Nursing Practice I - BASIC FOUNDATION OF NURSING PRACTICE (Set B)



Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.



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I. Hold the NGT high to prevent backflow and then clamp.
II. Open clamp and raise or lower the syringe to regulate flow of formula.
III. Remove the plunger of the syringe and attach to NGT.
IV. Fill up the syringe with feeding formulas.
V. Add 30 to 60 ml of water to irrigate syringe allowing it to run down the NGT.
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I. Client's name, age, physical and medical diagnosis and allergies.
II. Correct health status of the client at the time of transfer.
III. Any critical observation and intervention to help the receiving nurse.
IV. Need for special equipment.
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Nursing Practice II - COMMUNITY HEALTH NURSING



Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.



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I. Use of enema to reduce the risk of infections & shorten the duration of labor.
II. Use of fundal pressure to help the mother in the expulsion of her fetus.
III. Application of I.V. therapy to hydrate women due to food and drink restrictions.
IV. Shaving the public hair of women in labor as a hygienic practice to minimize infection.
V. Early amniotomy & oxytocin augmentation in order to prevent operative delivery.
VI. Restricted intake of food and fluid during active labor for possible risk of aspirating gastric contents due to anesthesia.
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I. Routine suctioning believed to be necessary to clear the baby's airway and stimulate him to breathe.
II. Foot printing as a means of identification for the newborn.
III. Early bathing ana washing as a form of hygienic practice.
IV. Routine separation (baby in the nursery while mother is in her room).
V. Continuance to providing artificial feeding (starts with pre-Jacteals then artificial milk substitutes).
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I. Practice Rooming-in
II. Skin to skin contact
III. Strict Hand washing of cares handling the newborn child
IV. Use of partograph
V. Properly timed cord clamping
VI. Initiation of breastfeeding
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I. Client sometimes side-lying or reclining position and palpates fetal movement for an hour counting for ten movements.
II. Less than ten movements within two hours may need further evaluation and should be reported to the nurse.
III. Counting fetal movement is best done at the same time daily, when the mother's is ready to go to sleep.
IV. A well oxygenated fetus moves frequently while a fetus with compromised oxygen supply conserves energy with less activity.
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Nursing Practice III - CARE OF CLIENTS (PART A)



Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.



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I. Remove the cap and shake the inhaler.
II. Press the canister down with your fingers as you breathe in.
III. Wait one minute between puffs if more than one puff is prescribed.
IV. Inhale the mist hold your breath at least 5 to 10 seconds before exhaling.
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1. Adjusting the OR suite temperature.
2. Limiting are of the preparation and surface surgical draping.
3. Applying warm blankets to clients upon arrival in the OR and after sterile drapes have been removed.
4. Keeping the OR door closed throughout the surgical procedure.
5. Limiting the exposed skin area during positioning.
6. Placing rolled linen on both sides of the client during skin preparation to catch excess water.
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1. Rapid onset of action.
2. Elevates enzyme levels.
3. Increases cardiac output.
4. Bypasses the variable rates of absorption.
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1. Simultaneously listen to the recording and read the written transcript, then note observations.
2. Repeatedly listen to the audio-tape recording.
3. Make notations while listening to the audio-tape recordings.
4. Transcribe audio-recorded interview word for word.
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1. Measurement of exposed tube length.
2. Visual assessment of aspirate.
3. Auscultation method after injection.
4. pH measurement of aspirate.
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1. Spinach
2. Cauliflower
3. Squash
4. Radish
5. Strawberries
6. Guavas
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1. Grandparents from paternal or maternal side.
2. Adult competent children.
3. Brother or sister.
4. Legitimate spouse.
5. Guardian whether appointed by court or not.
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1. Gentamycin 80mg IV piggy back in 50ml D5 water over 30 minutes
2. Ranitidine50 mg IV in 50ml D5 water over 30 minutes
3. Packed red blood cells (RBC) 250ml to run for 3hours

 How many milliliters should Nurse Alpha document as the total intake for the 8hour shift?]]>
1. serum potassium 2.2h mEq/L
2. Sodium 129 mEq/L
3. Calcium 7.5mg/L

 The nurse would anticipate prepare which of the following IV solutions to be prescribed?]]>
1. refer to the attending physician
2. assess the client
3. close the roller clamp of the PRBG
4. keep the vein open with NSS
5. document observation and intervention
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Nursing Practice IV - CARE OF CLIENTS (PART B)



Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.



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I. Diuresis
II. Hirsutism
III. Abdominal distention
IV. Loss of appetite
V. Rounding of the face
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1. Diameter and length of Foley catheter.
2. Length of time Foley catheter has been kept indwelling.
3. Age and sex of client.
4. Daily physical activities of the client.
5. Relevant data regarding need for continuing indwelling catheter.
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1. Use private toilet facilities and flush 2-3 times after use.
2. Wash eating utensils separately from others.
3. Drink normal intake of fluids.
4. Bathe daily and wash hands frequently.
5. Stay in isolation at home two weeks after the treatment.
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1. What is an Intravenous pyelography (IVP)
2. How should I prepare for this procedure?
3. How is the procedure performed?
4. What will I experience during and after the procedure?
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Nursing Practice IV - CARE OF CLIENTS (PART C)



Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.



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