It is highly skilled and purely technical.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[It demands specialized preparation and training.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is determined by the compensation by its members.]]></answer> 
						<situation><![CDATA[Miss Jeriny is being interviewed by the Chief Nurse in relation to her application in tertiary hospital as staff nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="33" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The objective behind requiring nurses to attend CPE seminars and workshops are to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Update list of professional in the country.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Update one's knowledge and skills relevant to nursing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Renew old acquaintances and establish camaraderie among nurses.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increased revenue of the government and organizations providing CPE.]]></answer> 
						<situation><![CDATA[Miss Jeriny is being interviewed by the Chief Nurse in relation to her application in tertiary hospital as staff nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="34" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the participants asks, &quot;When does ovulation take place?" Tricia's answer will MOST likely be ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[On the 14th day of her cycle.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[As soon as her menstruation stops]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[On the 14th day before the next menstruation.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[At the time her basal body temperature drops steadily.]]></answer> 
						<situation><![CDATA[Tricia is a newly registered nurse, who is assigned to conduct a lecture on fertility awareness among young women.]]></situation> 
				</query>
				<query>
					<question ctrlno="35" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Tricia discussed the signs and symptoms of ovulation. Which of the following is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increased quality and pH of cervical secretions.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Rise in basal body temperature.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Breast tenderness.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Gain weight.]]></answer> 
						<situation><![CDATA[Tricia is a newly registered nurse, who is assigned to conduct a lecture on fertility awareness among young women.]]></situation> 
				</query>
				<query>
					<question ctrlno="36" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a function of estrogens' hormone?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Promotes female secondary sex characteristics.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Elevates body temperature during ovulation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inhibits uterine contractility.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[remotes lactation.]]></answer> 
						<situation><![CDATA[Tricia is a newly registered nurse, who is assigned to conduct a lecture on fertility awareness among young women.]]></situation> 
				</query>
				<query>
					<question ctrlno="37" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which phase of the menstrual cycle promotes the uterine lining to grow the thicken to an eight to ten-fold rate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Secretory]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ischemic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Menstruation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Proliferative]]></answer> 
						<situation><![CDATA[]]></situation> 
				</query>
				<query>
					<question ctrlno="38" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Tricia, one of the participants ask how many days is her menstrual cycle if she had her previous menstrual flow last March 26-30 and her last menstrual period last April 24. The nurse's response will likely be _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Twenty nine days]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Thirty days]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Twenty eight days]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Thirty one days]]></answer> 
						<situation><![CDATA[Tricia is a newly registered nurse, who is assigned to conduct a lecture on fertility awareness among young women.]]></situation> 
				</query>
				<query>
					<question ctrlno="39" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When assessing Emma, Nurse Alma should ask the following, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cultural beliefs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lifestyle]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Dietary and fluid intake]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Bowel pattern]]></answer> 
						<situation><![CDATA[Emma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since is now living alone, she eats meals irregularly. Most of the time, she is watches the TV. Her chief complaint is constipation.]]></situation> 
				</query>
				<query>
					<question ctrlno="40" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When auscultating the bowel sounds of Emma, the nurse should be able to hear _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Absent sound]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased bowel sound]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Loud and gurgling sound]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Decreased bowel sound]]></answer> 
						<situation><![CDATA[Emma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since is now living alone, she eats meals irregularly. Most of the time, she is watches the TV. Her chief complaint is constipation.]]></situation> 
				</query>
				<query>
					<question ctrlno="41" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The MOST appropriate nursing diagnosis for Emma's case is _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Constipation related to inactivity.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Risk for constipation related to lifestyle.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Perceived constipation related to eating habits.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Dysfunctional gastrointestinal motility related to lifestyle.]]></answer> 
						<situation><![CDATA[Emma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since is now living alone, she eats meals irregularly. Most of the time, she is watches the TV. Her chief complaint is constipation.]]></situation> 
				</query>
				<query>
					<question ctrlno="42" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are the most simple and cost effective interventions that the Nurse can advice Emma to resolve constipation?<br><br>
<span style="font-weight:normal">
1. Encourage increased fiber in diet.<br>
2. Encourage physical activity and regular exercise.<br>
3. Regular meals.<br>
4. Laxative.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3 and 4]]></answer> 
						<situation><![CDATA[Emma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since is now living alone, she eats meals irregularly. Most of the time, she is watches the TV. Her chief complaint is constipation.]]></situation> 
				</query>
				<query>
					<question ctrlno="43" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Health education should include which of the following?<br><br>
<span style="font-weight:normal">
1. Responding to the urge to defecate and establishing a daily patter.<br>
2. Role of dietary fiber and fluid in maintaining bowel function.<br>
3. Role of exercise and activity in maintaining health and well being.<br>
4. Safe and correct use of pharmaceutical agents.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2, 3 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 and 1]]></answer> 
						<situation><![CDATA[Emma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since is now living alone, she eats meals irregularly. Most of the time, she is watches the TV. Her chief complaint is constipation.]]></situation> 
				</query>
				<query>
					<question ctrlno="44" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Cherry is assessing patients at the outpatient clinic. Which of the following patients is at-risk for health complication related to weight?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A thirty three year old who has a body mass index (BMI) of 24 kg/m.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A fifty six-year old who is 6 ft (180 cm) tall and weighs 150 lbs. (68 kg).]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A seventy one-year old who is 5 ft. 4 inches ( 160 cm), weighs 120 lb. (55 kg) and carries most of the weighs in the thighs.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A twenty four-year old with a waist measurement of 30 inches (75 cm) and a hip measurement of 14 inches (85 cm)]]></answer> 
						<situation><![CDATA[Obesity is an emerging concern for patients and nurses. The nurse has an important role in assessing and evaluating patient’s physiological status in relation to weight control.]]></situation> 
				</query>
				<query>
					<question ctrlno="45" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient who has been consistency following a diet and exercise program and successfully losing one pound weekly for several months is weighed at the clinic. However, he has not lost any weight for the last month. Nurse Cheny should first ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask the patient whether there have been any recent charges in exercise or diet pattern]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Discuss the possibility that the patient has reached a temporary weight loss plateau.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Instruct the patient to weigh weekly and record the weights.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Review the diet and exercise guideline with the patient.]]></answer> 
						<situation><![CDATA[Obesity is an emerging concern for patients and nurses. The nurse has an important role in assessing and evaluating patient’s physiological status in relation to weight control.]]></situation> 
				</query>
				<query>
					<question ctrlno="46" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When working with the obese patient who is enrolled in a behavior and function program, which nursing action is APPROPRIATE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Having the patient write down the caloric intake of each meal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encouraging the patient to eat small amounts through hour the day.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Asking the patient about situations that tend to increase appetite.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Suggesting that the patient has a reward after achieving a weight-loss goal.]]></answer> 
						<situation><![CDATA[Obesity is an emerging concern for patients and nurses. The nurse has an important role in assessing and evaluating patient’s physiological status in relation to weight control.]]></situation> 
				</query>
				<query>
					<question ctrlno="47" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When developing a weight-reduction plan for an obese patient who is starting a weight loss program, which question is MOST important for Nurse Cherry to ask?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["How long have you been overweight?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Have you been on any previous diets?"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["What kind of physical activities do you enjoy?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What factors do you think led to your obesity?"]]></answer> 
						<situation><![CDATA[Obesity is an emerging concern for patients and nurses. The nurse has an important role in assessing and evaluating patient’s physiological status in relation to weight control.]]></situation> 
				</query>
				<query>
					<question ctrlno="48" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An obese patient asks Nurse Cherry about using orlistat (Xenical) for weight reduction. Nurse Cherry advises the patient that __________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Drugs may be helpful in weight loss, but weight gain is likely to recur unless changes in diet and exercise are maintained.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The long-term effect of orlistat is not known , and the drug may cause serious side effects such as heart valve problems.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[This drug can cause serious depletion of fat-soluble vitamins and should be used for only several weeks.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Weight-reduction drugs of any type are used for only those who do not have the will power to reduce their intake of food.]]></answer> 
						<situation><![CDATA[Obesity is an emerging concern for patients and nurses. The nurse has an important role in assessing and evaluating patient’s physiological status in relation to weight control.]]></situation> 
				</query>
				<query>
					<question ctrlno="49" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In preparing to give medications to a preschool-age child, whish of the following statements is an APPROPRIATE interaction by Nurse Beth?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Let me explain about the injection that you will getting."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Do you want to take your medication now?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Would you like the medication with water or juice?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["If you don't take the medication now, you will not get better."]]></answer> 
						<situation><![CDATA[Nurse Beth is working on the hospital’s pediatric unit. She is assigned as a medication and treatment nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="50" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Beth administered the intramuscular medication of iron by the extract method. This method is used to _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prevent the drug from irritating sensitive tissue.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide more even absorption of the drug.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provide faster absorption of the drug.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Reduce discomfort from the needle.]]></answer> 
						<situation><![CDATA[Nurse Beth is working on the hospital’s pediatric unit. She is assigned as a medication and treatment nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="51" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To determine proper drug dosages for children, calculation are MOST precisely made on the basis of the child's ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Weight]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Height]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Body surface area]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Age]]></answer> 
						<situation><![CDATA[Nurse Beth is working on the hospital’s pediatric unit. She is assigned as a medication and treatment nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="52" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The term high level wellness as described by H. L. Dunn is BEST defined as ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Being free of an acute or chronic disease.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fluctuating on a wellness-illness continuum.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Surviving beyond the current life expectancy.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Functioning at one's best bio psychosocial level.]]></answer> 
						<situation><![CDATA[Some of the important things that you learned in school are the theories in nursing. As a nurse practitioner, care of your clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="53" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In prioritizing nursing care services to patients in the ward, a nurse must remember Maslow's Hierarchy of Physiologic needs, the GREATEST PRIORITY of which is]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nutrition]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Love]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Elimination]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Oxygen]]></answer> 
						<situation><![CDATA[Some of the important things that you learned in school are the theories in nursing. As a nurse practitioner, care of your clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="54" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse initial priority in creating a therapeutic environment for a patient should be]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Explaining all laboratory and diagnostic procedure to be done.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Orienting h'm to hospital procedure and routines.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Accepting his individuality as a person.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Providing safe nursing practice.]]></answer> 
						<situation><![CDATA[Some of the important things that you learned in school are the theories in nursing. As a nurse practitioner, care of your clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="55" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, you assume different roles in the care of your patients. You demonstrate a patient advocate role when you perform which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intercede in behalf of patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interpret the needs of patients to others.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Intervene when patients and family have conflict.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Investigate why family members have not visited the patient.]]></answer> 
						<situation><![CDATA[Some of the important things that you learned in school are the theories in nursing. As a nurse practitioner, care of your clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="56" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A fundamental concept in nursing is viewing a client as a whole organism with a unique personality. The nurse, therefore, should ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refrain from labelling the client as a psychiatric entity.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Focus on the client's strengths and weaknesses.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Consider the values of the client.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Focus on the client's behavior.]]></answer> 
						<situation><![CDATA[Mrs. Paz, a clinical instructor, is reviewing some concepts in Psychiatric Nursing with fourth year nursing students.]]></situation> 
				</query>
				<query>
					<question ctrlno="57" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A basic concept in Psychiatric Nursing is that behavior ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cannot be understood]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cannot be observed]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Is the main indicator of one's personality]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Is meaningful and purposeful]]></answer> 
						<situation><![CDATA[Mrs. Paz, a clinical instructor, is reviewing some concepts in Psychiatric Nursing with fourth year nursing students.]]></situation> 
				</query>
				<query>
					<question ctrlno="58" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In a therapeutic nurse-patient relationship, the nurse should FOCUS on the client's _________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Feelings]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Thoughts]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Behavior]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Appearance]]></answer> 
						<situation><![CDATA[Mrs. Paz, a clinical instructor, is reviewing some concepts in Psychiatric Nursing with fourth year nursing students.]]></situation> 
				</query>
				<query>
					<question ctrlno="59" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the conceptual models of psychiatric mental health practice stipulates that anxiety is experienced interpersonally?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Interpersonal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Medical]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Behavioral]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Psychoanalytic]]></answer> 
						<situation><![CDATA[Mrs. Paz, a clinical instructor, is reviewing some concepts in Psychiatric Nursing with fourth year nursing students.]]></situation> 
				</query>
				<query>
					<question ctrlno="60" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Rosie was very kind to her intelligent sister but deep inside had hostile feelings towards her. She is manifesting what type of defense mechanism?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Projection]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sublimation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Displacement]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Reaction formation]]></answer> 
						<situation><![CDATA[Mrs. Paz, a clinical instructor, is reviewing some concepts in Psychiatric Nursing with fourth year nursing students.]]></situation> 
				</query>
				<query>
					<question ctrlno="61" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the basic qualification of the Public health Nurse at the Regional Office?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Six years as Cl]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Three years abroad]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[BSN, R. N. With masters degree]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Relative of Politician]]></answer> 
						<situation><![CDATA[The Regional Training Nurse must be qualified before assuming the position.]]></situation> 
				</query>
				<query>
					<question ctrlno="62" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the qualification of the public health nurse instructor?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Experience as Cl]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Experience in PHN]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Recommended by the Mayor]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[BSN, RN with masters degree]]></answer> 
						<situation><![CDATA[The Regional Training Nurse must be qualified before assuming the position.]]></situation> 
				</query>
				<query>
					<question ctrlno="63" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Functions and responsibilities of the regional training nurse begin with the use of the nursing process. Which process does she needs to design a training program for nurse and midwives?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Intervention]]></answer> 
						<situation><![CDATA[The Regional Training Nurse must be qualified before assuming the position.]]></situation> 
				</query>
				<query>
					<question ctrlno="64" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Even if nurse is already in the highest position, there is a need to keep abreast. Which area of CRN should a nurse train or retrain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Model of health care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Community organizing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use of high tech machine]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Matrix of hospital administration]]></answer> 
						<situation><![CDATA[The Regional Training Nurse must be qualified before assuming the position.]]></situation> 
				</query>
				<query>
					<question ctrlno="65" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse observes that Miss Sales abdomen has irregular scar lines as a result of stretching of the skin. This refers to _________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Chloasma]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Linea nigra]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Striae gravidarum]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Melasma]]></answer> 
						<situation><![CDATA[Miss Sales is admitted at the ER with the following findings: Cervical dilatation is 6 cm; fully effaced; cephalic presentation; 40 weeks AOG.]]></situation> 
				</query>
				<query>
					<question ctrlno="66" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The obstetrician remarks that the fetus is dipping, which means that the fetus is _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Still floating.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[In station + 1.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Reached the ischial spine.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Descending but has not reached the ischial spines.]]></answer> 
						<situation><![CDATA[Miss Sales is admitted at the ER with the following findings: Cervical dilatation is 6 cm; fully effaced; cephalic presentation; 40 weeks AOG.]]></situation> 
				</query>
				<query>
					<question ctrlno="67" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse records the uterine contractions of Sales. Which are the characteristics of true labor?<br><br>
<span style="font-weight:normal">
I. Occur at regular intervals.<br>
II. Intervals gradually shorten.<br>
III. Intensity remains unchanged.<br>
IV. Intensity gradually increases.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II and IV]]></answer> 
						<situation><![CDATA[Miss Sales is admitted at the ER with the following findings: Cervical dilatation is 6 cm; fully effaced; cephalic presentation; 40 weeks AOG.]]></situation> 
				</query>
				<query>
					<question ctrlno="68" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Miss Sales asks if she can take her meal. What should be the APPROPRIATE response of the nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["You cannot take food nor oral fluids because you're now in active labor."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Your IV fluid is enough to give you nourishment."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["No, the doctor orders you to be kept NPO."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["You can take a light meal."]]></answer> 
						<situation><![CDATA[Miss Sales is admitted at the ER with the following findings: Cervical dilatation is 6 cm; fully effaced; cephalic presentation; 40 weeks AOG.]]></situation> 
				</query>
				<query>
					<question ctrlno="69" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following characteristics is indicative that the couple is sexually healthy? The couple ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Manifest ability to form a lasting relationship.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Express their love through sexual intercourse.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Exhibit congruence of the various components of sexual identity.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Demonstrate an integration of the somatic, emotional intellectual and social aspects of sexual well being.]]></answer> 
						<situation><![CDATA[Dante and Danna are newly married couple and are interested to know MORE about sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="70" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are physiologic changes during the excitement phase of the male sexual response cycle _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Heart and respiration rates may double and BP rises 67% above resting level.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Develops recurring contractions of the muscles of the penis and deep perineum.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vaso congestion of the penis shaft is diminished.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A high level of sexual tension is maintained.]]></answer> 
						<situation><![CDATA[Dante and Danna are newly married couple and are interested to know MORE about sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="71" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the characteristics of normal sperms?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Small heads, long tail and yellowish color]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Big heads, long tail and pearly white color.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Big heads, short tail and yellowish color.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Small heads, long tail and white color.]]></answer> 
						<situation><![CDATA[Dante and Danna are newly married couple and are interested to know MORE about sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="72" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the primary sex gland of Danna?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Uterus]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ovaries]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vagina]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Breast]]></answer> 
						<situation><![CDATA[Dante and Danna are newly married couple and are interested to know MORE about sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="73" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Dante asks about impotence. Which of the following is true about impotence? It _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refers to the inability of the man to have and maintain a penile erection.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Occurs when the man is unable to ejaculate inside the vagina.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Is synonymous to painful coitus.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Is the inability to procreate?]]></answer> 
						<situation><![CDATA[Dante and Danna are newly married couple and are interested to know MORE about sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="74" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon physical assessment there are dilated veins on the affected part. To determine the incompetence of the deep and superficial veins, which of these is not USEFUL for her diagnostic examination?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Phlebography]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encephalography]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Retrograde filling test]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doppler's flow meter]]></answer> 
						<situation><![CDATA[Miss Cynthia, a saleslady, is complaining of pain on her left leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="75" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the possible cause of varicose veins?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Always walking]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Prolonged standing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Frequent leg cramps]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prolonged leg exercise]]></answer> 
						<situation><![CDATA[Miss Cynthia, a saleslady, is complaining of pain on her left leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="76" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your health teaching is to use one of the following to enhance the circulation of the blood flow ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ace bandages]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rolled garter stocking]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Panty hose stocking]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Knee length stocking]]></answer> 
						<situation><![CDATA[Miss Cynthia, a saleslady, is complaining of pain on her left leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="77" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[From her work, what activity would you advice her to do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lie on her side with one pillow in between the knees.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sit down and elevate the legs on another chair.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Shower with warm water to relax her nerves.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lie down and elevate the legs.]]></answer> 
						<situation><![CDATA[Miss Cynthia, a saleslady, is complaining of pain on her left leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="78" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In case of leg pain, what medicine is not advisable for her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Biogesic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Aspirin]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ponstan]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doloxone]]></answer> 
						<situation><![CDATA[Miss Cynthia, a saleslady, is complaining of pain on her left leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="79" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What would be an appropriate nursing for her easy fatigability?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Disturbance in role performance related to fatigue.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Activity intolerance related to fatigue.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Self-care related to weakness.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pain related to leg cramps.]]></answer> 
						<situation><![CDATA[Myra is a G3P2 who sought consultation at the OPD due to cramps and fatigability.]]></situation> 
				</query>
				<query>
					<question ctrlno="80" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Multivitamins with iron supplements were ordered. The nurse instructs Myra to take it.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[After breakfast]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[After each meal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Every time she feels weak]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Before breakfast]]></answer> 
						<situation><![CDATA[Myra is a G3P2 who sought consultation at the OPD due to cramps and fatigability.]]></situation> 
				</query>
				<query>
					<question ctrlno="81" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following problems is likely to be associated with iron intake?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nausea]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gas pain]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Constipation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Diarrhea]]></answer> 
						<situation><![CDATA[Myra is a G3P2 who sought consultation at the OPD due to cramps and fatigability.]]></situation> 
				</query>
				<query>
					<question ctrlno="82" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following food will you advise to relieve her leg cramps?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mongo, cheese, and dilis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nuts, legumes and eggs]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pechay, squash and malunggay]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Rice, bread and root crops]]></answer> 
						<situation><![CDATA[Myra is a G3P2 who sought consultation at the OPD due to cramps and fatigability.]]></situation> 
				</query>
				<query>
					<question ctrlno="83" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She asked for a nutrition supplement to ease her leg cramps, which could be any of the following, except ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Calpol]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Calci aid]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Calcebone]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Cal De Ce]]></answer> 
						<situation><![CDATA[Myra is a G3P2 who sought consultation at the OPD due to cramps and fatigability.]]></situation> 
				</query>
				<query>
					<question ctrlno="84" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is referred to as lactogenic hormone?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Estrogens]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Progesterone]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Diethylstilbestrol]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prolactin]]></answer> 
						<situation><![CDATA[Baby Andrea, born by NSD, weighs 3000 grams and measures 49 cm long. She roomed-in with her mother after 24 hours in the nursery.]]></situation> 
				</query>
				<query>
					<question ctrlno="85" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the most beneficial advantage of rooming in?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increases the ability of the mother to take care of herself and her baby.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Makes all phases of childbearing as natural as possible.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Promotes mother and child bonding at an early stage.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Promotes faster involution.]]></answer> 
						<situation><![CDATA[Baby Andrea, born by NSD, weighs 3000 grams and measures 49 cm long. She roomed-in with her mother after 24 hours in the nursery.]]></situation> 
				</query>
				<query>
					<question ctrlno="86" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother complains of the inability of Baby Andrea to empty either breast. Which of the following instruction is NOT helpful?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Breastfeed the neonate every 2-3 hours or on demand whichever comes first.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Breastfeed the neonate on demand.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Give glucose water as supplement.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Offer the breast every four hours]]></answer> 
						<situation><![CDATA[Baby Andrea, born by NSD, weighs 3000 grams and measures 49 cm long. She roomed-in with her mother after 24 hours in the nursery.]]></situation> 
				</query>
				<query>
					<question ctrlno="87" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the third day, Baby Andrea develops yellowish discoloration of the skin. This condition can be explained as _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Disorder of the blood clotting mechanism.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Disorder of the digestive system.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Normal physiological jaundice.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dysfunction of the liver.]]></answer> 
						<situation><![CDATA[Baby Andrea, born by NSD, weighs 3000 grams and measures 49 cm long. She roomed-in with her mother after 24 hours in the nursery.]]></situation> 
				</query>
				<query>
					<question ctrlno="88" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the most important instruction to given to the mother on newborn care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prevention of infection]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proper feeding techniques]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Techniques in bathing the baby]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Prevention on diaper rash]]></answer> 
						<situation><![CDATA[Baby Andrea, born by NSD, weighs 3000 grams and measures 49 cm long. She roomed-in with her mother after 24 hours in the nursery.]]></situation> 
				</query>
				<query>
					<question ctrlno="89" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the aim of Community Health Nursing (CHN)?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Limitation to certain age only]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Development of human being]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[To serve all ages of the population]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Promoting and preserving health]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="90" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which one is the primary focus of Community Health Nursing (CHN)?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Healthy foods]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Health continuum]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Health habit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Health promotion]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="91" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Where is Community health Nursing extended (CHN)?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mature and elderly]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Adolescents, adult and aged]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Individuals, families and communities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Female population only]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="92" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the criteria to become public health nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Specialist in CHN]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Specialist in any field]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Cum laude on graduation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[BSN graduate with license]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="93" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The dynamic care of this nursing tool provides measurement of progress. What is the scientific systematic process for quality care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nursing policies]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nursing standard]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing procedures]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Nursing process]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="94" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To start the health education class and to get the parent's active participation, which of the following is the BEST question to ask?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Can you explain the "Plate Method"?"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Did you cook your Child's lunch today?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Who among you have kids who are under weight?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What food do you usually prepare for tour kid's lunch?"]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="95" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The educational approach to health education states that learning involves three aspects. Which of the following is NOT included?<br><br>
<span style="font-weight:normal">
I. Role playing<br>
II. Group sharing<br>
III . Demonstration<br>
IV. Return demonstration<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ill and IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II , III and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I. II and III]]></answer> 
						<situation><![CDATA[Community Health Nursing is a synthesis of nursing practice and public health practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="96" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nursing process facilitates an understanding of the scope of challenges inherent in Nursing Care of clients at risk for __________ EXCEPT.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Injury]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Infection]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Self-care deficit]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Restraint]]></answer> 
						<situation><![CDATA[Safety in any health agency is a must. Nurse Angie wants this maintain in her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="97" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The clients-at risk require re-assessment of their status on _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Shift basis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Daily basis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[As necessary basis]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[An hour basis]]></answer> 
						<situation><![CDATA[Safety in any health agency is a must. Nurse Angie wants this maintain in her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="98" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[With a patient is placed on a bed rest, the nurse must watch which part of the body MOST?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Head]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Skin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Legs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Liver]]></answer> 
						<situation><![CDATA[Safety in any health agency is a must. Nurse Angie wants this maintain in her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="99" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In case of complication due to improper use of technology, to whom should cases be referred to?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Midwife]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[District hospital]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[City health officer]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Rural Physician]]></answer> 
						<situation><![CDATA[Safety in any health agency is a must. Nurse Angie wants this maintain in her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="100" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The primary purpose for the regulation of nursing practice is to protect __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The public]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Practicing nurses]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Professional standards]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The employing agency]]></answer> 
						<situation><![CDATA[Safety in any health agency is a must. Nurse Angie wants this maintain in her unit.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="3" testsection="NLE Assessment" testpart="NURSING PRACTICE II - COMMUNITY HEALTH NURSING"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE II - COMMUNITY HEALTH NURSING</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="101" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are the objectives of the FHSIS, EXCEPT:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ensure data recorded are useful and accurate and discriminated in a timely, easy to use fashion.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Minimum recording and reporting burden allowing more time for patient care and promotive activities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provides standardize facility-level data base which can be used for more in-depth studies.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Complete the picture of acute and chronic diseases.]]></answer> 
						<situation><![CDATA[The Field Health Services and Information System (FHSIS) recording and reporting system in public health care in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="102" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, you should know the process on how this information is processes and consolidated. The fundamental block of the FHSIS system is the _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Output record]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reporting forms]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Family treatment record]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Target/client list]]></answer> 
						<situation><![CDATA[The Field Health Services and Information System (FHSIS) recording and reporting system in public health care in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="103" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The monthly field health service activity report is a form used in which of the component of the FHSIS?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tally report]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Output report]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Individual health record]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Target/client list]]></answer> 
						<situation><![CDATA[The Field Health Services and Information System (FHSIS) recording and reporting system in public health care in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="104" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In using the tally sheet, the recommended frequency is tallying activities and a service is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Daily]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Monthly]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Quarterly]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Weekly]]></answer> 
						<situation><![CDATA[The Field Health Services and Information System (FHSIS) recording and reporting system in public health care in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="105" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To monitor clients registered in long-term regimen such as the Multi Drug Therapy, which component of the reporting system will be most useful?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Target/client list]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Output report]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Individual health record]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Tally report]]></answer> 
						<situation><![CDATA[The Field Health Services and Information System (FHSIS) recording and reporting system in public health care in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="106" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Though he recognizes the remorse of his daughter, Ramon still feel confused regarding the situation. He said he tried his best to support his family and had always been considerate and kind. He and his wife would always give them reminders and advice calmly and never in a nagging manner. But still they failed as parents. The possible nursing diagnosis of Nurse Oscar of this family is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impaired parenting]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Parental role conflict]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ineffective role performance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ineffective role performance]]></answer> 
						<situation><![CDATA[Nurse Oscar takes care of the Ramos extended family that is in the house owned by Nelda's mother, Marta. Nelda tends a variety store in married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student on his second year in computer and technology course. Gina is a high school graduate; Alex is in third high school year and Celine is in grade six. There is a one year old baby girl named Beatrice, who was later identified by nurse Oscar, as the daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon.]]></situation> 
				</query>
				<query>
					<question ctrlno="107" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Oscar's conversation with Gina revealed that the young woman suffers from syndrome of failures: failure to complete one's normal growth and development, failure to complete education, failure to establish a vacation and become independent and failure to have a life. The nurse Oscar's intervention to this problem is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Focus on the factors that will help protect Gina towards proximal stimuli for healthy growth, development to develop her resiliency in confronting current, future problems.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lay down the foundations of a future by trusting human association and developing mutual trust initially with the nurse, then the family, eventually the whole community.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Transforms interactions among the family members, strengthens specific rules and functions to strengthen family system in order to eventually cope.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Linear approach with regards to the individual in the context of the family, community and culture that will combat shame and guilt.]]></answer> 
						<situation><![CDATA[Nurse Oscar takes care of the Ramos extended family that is in the house owned by Nelda's mother, Marta. Nelda tends a variety store in married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student on his second year in computer and technology course. Gina is a high school graduate; Alex is in third high school year and Celine is in grade six. There is a one year old baby girl named Beatrice, who was later identified by nurse Oscar, as the daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon.]]></situation> 
				</query>
				<query>
					<question ctrlno="108" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In one home visit, Nurse Oscar was approached by the 15 year old Alex. He was asking about condom use. He said he has a girlfriend with whom he has madly in love with, but does not want her to get pregnant. Nurse Oscar's most practical and best advice would be _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Teach him the- step-by-step correct, continuous and consistent condom use.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Discourage him on having a girlfriend and focus more on his studies.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Postpone sex and suggest others ways of expressing love.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Explain to him the difference between sex and love.]]></answer> 
						<situation><![CDATA[Nurse Oscar takes care of the Ramos extended family that is in the house owned by Nelda's mother, Marta. Nelda tends a variety store in married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student on his second year in computer and technology course. Gina is a high school graduate; Alex is in third high school year and Celine is in grade six. There is a one year old baby girl named Beatrice, who was later identified by nurse Oscar, as the daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon.]]></situation> 
				</query>
				<query>
					<question ctrlno="109" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ramon complains to Nurse Oscar some weird behaviour of Nelda. These past few months she has decreased sex drive, night sweats and mood swings. He also received weird text messages from her such as: "Do you really love me?", "What role do I play to your life". "Do you still find me attractive?" The best advice of Nurse Oscar to Ramon should be _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Accompany her to a psychiatrist.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ignore his wife or tell her she is too old to act like a teen-ager.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Give assurance that she is the best person who came to his life.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Give her some money for make-over to increase her self -esteem and make her look more attractive to him.]]></answer> 
						<situation><![CDATA[Nurse Oscar takes care of the Ramos extended family that is in the house owned by Nelda's mother, Marta. Nelda tends a variety store in married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student on his second year in computer and technology course. Gina is a high school graduate; Alex is in third high school year and Celine is in grade six. There is a one year old baby girl named Beatrice, who was later identified by nurse Oscar, as the daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon.]]></situation> 
				</query>
				<query>
					<question ctrlno="110" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Apparently, the nurse's interventions have improved family relationships. The members are now communicating with one another and excited in preparing for a family affair, which is the baptism of Beatrice. Nurse Oscar was asked to be the godfather of the child. His best response is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refuse and make alibi that he belongs to another religion.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Accept and proudly say that Beatrice will be his 49th godchild.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Accept and express gratitude for the trust accorded him by the family.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Politely, explain that his relationship with his family must not go beyond professional.]]></answer> 
						<situation><![CDATA[Nurse Oscar takes care of the Ramos extended family that is in the house owned by Nelda's mother, Marta. Nelda tends a variety store in married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student on his second year in computer and technology course. Gina is a high school graduate; Alex is in third high school year and Celine is in grade six. There is a one year old baby girl named Beatrice, who was later identified by nurse Oscar, as the daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon.]]></situation> 
				</query>
				<query>
					<question ctrlno="111" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A 35-year old woman, on her second trimester of pregnancy with insulin-dependent diabetes mellitus, comes to you for some advice is the PRIORITY message for her at this time?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Infants of diabetic mothers are big which can result in most difficult delivery.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Breastfeeding is highly recommended and insulin use is non-contraindicated.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Her insulin requirements will likely increase beginning 3rd trimester of pregnancy.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Achievement of optimal glycemic control is of utmost importance in preventing congenital anomalies.]]></answer> 
						<situation><![CDATA[You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication.]]></situation> 
				</query>
				<query>
					<question ctrlno="112" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A 30-year old G6P5 woman at 12 weeks has just begun prenatal can initial laboratory work reveals that she has human immunodeficiency virus (HIV) infection. What would be priority evidence-based information for this patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Breastfeeding is still recommended due to the great benefits to the infant.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pregnancy is known to accelerate the course of HIV disease in the mother.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Medication for HIV infection safe can greatly reduce transmission of HIV to the patient.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Caesarean section is not recommended because of the increases transmission of HIV, transmission with the bleeding at surgery.]]></answer> 
						<situation><![CDATA[You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication.]]></situation> 
				</query>
				<query>
					<question ctrlno="113" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[ You are handling pregnant woman who come in with various complaints. Which of the patient's complaints would require IMMEDIATE attention?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Pedal edema at 39 weeks gestation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vaginal itching at 20 weeks gestation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nausea & vomiting at 8 weeks gestation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Leaking vaginal fluid at 34 weeks gestation]]></answer> 
						<situation><![CDATA[You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication.]]></situation> 
				</query>
				<query>
					<question ctrlno="114" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Pregnant woman who are in their early pregnancy complained of experiencing severe nausea and vomiting. Which of the following would you advice them to address this disorder?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Do own cooking to build up tolerance for food odors.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Limit fluids with meals to increase retention of food.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Take at nausea drug after meals to help control nausea.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Eat mainly high-fat foods to supplement deficient calories.]]></answer> 
						<situation><![CDATA[You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication.]]></situation> 
				</query>
				<query>
					<question ctrlno="115" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Inclusiveness of technology relates to safety and cost. Vaccines are expensive but nurse has to explain the value of prevention. Which among these vaccines is expensive?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[DPT]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[BCG]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Measles and chicken pox]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Polio]]></answer> 
						<situation><![CDATA[Technology is used in PCH. The PHN must know the outcome criteria of technology.]]></situation> 
				</query>
				<query>
					<question ctrlno="116" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Feasibility of technology means that the method could be used without electricity. If there is no power, what should the nurse use?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Autoclave]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Sterilization]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[LPG gas]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Disposable syringe]]></answer> 
						<situation><![CDATA[Technology is used in PCH. The PHN must know the outcome criteria of technology.]]></situation> 
				</query>
				<query>
					<question ctrlno="117" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which herbal plant could be used for ailments like cough, fever and abdominal pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sambong]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Lagundi]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bayabas]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Herba Buena]]></answer> 
						<situation><![CDATA[Technology is used in PCH. The PHN must know the outcome criteria of technology.]]></situation> 
				</query>
				<query>
					<question ctrlno="118" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In acute dehydration, mothers may use solution and let her baby drink. What is this solution?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Salt solution]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pedialyte solution]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Glucose intolerance]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Glucose electrolyte]]></answer> 
						<situation><![CDATA[Technology is used in PCH. The PHN must know the outcome criteria of technology.]]></situation> 
				</query>
				<query>
					<question ctrlno="119" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are these outcome criteria of technology?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Compatibility with supply]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Effectiveness and safety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Unhazardous to children]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Understandable to people]]></answer> 
						<situation><![CDATA[Technology is used in PCH. The PHN must know the outcome criteria of technology.]]></situation> 
				</query>
				<query>
					<question ctrlno="120" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Belinda came to the doctor's clinic with his grade 6 daughter who complained of fever, exudative tonsils and tender lymph nodes. What is the serious complication to watch?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Otitis media]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sydenham's chorea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Rheumatic heart disease]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Peritonsillar abscess]]></answer> 
						<situation><![CDATA[Streptococcal disease are caused by Group A Streptococci. Persons infected with this Beta-haemolytic disease present as sore throat.]]></situation> 
				</query>
				<query>
					<question ctrlno="121" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which penicillin group is the drug of choice the doctor will order for you to carry out?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Oral penicillin G]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Oral penicillin V]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Penicillin GIM Benzathine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Procaine penicillin G IM]]></answer> 
						<situation><![CDATA[Streptococcal disease are caused by Group A Streptococci. Persons infected with this Beta-haemolytic disease present as sore throat.]]></situation> 
				</query>
				<query>
					<question ctrlno="122" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mode of transmission of strep infection is direct contact with infected person. What is your best teaching to the family of Belinda?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Isolate infected member]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Separate food utensils]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Disinfect all soiled linens]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cover nose & mouth when coughing]]></answer> 
						<situation><![CDATA[Streptococcal disease are caused by Group A Streptococci. Persons infected with this Beta-haemolytic disease present as sore throat.]]></situation> 
				</query>
				<query>
					<question ctrlno="123" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Another complication of streptococcal disease which manifests as upper respiratory infection is which one of these below?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impetigo]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Acute heart disease]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Acute rheumatic fever]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Erysipelas]]></answer> 
						<situation><![CDATA[Streptococcal disease are caused by Group A Streptococci. Persons infected with this Beta-haemolytic disease present as sore throat.]]></situation> 
				</query>
				<query>
					<question ctrlno="124" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the first thing that a nurse should do in giving antibiotics?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Report rashes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Check wheal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sensitivity skin test]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Give histamine]]></answer> 
						<situation><![CDATA[Streptococcal disease are caused by Group A Streptococci. Persons infected with this Beta-haemolytic disease present as sore throat.]]></situation> 
				</query>
				<query>
					<question ctrlno="125" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, which of the following is the first step in prevention unnecessary death from pneumonia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Classification of problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interpretation of signs]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assessment by asking question]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Identification of treatment]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="126" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the major factor that contributes to problem like ARI?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mother's failure to recognize signs and symptoms.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Inadequate training of health workers.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lack of antibiotic to treat pneumonia.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Poor nutrition of mother and child.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="127" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Cynthia brought her 4 months daughter, Terry to the Rural Health Unit because of inability to feed well, cough, and abnormal sleeping. Which classification of pneumonia is this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Severe D]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Influenza]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Very severe]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[No pneumonia]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="128" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If Terry needs procaine penicillin, what unit dose is given at the RHU before referring her to the district hospital?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[400000]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[300000]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[200000]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[600000]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="129" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If Terry is in the home, which one of the following is a priority to be taught to Terry's mother:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give antibiotic for 5 days]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bring child to RHU at once]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Clear nose if it interfere with feeding]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Weigh the child every morning]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="130" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse learns the five principles of goal setting in which the senior nurse must provide enough time for OB nurse to improve performance. This is called _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Challenge]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feedback]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Task complexity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Commitment]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="131" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse also learned that continuous training is a personal as well as an organizational goal. Choose the statements that are TRUE regarding continuous training.<span style="font-weight:normal">
I. Training employees is an excellent investment and a cost to as institution.<br>
II. Continuous training is more on a personal responsibility than institution.<br>
III. Cross training and job rotation provide on-going part-time learning experience.<br>
IV. Select the best people when hiring employees and invest in their retention through continuous training.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ill and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II and L III]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="132" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nothing the importance of Nurse-Patient-Relationship, the nurse reviewed Hildegard Peplau's Theory which identified 4 phases, the FIRST of which is when the pregnant woman:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Begins to have feeling of belonging.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feels the need to seek professional assistance.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Demonstrates self-reliance in caring for herself.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Understands the communication of Nurse regarding the services offered.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="133" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse took note that evaluating the OB staff is on-going function of management. Some of the reasons for conducting evaluation include, EXCEPT to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Provide an indication of the costs of poor quality services.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ensure that quality of care is provided by the OB staff]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Dissuade self-evaluation of the OB staff.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Justify the use of resources.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="134" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PO plays the major role in the selection of Community Health Workers. Who will be the appropriate individuals for the organized community?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Those appointed by the PO based on the criteria provided by nurse.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The interested members of the community who volunteered.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The existing barangay leaders of other committees]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Those persons elected from the small groups]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="135" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PO requested the nurse to facilitate the establishment of a Barangay Health Satellite (BHS) for the availability, accessibility and utilization of health services. Which of the following actions may NOT be necessary?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Letter of request to the Office of the Governor.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Personal appearance to the Office of the Mayor to submit the proposal.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Compliance to requirements to be submitted to the Regional Health Office.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Request the Barangay Council to make resolution formal request for setting up the BHS.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="136" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before the termination phase, the nurse endorsed the setting up of disaster management committee. There will be training of the group develop protocol. Which of the following will be the MOST important consideration to be acted upon by the PO?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Formation of quick reaction teams.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Setting up a disaster management center in the area.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Procurement of materials and equipment for disaster management.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[General information on disaster and disaster management to the whole community.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="137" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This among the following would be the nursing management for the while in the hospital. Select those that apply?<br><br>
<span style="font-weight:normal">
I. Isolate the patient.<br>
II. Darken room and observe silence.<br>
III. Encourage family to provide care and company.<br>
IV. Give food if patient is hungry.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II. Ill and IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I. II and III]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="138" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which part of the body of the vendor will be MOST affected in terms of rabies? It is the:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hand]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Feet]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Buttocks]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Head]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="139" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To protect the vendor from the dangers of rabies, PHN Cords advises is to clean the wound thoroughly with soap and water, consult a physician and receive anti-rabies vaccination. Which among the following vaccine can provide active immunity?<br><br>
<span style="font-weight:normal">
I. Purified Vero cell vaccine<br>
II. Human rabies immunoglobulin<br>
III. Equine rabies immunoglobulin<br>
IV. Purified duck embryo vaccine<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II only]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[II and IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I only]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="140" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The vendor contracted rabies, what will PHN Cords do to protect and who took care of him? He should administer _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pre-exposure prophylactic treatment only for the family of Bert, the dog, owner.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Post-prophylactic treatment only for the family of the vendor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pre-exposure prophylactic treatment to Bert and the vendor families.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Post-exposure prophylactic treatment to Bert and the vendor's families.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="141" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[PHN Cord's intervention to protect all residents who own pets, especially dogs, should be done by _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Massive campaign for responsible pet ownership.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Massive campaign to families not to own pets at home.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Coordinating with city/municipal officials to make an ordinance on stray dogs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Coordinating with city/municipal agriculturist for immunization of ail pets.]]></answer> 
						<situation><![CDATA[The Department of Health reports that Acute Respiratory infection (ARI) especially pneumonia remains to be the leading cause of death among Filipino children.]]></situation> 
				</query>
				<query>
					<question ctrlno="142" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon reaching the house, a local herbolaria, Nanay Isa was already attending to the boy. She said that the boy played near the river and bad spirits entered his body. The MOST appropriate remark the nurse can make is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Go on. Do as you please, then I will take over."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Nanay Isa, your intervention is entirely wrong."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["It's good you're here. You can drive away the spirits that entered the boy's body."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["You have to be sure that all the evil spirits have been driven out of the boy's body."]]></answer> 
						<situation><![CDATA[PHN Elfa works in barangay in the municipality of Agoho. One day, a neighbour summons her to attend to a 7-year old boy with a high grade fever]]></situation> 
				</query>
				<query>
					<question ctrlno="143" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a few minutes, Nanay Isa took a big bowl of soup and gave to the boy. The BEST remark of the nurse is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Come on, tell me why soup must be given to a child with fever."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["The soup could have been better if you put lemon grass on it."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["That's correct. Increasing fluid intake will help lower down temperature.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I also drink soup when I get sick. How about you, Nanay Isa, do you do the same?]]></answer> 
						<situation><![CDATA[PHN Elfa works in barangay in the municipality of Agoho. One day, a neighbour summons her to attend to a 7-year old boy with a high grade fever]]></situation> 
				</query>
				<query>
					<question ctrlno="144" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Finally, Nanay Isa took out from her pocket a dried rose flower and placed it on the boy's forehead. How will Nurse Elfa handled this action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask the helbolaria the rationale for the intervention.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ask for an extra piece of dried rose flower and promise to use it.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Leave the intervention as is. The intervention is neutral: neither harmful nor beneficial.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tell her not to use the dried flower again because it does not have any good effect.]]></answer> 
						<situation><![CDATA[PHN Elfa works in barangay in the municipality of Agoho. One day, a neighbour summons her to attend to a 7-year old boy with a high grade fever]]></situation> 
				</query>
				<query>
					<question ctrlno="145" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should be the CORRECT action of Nurse Elfa after the entire rituals have been done by Nanay Isa?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Befriend her and ask her to tell you more of the other cultural practices that she knows.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tell her not to do these practices again because it is a waste of time and effort.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Congratulate her for driving away the evil spirits from the boy's body.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Despise her knowing that what she did was unacceptable.]]></answer> 
						<situation><![CDATA[PHN Elfa works in barangay in the municipality of Agoho. One day, a neighbour summons her to attend to a 7-year old boy with a high grade fever]]></situation> 
				</query>
				<query>
					<question ctrlno="146" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An understanding of the socio-cultural determinants of the health in the community will enable the nurse to _____. Choose all that apply.<br><br>
<span style="font-weight:normal">
I. Effectively handle traditional concepts of health and illness.<br>
II. Effectively and efficiently handle traditional healers.<br>
lIl. Manage in controlling-people who believe in traditional healing.<br>
IV. Develop a program that will harmonize modern and traditional practices.<br></span>
]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[II, Ill and IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I,II and III]]></answer> 
						<situation><![CDATA[PHN Elfa works in barangay in the municipality of Agoho. One day, a neighbour summons her to attend to a 7-year old boy with a high grade fever]]></situation> 
				</query>
				<query>
					<question ctrlno="147" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, what would you tell Ella regarding ovulation? That ovulation usually corresponds to the life of the corpus luteum, which occurs approximately _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[14 days after the first day of the succeeding menstrual bleeding.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[7 days after the first day of the succeeding menstrual bleeding.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[14 days before the first day of the succeeding menstrual bleeding.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[7 days before the first day of succeeding menstrual bleeding.]]></answer> 
						<situation><![CDATA[Ella, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. These have something to do with her fertility period during her last sexual intercourse with her husband.]]></situation> 
				</query>
				<query>
					<question ctrlno="148" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ella insisted that she might have been fertile during the time of sexual intercourse. The nurse explains that absolute period of fertility is the span of time that a woman is likely to be pregnant when she engages in unprotected sex _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[During ovulation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Immediately after ovulation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Immediately before ovulation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Several days after ovulation]]></answer> 
						<situation><![CDATA[Ella, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. These have something to do with her fertility period during her last sexual intercourse with her husband.]]></situation> 
				</query>
				<query>
					<question ctrlno="149" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse proceeded to take the menstrual history of Ella to find out if she is likely to be pregnant. Which of the following determines the date of onset of last menstrual period (LMP)? It is the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Spotting after the LMP]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Duration and character of the LMP]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bleeding before the last menstrual period.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Implantation bleeding.]]></answer> 
						<situation><![CDATA[Ella, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. These have something to do with her fertility period during her last sexual intercourse with her husband.]]></situation> 
				</query>
				<query>
					<question ctrlno="150" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse also asked about Ella's secondary amenorrhea that would most likely indicate her pregnancy. Secondary amenorrhea is cessation of menses for MORE than _____ months after regular menstrual cycle has been established.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Three]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Six]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Five]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Four]]></answer> 
						<situation><![CDATA[Ella, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. These have something to do with her fertility period during her last sexual intercourse with her husband.]]></situation> 
				</query>
				<query>
					<question ctrlno="151" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse also asked for presence of secondary dysmenorrhoea. Which of the following conditions is NOT included under secondary dysmenorrhoea?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Absence of any underlying anatomic abnormality.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Pelvic inflammatory disease.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Malposition of this cervix.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Intra-uteririe device.]]></answer> 
						<situation><![CDATA[Ella, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. These have something to do with her fertility period during her last sexual intercourse with her husband.]]></situation> 
				</query>
				<query>
					<question ctrlno="152" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A school nurse was called to attend to the bruised skin of Teddy, a 4-year-old preschool pupil. When attending to the needs of this child, the nurse should remember that children of his age are AFRAID of _____>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Isolation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Mutilation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Starvation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Death]]></answer> 
						<situation><![CDATA[The nurse's role in varying health problems involving patients in various developmental stages is expected regardless of place and circumstances.]]></situation> 
				</query>
				<query>
					<question ctrlno="153" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When caring for a 6-month-old baby, the nurse should emphasize to the mother how to prevent accident. At this age, the toys that is APPROPRIATE for this baby is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rattle]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Balls]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Matchbox]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Blocks]]></answer> 
						<situation><![CDATA[The nurse's role in varying health problems involving patients in various developmental stages is expected regardless of place and circumstances.]]></situation> 
				</query>
				<query>
					<question ctrlno="154" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A mother wants to know what to do when a 5-year-old boy has temper tantrums. They would SUGGEST that the mother allow the child to express anger by the use of a _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Baseball bat]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Wad of clay]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pounding board]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Punching bag]]></answer> 
						<situation><![CDATA[The nurse's role in varying health problems involving patients in various developmental stages is expected regardless of place and circumstances.]]></situation> 
				</query>
				<query>
					<question ctrlno="155" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Accident falls are common among six to twelve month old children. At this age, they usually:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Crawl lengthy distance]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Roll over]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stand while holding on to furniture]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sit up]]></answer> 
						<situation><![CDATA[The nurse's role in varying health problems involving patients in various developmental stages is expected regardless of place and circumstances.]]></situation> 
				</query>
				<query>
					<question ctrlno="156" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that an older pre-schooler's response to hospitalization is influenced by:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Belief of bodily harm]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Belief in death finality]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fear of separation from loved ones]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Belief in supernatural powers]]></answer> 
						<situation><![CDATA[The nurse's role in varying health problems involving patients in various developmental stages is expected regardless of place and circumstances.]]></situation> 
				</query>
				<query>
					<question ctrlno="157" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In counselling Mrs. Martha and her husband about BTL, which of the following should be the main FOCUS of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[If the couple has any doubt, offer another contraceptive method.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Review family and personal circumstances that could affect their decision.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assist the couple to make a sound, well informed decision to undergo the procedure.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Motivate the couple to make a sound, well informed decision to undergo the procedure.]]></answer> 
						<situation><![CDATA[Mrs. Martha, 35 years old and G4P4 expressed her desire to undergo bilateral tubal ligation (BTL). Her youngest child is one-year-old.]]></situation> 
				</query>
				<query>
					<question ctrlno="158" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the MOST important instruction to be given to Mrs. Martha who is about to undergo Bilateral Tubal Ligation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[She must be certain that she understands and desire the procedure.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Refrain from taking anything by mouth after midnight.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bring a responsible adult as companion.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Take a shower before the procedure.]]></answer> 
						<situation><![CDATA[Mrs. Martha, 35 years old and G4P4 expressed her desire to undergo bilateral tubal ligation (BTL). Her youngest child is one-year-old.]]></situation> 
				</query>
				<query>
					<question ctrlno="159" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Other methods of contraception are explored. The husband expresses his non-preference for vasectomy. Which of the following is the MAIN reason why this method is not a popular choice among men?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Restoration of fertility does not always succeed.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Diminishes macho image.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sterility is not immediate.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Very costly.]]></answer> 
						<situation><![CDATA[Mrs. Martha, 35 years old and G4P4 expressed her desire to undergo bilateral tubal ligation (BTL). Her youngest child is one-year-old.]]></situation> 
				</query>
				<query>
					<question ctrlno="160" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After sterilization, which of the following choices should be avoided by Mrs. Martha?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Shower anytime, but keep the incision site dry for 7 days.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Resume sexual relations with husband.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Take medications as ordered.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lift her younger child.]]></answer> 
						<situation><![CDATA[Mrs. Martha, 35 years old and G4P4 expressed her desire to undergo bilateral tubal ligation (BTL). Her youngest child is one-year-old.]]></situation> 
				</query>
				<query>
					<question ctrlno="161" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT true about BTL?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Very effective and safe]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Irreversible]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Does not interrupt sexual activities.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allows immediate sterility]]></answer> 
						<situation><![CDATA[Mrs. Martha, 35 years old and G4P4 expressed her desire to undergo bilateral tubal ligation (BTL). Her youngest child is one-year-old.]]></situation> 
				</query>
				<query>
					<question ctrlno="162" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Martha asks, will it be possible for me to get pregnant after the procedure? The best response of the nurse will be _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["What made you ask?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Absolutely not, this is a permanent sterility."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["The doctors here are all specialists. I wouldn't worry if I were you."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["There are some reports of women getting pregnant, but this is comparatively rare."]]></answer> 
						<situation><![CDATA[Mrs. Martha, 35 years old and G4P4 expressed her desire to undergo bilateral tubal ligation (BTL). Her youngest child is one-year-old.]]></situation> 
				</query>
				<query>
					<question ctrlno="163" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Hubert classifies cases according to the major categories of reproductive tract infections. Which of the following is NOT part of such classification?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sexuality transmitted infections.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Urinary tract infections among male and female patients.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Endogenous infections resulting from poor personal hygiene.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Iatrogenic infections as aftermath of invasive procedures like catheterization and intra-uterine device (IUD) insertion.]]></answer> 
						<situation><![CDATA[The local health board established a reproductive health in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="164" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Irene further explained that a test used to determine tubal patency using a radiopaque material is the _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Freidman's test]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sims Huhner test]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hysterosalpingography]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Post-coital test]]></answer> 
						<situation><![CDATA[The local health board established a reproductive health in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="165" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Hubert was invited by a women's group to give a lecture on sexuality. In the expectation check, he noted that there are pre-misconception expressed by the participants. Which of the following statements is correct?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Effeminate men are gays.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Sexuality is fluid and may change.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Homosexuality, being gay or lesbian is an abnormality.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is the obligation of the wife to give in to sex every time he ask for it.]]></answer> 
						<situation><![CDATA[The local health board established a reproductive health in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="166" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Irene handles the screening for gonorrhoea every two weeks among sex workers in the implementation of PD 856. In differential diagram of discharge among infected clients. Which of the following could discharge will Irene take note to identify gonorrhoea from other clients?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Greenish yellow as differentiated from mucoid white of trichomoniasis.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Mucoid white as compared to greyish-white discharge of vaginosis.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Yellowish white as compared to trichomoniasis' greenish-yellow.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Greyish white as differentiated from mucoid white of Chlamydia.]]></answer> 
						<situation><![CDATA[The local health board established a reproductive health in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="167" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the clients was positive to Gonorrhoea. Nurse Irene explain that gonorrhoea and Chlamydia, if left untreated, can lead to pelvic inflammatory disease (PIC). Such condition may cause infertility due to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Foul smelling odor discharge which can kill the ovum.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Purulent discharge which can kill the sperms.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Scarring which can lead to tubal occlusion.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[An unknown cause.]]></answer> 
						<situation><![CDATA[The local health board established a reproductive health in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="168" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The role of the public health nursing (PHN) in TB control is home supervision. Which of the following does the nurse monitor?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Disinfecting utensils]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Separation or isolation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Preventive treatment of contacts]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Appropriate health behaviour]]></answer> 
						<situation><![CDATA[The Department of Health has a strong TB control program. Specific objectives are stipulated in the manual.]]></situation> 
				</query>
				<query>
					<question ctrlno="169" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Preventive treatment shown to be effective in preventing progression of latent infection is use of inexpensive drug. Which drug does the doctor order?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Isoniazid]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Cefalexin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dalteparin]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Rifampicin]]></answer> 
						<situation><![CDATA[The Department of Health has a strong TB control program. Specific objectives are stipulated in the manual.]]></situation> 
				</query>
				<query>
					<question ctrlno="170" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During case finding of TB infected person, which procedure is immediately done by the PHN?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[BCG injection]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[X-ray mobile unit]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Distribution of isoniazid]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collection of sputum]]></answer> 
						<situation><![CDATA[The Department of Health has a strong TB control program. Specific objectives are stipulated in the manual.]]></situation> 
				</query>
				<query>
					<question ctrlno="171" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the top leading cause of mortality among the older persons?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Malignancies]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Diabetes mellitus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Diseases of the heart]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tuberculosis in all form]]></answer> 
						<situation><![CDATA[Nursing care of older persons is the domain of geriatric nurses, but many are in their homes in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="172" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST common cause of limitation to activities of daily living among older persons?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Neurologic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cardiovascular]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Musculo-skeletal]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respiratory problem]]></answer> 
						<situation><![CDATA[Nursing care of older persons is the domain of geriatric nurses, but many are in their homes in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="173" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the primary goal of health care and services for older persons?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Multidisciplinary case]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Longer disability-free life]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Maintenance of belief and values]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Right of older persons]]></answer> 
						<situation><![CDATA[Nursing care of older persons is the domain of geriatric nurses, but many are in their homes in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="174" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the Philippines, the older persons are cared for by the family. As a community health nurse, what should be observed during a home visit?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Social development]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Physical symptoms]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Total development task]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Emotional symptoms]]></answer> 
						<situation><![CDATA[Nursing care of older persons is the domain of geriatric nurses, but many are in their homes in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="175" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In what way could a community health nurse best gather data as to demography and health profile of older persons?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Survey]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Library]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Interview]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Records]]></answer> 
						<situation><![CDATA[Nursing care of older persons is the domain of geriatric nurses, but many are in their homes in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="176" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The dangerous drug act known also as RA 6425 states that nobody must do any of the following in relation to prohibited drugs.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sell, administer, deliver]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sell, administer and prescribe]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Report suspected user to authority]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Use yellow prescription for doctors]]></answer> 
						<situation><![CDATA[The legal responsibilities of the nurse in any setting must be given importance to prevent litigation.]]></situation> 
				</query>
				<query>
					<question ctrlno="177" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which among the following is related to the local governance of delivery of basic services including health?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[R. A. 7160]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[R. A. 7164]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ministry Circular No. 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Executive Order No. 119 including sec 3]]></answer> 
						<situation><![CDATA[The legal responsibilities of the nurse in any setting must be given importance to prevent litigation.]]></situation> 
				</query>
				<query>
					<question ctrlno="178" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which age group is required to be immunized as per Presidential Decree No. 996?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Schoolchildren]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Out of school youth]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Children with special needs]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Children below 8 years old]]></answer> 
						<situation><![CDATA[The legal responsibilities of the nurse in any setting must be given importance to prevent litigation.]]></situation> 
				</query>
				<query>
					<question ctrlno="179" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which legislation aims to promote and improve the social and economic well-being of health workers in government services?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[R. A. 7164]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Magna Carta]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[DOH policies and guidelines]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Alma Ata]]></answer> 
						<situation><![CDATA[The legal responsibilities of the nurse in any setting must be given importance to prevent litigation.]]></situation> 
				</query>
				<query>
					<question ctrlno="180" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Presidential Decree requires all health workers to register all births within 30 days:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[PD. 615]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[PD 651]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[PD 561]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[PD 156]]></answer> 
						<situation><![CDATA[The legal responsibilities of the nurse in any setting must be given importance to prevent litigation.]]></situation> 
				</query>
				<query>
					<question ctrlno="181" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What health teaching is appropriate to know drug users?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The effects of prohibited drugs to the body.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Good grooming and proper nutrition.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Causes of drug dependency.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ways to control use of drug.]]></answer> 
						<situation><![CDATA[Drug problem among teenagers is multifaceted in nature. It is affected by several factors like physical, psychological, social and cultural aspects.]]></situation> 
				</query>
				<query>
					<question ctrlno="182" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If you were to conduct research related to drug dependence, which one is BEST method to collect data?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Interview]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Related literature]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Participant observation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Historical records]]></answer> 
						<situation><![CDATA[Drug problem among teenagers is multifaceted in nature. It is affected by several factors like physical, psychological, social and cultural aspects.]]></situation> 
				</query>
				<query>
					<question ctrlno="183" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the highest contributing factor that propels a teenager to use drugs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Poor parenting]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Peer pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ Lack of confidence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Low school grades]]></answer> 
						<situation><![CDATA[Drug problem among teenagers is multifaceted in nature. It is affected by several factors like physical, psychological, social and cultural aspects.]]></situation> 
				</query>
				<query>
					<question ctrlno="184" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are the nurse at the RHU. Another nurse requested you to keep a box of shabu. Which of the following should you do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Call a policeman]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Keep the box]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Report to the superior]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ask for a commission]]></answer> 
						<situation><![CDATA[Drug problem among teenagers is multifaceted in nature. It is affected by several factors like physical, psychological, social and cultural aspects.]]></situation> 
				</query>
				<query>
					<question ctrlno="185" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A friend of your brother asks you to inject a prohibited drug on him. What would you tell him?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I refuse to do it."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Get another nurse to do it."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Give me the doctor's prescription."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["I will report you to the policeman."]]></answer> 
						<situation><![CDATA[Drug problem among teenagers is multifaceted in nature. It is affected by several factors like physical, psychological, social and cultural aspects.]]></situation> 
				</query>
				<query>
					<question ctrlno="186" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your primary concern knowing that he has angina attack is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give medicine]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Relief of chest pain]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Re-positioning him every two hours]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prevent further angina attacks]]></answer> 
						<situation><![CDATA[Mr. Go, 65 years old ambulatory patient experiencing chest pain. Describes as "tightness" of the chest. Diagnosis is angina pectoris.]]></situation> 
				</query>
				<query>
					<question ctrlno="187" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[He is suffering from dyspnea. You immediate nursing intervention is to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Place him in prone position.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Give him nitro glycerine tablet.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administer oxygen inhalation of 2L/min.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Place him in moderate Fowler's position.]]></answer> 
						<situation><![CDATA[Mr. Go, 65 years old ambulatory patient experiencing chest pain. Describes as "tightness" of the chest. Diagnosis is angina pectoris.]]></situation> 
				</query>
				<query>
					<question ctrlno="188" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which signs would you closely monitor if he takes nitro glycerine?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hypotension]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Toxicity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hypertension]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tachycardia]]></answer> 
						<situation><![CDATA[Mr. Go, 65 years old ambulatory patient experiencing chest pain. Describes as "tightness" of the chest. Diagnosis is angina pectoris.]]></situation> 
				</query>
				<query>
					<question ctrlno="189" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would you expect him to experience if he is responding to nitro glycerine?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Vertigo]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nausea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dizziness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Headache]]></answer> 
						<situation><![CDATA[Mr. Go, 65 years old ambulatory patient experiencing chest pain. Describes as "tightness" of the chest. Diagnosis is angina pectoris.]]></situation> 
				</query>
				<query>
					<question ctrlno="190" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A short-acting nitrate is ordered. How is this administered?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Place the tablet under the tongue and retain saliva before swallowing the medicine.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Place the tablet on the tongue and retain it for a while and then follow it with water.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Place the tablet under the tongue and then follow with water.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Give per Orem.]]></answer> 
						<situation><![CDATA[Mr. Go, 65 years old ambulatory patient experiencing chest pain. Describes as "tightness" of the chest. Diagnosis is angina pectoris.]]></situation> 
				</query>
				<query>
					<question ctrlno="191" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[From the assessment data, one of the following nursing diagnoses was identified by nurse:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Altered nutrition less than body requirements.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Potential for disuse syndrome.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sleep pattern disturbance.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Impaired physical mobility.]]></answer> 
						<situation><![CDATA[Magdalena, 33 years old formerly an executive secretary of multimillion firm companies of difficult of falling asleep, headache, fatigue and inability to concentrate. She has been separated from her husband since a year ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="192" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During a nurse-patient interaction. Magdalena explains how she lost her job. The nurse responds therapeutically by saying one of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["What do you think is the reason for losing your job?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Do not worry. There will still be other opportunities."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["It must have upset you so much."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Tell me more about your job."]]></answer> 
						<situation><![CDATA[Magdalena, 33 years old formerly an executive secretary of multimillion firm companies of difficult of falling asleep, headache, fatigue and inability to concentrate. She has been separated from her husband since a year ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="193" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In her plan of care, nurse includes a short term goal which is one of the following _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Develop problem solving skills.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Able to participate in scheduled activities.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Talks with the nurse regularly in a week's time.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Takes the initiative of interacting with other patients.]]></answer> 
						<situation><![CDATA[Magdalena, 33 years old formerly an executive secretary of multimillion firm companies of difficult of falling asleep, headache, fatigue and inability to concentrate. She has been separated from her husband since a year ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="194" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Magdalena compliments her boss, but unconsciously does not like him because he terminated her. She is exhibiting one of the following defense mechanism _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Introjections]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sublimation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reaction formation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Displacement]]></answer> 
						<situation><![CDATA[Magdalena, 33 years old formerly an executive secretary of multimillion firm companies of difficult of falling asleep, headache, fatigue and inability to concentrate. She has been separated from her husband since a year ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="195" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The termination phase of nurse-patient relationship is best described in one of the following statements:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Identify and resolve a patient's problems.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Explore patient's thought, feelings and concerns.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Review progress of therapy and attainment of goal.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Establish trust as basis for a therapeutic relationship.]]></answer> 
						<situation><![CDATA[Magdalena, 33 years old formerly an executive secretary of multimillion firm companies of difficult of falling asleep, headache, fatigue and inability to concentrate. She has been separated from her husband since a year ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="196" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which one is the primary element of expanded program of immunization (EPI).]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Target setting]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Information campaign]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Surveillance and research]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Logistic management]]></answer> 
						<situation><![CDATA[The Expanded Program of Immunization (EPI) was started in July 1976 by the virtue, of PD 996. a compulsory immunization of children below 8 years old.]]></situation> 
				</query>
				<query>
					<question ctrlno="197" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The general objective of EPI is to reduce the morbidity and mortality rates among children. BCG is given at birth followed by two doses. When are the 2nd and 3rd doses given?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pre-school booster]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Two months after first dose]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Every month for two months]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[One and a half months after]]></answer> 
						<situation><![CDATA[The Expanded Program of Immunization (EPI) was started in July 1976 by the virtue, of PD 996. a compulsory immunization of children below 8 years old.]]></situation> 
				</query>
				<query>
					<question ctrlno="198" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The EPI is based on three principles. Which one is pro-people?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A basic health services]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Based on epidemiological situation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Case finding and treatment on site]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mass approach rather than individuals.]]></answer> 
						<situation><![CDATA[The Expanded Program of Immunization (EPI) was started in July 1976 by the virtue, of PD 996. a compulsory immunization of children below 8 years old.]]></situation> 
				</query>
				<query>
					<question ctrlno="199" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which collaborating agency in the world helps erase polio in children?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Canadian International Development Agency]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[WHO]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[UNICEF]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Rotary international]]></answer> 
						<situation><![CDATA[The Expanded Program of Immunization (EPI) was started in July 1976 by the virtue, of PD 996. a compulsory immunization of children below 8 years old.]]></situation> 
				</query>
				<query>
					<question ctrlno="200" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Measles vaccine is given subcutaneously in a dose of 0.5 ml. At what age is this done?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[One year]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Six months]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[One year and a half]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nine months]]></answer> 
						<situation><![CDATA[The Expanded Program of Immunization (EPI) was started in July 1976 by the virtue, of PD 996. a compulsory immunization of children below 8 years old.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="3" testsection="NLE Assessment" testpart="NURSING PRACTICE III - CARE OF CLIENTS (PART A)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE III - CARE OF CLIENTS (PART A)</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="201" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST appropriate action of Nurse Louisa?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Request the nurse supervisor to give her brief orientation before compliance.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Refuse the order of the nurse supervisor and stay put in the medical ward.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request the nurse supervisor to assign a more experience nurse reliever.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Comply with the order of the nurse supervisor.]]></answer> 
						<situation><![CDATA[Nurse Louisa is employed in hospital "X" and assigned in Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy.]]></situation> 
				</query>
				<query>
					<question ctrlno="202" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To qualify as an Operating nurse in the Philippine setting, Nurse should posses the minimum requirements of ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[RN with valid and current license and Surgical Ward orientation.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Master's degree holder with valid and current license.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Worked in the surgical unit for 8 hours.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[RN and has worked abroad.]]></answer> 
						<situation><![CDATA[Nurse Louisa is employed in hospital "X" and assigned in Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy.]]></situation> 
				</query>
				<query>
					<question ctrlno="203" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a part of the professional and personal development of Nurse Louisa is a graduate in the Philippines nursing school, should attend the following program? EXCEPT __________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Programs of international associations.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Symposium and forum offered by the school.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Programs by the Philippine Nurses Association.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Continuing Professional Development programs by the Professional Regulation Commission.]]></answer> 
						<situation><![CDATA[Nurse Louisa is employed in hospital "X" and assigned in Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy.]]></situation> 
				</query>
				<query>
					<question ctrlno="204" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRIORITY objective behind career advancement of Nurse Louisa is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Updating one's knowledge, skills, conduct and values in professional nursing.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Renew old acquaintances and establish camaraderie.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increasing revenue of the service providers.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increased number of networking activities.]]></answer> 
						<situation><![CDATA[Nurse Louisa is employed in hospital "X" and assigned in Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy.]]></situation> 
				</query>
				<query>
					<question ctrlno="205" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Louisa has an expired license but promises to renew her license in due time. Which of the following violation can she be charged is she participated in home health care activity?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Felony]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Negligence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Grave coercion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Malpractice]]></answer> 
						<situation><![CDATA[Nurse Louisa is employed in hospital "X" and assigned in Medical Ward for a year now. The nurse supervisor ordered her to proceed immediately to the Surgical Ward as a reliever to another nurse who went on emergency sick leave. She was not oriented in the Surgical Ward and the unit was very busy.]]></situation> 
				</query>
				<query>
					<question ctrlno="206" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is developing a Teaching plan for Isabel 18 years old with Bronchial Asthma. She has an order for discharge. Which part of the teaching plan should be given PRIORITY?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Avoid going to malls.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Wash bed sheet in warm water.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Quick relief medicines as ordered.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Avoid contact with fur-bearing pets.]]></answer> 
						<situation><![CDATA[Health Education is an area of nursing practice. Where the nurse can be creative and independent in the work setting. The following questions apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="207" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Gilbert is for postural drainage. The nurse should position the client's head at ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Twenty degrees at lateral angle.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[No greater than a twenty five degrees downward angle.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A thirty degrees lateral angle for twenty five minutes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A thirty degrees downward angle for twenty five minutes.]]></answer> 
						<situation><![CDATA[Health Education is an area of nursing practice. Where the nurse can be creative and independent in the work setting. The following questions apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="208" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Beth is teaching Michael, an asthmatic, on how to use the Spiro-meter. She should instruct the client to have the mouthpiece]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Placed into the mouth and have a fast deep breath.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Placed into the mouth and have regular breathing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Placed into the mouth and inhale slowly.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Placed into the mouth and exhale slowly.]]></answer> 
						<situation><![CDATA[Health Education is an area of nursing practice. Where the nurse can be creative and independent in the work setting. The following questions apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="209" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Beth is teaching a client on how to use metered dose inhaler to prevent asthmatic attack while in the hospital She should instruct the client to __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Use the inhaler as ordered.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do oral care after use of the inhaler.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use the inhaler before she takes the meals.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Keep the head of the bed at ten degrees angle.]]></answer> 
						<situation><![CDATA[Health Education is an area of nursing practice. Where the nurse can be creative and independent in the work setting. The following questions apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="210" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are conducting health-teaching sessions to client with cardiovascular disorders. Client Pedro asks you this question &quot;Tell me Nurse, what I should do with my hypertension? The best response of the Nurse is______."]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Comply with your diet, life style exercise.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Include garlic in your meals with regulation of alcohol consumption.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Strictly follow your prescribed daily exercise and smoking cessation.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Comply with your diet life style modification and prescribed medicines.]]></answer> 
						<situation><![CDATA[Health Education is an area of nursing practice. Where the nurse can be creative and independent in the work setting. The following questions apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="211" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The first step that a nurse must remember in implementing a health education program for all clients which of the following  _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Establish the client's goal.
]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assists the family to define their goals .]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assess the client's readiness to learn.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prioritize the health needs of her clients.]]></answer> 
						<situation><![CDATA[Health teaching or health education is a function that is included in the scope of nursing practice and is one of the important components in the care of all clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="212" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The implementation of a health education program for clients is BEST conducted in which of the following ways __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[By adhering strictly to the initial plan .]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[By considering only the client during its implementation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[By considering only the client during its implementation.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[With flexibility and willingness on the part of the nurse to make changes as necessary.]]></answer> 
						<situation><![CDATA[Health teaching or health education is a function that is included in the scope of nursing practice and is one of the important components in the care of all clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="213" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For effective health teaching by the nurse, the planned goals for client's learning should be, which of the following _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[They are selected from the list of established goals.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The goals are established by the nurse for her clients.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[They are in accordance with the perception of the clients.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[They are within the regular diet regimen and activity of the client in order to get his cooperation.]]></answer> 
						<situation><![CDATA[Health teaching or health education is a function that is included in the scope of nursing practice and is one of the important components in the care of all clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="214" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To be assured that health teaching for clients with diabetes, particularly about diet, self injection exercise and personal hygiene and safety, is effectively followed after discharge, the nurse must _________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Reinforce appropriate learning during discharge.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use pamphlets and other teaching aids during instruction.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Arrange for follow-up visit at home by a community health nurse.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allow the client to have a return demonstration of relevant procedure like self-injection.]]></answer> 
						<situation><![CDATA[Health teaching or health education is a function that is included in the scope of nursing practice and is one of the important components in the care of all clients.]]></situation> 
				</query>
				<query>
					<question ctrlno="215" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which communication technique would be MOST effective in eliciting detailed from a client?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Which communication technique would be MOST effective in eliciting detailed from a client?]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Summarizing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Open-ended questioning]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Verbalizing observation]]></answer> 
						<situation><![CDATA[One of the professional competencies that nurses must always demonstrate is in the area of communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="216" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The term referring to the sender's attitude towards the self, the message and the listener is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Meta-communication]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Verbal communication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Non-verbal communication]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Double-bind communication]]></answer> 
						<situation><![CDATA[One of the professional competencies that nurses must always demonstrate is in the area of communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="217" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In interacting with patients, the nurse should remember that a client's personal space:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Highly mobile depending upon certain situation.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[That which revolves around the client.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The same as that of the nurse.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Clearly visible to others.]]></answer> 
						<situation><![CDATA[One of the professional competencies that nurses must always demonstrate is in the area of communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="218" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Interpersonal communication is LEAST threatening during what type of relationship:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Personal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Social]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Intimate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Professional]]></answer> 
						<situation><![CDATA[One of the professional competencies that nurses must always demonstrate is in the area of communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="219" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In demonstrating the method for deep breathing exercise, the nurse places the hands on the client' s abdomen to explain diaphragmatic movement. This technique involves the use of which element of communication:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Feedback]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Channel]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Appropriateness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Message]]></answer> 
						<situation><![CDATA[One of the professional competencies that nurses must always demonstrate is in the area of communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="220" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the LEAST of Georgia and George in consulting the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Counselling to help them maximize their fertility potential.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Knowledge about procedure used to evaluate fertility.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Determine who between them has a problem.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Education about reproduction.]]></answer> 
						<situation><![CDATA[George and Georgia are desirous to have a child. They have been married for three years so they visit the infertility clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="221" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Evaluation of the reproductive ability of the couple includes a post coital test. Which of the following is NOT true of this infertility test?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fewer that 15-20 sperm are normally found in the post-coital specimen.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Determines the ability of the sperm to penetrate the mucus.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Analyzed the mucus-sperm compatibility.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Referred to as sims-Huhner test.]]></answer> 
						<situation><![CDATA[George and Georgia are desirous to have a child. They have been married for three years so they visit the infertility clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="222" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What diagnostic procedures are usually done to Georgia to assess her reproductive capacity?<br><br>
<span style="font-weight:normal">
I. Hysterosalpingogram<br>
II. Endometrial biopsy<br>
III. Serum progesterone<br>
IV. Serum estrogens<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II and III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II and IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[II, III and IV]]></answer> 
						<situation><![CDATA[George and Georgia are desirous to have a child. They have been married for three years so they visit the infertility clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="223" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the drug of choice for correcting ovarian failure in fertility?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Progestin]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[DMPA]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Trinordiol]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Clomid]]></answer> 
						<situation><![CDATA[George and Georgia are desirous to have a child. They have been married for three years so they visit the infertility clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="224" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of nursing diagnosis that the nurse formulates "Anxiety related to the treatment procedures and outcomes." Which of the following interventions will be MOST beneficial to the couples?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Provide opportunity to verbalize concerns.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Refer to a specialist when anxiety is evident.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Schedule tests and procedures carefully with the couple's interest in mind.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Give accurate information about the tests &procedure to be done & asks for feedback.]]></answer> 
						<situation><![CDATA[George and Georgia are desirous to have a child. They have been married for three years so they visit the infertility clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="225" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which method of transmission is COMMON to contract AIDS?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Body fluids]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Transfusion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Syringe and needles]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sexual contact]]></answer> 
						<situation><![CDATA[Michael, 30 years old has been diagnosed to have Acquired Immune Deficiency Syndrome. He worked as entertainer in a cruise ship.]]></situation> 
				</query>
				<query>
					<question ctrlno="226" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Extreme precaution must be taken to protect health workers dealing with the AIDS patients. Which among these must be done priority?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Use gloves when handling specimen.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Boil used syringes and needles.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Label personal belonging.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Avoid accidental wound.]]></answer> 
						<situation><![CDATA[Michael, 30 years old has been diagnosed to have Acquired Immune Deficiency Syndrome. He worked as entertainer in a cruise ship.]]></situation> 
				</query>
				<query>
					<question ctrlno="227" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are assigned in the private room of Michael. Which procedure should be of outmost importance?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gloving technique]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Washing isolation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Universal precaution]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Alcohol wash]]></answer> 
						<situation><![CDATA[Michael, 30 years old has been diagnosed to have Acquired Immune Deficiency Syndrome. He worked as entertainer in a cruise ship.]]></situation> 
				</query>
				<query>
					<question ctrlno="228" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What primary health teaching would you give to Michael?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Proper nutrition]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Daily exercise]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prevent infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reverse isolation]]></answer> 
						<situation><![CDATA[Michael, 30 years old has been diagnosed to have Acquired Immune Deficiency Syndrome. He worked as entertainer in a cruise ship.]]></situation> 
				</query>
				<query>
					<question ctrlno="229" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Causative organism in AIDS is one of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Parasites]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fungus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bacteria]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Retrovirus]]></answer> 
						<situation><![CDATA[Michael, 30 years old has been diagnosed to have Acquired Immune Deficiency Syndrome. He worked as entertainer in a cruise ship.]]></situation> 
				</query>
				<query>
					<question ctrlno="230" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She made a diagnosis of peptic ulcer, due to emotional stress. It is believed that emotional stress can cause _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decrease gastric motility.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Decrease gastric secretion.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Enhance vulnerability to ulceration.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase gastric secretion.]]></answer> 
						<situation><![CDATA[Mrs. Melanie Cruz is admitted in the medical ward with the epigastric pain, hematemesis and melena.]]></situation> 
				</query>
				<query>
					<question ctrlno="231" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following examination will pinpoint internal bleeding?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Bronchoscopy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[G.l. series]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chole-GI series]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Endoscopy]]></answer> 
						<situation><![CDATA[Mrs. Melanie Cruz is admitted in the medical ward with the epigastric pain, hematemesis and melena.]]></situation> 
				</query>
				<query>
					<question ctrlno="232" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Because of the situation, which of these drugs is contraindicated for her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Aspirin]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Prednisone]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Magnesium sulphate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Epinephrine]]></answer> 
						<situation><![CDATA[Mrs. Melanie Cruz is admitted in the medical ward with the epigastric pain, hematemesis and melena.]]></situation> 
				</query>
				<query>
					<question ctrlno="233" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Intervention that would help control her bleeding:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Application of tourniquet.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide oral hygiene 3x a day.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gastric lavage using warm normal saline solution.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Gastric lavage using iced cold normal saline solution.]]></answer> 
						<situation><![CDATA[Mrs. Melanie Cruz is admitted in the medical ward with the epigastric pain, hematemesis and melena.]]></situation> 
				</query>
				<query>
					<question ctrlno="234" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Since she has NGT, the appropriate nursing action is to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Render sponge bath.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide laxative at bed time.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provide oral hygiene 3x a day.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Administer edema once a day.]]></answer> 
						<situation><![CDATA[Mrs. Melanie Cruz is admitted in the medical ward with the epigastric pain, hematemesis and melena.]]></situation> 
				</query>
				<query>
					<question ctrlno="235" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An important feature of a conversion disorder is ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A physical symptom is symbolically related to psychological conflict of need.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[There is evidence of pathophysiological breakdown.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[There is no evidence of pathological evidence.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The physical symptom is life threatening.]]></answer> 
						<situation><![CDATA[Miss Santos, a 25-year-old clerk admitted to the provincial hospital for paralysis of both lower extremities. After assessment, her condition was diagnosed as conversion disorder:]]></situation> 
				</query>
				<query>
					<question ctrlno="236" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Initially, the nurse identifies this nursing diagnosis as _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Defensive coping]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Self-esteem coping]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Impaired social interaction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ineffective individual coping]]></answer> 
						<situation><![CDATA[Miss Santos, a 25-year-old clerk admitted to the provincial hospital for paralysis of both lower extremities. After assessment, her condition was diagnosed as conversion disorder:]]></situation> 
				</query>
				<query>
					<question ctrlno="237" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most therapeutic approach of the nurse for Miss Santos is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give physical care with assistance from her.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage her to talk with other patients.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Avoid long interaction with her.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Encourage self care activities.]]></answer> 
						<situation><![CDATA[Miss Santos, a 25-year-old clerk admitted to the provincial hospital for paralysis of both lower extremities. After assessment, her condition was diagnosed as conversion disorder:]]></situation> 
				</query>
				<query>
					<question ctrlno="238" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning care for Miss Santos nurse recognized that:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Her symptom is an evidence of a psychological need.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[She will become psychotic if there is additional stress.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Her behavior indicates a lack of will power.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[It is best to ignore her complaint.]]></answer> 
						<situation><![CDATA[Miss Santos, a 25-year-old clerk admitted to the provincial hospital for paralysis of both lower extremities. After assessment, her condition was diagnosed as conversion disorder:]]></situation> 
				</query>
				<query>
					<question ctrlno="239" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An appropriate nursing intervention for a client like Miss Santos would be to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Help her follow through with physical therapy plan.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Tell her directly there is nothing wrong with her.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Avoid focusing on her physical symptoms.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Encourage her to walk.]]></answer> 
						<situation><![CDATA[Miss Santos, a 25-year-old clerk admitted to the provincial hospital for paralysis of both lower extremities. After assessment, her condition was diagnosed as conversion disorder:]]></situation> 
				</query>
				<query>
					<question ctrlno="240" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements BEST describe a researchable problem?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The relationship between relaxation technique and relief of pain of post CABG patients in the surgical coronary care unit.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[To what extent do pre-operative teaching effect the length of hospitalization of patients going for surgery.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Incidence of medication errors and reporting practices of Health Care Professional in a teaching hospital.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Responses of parents towards having children with congenital heart diseases .]]></answer> 
						<situation><![CDATA[Conducting research is one of the major rules of the nurse being in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process.]]></situation> 
				</query>
				<query>
					<question ctrlno="241" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Joan has to undergo literature search for her study. She can avail of this from the following, EXCEPT _________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A description of the scientific study from an information provided by a family member teaching research.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Any retrieval from website that will help her search for the subject on investigation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A summary of research articles that is relevant in the study.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A written document published by the investigator herself.]]></answer> 
						<situation><![CDATA[Conducting research is one of the major rules of the nurse being in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process.]]></situation> 
				</query>
				<query>
					<question ctrlno="242" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This pre-test is done to ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assess if researching is appropriate to the problem identified.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Obtain preliminary data before a treatment is conducted by the researcher.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Determined whether the instrument is defective.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Evaluate whether the instrument is defective.]]></answer> 
						<situation><![CDATA[Conducting research is one of the major rules of the nurse being in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process.]]></situation> 
				</query>
				<query>
					<question ctrlno="243" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A Nurse researcher using ACCU-CHEK a monitoring kit to test pressure of diabetes mellitus among her study subjects. How do you classify this type of measurement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Chemical]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Microbial]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Physiological]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cytological!]]></answer> 
						<situation><![CDATA[Conducting research is one of the major rules of the nurse being in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process.]]></situation> 
				</query>
				<query>
					<question ctrlno="244" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[According to the Joint Commission, the most frequently cites factor in a sentinelunticipated) events that leads to a patient's serious physical or psychological injury is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Malpractice by the doctor.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Incompetence by a team member.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Confusion within the health team.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Miscommunication among health team members.]]></answer> 
						<situation><![CDATA[Conducting research is one of the major rules of the nurse being in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process.]]></situation> 
				</query>
				<query>
					<question ctrlno="245" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most common cause of airway obstruction in an unconscious client is the ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inability of the client to swallow saliva.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Accumulation of tracheobronchial secretions.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Failure of the medulla oblongata to initiate respiration.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Base of the relaxed tongue against the posterior wall of the pharynx.]]></answer> 
						<situation><![CDATA[All nurses are expected to have developed the skills to and handled life-threatening emergencies. Basic to her knowledge is the "ABC" of emergency care and management referred to as cardiac life support.]]></situation> 
				</query>
				<query>
					<question ctrlno="246" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse correctly establishes the airway of the client with suspected neck injury by doing which of these ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Heimlich maneuver]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Chin lift maneuver]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Head tilt maneuver]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Jaw thrust technique]]></answer> 
						<situation><![CDATA[All nurses are expected to have developed the skills to and handled life-threatening emergencies. Basic to her knowledge is the "ABC" of emergency care and management referred to as cardiac life support.]]></situation> 
				</query>
				<query>
					<question ctrlno="247" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse does external chest compression. Which of the following these measures is WRONG?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Does five compressions in one ventilation.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Monitors carotid pulse for effectiveness.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Positions himself beside the client's chest.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Compresses the midstmum w/ the heel of both hand with interlocking fingers at 4-6 cm.]]></answer> 
						<situation><![CDATA[All nurses are expected to have developed the skills to and handled life-threatening emergencies. Basic to her knowledge is the "ABC" of emergency care and management referred to as cardiac life support.]]></situation> 
				</query>
				<query>
					<question ctrlno="248" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most common complications of CPR are ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Damage to liver, spleen and colon.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rib and sterna fractures.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pericardial and lung laceration.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Bone marrow and air embolism.]]></answer> 
						<situation><![CDATA[All nurses are expected to have developed the skills to and handled life-threatening emergencies. Basic to her knowledge is the "ABC" of emergency care and management referred to as cardiac life support.]]></situation> 
				</query>
				<query>
					<question ctrlno="249" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Cardiac arrest results to cardiogenic shock. Other than CPR, drugs are commonly used. Which of these drugs does not correspond to their action/purpose?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sodium bicarbonate to reverse acidosis.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Lidocaine to suppress ventricular arrhythmias.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Atropine sulphate to reduce tracheobronchial and salivary secretions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dobutamine to increase cardiac contractility while promoting peripheral vasodilatations.]]></answer> 
						<situation><![CDATA[Shock is defined as an “abnormal psychologic state where an imbalance between the amount of circulating blood volume and the size of the vascular bed that results in circulatory failure and oxygen deprivation of tissues," and is considered a life threatening emergency regardless of the cause.]]></situation> 
				</query>
				<query>
					<question ctrlno="250" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are assessment findings in the early stages of shock?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cool, pale, moist skin, weak and fast heartbeat, restlessness.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Restlessness and apprehension, cyanosis, unconsciousness.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Warm dry, pink skin, bradycardia, bradypnea, stupor.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of the above.]]></answer> 
						<situation><![CDATA[Shock is defined as an "abnormal psychologic state where an imbalance between the amount of circulating blood volume and the size of the vascular bed that results in circulatory failure and oxygen deprivation of tissues," and is considered a life threatening emergency regardless of the cause.]]></situation> 
				</query>
				<query>
					<question ctrlno="251" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To improve venous return to the heart without impending respiration, the shock client is placed , in this position ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Venous]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lateral]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Trendelenburg]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Modified Trendelenburg]]></answer> 
						<situation><![CDATA[Shock is defined as an "abnormal psychologic state where an imbalance between the amount of circulating blood volume and the size of the vascular bed that results in circulatory failure and oxygen deprivation of tissues," and is considered a life threatening emergency regardless of the cause.]]></situation> 
				</query>
				<query>
					<question ctrlno="252" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which caring for the client, the nurse maintains continuous assessment of which of these:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Vital signs, hourly urine output, skin color and temperature, level of consciousness.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vital signs, hourly urine output, skin color and temperature.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Skin color and level of consciousness.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vital signs and urine output.]]></answer> 
						<situation><![CDATA[Shock is defined as an "abnormal psychologic state where an imbalance between the amount of circulating blood volume and the size of the vascular bed that results in circulatory failure and oxygen deprivation of tissues," and is considered a life threatening emergency regardless of the cause.]]></situation> 
				</query>
				<query>
					<question ctrlno="253" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Sodium nitroprusside (nipride), a vasodilator was infused. This is administer as IV drip to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Relieve chest pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increase cardiac contractility.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decrease resistance & Cardiac workload.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lower blood pressure.]]></answer> 
						<situation><![CDATA[Shock is defined as an "abnormal psychologic state where an imbalance between the amount of circulating blood volume and the size of the vascular bed that results in circulatory failure and oxygen deprivation of tissues," and is considered a life threatening emergency regardless of the cause.]]></situation> 
				</query>
				<query>
					<question ctrlno="254" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Hypertension is regarded as an after load disturbance which affects primarily the left side of the heart, resulting to a decrease in cardiac output. His usual cardiac rate is 62/min. His cardiac output is approximately ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[4900 ml]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[70 ml]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[4370 ml]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[132 ml]]></answer> 
						<situation><![CDATA[Mrs. Astral. 66-year old hypertensive was admitted to the hospital complaining of chest discomfort, orthopnea, pedal edema and productive cough. IMPRESSION: Pulmonary edema secondary to hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="255" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Decreased cardiac output results to a decrease in tissue perfusion. A decrease in renal perfusion results to which of these compensatory mechanisms _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Enlargement of the left ventricle.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Hypertrophy of the ventricular myocardium.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Release of hormone erythropoietin to stimulate REC production.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Release of rennin to cause an angiotensin-aldosterone response.]]></answer> 
						<situation><![CDATA[Mrs. Astral. 66-year old hypertensive was admitted to the hospital complaining of chest discomfort, orthopnea, pedal edema and productive cough. IMPRESSION: Pulmonary edema secondary to hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="256" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most comfortable position of a client with pulmonary edema is _____________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Semi-fowlers]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Side-lying]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Right lateral]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sitting upright]]></answer> 
						<situation><![CDATA[Mrs. Astral. 66-year old hypertensive was admitted to the hospital complaining of chest discomfort, orthopnea, pedal edema and productive cough. IMPRESSION: Pulmonary edema secondary to hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="257" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Central venous or right atrial pressure is the force that pushes blood into the right ventricle during diastole, one of the parameters considered in the diagnosis and progress of the disease. Which of the following statements about CVP is INCORRECT?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Normal pressure is four-ten cm water.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A decrease indicates that IV fluid infusion is adequate.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[An increase indicates that there is circulatory over-loading.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To ensure accuracy, nurse positions, manometer of the level of the client's right atrium.]]></answer> 
						<situation><![CDATA[Mrs. Astral. 66-year old hypertensive was admitted to the hospital complaining of chest discomfort, orthopnea, pedal edema and productive cough. IMPRESSION: Pulmonary edema secondary to hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="258" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Auscultation of the lungs will reveal what breath sound:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wheeze]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rhonchi]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Friction rub]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Rales]]></answer> 
						<situation><![CDATA[Mrs. Astral. 66-year old hypertensive was admitted to the hospital complaining of chest discomfort, orthopnea, pedal edema and productive cough. IMPRESSION: Pulmonary edema secondary to hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="259" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The doctor ordered rotating tourniquet O. D. The nurse performs the procedure. Which of her actions is WRONG?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ensures that each extremity is on tourniquet for not more than 15 minutes.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Monitor the distal pulses of extremities on tourniquet regularly.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inflates the BP cuffs to a pressure slightly above diastolic pressure.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Uses BP cuffs and inflates 3 extremities at one time for 15 minutes.]]></answer> 
						<situation><![CDATA[Mrs. Astral. 66-year old hypertensive was admitted to the hospital complaining of chest discomfort, orthopnea, pedal edema and productive cough. IMPRESSION: Pulmonary edema secondary to hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="260" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Consent is a legal requirement for surgery. The primary responsibility of the nurse is to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Obtain the consent of the client.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Witness consent obtained by the doctor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explain to the client the need for surgery.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of these.]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="261" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should surgery be done under general anesthesia, the nurse prepares the client appropriately. Which of these measures is WRONG?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encouraged the able client to have a complete bed bath in early morning.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Informs client that the anesthetic will be injected into his spine.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Inject the anesthetic medication 30 minutes before OR.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Removes dentures, contact lenses and jewelries.]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="262" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following preanesthetic medications will you clarify from the anesthesiologist if the client who will undergo surgery has glaucoma?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Atropine sulphate]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nalbuphine (Nubain)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Meperidine HCI (Demerol)]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Promethazine (Phenergan)]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="263" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should the client undergo appendectomy, the nurse does not perform which of the following routine pre-op measures.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Shaving the lower abdomen including public hair]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[NPO instruction]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cleansing enema]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administration of drugs]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="264" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In thoracic and high abdominal surgeries, the surgical pain is aggravated by breathing, thus the client is all risk of developing atelectasis and pneumonia post-op. The most important instruction of the nurse to the client pre-op is _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The need to turn to sides regularly post-op.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The need to be on fasting for six to twelve hours pre-op.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To make sure that operative dressings are not soiled by urine.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The need to do deep breathing and coughing exercises post-op.]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="265" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A client underwent exploratory laparotomy. Which of the following statement by her indicates wound evisceration?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[&quot;I cannot stand the pain in my abdomen anymore.&quot;]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[&quot;I felt the wound gave way after I suddenly sneezed.&quot;]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[&quot;I felt a sudden wetness in the dressing after I coughed vigorously.&quot;]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[&quot;I can sense that my wound has reopened since it is painful especially when I move.&quot;]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="266" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of these are the classic signs of post-operative wound infection?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Delayed healing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Heat and redness]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Increasing pain and swelling]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of these]]></answer> 
						<situation><![CDATA[Tumors, obstruction and injury usually are managed with surgery. The scopes of nursing responsibilities are the pre-op and post-op care.]]></situation> 
				</query>
				<query>
					<question ctrlno="267" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You advice Mrs. Gallardo to bring the children to the health center for __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[BCG]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Tuberculin test]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sputum examination]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[X-ray]]></answer> 
						<situation><![CDATA[Mrs. Gallardo, a prenatal patient was referred to you by the midwife. A study of the family folder showed the following: her husband Alden is suffering from moderate advance PTB. Their children are 3 year old and 1 year old. They are underweight and have not received any immunization.]]></situation> 
				</query>
				<query>
					<question ctrlno="268" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Alden is being treated under the standard regimen treatment for PTB. Which of the following drugs is he receiving regularly from the health center?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[INH and Pyrazinamide]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Isoniazid and rifampicin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Isoniazid and streptomycin]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Streptomycin and rifampicin]]></answer> 
						<situation><![CDATA[Mrs. Gallardo, a prenatal patient was referred to you by the midwife. A study of the family folder showed the following: her husband Alden is suffering from moderate advance PTB. Their children are 3 year old and 1 year old. They are underweight and have not received any immunization.]]></situation> 
				</query>
				<query>
					<question ctrlno="269" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You discussed with Mrs. Gallardo the targeted food assistance program (TFAD) implemented in the health center. Who are eligible to participate in this program?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[All these groups of mother and children.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[All moderately and severely underweight preschooler.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[All lactating mothers.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All pregnant mothers.]]></answer> 
						<situation><![CDATA[Mrs. Gallardo, a prenatal patient was referred to you by the midwife. A study of the family folder showed the following: her husband Alden is suffering from moderate advance PTB. Their children are 3 year old and 1 year old. They are underweight and have not received any immunization.]]></situation> 
				</query>
				<query>
					<question ctrlno="270" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The intensive phase of the short course chemotherapy consists of the daily dose of ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[INH 300mg, Pyrazinamide 1000mg, and Rifampicin 450mg for 2months.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[All medicines above with PAS tablets for six months.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Same dose of the above medicines for 6 months.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Same dose of the above medicines for 12 months.]]></answer> 
						<situation><![CDATA[Mrs. Gallardo, a prenatal patient was referred to you by the midwife. A study of the family folder showed the following: her husband Alden is suffering from moderate advance PTB. Their children are 3 year old and 1 year old. They are underweight and have not received any immunization.]]></situation> 
				</query>
				<query>
					<question ctrlno="271" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For the maintenance phase, the patient should finish the SCC drugs daily for __________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[112 days or 4 months]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[112 or 12 months]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[56 days for 6 months]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[56 days for 12 months]]></answer> 
						<situation><![CDATA[Mrs. Gallardo, a prenatal patient was referred to you by the midwife. A study of the family folder showed the following: her husband Alden is suffering from moderate advance PTB. Their children are 3 year old and 1 year old. They are underweight and have not received any immunization.]]></situation> 
				</query>
				<query>
					<question ctrlno="272" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following test result would the nurse use to assess the client's liver function?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Serum electrolytes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Glucose tolerance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Creatinine clearance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Serum transaminase]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="273" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse would expect Miss Pella to exhibit which of the following symptoms during the acute phase of infectious hepatitis?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Yellowish sclera]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased appetite]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Shortness of breath]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Light frothy urine]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="274" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nursing orders should reflect that the primary treatment for the client will be concerned with ensuring that she receives _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Generous fluid intake]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Adequate bed rest]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Daily IV electrolyte therapy]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Regular antibiotic therapy]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="275" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following precautions would have the lowest priority when the nurse plans appropriate care for Miss Pella?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wearing gown and gloves when giving direct care.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Double bagging and tagging soiled linens.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assigning her to a private room.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Using disposable dishes.]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="276" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The causative virus of infectious hepatitis is excreted from the client's body primarily through the ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Feces]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Skin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mucus]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Urine]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="277" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following situations would most likely expose the nurse to the hepatitis B virus?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Touching the client's arm ungloved.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Coming in contact with client's feces.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Spraying the client's blood into nurse's eyes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Disposing of syringes and needles without recapping.]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="278" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An activity which would place a person in high risk category for contracting Hepatitis B.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[IV drug use.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Frequent use of marijuana.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ingestion of contaminated seafood.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ingestion of large amounts of acetaminophen.]]></answer> 
						<situation><![CDATA[Miss Pella, 21-year-old college student is admitted to the hospital acutely ill with infectious hepatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="279" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are relevant data to be documented when taking the health history of Client with anemia? Except _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Alcohol intake]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Dietary intake]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fatigue and weakness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Episodes of bleeding]]></answer> 
						<situation><![CDATA[Ime, is the Nurse duty in the medical ward and many of her patients are suffering from problems of oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="280" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A client with congenital heart disease is suffering from thickening of the skin under her fingers due to chronic hemoglobin intake, desaturation. Which of the following specific term should the accuracy describe MOST the client's condition in the chart.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Peripheral neuropathy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Peripheral cyanosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pallor of the finger tips]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Clubbing of the fingers]]></answer> 
						<situation><![CDATA[Ime, is the Nurse duty in the medical ward and many of her patients are suffering from problems of oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="281" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse is assessing a client with Congestive Heart failure with spitting edema, the Nurses documentation include which of the following _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Depth of edema]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Time of indentation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Degree of pitting edema]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of the option]]></answer> 
						<situation><![CDATA[Ime, is the Nurse duty in the medical ward and many of her patients are suffering from problems of oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="282" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Gabby is with left sided heart failure. Ime documentation of her assessment will include the following. EXCEPT __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cough]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dependent edema]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Difficulty of breathing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pulmonary crackles]]></answer> 
						<situation><![CDATA[Ime, is the Nurse duty in the medical ward and many of her patients are suffering from problems of oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="283" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A client is on Diuretic therapy. Expected entry in patient's chart should include the following information, EXCEPT _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Lasix administered at 8 o'clock in the evening.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Weight is taken before drug is given.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Serum electrolytes monitored.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Intake and output recorded.]]></answer> 
						<situation><![CDATA[Ime, is the Nurse duty in the medical ward and many of her patients are suffering from problems of oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="284" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Applying the principles of pain treatment. What is the first consideration?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Treatment based on the client goals.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A multidisciplinary approach is needed.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Client's perception of pain must be recognized.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Drug side effects must be prevented and managed.]]></answer> 
						<situation><![CDATA[Ime, is the Nurse duty in the medical ward and many of her patients are suffering from problems of oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="285" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A viral disease that begins with respiratory inflammation and skin rash and may result in grave complication is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rubella]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Rubeole]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chicken fox]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Yellow fever]]></answer> 
						<situation><![CDATA[Sharon, a newly graduate nurse, got employed at the San Lazaro Hospital. On her first month of duty, she had been confronted with patients having various types of communicable disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="286" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Chicken fox can be fatal to children who are receiving:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Antibiotics]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Steroids]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Insulin]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anticonvulsants]]></answer> 
						<situation><![CDATA[Sharon, a newly graduate nurse, got employed at the San Lazaro Hospital. On her first month of duty, she had been confronted with patients having various types of communicable disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="287" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When teaching parents at the school about communicable diseases, the nurse reminds them that encephalitis can be complication of _________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Pertussis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Scarlet fever]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chicken fox]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Poliomyelitis]]></answer> 
						<situation><![CDATA[Sharon, a newly graduate nurse, got employed at the San Lazaro Hospital. On her first month of duty, she had been confronted with patients having various types of communicable disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="288" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A viral disease caused by one of the smallest human viruses that infect the motor cells of the anterior horn of the spinal cord is _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rubeola]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rubella]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Poliomyelitis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Chicken fox]]></answer> 
						<situation><![CDATA[Sharon, a newly graduate nurse, got employed at the San Lazaro Hospital. On her first month of duty, she had been confronted with patients having various types of communicable disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="289" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements are associated with diphtheria?<br><br>
<span style="font-weight:normal">
I. The causative agent liberalizes an endotoxin causing damage to vicera.<br>
II. Raw milk may also be a vehicle.<br>
III. It is uncommon below 6 months if infant is born of immune bodies.<br>
IV. Recovery from diphtheria confers temporary immunity.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[All except I]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[All except II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[All except III]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All except IV]]></answer> 
						<situation><![CDATA[Sharon, a newly graduate nurse, got employed at the San Lazaro Hospital. On her first month of duty, she had been confronted with patients having various types of communicable disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="290" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Tetanus is an infectious disease but not contagious caused by Clostridium tetani which is:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Aerobic bacillus]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Aerobic coccus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Anaerobic coccus]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anaerobic bacillus]]></answer> 
						<situation><![CDATA[Sharon, a newly graduate nurse, got employed at the San Lazaro Hospital. On her first month of duty, she had been confronted with patients having various types of communicable disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="291" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Tim reports that she participated in strenuous aerobic exercise before becoming pregnant. She asks the nurse if she can continue exercising. What is the nurse's best response?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["You probably should discontinue exercising while pregnant."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You need to ask your doctor if this type of exercise will affect the fetus."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["It's probably not a good idea, this type of exercise could injure the developing fetus."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["You can continue exercising as before, but you should eat a carbohydrates or protein snack before exercising."]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="292" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse discusses the importance of keeping blood glucose levels near normal throughout the pregnancy. The nurse explains to Mrs. Tim that as pregnancy progress, her insulin need:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increase]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Decrease]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cannot be predicted]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Remain constant]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="293" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After explaining the complication of pregnancy that occur with diabetes , the nurse determines that the client needs further instruction when she says that one complication is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Infection]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[PIH]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ketoacidosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Oligohydramnios]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="294" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When planning to teach the client how to monitor glucose control and insulin dosage at home, the nurse should explain that the most accurate method for glucose assessment is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Blood glucose testing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Urine testing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3-hour glucose tolerance testing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[50 g one hour screen]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="295" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After teaching about symptoms of hypoglycaemia and hyperglycemia, the nurse determines that the client understands the instruction when she says that hypoglycaemia may be manifested by ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Fatigue]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[polyuria]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nervousness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Drowsiness]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="296" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Tim asks the nurse about insulin needs during the postpartum period . The nurse should instruct the client that during the postpartum period, insulin requirements ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Fall significantly]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Usually increase]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increase when the client breast feeds]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Depend on the length of labor]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="297" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At 39 weeks gestation, Mrs. Tim is admitted to the hospital for induction of labor. The client receives intravenous infusion of 6% glucose solution and of insulin. If at 10:00 am, the client's blood glucose level is 80mg/100ml of blood and at 11:00 am, it is 90mg/100ml, the nurse should _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Keep the insulin dosage unchanged.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Decrease the insulin dosage promptly.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Obtain another blood glucose reading.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase the insulin dosage immediately.]]></answer> 
						<situation><![CDATA[Mrs. Tim, a 30-year old multigravida at ten weeks gestation is receiving prenatal care in a high-risk clinic. She is an insulin-dependent diabetic.]]></situation> 
				</query>
				<query>
					<question ctrlno="298" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on your knowledge, patient Myreen with cardiac history should not be given an enema before surgery, which of the following reason inhibit the order of enema for patient Myreen? Enema _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Paralyzes the peristalsis movement and increase abdominal pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Procedure vagal stimulation that is dangerous to cardiac patient.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Causes constipation and focal impaction after the surgery.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All of above]]></answer> 
						<situation><![CDATA[Myreen, a 42 year-old teacher with cardiac ailment informs nervously the doctor that her goiter is getting bigger and distracts her while swallowing food. The physician who examined her instructed the nurse to admit Myreen and prepares her for surgery after medical clearance.]]></situation> 
				</query>
				<query>
					<question ctrlno="299" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While interviewing patient Myreen, she claims that she is anxious for the coming surgery. You expect the following signs and symptoms when one is under stress, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decreased mobility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Blood loss and weakness]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Pain due to tissue damage]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase respiration rate]]></answer> 
						<situation><![CDATA[Myreen, a 42 year-old teacher with cardiac ailment informs nervously the doctor that her goiter is getting bigger and distracts her while swallowing food. The physician who examined her instructed the nurse to admit Myreen and prepares her for surgery after medical clearance.]]></situation> 
				</query>
				<query>
					<question ctrlno="300" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Ada learns of a nurse in the orthopedic ward who applied hot water bottle over a paralyzed leg which consequently got burned. This is an example:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[malfeasance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[misdemeanor]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[malpractice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[negligence]]></answer> 
						<situation><![CDATA[Ms. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="3" testsection="NLE Assessment" testpart="NURSING PRACTICE IV- CARE OF CLIENT (SET B)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE IV- CARE OF CLIENT (SET B)</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="301" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nursing diagnosis formulated when there is insufficient evidence to support the presence of the problem but the nurse believes the problem is highly probable and wants to collect more data is a/an _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Risk nursing diagnosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Actual nursing diagnosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Possible nursing diagnosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Wellness nursing diagnosis]]></answer> 
						<situation><![CDATA[The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the terms used to describe clinical judgment.]]></situation> 
				</query>
				<query>
					<question ctrlno="302" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is a WELLNESS nursing diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Possible Self-Care Deficit: grooming related to fatigue and muscular weakness.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Constipation related to decreased activity and fluid intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Risk for Activity Intolerance related to prolonged bed rest.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Potential for Enhanced Spiritual Well Being.]]></answer> 
						<situation><![CDATA[The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the terms used to describe clinical judgment.]]></situation> 
				</query>
				<query>
					<question ctrlno="303" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is a POSSIBLE nursing diagnosis?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Possible Self-Care Deficit grooming related to fatigue and muscular weakness.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Constipation related to decreased activity and fluid intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Risk for Activity Intolerance related to prolonged bed rest.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Potential for Enhanced Spiritual Well Being.]]></answer> 
						<situation><![CDATA[The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the terms used to describe clinical judgment.]]></situation> 
				</query>
				<query>
					<question ctrlno="304" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is a RISK nursing diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Potential for Enhanced Spiritual Well Being.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Possible Self-Care Deficit: grooming related to fatigue and muscular weakness.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Risk for Activity Intolerance related to prolonged bed rest.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Constipation related to decreased activity and fluid intake.]]></answer> 
						<situation><![CDATA[The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the terms used to describe clinical judgment.]]></situation> 
				</query>
				<query>
					<question ctrlno="305" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statement is an ACTUAL nursing diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Possible Self-Care Deficit: grooming related to fatigue and muscular weakness.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Potential for Enhanced Spiritual Well Being.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Risk for Activity Intolerance related to prolonged bed rest.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Constipation related to decreased activity and fluid intake.]]></answer> 
						<situation><![CDATA[The charge nurse in the medical unit updates her knowledge on nursing diagnosis. She reviews the terms used to describe clinical judgment.]]></situation> 
				</query>
				<query>
					<question ctrlno="306" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse explains that prevention of PID in adolescents is important due to which of the following reasons. PID _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Is easily prevented by proper personal hygiene.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Is easily prevented by compliance to any form of contraception.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Can have devastating effects on the reproductive tract of affected adolescents.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Can cause life threatening defects in infants born to affected adolescents.]]></answer> 
						<situation><![CDATA[The nurse provides health education to a group of adolescent pelvic inflammatory disease (PID).]]></situation> 
				</query>
				<query>
					<question ctrlno="307" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse explains to the group of adolescents that the most common cause of PID is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gonorrhoea]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Streptococcus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tuberculosis bacilli]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Staphylococcus]]></answer> 
						<situation><![CDATA[The nurse provides health education to a group of adolescent pelvic inflammatory disease (PID).]]></situation> 
				</query>
				<query>
					<question ctrlno="308" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse further explains that PID presents the following signs and symptoms which the adolescent should be aware:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cervical discharge with redness and edema.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Shall vesicles on the genital area with itching.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lower abdominal pain and urinary tract infection.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A hard painless, red and defined lesion on the genital area.]]></answer> 
						<situation><![CDATA[The nurse provides health education to a group of adolescent pelvic inflammatory disease (PID).]]></situation> 
				</query>
				<query>
					<question ctrlno="309" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is true when teaching adolescents about gonorrhoea?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The infectious agent for gonorrhoea is Neisseria gonorrheae.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Treatment of sexual partners is an essential part of treatment.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gonorrhoea may be contracted through contact with a contaminated toilet seat.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Gonorrhoea is most often treated by multi-dose of administration of penicillin.]]></answer> 
						<situation><![CDATA[The nurse provides health education to a group of adolescent pelvic inflammatory disease (PID).]]></situation> 
				</query>
				<query>
					<question ctrlno="310" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse further explains to the adolescents that gonorrhoea is highly infectious and it _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Is easily treated]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Can produce sterility.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Is limited to the external genitals]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Occur rarely among adolescents]]></answer> 
						<situation><![CDATA[The nurse provides health education to a group of adolescent pelvic inflammatory disease (PID).]]></situation> 
				</query>
				<query>
					<question ctrlno="311" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following factors would MOST likely increase the joint symptoms of osteoarthritis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Obesity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Alcohol abuse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Emotional stress]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[History of smoking]]></answer> 
						<situation><![CDATA[A 45 year old female, married with two children is admitted in the medical department with a diagnosis of osteoarthritis. The nurse assists in the care of this client.]]></situation> 
				</query>
				<query>
					<question ctrlno="312" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following signs and symptoms should the nurse correlate with a diagnosis of osteoarthritis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Joint stiffness that decrease with activity.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Erythema and edema over the affected joints.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Anorexia and weight loss.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fever and malaise]]></answer> 
						<situation><![CDATA[A 45 year old female, married with two children is admitted in the medical department with a diagnosis of osteoarthritis. The nurse assists in the care of this client.]]></situation> 
				</query>
				<query>
					<question ctrlno="313" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client asks the nurse what joints are affected in osteoarthritis. The nurse explains that the joints that would MOST likely be involved in the disease are the _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hips and knees]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ankles and metatarsals]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cervical spine and shoulder]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fingers and metatarsals]]></answer> 
						<situation><![CDATA[A 45 year old female, married with two children is admitted in the medical department with a diagnosis of osteoarthritis. The nurse assists in the care of this client.]]></situation> 
				</query>
				<query>
					<question ctrlno="314" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client asks the nurse what activities can she perform to effectively decrease the pain and stiffness in her joints before she starts her daily routine. The nurse instructs the client to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Perform range-of-motion exercise and then apply liniment to the affected joints.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take a warm bath and rest for a few minutes.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Take a cold bath and rest for a few minutes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Stretch all muscle groups.]]></answer> 
						<situation><![CDATA[A 45 year old female, married with two children is admitted in the medical department with a diagnosis of osteoarthritis. The nurse assists in the care of this client.]]></situation> 
				</query>
				<query>
					<question ctrlno="315" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physical therapist prescribes a regimen of rest, exercise and physical therapy to the client. The nurse understands that this regimen will  _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Provide for the return of joint motion after prolonged immobility.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Help prevent the crippling effect of the disease.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Halt the inflammatory process.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prevent arthritic pain]]></answer> 
						<situation><![CDATA[A 45 year old female, married with two children is admitted in the medical department with a diagnosis of osteoarthritis. The nurse assists in the care of this client.]]></situation> 
				</query>
				<query>
					<question ctrlno="316" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As an ER nurse, one of the most important assessment skills you need is to prioritize care utilizing the triage system. The triage system is used to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rapidly assess clients and classify them according to gender.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Rapidly assess clients and classify them according to age groups]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Identify and categorize clients so that the least critical are treated last.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Identify and categorize clients so that the most critical are treated last.]]></answer> 
						<situation><![CDATA[The ER personnel of hospital X receives a report that a bus traversing a high-way fell off the road. There were several passengers injured. You are one of the nurses in the ER. You assist in preparing the ER to receive the injured passengers]]></situation> 
				</query>
				<query>
					<question ctrlno="317" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the injured passengers brought in has multiple trauma. Using the x-level emergency severity index (ESI), how SOON should the injured passenger be seen by a physician?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[ES3 (stable) - up to one hour]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ES1 (unstable) - immediately]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ES2 (threatened) - within 10 minutes]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ES4, ES5 (stable) could be delayed]]></answer> 
						<situation><![CDATA[The ER personnel of hospital X receives a report that a bus traversing a high-way fell off the road. There were several passengers injured. You are one of the nurses in the ER. You assist in preparing the ER to receive the injured passengers]]></situation> 
				</query>
				<query>
					<question ctrlno="318" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To do an emergency assessment of one of the injured passengers. Which assessment should take priority?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Blood pressure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Breathing pattern]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Circulatory status]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Airway clearance]]></answer> 
						<situation><![CDATA[The ER personnel of hospital X receives a report that a bus traversing a high-way fell off the road. There were several passengers injured. You are one of the nurses in the ER. You assist in preparing the ER to receive the injured passengers]]></situation> 
				</query>
				<query>
					<question ctrlno="319" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To take the vital signs of the injured passengers. Which of the following signs indicate that the person injured is experiencing shock.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[P - 60 beats per minute; RR - 20 breaths/minute; BP - 100/70 mmHg]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[P - 80 beats per minute; RR - 22 breaths/minute; BP - 110/80 mmHg]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[P - 100 beats per minute; RR - 24 breaths/minute; BP - 140/70 mmHg]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[P - 110 beats per minute; RR - 26 breaths/minute BP - 80/60 mmHg]]></answer> 
						<situation><![CDATA[The ER personnel of hospital X receives a report that a bus traversing a high-way fell off the road. There were several passengers injured. You are one of the nurses in the ER. You assist in preparing the ER to receive the injured passengers]]></situation> 
				</query>
				<query>
					<question ctrlno="320" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the male passengers sustained a concussion during the accident. He appeared to be disoriented and restless. Which of the nursing diagnosis is a priority for the care plan?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dressing or grooming self-care deficit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sensory or perceptual alteration]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Impaired verbal communication]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Risk for injury]]></answer> 
						<situation><![CDATA[The ER personnel of hospital X receives a report that a bus traversing a high-way fell off the road. There were several passengers injured. You are one of the nurses in the ER. You assist in preparing the ER to receive the injured passengers]]></situation> 
				</query>
				<query>
					<question ctrlno="321" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client's family asks the nurse why the client developed acute renal failure. The nurse should base the response on the knowledge that there is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[An obstruction of urine flow from the kidneys.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A decrease in the blood flow through the kidneys.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[A prolonged episode of inadequate cardiac output.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Histologic damage to the kidney resulting in acute tubular necrosis.]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="322" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most significant sign of acute renal failure is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Decreased urine output]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increase blood pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increase urine specific gravity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Elevated body temperature]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="323" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client blood urea nitrogen (BUN) level is elevated; this most likely resulted from _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hemolysis of RBC]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Reduced renal blood flow]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Below normal metabolic rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Destruction of kidney cell]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="324" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client's potassium blood is elevated, and the nurse administers sodium polystyrene sulfonate (kayexalate). The drug is administered because of its ability to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Exchange sodium potassium ions in the colon.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Increase potassium excretion from the colon.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increase calcium absorption in the colon.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Release hydrogen ions for sodium ions.]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="325" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the client's potassium level continues to rise, the nurse should be prepared for which of the following emergency situations _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cardiac arrest]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hemorrhage]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pulmonary edema]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Circulatory collapse]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="326" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A high carbohydrate, low protein diet is prescribed for the client. The rationale for high carbohydrate diet is that carbohydrates will _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Act as diuretic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Help maintain urine acidity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Prevent the development of ketosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reduce demands on the liver]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="327" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client has an external cannula inserted in her forearm for hemodialysis. Which of the following measures should the nurse avoid when caring for the client:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Using the unaffected arm for blood pressure measurements.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ensuring that clamps are at the bedside at all times.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Auscultating the cannula for bruits each shift.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Injecting heparin in the cannula each shift.]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="328" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As the client undergoes her first hemodialysis treatment, the nurse should assess her carefully for signs and symptoms of disequilibrium syndrome including _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fever, chills and chest pain.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Headache, confusion and nausea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fever, rales and shortness of breath.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypotension, tachycardia and shortness of breath]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="329" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If disequilibrium syndrome occurs during dialysis, the priority nursing action would be to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Slow the rate of dialysis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reassure the client]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Start nasal oxygen administration]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Place the client on T-position]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="330" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following abnormal blood values would not be improved by dialysis treatment:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Low haemoglobin]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Elevated serum creatinine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypernatremia]]></answer> 
						<situation><![CDATA[A 60-year-old client develops shock after a severe myocardial infarction. He now has acute renal failure.]]></situation> 
				</query>
				<query>
					<question ctrlno="331" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When planning to move a person with possible spinal cord injury, the primary concern of the paramedics would be to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Move the person gently to reduce the pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cushion the back with pillows to ensure comfort.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Immobilize the head and neck to prevent further injury]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Wrap and support the extremities which can be injured easily.]]></answer> 
						<situation><![CDATA[A 30 year old male fell from a tall building while doing construction work. He is conscious and apparently alert but could not move his arms and legs. His co-workers called for the paramedics for emergency assistance.]]></situation> 
				</query>
				<query>
					<question ctrlno="332" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The victim is brought to the emergency department of X hospital. The physician assesses the client. The client has spinal cord injury. Which of the following would be the MOST important nursing intervention during the acute stage of the client's care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitor vital signs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Maintain the patient airway]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Turn and reposition client every 2 hrs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintain proper alignment]]></answer> 
						<situation><![CDATA[A 30 year old male fell from a tall building while doing construction work. He is conscious and apparently alert but could not move his arms and legs. His co-workers called for the paramedics for emergency assistance.]]></situation> 
				</query>
				<query>
					<question ctrlno="333" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physical therapist prescribes passive range-of-motion exercise for the legs and assisted ROM exercise for the arms as part of the client's care regime. Which observation by the nurse would indicate that the treatment is effective?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Absence of tissue ischemia over bony prominences]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[External rotation of the hips at rest.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Free easy movement of the joints.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Absence of paralytic foot drop.]]></answer> 
						<situation><![CDATA[A 30 year old male fell from a tall building while doing construction work. He is conscious and apparently alert but could not move his arms and legs. His co-workers called for the paramedics for emergency assistance.]]></situation> 
				</query>
				<query>
					<question ctrlno="334" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The fracture is repaired by the orthopaedic surgeon. As soon as healing has taken place, daily physical therapy sessions are scheduled that includes using a tilt table. After the therapist places the client at a 45 degrees angle, the nurse should monitor the client for which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pedal edema]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dizziness]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Facial flushing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypertension]]></answer> 
						<situation><![CDATA[A 30 year old male fell from a tall building while doing construction work. He is conscious and apparently alert but could not move his arms and legs. His co-workers called for the paramedics for emergency assistance.]]></situation> 
				</query>
				<query>
					<question ctrlno="335" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a month of therapy, the client begins experience muscle spasms in his legs. Which of the following statements is accurate? The leg movements' _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Indicate that the damaged nerves are healing.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Occur from muscle reflexes and they cannot be initiated or controlled by the brain.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It is a good sign therefore, the client should keep on trying to move all affected muscle.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Means that eventually, the client will be able to walk again because the damage is not permanent]]></answer> 
						<situation><![CDATA[A 30 year old male fell from a tall building while doing construction work. He is conscious and apparently alert but could not move his arms and legs. His co-workers called for the paramedics for emergency assistance.]]></situation> 
				</query>
				<query>
					<question ctrlno="336" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In disaster preparedness, which of the following is a responsibility of the nurse? The nurse:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Serves as an advocate of the victim of disaster.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Assume a leadership role in the command center.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assists in assigning tasks to members of the emergency response team.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assists with triage and emergency health care needs of the injuries or those involves in the disaster.]]></answer> 
						<situation><![CDATA[Health care personnel including nurses are part of a team trained to respond to disasters that may occur in the community. The following questions relate to disaster preparedness.]]></situation> 
				</query>
				<query>
					<question ctrlno="337" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is the first responder in a disaster scene. The nurse should FIRST _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Begin to triage the victims.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Attend to persons with disabilities]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Wait for the rescue workers to arrive]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Care for victim w/ life threatening problem]]></answer> 
						<situation><![CDATA[Health care personnel including nurses are part of a team trained to respond to disasters that may occur in the community. The following questions relate to disaster preparedness.]]></situation> 
				</query>
				<query>
					<question ctrlno="338" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A disaster preparedness plan is a formal plan of action for coordinating the response of health care personnel, local government unit and other trained personnel in the event of a disaster. Which of the following statements is NOT TRUE about disasters?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Disasters can be controlled.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Disasters result from human -made errors.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Disasters involve inter agencies working together.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Disasters are natural events that cause destruction and devastation.]]></answer> 
						<situation><![CDATA[Health care personnel including nurses are part of a team trained to respond to disasters that may occur in the community. The following questions relate to disaster preparedness.]]></situation> 
				</query>
				<query>
					<question ctrlno="339" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following concepts BEST describes reverse triage?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Save scarce resources for future use.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Save the one injured who are in the most critical condition.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Test first responders on their skill in triage classifications.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Do the greatest good for the greatest number with limited resources.]]></answer> 
						<situation><![CDATA[Health care personnel including nurses are part of a team trained to respond to disasters that may occur in the community. The following questions relate to disaster preparedness.]]></situation> 
				</query>
				<query>
					<question ctrlno="340" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse in a disaster situation classifies victims according to the following EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Place for treatment]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Urgency of treatment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Resources available to treat the victim]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Severity of injured]]></answer> 
						<situation><![CDATA[Health care personnel including nurses are part of a team trained to respond to disasters that may occur in the community. The following questions relate to disaster preparedness.]]></situation> 
				</query>
				<query>
					<question ctrlno="341" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Febe is aware that control of the environment is a nurse responsibility. Which among the following is the biggest problem of hospitalized clients?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Noise]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ventilation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hospital beds]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lighting]]></answer> 
						<situation><![CDATA[Nurse Febe is a charge nurse in the oncology unit. She applies principles of leadership and supervision in the management of the client's environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="342" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An ideal environment for hospitalized clients should be infection-free. Which of the following infection protocol is the first line of defence against infection?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hand hygiene]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sterilization]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cleansing of environment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Disinfecting instruments]]></answer> 
						<situation><![CDATA[Nurse Febe is a charge nurse in the oncology unit. She applies principles of leadership and supervision in the management of the client's environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="343" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A staff nurse delegates' routine morning care of a client to a nurse aide. The person MOST responsible for the safe performance of the care is the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assistant chief nurse for training and education.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Staff nurse who delegated the care.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nurse aids who performed the care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Change nurse of the unit.]]></answer> 
						<situation><![CDATA[Nurse Febe is a charge nurse in the oncology unit. She applies principles of leadership and supervision in the management of the client's environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="344" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most important reason why a nurse aide must fully understand how to implement a delegated procedure is because the nurse aide must be able to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Perform the procedure quickly.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Explain the procedure to the client.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Complete the procedure safely.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Teach another nurse aide the procedures.]]></answer> 
						<situation><![CDATA[Nurse Febe is a charge nurse in the oncology unit. She applies principles of leadership and supervision in the management of the client's environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="345" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Febe makes out the daily care assignment of subordinates and strictly monitors their activities and decisions. This is an example of what leadership style?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Authoritarian]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Democratic]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Laissez-faire]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Bureaucratic]]></answer> 
						<situation><![CDATA[Nurse Febe is a charge nurse in the oncology unit. She applies principles of leadership and supervision in the management of the client's environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="346" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[According to the Philippine Cancer Facts and Estimates for 2010, the most common cancer among men is colorectal cancer. It ranks _____ among all the diseases.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[First]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Third]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Second]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fourth]]></answer> 
						<situation><![CDATA[Nurse Febe is a charge nurse in the oncology unit. She applies principles of leadership and supervision in the management of the client's environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="347" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse teaches the parents about leukemia. Which of the following descriptions given by the mother best indicates that she understands the nature of leukemia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The disease is infectious in nature & characterized by increased WBC production.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The disease is neoplastic in nature & characterized by a proliferation of immature WBC.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The disease is allergic in nature and characterized by increased circulating antibodies in
the blood stream.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The disease is inflammatory in nature and characterized by solid tumor formation in the
lymph nodes.]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="348" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Laboratory findings show that the child is anemic. The nurse explains to the parents that anemia most likely has resulted from blood loss and _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Progressive replacement of the bone marrow with scar tissue.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased destruction of RBC by lymphocytes.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Inadequate dietary iron intake.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Decreased RBC production.]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="349" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements would the nurse use to describe to the parents why their child was prone to infection?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[RBC were inadequate for carrying oxygen for tissue nourishment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vitamin C intake had been inadequate over a period of time.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[WBC were incapable of handling and infectious process.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Play activities were too strenuous.]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="350" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following measures should be kept to a minimum, when possible, because the child is prone to bruise and bleed easily?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Changing the position in bed]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administering stool softeners]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administering drug intramuscularly]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Offering food at frequent intervals]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="351" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse notes that the child has petechiae, that her gums, lips, and nose bleed easily and that she has bruises on various parts of her body. Which of the following laboratory test results would the nurse expect?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Low platelet count]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Low serum calcium level]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Insufficient fibrinogen concentration]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[High RBC count]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="352" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following signs and symptoms would suggest to the nurse the client is experiencing toxicity to mercaptopurine (purinethol)?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Dry mouth, blurred vision and headache]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Skin rash, constipation and polyuria.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Drowsiness, malaise and low BP.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nausea, vomiting and diarrhea]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="353" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Allopurinol (zyloprim) is prescribed. Which of the following nursing measures should be observed for a client taking this medicine?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Omitting carbonated fruits]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Giving foods high in potassium]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Limiting foods high in natural sugar]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Encouraging a high fluid intake]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="354" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Methotrexate (amethopterin) is prescribed. The nurse should question the order if the physician has not also ordered.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[An X-ray examination of the spinal canal.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Collection of a specimen for urinalysis.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Keeping the child in a state of fasting.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A WBC count.]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="355" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The child's absolute granulocyte count is now 900. The nurse would teach the mother that:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Everyone who visits should wear a gown and mask.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The child should stay away fro siblings.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The child should stay away from crowds.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The child should be in isolation.]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="356" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Methotrexate (amethopterin) is administered by injecting it into the spinal canal. The nurse explains to the parents that the type of drug is called _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intratecal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Subdural]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Intra-arterial]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Intraosseous]]></answer> 
						<situation><![CDATA[An acutely ill 10 year old girl is hospitalized with an upper respiratory infection and right otitis media. She is diagnosed with leukemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="357" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the information presented, the nurse formulates the nursing diagnosis. Which of the following is MOST appropriate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Activity intolerance related to compromised oxygen transport system secondary to heart
muscle dysfunction.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Activity intolerance related to compromised oxygen transport system secondary to heart
failure.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Anxiety related to actual threat to biological integrity secondary to heart failure and death.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Risk for ineffective breathing patterns related to decreased respiratory depth secondary to
pain.]]></answer> 
						<situation><![CDATA[A 35-year old male is brought to the emergency ward on a wheelchair by a family member. He complains of shortness of breath, dyspnea on exertion, palpitation, and cough with frothy blood-tinged mucus, fatigue and weakness.]]></situation> 
				</query>
				<query>
					<question ctrlno="358" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses the client. Which of the following signs and symptoms would the nurse expect of client with heart failure]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Murmurs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bradycardia]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Normal respiratory rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Strong, bounding pulse]]></answer> 
						<situation><![CDATA[A 35-year old male is brought to the emergency ward on a wheelchair by a family member. He complains of shortness of breath, dyspnea on exertion, palpitation, and cough with frothy blood-tinged mucus, fatigue and weakness.]]></situation> 
				</query>
				<query>
					<question ctrlno="359" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse administered oxygen to the client. Which of the following statement is TRUE about giving oxygen to a patient with heart failure?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Oxygen is administered thru mechanical ventilation only.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Oxygen is prescribed to decrease the work of breathing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Oxygen is contraindicated in heart failure.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Oxygen is given to reduce anxiety.]]></answer> 
						<situation><![CDATA[A 35-year old male is brought to the emergency ward on a wheelchair by a family member. He complains of shortness of breath, dyspnea on exertion, palpitation, and cough with frothy blood-tinged mucus, fatigue and weakness.]]></situation> 
				</query>
				<query>
					<question ctrlno="360" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The immediate nursing management for a patient with heart failure are the following, EXCEPT to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Provides reassurance to patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assess level of consciousness.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administer intravenous fluids right away]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Monitor heart rate and for dysrhythmia by using a cardiac monitor.]]></answer> 
						<situation><![CDATA[A 35-year old male is brought to the emergency ward on a wheelchair by a family member. He complains of shortness of breath, dyspnea on exertion, palpitation, and cough with frothy blood-tinged mucus, fatigue and weakness.]]></situation> 
				</query>
				<query>
					<question ctrlno="361" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that management of heart failure requires the expertise and consultation with other health discipline. Which of the disciplines can effectively implement a therapeutic regimen to assist healthy home life and health care network?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Psychiatrists]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Social worker]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Psychologist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Physical therapist]]></answer> 
						<situation><![CDATA[A 35-year old male is brought to the emergency ward on a wheelchair by a family member. He complains of shortness of breath, dyspnea on exertion, palpitation, and cough with frothy blood-tinged mucus, fatigue and weakness.]]></situation> 
				</query>
				<query>
					<question ctrlno="362" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Benita is guided by basic ethical guidelines in the conduct of a research. She should apply which of the following principles _____.<br><br>
<span style="font-weight:normal">
I. Protect the privacy of the subject.<br>
II. Treat the subjects fairly and justly.<br>
III. Get the informed consent of the subject.<br>
IV. Try to avoid injury or harm to the subject.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[II and IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All of the option]]></answer> 
						<situation><![CDATA[Ms. Benita is a member of the ethics committee of a training hospital. Prior to her acceptance to the committee, she was tasked to conduct a research.]]></situation> 
				</query>
				<query>
					<question ctrlno="363" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Benita is aware that participants in a research should give their consent. The following are vulnerable subjects incapable of giving informed consent, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Physically and mentally able person]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Institutionalized person.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Children of minor age.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pregnant woman]]></answer> 
						<situation><![CDATA[Ms. Benita is a member of the ethics committee of a training hospital. Prior to her acceptance to the committee, she was tasked to conduct a research.]]></situation> 
				</query>
				<query>
					<question ctrlno="364" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Benita understands the principle which imposes a duty in the researcher to minimize harm and to maximize benefits as the principle of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Confidentiality]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Non-maleficence]]></answer> 
						<situation><![CDATA[Ms. Benita is a member of the ethics committee of a training hospital. Prior to her acceptance to the committee, she was tasked to conduct a research.]]></situation> 
				</query>
				<query>
					<question ctrlno="365" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following code of conduct has endured through the years or ages?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ten Commandments]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Sermon on the mouth]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Code of Ethics for Professionals]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Honor Code]]></answer> 
						<situation><![CDATA[Ms. Benita is a member of the ethics committee of a training hospital. Prior to her acceptance to the committee, she was tasked to conduct a research.]]></situation> 
				</query>
				<query>
					<question ctrlno="366" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The principles of justice connotes which of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fairness and equality]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Fairness and equity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vulnerability and Invulnerability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Confidentiality and anonymity]]></answer> 
						<situation><![CDATA[Ms. Benita is a member of the ethics committee of a training hospital. Prior to her acceptance to the committee, she was tasked to conduct a research.]]></situation> 
				</query>
				<query>
					<question ctrlno="367" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse in the emergency department understands that the pain experienced by the client is due to which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Irritation of nerve endings in the cardiac plexus.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vasoconstriction because of arterial spasms.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fear of impending death.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Myocardial Ischemia]]></answer> 
						<situation><![CDATA[A 54 year old female was admitted to the emergency department for crushing substernal pain, diaphoresis and nausea. The tentative diagnosis of the physician is myocardial infarction.]]></situation> 
				</query>
				<query>
					<question ctrlno="368" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The initial action by the nurse for client is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prepare the client for immediate transfer to the coronary care unit.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer pain medication prescribed by the physician.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Get a complete health history from the client]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Start an intravenous infusion.]]></answer> 
						<situation><![CDATA[A 54 year old female was admitted to the emergency department for crushing substernal pain, diaphoresis and nausea. The tentative diagnosis of the physician is myocardial infarction.]]></situation> 
				</query>
				<query>
					<question ctrlno="369" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that the area of the heart that is most damage in myocardial infarction:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Are the heart valves]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Is the right ventricle]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[is the conduction system]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Is the left ventricle]]></answer> 
						<situation><![CDATA[A 54 year old female was admitted to the emergency department for crushing substernal pain, diaphoresis and nausea. The tentative diagnosis of the physician is myocardial infarction.]]></situation> 
				</query>
				<query>
					<question ctrlno="370" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse admits the client to the coronary care unit. Which of the following actions should be included in the admission process?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ensure the client that member of her family can stay with her in the CCU.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Keep the client's family informed of the latest's progress and status.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Secure information about the client's Philhealth insurance status]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Contact the supervisor of the client in the workplace]]></answer> 
						<situation><![CDATA[A 54 year old female was admitted to the emergency department for crushing substernal pain, diaphoresis and nausea. The tentative diagnosis of the physician is myocardial infarction.]]></situation> 
				</query>
				<query>
					<question ctrlno="371" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse writes a nursing diagnosis for the client. Which of the following is a PRIORITY nursing diagnosis during the first 24 hours following a myocardial infarction?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Impaired gas exchange]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[High risk for infections.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lack of knowledge in health maintenance.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fluid volume deficit]]></answer> 
						<situation><![CDATA[A 54 year old female was admitted to the emergency department for crushing substernal pain, diaphoresis and nausea. The tentative diagnosis of the physician is myocardial infarction.]]></situation> 
				</query>
				<query>
					<question ctrlno="372" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When obtaining a health history from Sunshine's mother, the nurse should ask questions to determine if the child was recently ill with _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mumps]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[A viral flu]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A sore throat]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Measles]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="373" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On initial assessment, the nurse determines that the physician should be contacted, based on which of the following signs _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Red rush on the trunk]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Twitching in the extremities]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Heart rate of 100 beats/minute]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Swollen and painful knee joints]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="374" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following laboratory blood findings would confirm that the child likely has rheumatic fever?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Elevated antibody level]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[High leukocyte count]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Low erythrocyte sedimentation rate]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Low haemoglobin count]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="375" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse determines that the parents understand that Sunshine will need to receive long-term antibiotic therapy when they state _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The inflammations will sun side with fewer side effects.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The inflammation will be reduced with future attacks.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It will prevent further streptococcus infections.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It will protect against further joint damage.]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="376" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following physical findings would the nurse assess for as indicative of carditis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Heart murmur]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Irregular pulse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pain over the anterior chest wall]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Low blood pressure]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="377" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician prescribes digoxin (lanoxin) for the child. The nurse teaches the child's mother that the primary reason for giving this medicine is that it help _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eliminate dissociation of ventricular and aerial rhythms.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prevent irregularities in ventricular contraction.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Improve the strength of the heartbeat.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Relax the walls for the heart's arteries.]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="378" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following signs or symptoms should lead the nurse to suspect that the child is experiencing early salicylate toxicity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Chest pain]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Slow pulse rate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pink-colored urine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ringing in the ears]]></answer> 
						<situation><![CDATA[Sunshine, seven year old child is admitted to the hospital with medical diagnosis of acute rheumatic fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="379" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She is called to the bedside of a client who is scheduled to have laparoscopic cholecystectomy. The client's pulse is slightly irregular. Ms. Uman confers with the primary nurse regarding the client's condition. Which steps of the nursing process is Ms. Uman applying?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Implementation]]></answer> 
						<situation><![CDATA[Ms. Uman is a director of the critical care unit of hospital X. She utilizes the nursing process to communicate care to the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="380" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Uman calls for a conference with the staff members who are attending to the client. They decide to obtain a 12-lead ECG for a more definitive picture. They conclude that the client has no serious cardiac or pulmonary problem. Which step of the nursing process is in effect in this situation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nursing diagnosis]]></answer> 
						<situation><![CDATA[Ms. Uman is a director of the critical care unit of hospital X. She utilizes the nursing process to communicate care to the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="381" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Uman consults with the attending physician and the anaesthesiologist. She advices the primary nurse to proceed with the preparation and to remain alert for any adverse symptoms. Which step of the nursing process is this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing diagnosis]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Assessment]]></answer> 
						<situation><![CDATA[Ms. Uman is a director of the critical care unit of hospital X. She utilizes the nursing process to communicate care to the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="382" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Uman confers with client's primary nurse the following morning. Together they determine that the client is ready for surgery. This step of the nursing process is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing diagnosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<situation><![CDATA[Ms. Uman is a director of the critical care unit of hospital X. She utilizes the nursing process to communicate care to the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="383" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Uman applies the human relations approach in this situation. She is aware that the key to productivity is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Meeting the objectives of the critical care unit.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The behaviour of people under direction.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[The degree of independence allowed.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Firm control of the situation]]></answer> 
						<situation><![CDATA[Ms. Uman is a director of the critical care unit of hospital X. She utilizes the nursing process to communicate care to the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="384" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Marcia understands that good client care relies on good record keeping. Which of the following is NOT a purpose of hospital record keeping?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Records provide data on health information system.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Records provide evidence of a hospital's accountability.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Records are a key source of data for medical research or statistical reports.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Records provide personal information on the physicians and nurses caring for the clients.]]></answer> 
						<situation><![CDATA[Ms. Marcia is a nurse supervisor of three departments in X hospital. She attends an orientation seminar on hospital records management.]]></situation> 
				</query>
				<query>
					<question ctrlno="385" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Marcia is aware that when a client is readmitted to a hospital, the client's file is retrieved:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Civil service file]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Physician's file]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hospital library record file]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Master patient index file]]></answer> 
						<situation><![CDATA[Ms. Marcia is a nurse supervisor of three departments in X hospital. She attends an orientation seminar on hospital records management.]]></situation> 
				</query>
				<query>
					<question ctrlno="386" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following assessment findings indicate hypovolemic shock?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Respiratory rate is more than 30 breath per minute]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Systolic blood pressure is less than 90 mmHg.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pulse is less than 60 beats per minute.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Pupils are unequally dilated.]]></answer> 
						<situation><![CDATA[The nurse in the emergency department admits a 45 year old female for vomiting blood. According to a family member who accompanied the client, the client had gastric ulcer for several years. The nurse assesses that the client is in shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="387" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the early stages of shock, the nurse expects the results of arterial blood gas (ABG) analysis to indicate which of the following conditions _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Metabolic acidosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Metabolic alkalosis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Respiratory alkalosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respiratory acidosis]]></answer> 
						<situation><![CDATA[The nurse in the emergency department admits a 45 year old female for vomiting blood. According to a family member who accompanied the client, the client had gastric ulcer for several years. The nurse assesses that the client is in shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="388" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders intravenous infusion of packed red blood cells and normal saline solution. The nurse assesses the client for which of the following _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hypovolemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pain]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Altered level of consciousness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anaphylactic reaction]]></answer> 
						<situation><![CDATA[The nurse in the emergency department admits a 45 year old female for vomiting blood. According to a family member who accompanied the client, the client had gastric ulcer for several years. The nurse assesses that the client is in shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="389" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that the best indication that fluid replacement for the client in hypovolemic shock is adequate is when the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Urine output of 20 - 10 mL/hour.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Urine output is greater than 10 mL/hour]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Diastolic blood pressure is above 90 mmHg]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Systolic blood pressure is above 110 mmHg.]]></answer> 
						<situation><![CDATA[The nurse in the emergency department admits a 45 year old female for vomiting blood. According to a family member who accompanied the client, the client had gastric ulcer for several years. The nurse assesses that the client is in shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="390" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician schedules the client for surgery within six hours. The nurse minimizes anxiety of the client by answering the client's questions regarding the surgery in a calm manner, keeps the client warm, advices the client to be on bed rest and dims the lights in the room. The reason for these interventions is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increase comfort of the client and her family.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Stabilize fluid and electrolyte balance.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Minimize oxygen consumption.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prevent infection.]]></answer> 
						<situation><![CDATA[The nurse in the emergency department admits a 45 year old female for vomiting blood. According to a family member who accompanied the client, the client had gastric ulcer for several years. The nurse assesses that the client is in shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="391" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse judges that the parents understand this disorder, when they explain that the underlying cause of their child's cyanosis is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The aorta receiving blood directly from the vena cava.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Stenosis of the pulmonary valve.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stenosis of the mitral valve.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Constriction of the aorta.]]></answer> 
						<situation><![CDATA[Baby, six year old is admitted to the hospital for heart surgery to repair Tetralogy of Fallot. The nurse observes that the child is cyanotic at admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="392" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During one of the child's attacks of dyspnea, the nurse makes a typical observation when noting that the child assumes a _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Left side lying position]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Squatting position]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Trendelenburg position]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Semi sitting position]]></answer> 
						<situation><![CDATA[Baby, six year old is admitted to the hospital for heart surgery to repair Tetralogy of Fallot. The nurse observes that the child is cyanotic at admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="393" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother asks the nurse why Baby has clubbed fingers. The nurse should explain that the clubbing is due to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Polycythemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Delayed physical growth]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Destruction of bone marrow]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Peripheral hypoxia]]></answer> 
						<situation><![CDATA[Baby, six year old is admitted to the hospital for heart surgery to repair Tetralogy of Fallot. The nurse observes that the child is cyanotic at admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="394" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assigned to his care anticipates that the client would be particularly susceptible to which of the following fluid & electrolyte imbalance during the emergent phase of a burn case.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Hypernatremia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Metabolic acidosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Metabolic alkalosis]]></answer> 
						<situation><![CDATA[A 21 year old male is admitted to the burn unit of X hospital. He sustained burns on the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="395" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses the client for fluid shifting. During the emergent phase of a burn injury shifts occur. These shifts are due to fluid moving from the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intracellular to extracellular space]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Extracellular to intracellular space]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Interstitial to vascular space]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vascular to interstitial space]]></answer> 
						<situation><![CDATA[A 21 year old male is admitted to the burn unit of X hospital. He sustained burns on the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="396" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that the fluid shirt results from an increase in the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Total volume of circulating whole blood.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Total volume of intravascular plasma.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Permeability of the kidney tubules]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Permeability of capillary walls.]]></answer> 
						<situation><![CDATA[A 21 year old male is admitted to the burn unit of X hospital. He sustained burns on the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="397" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client receives total parenteral nutrition (TPH). The nurse understands this therapy will help the client _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Provide adequate nutrition]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allow the gastrointestinal track to rest]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ensure adequate caloric & protein intake.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Correct water & electrolyte imbalances.]]></answer> 
						<situation><![CDATA[A 21 year old male is admitted to the burn unit of X hospital. He sustained burns on the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="398" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr. Frank?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Level of awareness and response to pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patency of airway and adequacy of respiration]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Papillary reflexes and response to sensory stimuli]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Coherence and sense of hearing.]]></answer> 
						<situation><![CDATA[Mr. Frank, 70 year old, suddenly could not lift his spoons nor speak at breakfast. He was rushed to the hospital X unconscious. His diagnose is cerebrovascular accident (CVA)]]></situation> 
				</query>
				<query>
					<question ctrlno="399" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the complications of prolonged bed rest is decubitus ulcer. Which of the following can best prevent its occurrence?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Keep skin clean and dry]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use special water mattress]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Massage reddened areas w/ oil-lotion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Turn patient frequently every 2 hours]]></answer> 
						<situation><![CDATA[Mr. Frank, 70 year old, suddenly could not lift his spoons nor speak at breakfast. He was rushed to the hospital X unconscious. His diagnose is cerebrovascular accident (CVA)]]></situation> 
				</query>
				<query>
					<question ctrlno="400" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considering Mr. Frank conditions, which of the following is most important to include in preparing Mr. Frank's bedside equipment?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Footboard and splint]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sanction machine and gloves]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sandbag and trochanter rolls]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hand bell and extra bed linen]]></answer> 
						<situation><![CDATA[Mr. Frank, 70 year old, suddenly could not lift his spoons nor speak at breakfast. He was rushed to the hospital X unconscious. His diagnose is cerebrovascular accident (CVA)]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="3" testsection="NLE Assessment" testpart="NURSING PRACTICE V - CARE OF CLIENT (PART C )"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE V - CARE OF CLIENT (PART C )</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="401" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have a patient for admission who has been diagnosed with Bacterial Meningitis. Which of the following type of isolation should you implement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Universal precaution]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Airborne precaution]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Droplet precaution]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Contact precaution]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Neurology Unit of the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="402" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The attending physician of Master M. who has Cerebral Palsy and a seizure disorder prescribed Tegretol - XR for him. Master M. has a gastrotomy feeding tube. The medication prescribes is on the hospital's "No crush list". Which of the following you should do in order to administer the medication?.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ask the pharmacist for oral suspension.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dissolve the medication in 30 ml, of orange juice.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Contact the attending physician to change the order.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cut the medication into small pieces to be placed in the feeding tube.]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Neurology Unit of the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="403" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have been observed by your nurse manager that when you gave the IV medication, you disconnected the flush syringe first and then clamped the intermittent infusion device. Which of the following would be the most effective way to improve this nursing practice?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask each nurse if they are aware that their practice is obsolete.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Send a group e-mail discussing the importance of clamping the device first.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Create a poster presentation on administration of IV medication with requires post test.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Post an evidence-based article on administration of IV medication in the neurological unit.]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Neurology Unit of the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="404" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have a newly admitted patient with bulging fontanels, setting sun eyes, and lethargy. Which of the following doctor's order would you question? An order of ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lumbar puncture]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Arterial blood draws]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Magnetic resonance imaging]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Computerized tomography scan]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Neurology Unit of the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="405" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your unit is reviewing national sentinel event alerts on medication and preparing recommendations for the unit. Which strategy would help reduce medication errors?<br><br>
<span style="font-weight:normal">
I. Utilize only oral syringes to administer oral medication.<br>
II. Eliminate the pediatric satellite pharmacy.<br>
III. Increase the steps in the medical administration procedures.<br>
IV. Limit the size of I.V. fluids bags that can be hung on small children.<br>
V. Reduce the available concentrations or dose-strengths of high-alert medication.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, IV and V]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[II, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I. II and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ill, IV and V]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Neurology Unit of the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="406" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The intervention by a psychiatric nurse that implements the ethics principle of autonomy is when the nurse _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Stays with client who is demonstrating high level of anxiety.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Intervenes when a self-mutilating client attempts to slash her wrists.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Suggest that two clients who were fighting be restricted the unit.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Explores alternative solutions with the client, who later chooses one alternative.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="407" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse learns that a patient was admitted involuntarily on shift. What assumption can the nurse make about the patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[He can live the ward upon demand.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[He has agreed to accept treatment and participate fully in care planning.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[For the first 48 hours, he can be given medication despite his objections.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[At the time of admission, he considered to be an imminent danger to himself & others.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="408" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient IA about to receive electro convulsive therapy (ECT) when nurse sees that the patient has not signed a consent for treatment. Which of the following facts should determine the action of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Verbal consent by the patient is sufficient.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Another patient is needed to witness the consent form.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Failure to obtain the patient's written consent can result to a lawsuit.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Permission is granted by the patient when he signed the hospital's admission form.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="409" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A male psychiatric nurse receives a call asking whether a certain, has been a patient in the facility. How should the nurse response. The nurse _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Suggest to the caller to speak to Mr. X's doctor,]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Asks the caller why the information is being sought.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[States that he is unable to give any information to the caller.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[States that Mr. X has been at the facility but gives no further information.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="410" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse is told by the patient that she connected to ECT out of fear of being abandoned, what nursing action is required?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reprimand the husband for coercing his wife.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reassure the patient that her decision is sound.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explain that consenting to ECT will make her husband happy.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Document the patient's comment and notify the physician immediately.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="411" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What other traits is expected from a client with paranoid personality disorder. The client _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cannot follow limits set on behavior.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Is afraid another person will inflict harm.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Avoid responsibility for health care actions.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Depends on others to make important decisions.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="412" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client discusses current problem with the nurse. Which of the following interventions should have priority in the nursing care program? Have the client ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Clarify his thoughts and beliefs about an event.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Focus on the ways to interact with others.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Discuss the use of defense mechanism.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Look at the source of frustration.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="413" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You noticed that the client has impaired social skill. Which of the following short-term goals is MOST appropriate for the client?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Obtain feedback from other people.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Discuss anxiety-provoking situations.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Address positive and negative feelings about self.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Identify personal feelings that hinder social interaction.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="414" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client makes an inappropriate and unreasonable report to you. Which of the following principles of good communication skills is important for you to use?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tell the client that you do not share his interpretation.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Confront the client about the stated misperception.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Use nonverbal communication to address the issue.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use logic to address the client's concern.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="415" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following long-term goals is appropriate for this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Verbalize a realistic view of self.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take steps to address disorganized thinking.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Become appropriately independent with others.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Become involved in activities that foster social relationship.]]></answer> 
						<situation><![CDATA[Person with mental health and psychiatric challenges do access to quality health services and nurses must be aware that patients, too, have rights to autonomy, justice and human.]]></situation> 
				</query>
				<query>
					<question ctrlno="416" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You released information over the phone to a caller who identified himself as the brother of your patient. You found out later that her brother was out of town. Which of the following rights did you vowed?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Right to privacy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Right to respectful care]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Right to continuity of care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Right to confidentiality]]></answer> 
						<situation><![CDATA[As a professional nurse you take into consideration to ethic-moral principles in providing nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="417" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your patient is having difficulty making decision to undergo hip surgery. Which of the following nursing actions BEST described your advocacy roles as a nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Actively support patient's decision.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Protect patient's autonomy and independence.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Communicate patient's needs to the interdisciplinary team.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Providing the patient with information about available options related to hip surgery.]]></answer> 
						<situation><![CDATA[As a professional nurse you take into consideration to ethic-moral principles in providing nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="418" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Go needs to undergo a hip surgery. She refused to have it done even after the attending physician has explained the procedure thoroughly. Which ethical principle applies in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<situation><![CDATA[As a professional nurse you take into consideration to ethic-moral principles in providing nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="419" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Informed consent is one of the patient's bills of rights. One of its requirements is the capacity of the patient to give it. Which of the following elements is/are related to this capacity? (SELECT ALL THAT APPLY).<br><br>
<span style="font-weight:normal">
I. Patient is an adult.<br>
II. He is competent to make a choice.<br>
III. He has the freedom to make a choice.<br>
IV. He can understand the consequences.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II and III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I. II and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II. Ill and IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, III and IV]]></answer> 
						<situation><![CDATA[As a professional nurse you take into consideration to ethic-moral principles in providing nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="420" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Another requirement of informed consent is voluntariness. It means freedom of choice without the following condition. EXCEPT]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Deceit]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Freud]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Consequences]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Force]]></answer> 
						<situation><![CDATA[As a professional nurse you take into consideration to ethic-moral principles in providing nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="421" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Their advocacy will operate on the following principles:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Group therapy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Self-help]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Individual therapy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Group-help]]></answer> 
						<situation><![CDATA[You are a community health nurse in Municipality B where the residence of alcoholism among the youth is observed to be increasing. You want to have an advocacy called ALCOHOL WATCH.]]></situation> 
				</query>
				<query>
					<question ctrlno="422" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Initially, who would you invite to organize this advocacy?<br><br>
<span style="font-weight:normal">
I. Guidance counselor of the public high school<br>
II. Officer of the local youth office<br>
III. Chief of police<br>
IV. Municipal health officer<br>
V. NGO representative<br></span>
VI. Parish priest]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III and V]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I. III. V and VI]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[II, III, IV and VI]]></answer> 
						<situation><![CDATA[You are a community health nurse in Municipality B where the residence of alcoholism among the youth is observed to be increasing. You want to have an advocacy called ALCOHOL WATCH.]]></situation> 
				</query>
				<query>
					<question ctrlno="423" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following has the MOST influence in the development of this aims among the youth?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Teachers]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Government]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Parents]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Peer group]]></answer> 
						<situation><![CDATA[You are a community health nurse in Municipality B where the residence of alcoholism among the youth is observed to be increasing. You want to have an advocacy called ALCOHOL WATCH.]]></situation> 
				</query>
				<query>
					<question ctrlno="424" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When to have a seminar on the legal implications of substance abuse. Which of the following members will be assigned to handle the activity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The municipal mayor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The chief of police]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The municipal health officer]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The guidance counselor]]></answer> 
						<situation><![CDATA[You are a community health nurse in Municipality B where the residence of alcoholism among the youth is observed to be increasing. You want to have an advocacy called ALCOHOL WATCH.]]></situation> 
				</query>
				<query>
					<question ctrlno="425" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Alcohol Watch! Will have for its aim:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[One at the time step towards total withdrawal.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[A total withdrawal from the alcohol.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A total abstinence from alcohol.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Moderate withdrawal from alcohol.]]></answer> 
						<situation><![CDATA[You are a community health nurse in Municipality B where the residence of alcoholism among the youth is observed to be increasing. You want to have an advocacy called ALCOHOL WATCH.]]></situation> 
				</query>
				<query>
					<question ctrlno="426" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are your nursing responsibilities for a patient taking medication for glaucoma? SELECT ALL THAT APPLY.<br><br>
<span style="font-weight:normal">
I. Asses the affected eye for inflammation, exudates and pain.<br>
II. Note the color of the iris.<br>
III. Administer once daily as directed.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I. II and III]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="427" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient is receiving another eye medication. In addition to Latanoprost. Which of the following instructions would you give her?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Administer one medication in the morning, the other one in the afternoon.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do not administer any drug if there is itchiness of the eyes.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administer the two medications five (5) minutes apart.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The medications must be given under sterile condition.]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="428" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You found out that the patient is wearing contact lens. Which of the following instructions would you give her? SELECT ALL THAT APPLY.<br><br>
<span style="font-weight:normal">
I. Do not administer a medication while wearing contact lens.<br>
II. Do not let the tip of the dropper touch any part of the eyes.<br>
III. Remove the contact lens before initiating the medication.<br>
IV. Reinsert the contact lens 15 minutes after instilling the eye drops.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II, III and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I. II and III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I. Ill and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[lll and IV]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="429" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the client experienced any symptoms of glaucoma, it would most likely be ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eye pain]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Excessive lacrimation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decreasing peripheral vision]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Colored light flashes]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="430" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient asked you if she could still use the remaining medication. Your BEST answer would be to _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Discard the container within six (6) weeks of removing it from the sealed pouch.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Refrigerate the remaining solution and use it again when needed.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use it as long as there is solution remaining in the pouch.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Discard the container after one day.]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="431" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Miotics are frequently used in the basic treatment of glaucoma. The nurse should understand that miotics work by _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Constricting the pupil]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Paralyzing ciliary muscles]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Constricting intraocular vessels]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Relaxing ciliary muscles]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="432" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When reviewing the discharge plan with the client, the nurse should encourage him to implement which of the following measures?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wearing dark glasses in the bright sun.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Adding extra lighting to his home.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Minimizing active exercise.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reducing daily fluid intake.]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="433" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the discharge medications is Timolol maleate (timotic) 2 gtts to o.u. BID. Which of the nursing instructions concerning administration of Timotic is correct?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Applying medicine from inner canthus to outer canthus of both eyes.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Instilling medicine to the middle conjunctival sac of the upper eyelids.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Applying medicine from outer canthus of both eyes.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Instilling to middle conjunctival sac of the lower lid]]></answer> 
						<situation><![CDATA[You are a community health nurse doing a home visit to a patient with glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="434" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You admitted an intoxicated patient for alcohol withdrawal. Which of the following nursing intervention should you do to help the client?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Walk the client around the unit]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Give the client black coffee.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provide the client a quiet room to sleep in.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[have the client a cold shower.]]></answer> 
						<situation><![CDATA[You are a staff nurse in a Rehabilitation Center for substance abuse.]]></situation> 
				</query>
				<query>
					<question ctrlno="435" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Obtaining the history of a client who has several cases of driving with the influence of alcohol, you asked about the amount of alcohol client consumes daily. The client answered "I just have a few drinks with the guys after work." Which of the following would be your MOST THERAPEUTIC RESPONSE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["That's all the clients say here at first."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Then you should have somebody driving for you."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["You say you have a few drinks, but you have a multiple arrests."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I think you can't handle a few driving."]]></answer> 
						<situation><![CDATA[You are a staff nurse in a Rehabilitation Center for substance abuse.]]></situation> 
				</query>
				<query>
					<question ctrlno="436" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following affects the ability of the eye to clearly focus and change in the ________?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Stroma]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Epithelium]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Curvature of the cornea]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Sensory cells of the retina]]></answer> 
						<situation><![CDATA[Elizabeth has been using contact lenses for the last five years. She was admitted to the : Eye Unit with a diagnosis of Corneal Ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="437" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following characteristics make immune defenses difficult tend off infections of the cornea? The cornea ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Is a Vascular tissue]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Has three major layers]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[is adjacent to the aqueous humor]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[is an avascular tissue]]></answer> 
						<situation><![CDATA[Elizabeth has been using contact lenses for the last five years. She was admitted to the : Eye Unit with a diagnosis of Corneal Ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="438" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the predisposing factor for Elizabeth's condition?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Malnutrition]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bacterial infection]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prolonged use of contact lenses]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Viral infection]]></answer> 
						<situation><![CDATA[Elizabeth has been using contact lenses for the last five years. She was admitted to the : Eye Unit with a diagnosis of Corneal Ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="439" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In patients with corneal ulcers, scarring and opacity of the cornea due to ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Formation of fibrous tissue during healing.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Progressive thinning of the cornea.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Outward bulging of the cornea.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Destruction of the stroma.]]></answer> 
						<situation><![CDATA[Elizabeth has been using contact lenses for the last five years. She was admitted to the : Eye Unit with a diagnosis of Corneal Ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="440" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Corneal ulcers are considered medical emergencies. Which of the following nursing actions will be your PRIORITY?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prompt referral to the ophthalmologist for treatment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pressure dressing applied to both eyes for comfort.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Remove the contact lens.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administer eye drops.]]></answer> 
						<situation><![CDATA[Elizabeth has been using contact lenses for the last five years. She was admitted to the : Eye Unit with a diagnosis of Corneal Ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="441" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a MAIN characteristic of ADDH?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Passivity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inattention]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hyperactivity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Impulsivity]]></answer> 
						<situation><![CDATA[Joseph is an 11 year old Grade IV pupil in a private school was diagnosed to have an attention-deficit hyperactivity disorder (ADDH).]]></situation> 
				</query>
				<query>
					<question ctrlno="442" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[His teacher has observed Joseph to have difficulty waiting for his often batting conversation and blurts out answers without waiting for questions to be finished. These are manifestation of:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Passivity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inattention]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hyperactivity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impulsivity]]></answer> 
						<situation><![CDATA[Joseph is an 11 year old Grade IV pupil in a private school was diagnosed to have an attention-deficit hyperactivity disorder (ADDH).]]></situation> 
				</query>
				<query>
					<question ctrlno="443" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the most important nursing consideration for caring Joseph and his family?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Teaching them how to handle Joseph's behavior.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Giving them instructions on giving Joseph's medication.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Establishing a therapeutic relationship with Joseph and family.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Seeking information regarding mother's course of pregnancy with Joseph.]]></answer> 
						<situation><![CDATA[Joseph is an 11 year old Grade IV pupil in a private school was diagnosed to have an attention-deficit hyperactivity disorder (ADDH).]]></situation> 
				</query>
				<query>
					<question ctrlno="444" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which data must be included in the medical assessment of client with ADDH?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Eye examination]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Height]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Drug screen]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of the option]]></answer> 
						<situation><![CDATA[Joseph is an 11 year old Grade IV pupil in a private school was diagnosed to have an attention-deficit hyperactivity disorder (ADDH).]]></situation> 
				</query>
				<query>
					<question ctrlno="445" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a physiologic change in the cardiovascular system of the elderly?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increase stroke volume.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Decreased cardiac output]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bradycardia and increase blood pressure]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increases systemic vascular resistance]]></answer> 
						<situation><![CDATA[Gerontology nursing refers to the study of aging and deals with the care of older adults sick and well.]]></situation> 
				</query>
				<query>
					<question ctrlno="446" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The elderly is prone to indigestion related to which of these factors?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decreased salivation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reduced Gl motility]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Decreased basal metabolic rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Delayed gastric & esophageal emptying]]></answer> 
						<situation><![CDATA[Gerontology nursing refers to the study of aging and deals with the care of older adults sick and well.]]></situation> 
				</query>
				<query>
					<question ctrlno="447" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are visual changes in the elderly, EXCEPT __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inability to distinguish dark green and blue.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Increased ability to focus in close objects.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inability to distinguish pastel colors.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Difficulty in dark accommodation.]]></answer> 
						<situation><![CDATA[Gerontology nursing refers to the study of aging and deals with the care of older adults sick and well.]]></situation> 
				</query>
				<query>
					<question ctrlno="448" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When doing physical assessment of an elderly, the nurse should pay special attention to which of the following ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Comfort]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Mobility]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Positioning]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All of the option]]></answer> 
						<situation><![CDATA[Gerontology nursing refers to the study of aging and deals with the care of older adults sick and well.]]></situation> 
				</query>
				<query>
					<question ctrlno="449" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An elderly is highly anxious during examination of his mental status. The nurse puts him at ease by ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Showing kindness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Manifesting empathy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Asking question from simple to complex]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[doing all of these]]></answer> 
						<situation><![CDATA[Gerontology nursing refers to the study of aging and deals with the care of older adults sick and well.]]></situation> 
				</query>
				<query>
					<question ctrlno="450" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that the elderly is especially susceptible to pressure sores due to which of these physiologic reasons. SELECT ALL THAT APPLY.<br><br>
<span style="font-weight:normal">
I. Decreased skin thickness<br>
II. Increased skin thickness.<br>
III. Decreased vascularity of the dermis.<br>
IV. Increased vascularity of the dermis.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<situation><![CDATA[Gerontology nursing refers to the study of aging and deals with the care of older adults sick and well.]]></situation> 
				</query>
				<query>
					<question ctrlno="451" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PNA Code of Ethics is an expression of nursing's moral concerns. Goals and values. Which is a characteristic of the Code of Ethics for Nurses?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It emphasizes the independent and collaborative roles of a nurse.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It is used as a guideline for nursing standard implementation.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[It describes the professional standards of nursing practice.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It has a legal guarantee.]]></answer> 
						<situation><![CDATA[As a professional nurses, we are guided by ethical principles and Philippine Jurisprudence.]]></situation> 
				</query>
				<query>
					<question ctrlno="452" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ethics is not concerned with the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Exercising critical and rational judgement in one's choices of decision.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Investigating issues about human behavior.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Personal standards of right and wrong.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Practice or beliefs of a certain group.]]></answer> 
						<situation><![CDATA[As a professional nurses, we are guided by ethical principles and Philippine Jurisprudence.]]></situation> 
				</query>
				<query>
					<question ctrlno="453" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient was informed by the attending physician about the need for a major surgery . Which violates the right of a patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The patient has no obligation to submit himself to the treatment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The patient has the right to choose his doctor or surgeon]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[If a client cannot read, the consent form must be read to him before it is signed.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The risks of treatment and facts relating to it should not be told the patient or else he might refuse the surgery.]]></answer> 
						<situation><![CDATA[As a professional nurses, we are guided by ethical principles and Philippine Jurisprudence.]]></situation> 
				</query>
				<query>
					<question ctrlno="454" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Maintaining confidentiality of patient information is part of the nurse's _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Advocacy role]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Role as a counselor]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Managerial and leadership function]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ethical and legal obligation]]></answer> 
						<situation><![CDATA[As a professional nurses, we are guided by ethical principles and Philippine Jurisprudence.]]></situation> 
				</query>
				<query>
					<question ctrlno="455" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Accurate objective and legible recording is fundamental requirements for safe practice because:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The chart is a legal documents.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The client reflects medical care given.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The chart is a means to communicate the progress on the patient's condition,]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The chart is acceptable as an evidence in court against the doctor, the nurse and the y patient.]]></answer> 
						<situation><![CDATA[As a professional nurses, we are guided by ethical principles and Philippine Jurisprudence.]]></situation> 
				</query>
				<query>
					<question ctrlno="456" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The rationale for administering oxygen to suspected stroke patient is __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To prevent further respiratory deficit.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[To prevent further neurologic deficit.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To increase the respiratory function.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To prevent hypoxia and hypercapnia.]]></answer> 
						<situation><![CDATA[Mrs. H., a 58 year old female was brought in the emergency room with the chief complaint of sudden severe headache, numbness of the right side of her body and difficulty in speaking. Oxygen was administered at once to Mrs. H.]]></situation> 
				</query>
				<query>
					<question ctrlno="457" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following risk of complication is lessened through oxygen administration to patient suspected of having a stroke?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rebleeding]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pulmonary emboli]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Fluid accumulation in the lungs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increased intracranial pressure]]></answer> 
						<situation><![CDATA[Mrs. H., a 58 year old female was brought in the emergency room with the chief complaint of sudden severe headache, numbness of the right side of her body and difficulty in speaking. Oxygen was administered at once to Mrs. H.]]></situation> 
				</query>
				<query>
					<question ctrlno="458" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A non contrast computed tomography (CT) scan was ordered for Mrs. H. The purpose of this diagnostic test is to determine ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The extent of damage to Mrs. H's motor function.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[If the event is ischemic or hemorrhagic.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The patency of Mrs. H's airway.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The treatment for Mrs. H.]]></answer> 
						<situation><![CDATA[Mrs. H., a 58 year old female was brought in the emergency room with the chief complaint of sudden severe headache, numbness of the right side of her body and difficulty in speaking. Oxygen was administered at once to Mrs. H.]]></situation> 
				</query>
				<query>
					<question ctrlno="459" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the focus of INITIAL assessment for Mrs. H.?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Visual acuity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Airway patency]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Motor function]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Emotional status]]></answer> 
						<situation><![CDATA[Mrs. H., a 58 year old female was brought in the emergency room with the chief complaint of sudden severe headache, numbness of the right side of her body and difficulty in speaking. Oxygen was administered at once to Mrs. H.]]></situation> 
				</query>
				<query>
					<question ctrlno="460" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You read in the physician notes that Mrs. H. has contra lateral deficits. This means ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Deficit will be present below the level of the stroke.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Both side of the body are involved.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A right cerebral vessel is involved.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A left cerebral vessel is involved.]]></answer> 
						<situation><![CDATA[Mrs. H., a 58 year old female was brought in the emergency room with the chief complaint of sudden severe headache, numbness of the right side of her body and difficulty in speaking. Oxygen was administered at once to Mrs. H.]]></situation> 
				</query>
				<query>
					<question ctrlno="461" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the public health model, which of the following is considered the "patient"? The ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Community]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Family]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Individual]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Country]]></answer> 
						<situation><![CDATA[You are a community health nurse in municipality C. You want to improve the primary prevention activities in the municipality in relation to mental health]]></situation> 
				</query>
				<query>
					<question ctrlno="462" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the focus of primary prevention in the public health model?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The promotion of mental health.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Case-findings for people at risk for mental illness.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The prevention of mental illness in the community.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The incidence of mental health or illness in the community as a whole.]]></answer> 
						<situation><![CDATA[You are a community health nurse in municipality C. You want to improve the primary prevention activities in the municipality in relation to mental health]]></situation> 
				</query>
				<query>
					<question ctrlno="463" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing mental health needs of the community, one of the techniques used is epidemiological studies which examine the incidence and prevalence of mental disorders in a defined population. Incidence is the number of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[People at risk for mental disorder.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[New cases of specific illness in the total population.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[New cases of mental disorder in a population over a specified period of time.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Existing cases of mental disorder in the total population at a specified point in time.]]></answer> 
						<situation><![CDATA[You are a community health nurse in municipality C. You want to improve the primary prevention activities in the municipality in relation to mental health]]></situation> 
				</query>
				<query>
					<question ctrlno="464" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Promoting mental health is a primary prevention activity which is consistent with the principle of __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Self- help]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inter-disciplinary care]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Multidisciplinary care]]></answer> 
						<situation><![CDATA[You are a community health nurse in municipality C. You want to improve the primary prevention activities in the municipality in relation to mental health]]></situation> 
				</query>
				<query>
					<question ctrlno="465" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The purpose of primary prevention is to lower the incidence of mental disorder. This can be done through ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Early treatment of new cases of mental disorders.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Program development and intervention for older adults.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Care-finding for population group at risk for mental disorder,]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reducing the rate at which new cases of mental disorders develop.]]></answer> 
						<situation><![CDATA[You are a community health nurse in municipality C. You want to improve the primary prevention activities in the municipality in relation to mental health]]></situation> 
				</query>
				<query>
					<question ctrlno="466" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are characteristics of malignant neoplasm, EXCEPT _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Uncontrolled growth and spread of abnormal cells.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proliferation and invasion of cancer cells .]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Encapsulated and grows by expansion.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Transfer of cells to organs distant from the origin.]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="467" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following agents are considered carcinogens, EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hydrocarbon]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Viruses and hormones]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Asbestos, arsenicals, certain plastics]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Chromium, cobalt, tar]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="468" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The key to cure and control of cancer is _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prevention]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Early detection and treatment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Surgery, chemotherapy, radiotherapy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prophylaxis]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="469" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To reduce the risk of cancer, the following nutritional guidelines are issued, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Include cruciferous vegetables in diet like cabbage , cauliflower.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Include foods rich in vitamin A, C and E in daily diet.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Increase intake of high fiber foods.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase total dietary fat intake.]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="470" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identified as the specific risk factors for breast cancer are the following, EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Breast cysts or adenomas]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Obesity and nullipars]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sexual intercourse at an early age]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Familial history in mother or sister]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="471" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Tobacco use increases a person's risk for the following cancer condition EXCEPT ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mouth cancer]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Skin cancer]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Esophageal cancer]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Laryngeal cancer]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="472" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The recommendation to detect early cancer of the prostate which of these ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Yearly digital rectal examination for males 50 years and above.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Biannually rectal examination for males 30 years and above.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Yearly proctosigmoidoscopy for males 40 years and above.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Pelvic ultrasound biannually to males 60 years and above.]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="473" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The most common discomfort of the client after proctosigmoidoscopy is ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Abdominal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Anal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Perianal]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Perineal]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="474" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considered as the most commonly used treatment of modality for cancer is ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Radiotherapy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Surgery]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Immunotherapy]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Chemotherapy]]></answer> 
						<situation><![CDATA[Cancer ranks one of the leading causes of morbidity and mortality in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="475" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What would be the most important nursing intervention in caring for the client's residual limb during the first 24 hours after surgery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Applying traction to the residual limb.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Elevating the residual limb on a pillow.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Keeping the residual limb flat on the bed.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Abducting the residual limb flat on the bed.]]></answer> 
						<situation><![CDATA[The client returns from surgery for a below-the-knee amputation, with the residual limb covered with dressing and a woven elastic bandage.]]></situation> 
				</query>
				<query>
					<question ctrlno="476" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing goals would take priority when planning for the client's physical mobility, following amputation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Promoting comfort]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Preventing edema]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Preventing phantom-limb pain]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Preventing contractures]]></answer> 
						<situation><![CDATA[The client returns from surgery for a below-the-knee amputation, with the residual limb covered with dressing and a woven elastic bandage.]]></situation> 
				</query>
				<query>
					<question ctrlno="477" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client will use crutches while his prosthesis is being adjusted. Which of the following exercise would best prepare him for using crutches?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Range-in-motion exercises of the shoulders.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Isometric exercises of the shoulders.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Triceps exercises.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Quadriceps and gluteal setting exercises.]]></answer> 
						<situation><![CDATA[The client returns from surgery for a below-the-knee amputation, with the residual limb covered with dressing and a woven elastic bandage.]]></situation> 
				</query>
				<query>
					<question ctrlno="478" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The second morning after surgery, the client says, "This sounds crazy, but I feet my left toes tingling." This statement would indicate to the nurse that he is experiencing a ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dental reaction]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Hallucination]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Body image disturbance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Phantom-limb sensation]]></answer> 
						<situation><![CDATA[The client returns from surgery for a below-the-knee amputation, with the residual limb covered with dressing and a woven elastic bandage.]]></situation> 
				</query>
				<query>
					<question ctrlno="479" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client is to fitted with a functioning prosthesis. The nurse has been teaching him how to care for his residual limb. Which behavior would demonstrate that the client has an understanding of proper residual limb? The client _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Applies powder to the residual limb.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Washes and dries the residual limb daily.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Inspects the residual limb weekly with a mirror.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Removes the prosthesis whenever he sits down.]]></answer> 
						<situation><![CDATA[The client returns from surgery for a below-the-knee amputation, with the residual limb covered with dressing and a woven elastic bandage.]]></situation> 
				</query>
				<query>
					<question ctrlno="480" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client's room should contain which emergency equipment when he returns from surgery?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Airway]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Emergency cart]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Suction equipment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tourniquet]]></answer> 
						<situation><![CDATA[The client returns from surgery for a below-the-knee amputation, with the residual limb covered with dressing and a woven elastic bandage.]]></situation> 
				</query>
				<query>
					<question ctrlno="481" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A crisis that is acute but temporary and due to external source is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Traumatic]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Developmental]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dispositional]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Transitional]]></answer> 
						<situation><![CDATA[You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement progress on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test.]]></situation> 
				</query>
				<query>
					<question ctrlno="482" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing intervention is the most appropriate for a client who is in the early state of crisis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage client to express feelings and emotions related to crisis.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Require client to be actively involved in establishing goals.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Encourage client to begin the development of insight.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask client to evaluate the situation.]]></answer> 
						<situation><![CDATA[You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement progress on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test.]]></situation> 
				</query>
				<query>
					<question ctrlno="483" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The MAIN objective of crisis intervention is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Return the person to the root of the crisis to identify the cause.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To make this person realize his/her mistakes.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ensure patients safety.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All of the above]]></answer> 
						<situation><![CDATA[You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement progress on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test.]]></situation> 
				</query>
				<query>
					<question ctrlno="484" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT an assumption in the concept of crisis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Crisis is acute and received within a short period of time.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Specific identifiable events precipitate a crisis.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[All individuals experience a crisis.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Crisis is a growth-retarding factor to the emotional development of a person.]]></answer> 
						<situation><![CDATA[You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement progress on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test.]]></situation> 
				</query>
				<query>
					<question ctrlno="485" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the PRIORITY nursing activity for a patient in crisis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Nursing diagnosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Orientation]]></answer> 
						<situation><![CDATA[You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement progress on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test.]]></situation> 
				</query>
				<query>
					<question ctrlno="486" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Charting done by a nurse providers a comprehensive, sequential desire of the following, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Relevant facts]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient diagnosis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Information about patients health status.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Relevant data]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="487" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are the importance of proper documentation. SELECT ALL THAT APPLY.<br><br>
<span style="font-weight:normal">
I. Facilitates interdisciplinary communication.<br>
II. Holds vital information about the patient.<br>
III. Reflect quality timeless of nursing care.<br>
IV. Evidence of care provided by the nurse.<br></span>
V. Utilized as a legal document in a court litigation]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I.II and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, III and V]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, IV and V]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="488" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA["Compliant with standards" is one of the characteristics of good documentation. This means:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Timely information is provided.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Specified protocols are dutifully followed.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[It presents exact and correct details of nursing care provided.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A particular order for effective and efficient care is followed.]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="489" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following guidelines in documentation applies when administer drugs, prepared by another nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Document immediately drug given to avoid medication errors.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Document that you administered the drug but somebody prepared it.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[There must be existing institutional policy that must be observed in relation to this situation.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Do not document at all since you did not prepared it.]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="490" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Medico-legal incident is one of the common situations that requires an incident report. This includes _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Any medication error]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Break in aseptic technique]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient or family refuses treatment as ordered.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Complication from diagnostic procedures.]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="491" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient falls from bed, which of the following is your most immediate action?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Determine any injury or harm]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Put back patient to bed]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Refer to the resident on duty]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Report to the head nurse & call someone to help]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="492" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse practice Act of 1991 which regulates the practice of nursing in the Philippines. Which of the following statements about this Act is NOT true?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[This Act delineates the practice of nursing and midwifery.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[This Act defines the practice of nursing is the Philippines.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The primary purpose is to protect the public.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[It was enacted in November 1991.]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="493" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient G8P5, refused to be injected with her third dose of Depo-Provera. The nurse insisted in spite of the patient's refusal and forcibly injected the contraceptive. She can be sued for which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Negligence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assault]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Malpractice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Misrepresentation]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="494" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient has been in the ICU for two weeks. The relatives have consented to a "Do not resuscitate" order. When the patient develops a cardiac arrest, the nurse will carry out which of the following actions?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mechanical ventilation and NGT will be stopped.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Basic and advanced life support will not be given.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[All ordinary measures will be stopped.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Only medication will be given.]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="495" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a nurse start working in a hospital but without a written consent, which of the following is expected of her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[She is not bound to perform according to the standard of nursing practice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide nursing care within the acceptable standard of nursing practice.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[She is not obligated to provide professional service]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The employer does not hold the nurse responsible to her action.]]></answer> 
						<situation><![CDATA[Documentation is registered nurses accountability to legal and ethical nursing action.]]></situation> 
				</query>
				<query>
					<question ctrlno="496" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Pure Tone Audiometry is ordered for Nelson. Which of the following does this procedure measure?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ear canal volume]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Structure of the ears]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vestibular portion of the auditory nerve]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hearing activity]]></answer> 
						<situation><![CDATA[Nelson, a 26 year old construction worker, arrives in the Ear Clinic riding a Honda motorcycle. He is wearing a headset with MP3 player hooked to his belt. Nelson is for hearing assessment.]]></situation> 
				</query>
				<query>
					<question ctrlno="497" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Antibiotics have limited use in the actual treatment of Mastoiditis because _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It is a long term treatment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tissue destruction is extensive.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Antibiotics do not easily penetrate the infected bony structure of the mastoid.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Culture has to be done to identify which antibiotics is most effective for treatment of mastoiditis.]]></answer> 
						<situation><![CDATA[Nelson, a 26 year old construction worker, arrives in the Ear Clinic riding a Honda motorcycle. He is wearing a headset with MP3 player hooked to his belt. Nelson is for hearing assessment.]]></situation> 
				</query>
				<query>
					<question ctrlno="498" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the most common treatment for Mastoiditis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mastoidectomy only]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Antibiotics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Antibiotics with tympanoplasty]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mastoidectomy with tympanoplasty]]></answer> 
						<situation><![CDATA[Nelson, a 26 year old construction worker, arrives in the Ear Clinic riding a Honda motorcycle. He is wearing a headset with MP3 player hooked to his belt. Nelson is for hearing assessment.]]></situation> 
				</query>
				<query>
					<question ctrlno="499" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nelson was found to Mastoiditis. Which of the following ear structure is affected?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pinna]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tympanic membrane]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Eustachian tube]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mastoid air cells]]></answer> 
						<situation><![CDATA[Nelson, a 26 year old construction worker, arrives in the Ear Clinic riding a Honda motorcycle. He is wearing a headset with MP3 player hooked to his belt. Nelson is for hearing assessment.]]></situation> 
				</query>
				<query>
					<question ctrlno="500" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the most common cause of Mastoiditis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Bone tumor]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Meningitis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Endocrine diseases]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Untreated otitis media]]></answer> 
						<situation><![CDATA[Nelson, a 26 year old construction worker, arrives in the Ear Clinic riding a Honda motorcycle. He is wearing a headset with MP3 player hooked to his belt. Nelson is for hearing assessment.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
</catalog>