<?xml version="1.0"?>
<catalog testname="NURSING LECENSURE EXAM">
	<group type="questions" testno="6" testsection="NLE Assessment" testpart="NURSING PRACTICE I - COMMUNITY HEALTH NURSING (SET A)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE I - COMMUNITY HEALTH NURSING (SET 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="1" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are the four chronic diseases referred to by WHO<br><br>
				<span style="font-weight:normal">
				1. Cardiovascular diseases<br>
				2. Cancer<br>
				3. Dementia<br>
				4. Arthritis<br>
				5. Diabetes mellitus<br>     
				6. Chronic obstructive Lung Disease<br></span>
				]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3, and 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 5, and 6]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 3, 4 and 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 4, 5 and 6]]></answer> 
						<situation><![CDATA[According to the World Health Organization (WHO), there are causes of non-communicable diseases that pose challenges to the lives and health of millions of people and threaten economic and Social development of countries.]]></situation> 
				</query>
				<query>
					<question ctrlno="2" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The WHO reveals that the NUMBER ONE cause of death from chronic disease worldwide, using the 2015 estimate, is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[tuberculosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[diabetes mellitus]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[ischemic heart disease]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[pneumonia]]></answer> 
						<situation><![CDATA[According to the World Health Organization (WHO), there are causes of non-communicable diseases that pose challenges to the lives and health of millions of people and threaten economic and Social development of countries.]]></situation> 
				</query>
				<query>
					<question ctrlno="3" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the Philippines, which is the TOP killer according to the Department Of Health (2009 data)?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Asthma]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cancer]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tuberculosis]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Cardiovascular diseases]]></answer> 
						<situation><![CDATA[According to the World Health Organization (WHO), there are causes of non-communicable diseases that pose challenges to the lives and health of millions of people and threaten economic and Social development of countries.]]></situation> 
				</query>
				<query>
					<question ctrlno="4" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Single organism that causes the disease, such as cholera, must be studied in more detail.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Focus should be on the factors or combinations and levels of factors contributing to disease.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The rise in infectious and communicable disease must be the main focus.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Genetics and molecular structure of disease is paramount.]]></answer> 
						<situation><![CDATA[According to the World Health Organization (WHO), there are causes of non-communicable diseases that pose challenges to the lives and health of millions of people and threaten economic and Social development of countries.]]></situation> 
				</query>
				<query>
					<question ctrlno="5" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Determinants of health to address the development of cancer in a community include:<br><br>
<span style="font-weight:normal">
1. Proximity of the community to chemical plants that emit poisonous gases.<br>
2. High percentage of tobacco use among the residents.<br>
3. Prevailing diet high in processed food and fat.<br>
4. Availability of health facilities.<br>
5. Mean age of women population.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3, 4, and 5]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3, and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 4, and 5]]></answer> 
						<situation><![CDATA[According to the World Health Organization (WHO), there are causes of non-communicable diseases that pose challenges to the lives and health of millions of people and threaten economic and Social development of countries.]]></situation> 
				</query>
				<query>
					<question ctrlno="6" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your co-worker got a thank-you card from a patient's family with an accompanying photo of her with the family. She asked you if it would be alright to post the photo on Facebook. Which would be your BEST response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I think that would be okay, but you should ask permission from our Head."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Yes, as long as you ask the family if that would be okay."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["No, that could lead to a malpractice suit by the patient or family."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["No, posting pictures of patients and families on social media is not acceptable."]]></answer> 
						<situation><![CDATA[As a nurse, knowledge of the legal aspects in nursing is essential to safeguard self and clients from legal complications. Clients are becoming increasingly aware of their health rights, thus, you should recognize your professional boundaries and consequences of nonconformity.]]></situation> 
				</query>
				<query>
					<question ctrlno="7" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identify which action is acceptable as an EXCEPTION to a nurse's obligation regarding confidentiality.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Leaving printouts of lab reports on the desk in the physician's lounge]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[discussing a patient's care with someone who is not involved in patient care]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[discussing a patient's condition in a public place as long as his name is not mentioned]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Reporting certain diseases to public health authority]]></answer> 
						<situation><![CDATA[As a nurse, knowledge of the legal aspects in nursing is essential to safeguard self and clients from legal complications. Clients are becoming increasingly aware of their health rights, thus, you should recognize your professional boundaries and consequences of nonconformity.]]></situation> 
				</query>
				<query>
					<question ctrlno="8" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The central question in any charge of malpractice is whether the prevailing standard of care was met. Which of the following statements are TRUE about Standards of nursing care?<br><br>
<span style="font-weight:normal">
1. Basic prudent nursing care is a standard.<br>
2. Any health care provider can determine standards of care.<br>
3. Standards of care are never changing.<br>
4. Standards are based on the ethical principle of nonmaleficence.<br>
5. National standards of nursing practice are standards for all nurses.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 3, 5]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 4, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<situation><![CDATA[As a nurse, knowledge of the legal aspects in nursing is essential to safeguard self and clients from legal complications. Clients are becoming increasingly aware of their health rights, thus, you should recognize your professional boundaries and consequences of nonconformity.]]></situation> 
				</query>
				<query>
					<question ctrlno="9" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select the nursing responsibility which can NEVER be delegated.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rotation Schedule]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Accountability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Complex Procedure]]></answer> 
						<situation><![CDATA[As a nurse, knowledge of the legal aspects in nursing is essential to safeguard self and clients from legal complications. Clients are becoming increasingly aware of their health rights, thus, you should recognize your professional boundaries and consequences of nonconformity.]]></situation> 
				</query>
				<query>
					<question ctrlno="10" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For safe nursing practice, you should observe some of the do's and do not's in performing your professional duty. Which ones are NOT acceptable standard of actions by the nurse?<br><br>
<span style="font-weight:normal">
1. Keeping current year licence to practice<br>
2. Being a witness to a patient's will<br>
3. Following policies and procedures<br>
4. Protecting patients from injuring themselves<br>
5. Accepting money or gift from patients<br>
6. Giving practical advice contrary to the doctor's orders<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 4, 6]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[2, 5, 6]]></answer> 
						<situation><![CDATA[As a nurse, knowledge of the legal aspects in nursing is essential to safeguard self and clients from legal complications. Clients are becoming increasingly aware of their health rights, thus, you should recognize your professional boundaries and consequences of nonconformity.]]></situation> 
				</query>
				<query>
					<question ctrlno="11" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One step in ethical decision-making is to place an ethical issue or dilemma within a meaningful context. The rationale for this step is:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The nature of ethical issues and dilemmas determines the
specific ethical approach used.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[People cannot make sound ethical decisions if they cannot identify ethical issues and dilemmas.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Multiple factors affect the interpretation and justification of ethical issues and dilemmas.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Health professionals cannot avoid choice and action in applying ethics in their work setting.]]></answer> 
						<situation><![CDATA[Nurse Betty knows that ethics is important in community health nursing practice and that ethical decisions are conducted in a universal and standard framework.]]></situation> 
				</query>
				<query>
					<question ctrlno="12" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The historical character in nursing whose work in environmental health providing care to destitute people, and disease prevention establish the nurse as a leader and community-oriented was _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lilian Wald]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Virginia Henderson]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Margaret Sanger]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Florence Nightingale]]></answer> 
						<situation><![CDATA[Nurse Betty knows that ethics is important in community health nursing practice and that ethical decisions are conducted in a universal and standard framework.]]></situation> 
				</query>
				<query>
					<question ctrlno="13" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ethical decision making is the component of ethics that focuses on _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[the result of the decision]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[the process of how decisions are made]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[the factors impinging on making the decision]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[who makes the decision]]></answer> 
						<situation><![CDATA[Nurse Betty knows that ethics is important in community health nursing practice and that ethical decisions are conducted in a universal and standard framework.]]></situation> 
				</query>
				<query>
					<question ctrlno="14" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ethical principle that empowers the client (groups or communities) to make knowledgeable decision is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[act in accordance to client's wishes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[act in client's best interest]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[offer frank and independent advice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[keep the client properly informed]]></answer> 
						<situation><![CDATA[Nurse Betty knows that ethics is important in community health nursing practice and that ethical decisions are conducted in a universal and standard framework.]]></situation> 
				</query>
				<query>
					<question ctrlno="15" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Nurse Betty cannot meet a need of the client, it is most appropriate for her to:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Refer the client to an agency that may be able to give assistance.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Suggest that the client discuss the need with the physician.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Encourage the client to pay someone to meet that need.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Inform the client that insurance will not pay for the care.]]></answer> 
						<situation><![CDATA[Nurse Betty knows that ethics is important in community health nursing practice and that ethical decisions are conducted in a universal and standard framework.]]></situation> 
				</query>
				<query>
					<question ctrlno="16" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One such family is a married couple who has two biologic children living with them as well as a child from the wife's first marriage. What type of family is evident?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Homogenous]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Extended]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Blended]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nuclear]]></answer> 
						<situation><![CDATA[Nurse Rosas makes home visits to assigned barangays and met families of different types.]]></situation> 
				</query>
				<query>
					<question ctrlno="17" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rosas encounters a married couple who is raising three children. Recently, the wife's mother moved in. This family should be assessed as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[nuclear]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[extended]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[alternative]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[blended]]></answer> 
						<situation><![CDATA[Nurse Rosas makes home visits to assigned barangays and met families of different types.]]></situation> 
				</query>
				<query>
					<question ctrlno="18" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Nurse Rosas assesses a family, which family task would she consider having HIGHEST PRIORITY for healthy family functioning?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reproduction of new family members]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Physiologic maintenance and safety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Allocation of family resources]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintenance of order and authority]]></answer> 
						<situation><![CDATA[Nurse Rosas makes home visits to assigned barangays and met families of different types.]]></situation> 
				</query>
				<query>
					<question ctrlno="19" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which documentation of family assessment indicates a healthy and functional family?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Members provide loving and mutual support.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Under stress, members turn inward so as not to burden others.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Members believe they can depend on each other]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Husband holds dominant power over his wife.]]></answer> 
						<situation><![CDATA[Nurse Rosas makes home visits to assigned barangays and met families of different types.]]></situation> 
				</query>
				<query>
					<question ctrlno="20" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following scenario BEST demonstrates a continuing healthy family?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A couple renews their marital relationship after their children become adults.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A couple requires their adolescent children to attend church services three times a week.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[One parent takes care of children. The other parent earns income and maintains the home.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A family has strict boundaries that require members to address problems within the family.]]></answer> 
						<situation><![CDATA[Nurse Rosas makes home visits to assigned barangays and met families of different types.]]></situation> 
				</query>
				<query>
					<question ctrlno="21" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Professional group productivity and member satisfaction are best achieved by which of the following leadership styles?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Democratic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Authoritarian]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Laissez -faire]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Autocratic]]></answer> 
						<situation><![CDATA[Interdisciplinary teamwork is an important model for delivering health care to patients. Integrating services among many health providers leads to better outcomes delivered to underserved populations and communities with limited access to health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="22" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a member of a professional work-related group you know that:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Functional goals are assigned by management]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The leader is responsible for overall functioning]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The members summarize progress and allocate assignments]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The cooperation of all members is required.]]></answer> 
						<situation><![CDATA[Interdisciplinary teamwork is an important model for delivering health care to patients. Integrating services among many health providers leads to better outcomes delivered to underserved populations and communities with limited access to health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="23" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is making a referral for the client, what should be the first consideration for the nurse to do?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Acceptability of the referral to the client]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cost of the referral service]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Barriers to making a referral]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Client's eligibility for the service]]></answer> 
						<situation><![CDATA[Interdisciplinary teamwork is an important model for delivering health care to patients. Integrating services among many health providers leads to better outcomes delivered to underserved populations and communities with limited access to health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="24" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Groups with a laissez faire leader are likely to be _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[more structured in format]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[less productive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[more productive]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[more satisfying to members]]></answer> 
						<situation><![CDATA[Interdisciplinary teamwork is an important model for delivering health care to patients. Integrating services among many health providers leads to better outcomes delivered to underserved populations and communities with limited access to health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="25" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have volunteered to be part of a work group whose purpose is to look at ways to prevent medication errors. You know that:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Teamwork enhances the probability of goal achievement]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Group process is not important in a task]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The leader assumes responsibility for the overall group functioning]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The goals should be set by management]]></answer> 
						<situation><![CDATA[Interdisciplinary teamwork is an important model for delivering health care to patients. Integrating services among many health providers leads to better outcomes delivered to underserved populations and communities with limited access to health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="26" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The public health nurse is aware of the importance of the need to perform roles in preparing for a disaster. The best example of one of these roles would be to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assist in the prevention of injury]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Identify disaster risks]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Coordinate emergency care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Inspect clusters of houses]]></answer> 
						<situation><![CDATA[Some disasters occur relatively frequent in certain parts of the world. The Philippines is one country that has experienced both natural disasters and human-made disasters.]]></situation> 
				</query>
				<query>
					<question ctrlno="27" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The residents and local leaders in the Municipality X are mapping out potential disaster locations in the community. This period of planning and preparation is described as:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Recovery Stage]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Pre-disaster Stage]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Impact Stage]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Non-disaster Stage]]></answer> 
						<situation><![CDATA[Some disasters occur relatively frequent in certain parts of the world. The Philippines is one country that has experienced both natural disasters and human-made disasters.]]></situation> 
				</query>
				<query>
					<question ctrlno="28" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse provides counselling for victims of flood. This is an example of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Primary Prevention]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Secondary prevention]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mental health care]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Tertiary prevention]]></answer> 
						<situation><![CDATA[Some disasters occur relatively frequent in certain parts of the world. The Philippines is one country that has experienced both natural disasters and human-made disasters.]]></situation> 
				</query>
				<query>
					<question ctrlno="29" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should a terrorist attack occur, nurses need to be ready, not only in providing quality care for the victims but ensuring their own safety as well. During a mass disaster drill simulating a terrorist attack, the nurse must triage numerous severely ill persons. The client who should receive PRIORITY care is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cyanotic and not breathing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Apneic and has an epical rate of 50]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Having seizures and urine incontinence]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Gasping for breath and are conscious]]></answer> 
						<situation><![CDATA[Some disasters occur relatively frequent in certain parts of the world. The Philippines is one country that has experienced both natural disasters and human-made disasters.]]></situation> 
				</query>
				<query>
					<question ctrlno="30" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is considering how best to educate the community about the potential threats to health from terrorism, what are the BEST ways to accomplish this?<br><br>
<span style="font-weight:normal">
1. Hold public fora to educate the community about coping with psychological effects.<br>
2. Raise community awareness about increased immigrants to the population.<br>
3. Teach the community about sealing windows; and doors in the event of a chemical attack.<br>
4. Raise community awareness about the signs and symptoms of potential biologic agents.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 and 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2 and 3]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1 and 4]]></answer> 
						<situation><![CDATA[Some disasters occur relatively frequent in certain parts of the world. The Philippines is one country that has experienced both natural disasters and human-made disasters.]]></situation> 
				</query>
				<query>
					<question ctrlno="31" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Shalom knows that the type of immunity which is longest acting is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[natural immunity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[passive immunity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[artificial immunity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[active immunity]]></answer> 
						<situation><![CDATA[Public health nurses like Ms. Shalom should be knowledgeable of the importance of immunity in the prevention of communicable diseases by building the capacity of the body to restrict harmful microorganisms or viruses from entering it.]]></situation> 
				</query>
				<query>
					<question ctrlno="32" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She learned that the MOST important function of inflammation and immunity is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[preventing any entry of foreign material]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[providing protection against invading organisms]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[regulating the process of self-tolerance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[destroying bacteria before damage occurs]]></answer> 
						<situation><![CDATA[Public health nurses like Ms. Shalom should be knowledgeable of the importance of immunity in the prevention of communicable diseases by building the capacity of the body to restrict harmful microorganisms or viruses from entering it.]]></situation> 
				</query>
				<query>
					<question ctrlno="33" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Shalom administers Hepatitis B immunoglobulin serum to Helen, which will provide her with passive immunity. One advantage of passive immunity is that it _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[encourages the body to produce antibodies]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[has effects that last a long time]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[is highly effective in the treatment of disease]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[offers immediate protection]]></answer> 
						<situation><![CDATA[Public health nurses like Ms. Shalom should be knowledgeable of the importance of immunity in the prevention of communicable diseases by building the capacity of the body to restrict harmful microorganisms or viruses from entering it.]]></situation> 
				</query>
				<query>
					<question ctrlno="34" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Shalom explains to a mother whose ten-year child just received a tetanus toxoid injection that the toxoid vaccine confers which of the following immunity?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[long-lasting active immunity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lifelong natural immunity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Intermediate artificial immunity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Short-acting passive immunity]]></answer> 
						<situation><![CDATA[Public health nurses like Ms. Shalom should be knowledgeable of the importance of immunity in the prevention of communicable diseases by building the capacity of the body to restrict harmful microorganisms or viruses from entering it.]]></situation> 
				</query>
				<query>
					<question ctrlno="35" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Shalom knows that one of the following is not vaccine-preventable disease, hence no immunity can be given to a child.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Measles]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Polio]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hepatitis B]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Asthma]]></answer> 
						<situation><![CDATA[Public health nurses like Ms. Shalom should be knowledgeable of the importance of immunity in the prevention of communicable diseases by building the capacity of the body to restrict harmful microorganisms or viruses from entering it.]]></situation> 
				</query>
				<query>
					<question ctrlno="36" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Ofelia knows that the PRIMARY goal of community health nursing is to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[enhance the capacity of individuals, families and communities manage their health needs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[contribute to people's well-being through sustainable development goals projects]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[increase the productivity of the people by providing them with health services]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[support and supplement the efforts of the medical profession in illness prevention]]></answer> 
						<situation><![CDATA[As a new public health nurse at a Rural Health Unit, Ms. Ofelia reviews basic concepts related to her position and job.]]></situation> 
				</query>
				<query>
					<question ctrlno="37" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Community Health Nursing (CHN) is a FIELD of nursing practice. Which BEST explains this statement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The scope of practice depends on the health needs and problem identified.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The services are delivered outside of purely curative institutions]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The services are provided along with community health volunteers.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The practice is conducted in the geographical location or people.]]></answer> 
						<situation><![CDATA[As a new public health nurse at a Rural Health Unit, Ms. Ofelia reviews basic concepts related to her position and job.]]></situation> 
				</query>
				<query>
					<question ctrlno="38" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Ofelia is aware that she will be dealing with population as a Client. Which of the following provides the BEST definition of a population?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cluster of individuals who are at-risk of certain health conditions.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Group of people sharing the same geographical environment.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Collection of people who are beneficiaries of health services.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Collection of individuals who share common characteristics.]]></answer> 
						<situation><![CDATA[As a new public health nurse at a Rural Health Unit, Ms. Ofelia reviews basic concepts related to her position and job.]]></situation> 
				</query>
				<query>
					<question ctrlno="39" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An example of an aggregate or population that Ms. Ofelia should consider in program planning would consist of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[patients confined in a district hospital]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Christians in the community]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[young children and adolescents attending school]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[people playing games three times a week in a senior citizen club]]></answer> 
						<situation><![CDATA[As a new public health nurse at a Rural Health Unit, Ms. Ofelia reviews basic concepts related to her position and job.]]></situation> 
				</query>
				<query>
					<question ctrlno="40" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which nursing activity is unique to community / public health nurses like Ms. Ofelia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Care for the sick and dying]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Promote livelihood projects to assist poor families]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Home visit to family clients referred by the health center physician]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Focus on vulnerable groups in the community]]></answer> 
						<situation><![CDATA[As a new public health nurse at a Rural Health Unit, Ms. Ofelia reviews basic concepts related to her position and job.]]></situation> 
				</query>
				<query>
					<question ctrlno="41" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[PDCA is the basic structure for most quality improvement (QI) process. In public health, PDCA is focused on activities that are responsive to community needs and improving population health. PDCA stands for:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Perform-Document -Correct-Act]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Perform-Do-Check- Analyze]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Plan -Document-Check- Analyze]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Plan-Do-Check-Act]]></answer> 
						<situation><![CDATA[In public health, quality improvement (QI) techniques are used to improve performance and service delivery.]]></situation> 
				</query>
				<query>
					<question ctrlno="42" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are several approaches and tools in (QI). One of these is the Fishbone diagram, developed by K. Ishikawa. Which BEST describes the Fishbone diagram? It is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[a cause-and-effect diagram]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[a wholistic approach in problem identification]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[used in interview sessions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[useful in focusing on problem symptoms]]></answer> 
						<situation><![CDATA[In public health, quality improvement (QI) techniques are used to improve performance and service delivery.]]></situation> 
				</query>
				<query>
					<question ctrlno="43" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a QI tool, the Gantt chart is useful for planning and scheduling projects. Which of the following statements is INCORRECT about the GANTT chart? It _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[provides a graphical illustration of resources]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[plans the order in which you'll complete tasks]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[tracks specific tasks in a project.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[helps assess how long a project should take]]></answer> 
						<situation><![CDATA[In public health, quality improvement (QI) techniques are used to improve performance and service delivery.]]></situation> 
				</query>
				<query>
					<question ctrlno="44" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The steps in conducting quality improvement consist of the following:<br><br>
<span style="font-weight:normal">
1. Identify and select strategies<br>
2. Evaluate QI outcomes<br>
3. Implement solution in small scale<br>
4. State the problem<br>
5. Expand scope of QI throughout the organization<br></span>
Which is the correct sequence in the QI process?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[4, 1, 3, 5, 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 1, 5, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[4, 2, 1, 3, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 4, 5, 3, 2]]></answer> 
						<situation><![CDATA[In public health, quality improvement (QI) techniques are used to improve performance and service delivery.]]></situation> 
				</query>
				<query>
					<question ctrlno="45" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Client satisfaction survey is an important and commonly used indicator for measuring the quality in health care. In the context of public health, which is NOT a purpose of satisfaction surveys? To _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[serve as essential sources of information for identifying gaps]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[directly address the health problems presented]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[present the likelihood of continuing client-provider- agency relationships]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[provide data about health-seeking behaviors]]></answer> 
						<situation><![CDATA[In public health, quality improvement (QI) techniques are used to improve performance and service delivery.]]></situation> 
				</query>
				<query>
					<question ctrlno="46" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Public Health Nurse Victoria is concerned about the impact of mental health on the community, she is preparing for a presentation about mental health in the Philippines. Which of the following information should be included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mental illness is an increasing problem among the upper class.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The incidence of depression is expected to decrease within the next 10 months.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Almost one per 100 household has a member with mental disability.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Post-traumatic stress disorder is the most common of anxiety disorders.]]></answer> 
						<situation><![CDATA[Promoting mental health is equally important in prompting physical health. Unfortunately, mental health has been largely neglected.]]></situation> 
				</query>
				<query>
					<question ctrlno="47" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRIMARY reason that mental illness often results in worsening of physical health problems is because of the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[loss of cognitive function]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[feelings of inadequacy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[inability in lack of motivation for effective self-care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[side effects of mental health modification]]></answer> 
						<situation><![CDATA[Promoting mental health is equally important in prompting physical health. Unfortunately, mental health has been largely neglected.]]></situation> 
				</query>
				<query>
					<question ctrlno="48" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Victoria shared the statistics that intentional self-harm was found to be the 9th leading cause of death among 20-24 years old Filipino adults, increasing number of mental health problems may be related to ______. (Select all that apply)<br><br>
<span style="font-weight:normal">
1. Poverty<br>        
2. Age of the parents<br>
3. Family unemployment<br>
4. Changes in family structure<br>
5. Loss of community social support<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, and 5]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 3, 4, and 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3, and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, and 3]]></answer> 
						<situation><![CDATA[Promoting mental health is equally important in prompting physical health. Unfortunately, mental health has been largely neglected.]]></situation> 
				</query>
				<query>
					<question ctrlno="49" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Victoria noted that there were number of poor older women, living alone, who are suffering from depression. Her FIRST goal is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Improve quality of life]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[provide recreation and entertainment]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[reduce suicide risk]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[improve level of function]]></answer> 
						<situation><![CDATA[Promoting mental health is equally important in prompting physical health. Unfortunately, mental health has been largely neglected.]]></situation> 
				</query>
				<query>
					<question ctrlno="50" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In promoting mental health, Nurse Victoria is cognizant of her nursing responsibilities. These include the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Teach parents the importance of providing emotional support to their children.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increase general knowledge of the community on knowledge on mental hygiene.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Help the community address factors that promote mental well-being.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Refer at once cases of bizarre behaviors to a psychiatrist.]]></answer> 
						<situation><![CDATA[Promoting mental health is equally important in prompting physical health. Unfortunately, mental health has been largely neglected.]]></situation> 
				</query>
				<query>
					<question ctrlno="51" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Naomi encourages the parents to have their kids receive measles vaccination stating that those who are susceptible may have serious consequences. She also tells them of the benefits of the immunization. Most parents decide to have the immunization. Which of the following models is used to guide parents' decision?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pender's Health Promotion Model]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Precede-Proceed Model]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reasoned Action Model]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Health Belief Model]]></answer> 
						<situation><![CDATA[Public Health Nurse Naomi applies models and concepts in epidemiology relevant to her nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="52" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In this situation, Nurse Naomi notes that the agent in the epidemiological triad that brings about measles is the ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[genetic susceptibility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[school]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[climate]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[virus]]></answer> 
						<situation><![CDATA[Public Health Nurse Naomi applies models and concepts in epidemiology relevant to her nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="53" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Naomi has to be alert about the time interval between the invasion by an infectious agent and the appearance of the first sign or symptom of the disease. This is referred to as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[generation time]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[incubation period]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[communicability period]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[virulence]]></answer> 
						<situation><![CDATA[Public Health Nurse Naomi applies models and concepts in epidemiology relevant to her nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="54" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should an outbreak of a gastrointestinal illness resulting from a food-borne pathogen happens, Nurse Naomi would likely to think that this is a /an:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Attack rate]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Secular trend]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Point epidemic]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Event-related cluster]]></answer> 
						<situation><![CDATA[Public Health Nurse Naomi applies models and concepts in epidemiology relevant to her nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="55" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following denotes the resistance of an entire community to an infectious agent as a result of the immunity of a large proportion of individuals to the agent?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Active immunity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Passive immunity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Natural immunity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Herd immunity]]></answer> 
						<situation><![CDATA[Public Health Nurse Naomi applies models and concepts in epidemiology relevant to her nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="56" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the first session, the nurse presented the organizational chart of the Rural Health Unit. Which of the following aspects of organizational structure is illustrated in the chart?<br><br>
<span style="font-weight:normal">
1. Type of work being done<br>
2. Extent of coordination to be done<br>
3. Levels of management<br>
4. Line and staff relationship<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 and 3]]></answer> 
						<situation><![CDATA[A public health nurse is giving orientation to three beginning nurses who are hired by the local government unit under the Nurse Deployment Program.]]></situation> 
				</query>
				<query>
					<question ctrlno="57" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PHN wants to emphasize to the new nurses that it is important to observe professional accountability which is taking responsibility for one's actions. She explains accountability can be done by:<br><br>
<span style="font-weight:normal">
1. Asking assistance from doctor<br>
2. Performing nursing tasks in a safe manner<br>
3. Reporting and documenting assessment and interventions<br>
4. Evaluating client's response to nursing care given<br>
5. Evaluating the care when there is complaint by the client<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<situation><![CDATA[A public health nurse is giving orientation to three beginning nurses who are hired by the local government unit under the Nurse Deployment Program.]]></situation> 
				</query>
				<query>
					<question ctrlno="58" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Accountability also includes a commitment to continuing education to stay current and knowledgeable. According to the Guidelines Implementing Continuing Professional Edugationfor Nurses (CPE), from which of the following can a nurse earn credit units?<br><br>
<span style="font-weight:normal">
1. Participation in seminars<br>
2. Engagement in a research project<br>
3. As peer reviewer<br>
4. Innovations<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 and 3 only]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 and 2 only]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<situation><![CDATA[A public health nurse is giving orientation to three beginning nurses who are hired by the local government unit under the Nurse Deployment Program.]]></situation> 
				</query>
				<query>
					<question ctrlno="59" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRIMARY purpose for requiring continuing education is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[qualify for work abroad]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[improve nursing competency after registration]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Comply with the Board of Nursing requirements]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ensure legal practice]]></answer> 
						<situation><![CDATA[A public health nurse is giving orientation to three beginning nurses who are hired by the local government unit under the Nurse Deployment Program.]]></situation> 
				</query>
				<query>
					<question ctrlno="60" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To better address emerging public health issues, a public health nurse enrolls in a course in:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ethics]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Research]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Communication]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Leadership]]></answer> 
						<situation><![CDATA[A public health nurse is giving orientation to three beginning nurses who are hired by the local government unit under the Nurse Deployment Program.]]></situation> 
				</query>
				<query>
					<question ctrlno="61" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the Philippines, poverty and inequality remain a challenge. The following are some facts on poverty based on the latest (2015) Statistical report. Which statement is NOT included?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[28 percent of the country's 97 million people live below the poverty line]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fifteen million Filipinos will rise above poverty in 2020.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Farmers, fishermen and children consistently posted the highest poverty incidence.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[More than 12 million Filipinos are living in extreme poverty]]></answer> 
						<situation><![CDATA[As a public health nurse, you are aware that many members of the community are poor and underserved, affecting their health status.]]></situation> 
				</query>
				<query>
					<question ctrlno="62" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In identifying factors that contribute to poverty, homelessness, and poor health of a deprived segment of a population. Which of the following should you assess?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mental illness and community support]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Provision of social support and basic service]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mobility and age of family members]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Neighborhood environment and sanitation]]></answer> 
						<situation><![CDATA[As a public health nurse, you are aware that many members of the community are poor and underserved, affecting their health status.]]></situation> 
				</query>
				<query>
					<question ctrlno="63" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have noticed that the population in a poor community has increased including the rise of pregnant women who are undernourished. You coordinate with the local social welfare department to provide food that
are nutritionally adequate. This is considered:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health promotion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tertiary prevention]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Primary prevention]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[secondary prevention]]></answer> 
						<situation><![CDATA[As a public health nurse, you are aware that many members of the community are poor and underserved, affecting their health status.]]></situation> 
				</query>
				<query>
					<question ctrlno="64" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In another segment of the community you realize that there are young adult members who have poor nutritional habits. You know that these are risk factors for diabetes and cardiovascular disease. These risk factors can affect their _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[future potential to change their dietary habits]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ability to obtain health services]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ability to network social support systems]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[health status and employment potential]]></answer> 
						<situation><![CDATA[As a public health nurse, you are aware that many members of the community are poor and underserved, affecting their health status.]]></situation> 
				</query>
				<query>
					<question ctrlno="65" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have learned that people with mental and psychosocial disabilities are a vulnerable group, who are restricted in their ability to access essential health and social care. In your advocacy, you will include the following messages, EXCEPT:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Persons with mental and psychosocial disabilities should be confined in an institution.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Employment and job opportunities must be created for people with mental and psychosocial disabilities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mental health should be included in services during and after emergencies and disasters.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mental health services should be integrated systematically into all health services including primary level care.]]></answer> 
						<situation><![CDATA[As a public health nurse, you are aware that many members of the community are poor and underserved, affecting their health status.]]></situation> 
				</query>
				<query>
					<question ctrlno="66" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You recall that Filariasis is caused by parasitic nematode known as _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Wucheria bancrofti]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Necator americanus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[S. haematobium]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Plasmodium falciparum]]></answer> 
						<situation><![CDATA[The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring appearance brought by the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="67" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The disease is transmitted to a person through bites of an infected female mosquito, known as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Aedes aegypti]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Culex]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Anopheles]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Aedes poecillus]]></answer> 
						<situation><![CDATA[The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring appearance brought by the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="68" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You receive a 36-year-old man who was brought by his wife to be tested for Filariasis. The most likely diagnostic test that he will undergo is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Immunochromatographic test (ICT)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rumpel Leads Test]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Urinalysis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Stool examination]]></answer> 
						<situation><![CDATA[The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring appearance brought by the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="69" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A client in the ACUTE stage of Filariasis will include which of the following clinical findings?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hydrocele, lymphedema, elephantiasis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lymphadenitis, lymphedema and orchitis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Orchitis, hydrocele, elephantiasis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[pyraphangipis, lymphadenitis, epididymitis]]></answer> 
						<situation><![CDATA[The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring appearance brought by the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="70" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Effective methods that the government would likely to pursue to eliminate Filariasis in the country are all of the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Vaccination of all susceptible in high risk areas and high-risk populations.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Pursue annual mass drug administration using two drugs in all endemic areas for five consecutive years.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Intensify health information and advocacy campaigns in its prevention, control and elimination.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Intensify environmental sanitation such as proper drainage and cleanliness pf surroundings.]]></answer> 
						<situation><![CDATA[The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring appearance brought by the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="71" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Documentation is a critical component to the delivery of healthcare. It is a tool which serves many purposes, which of the following is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Create a permanent record for the patient's future care]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Provide material for discussion by students]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Plan and evaluate a patient's treatment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ensures continuity of care]]></answer> 
						<situation><![CDATA[In any setting of nursing practice including community health, records management such as documentation and record keeping, is important.]]></situation> 
				</query>
				<query>
					<question ctrlno="72" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When recording the home visit, it is important for the public health nurse to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[document the visit only when there are significant changes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[follow the agency format for recording and documentation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[complete the charting every Friday of the week]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[use phrases in outline form]]></answer> 
						<situation><![CDATA[In any setting of nursing practice including community health, records management such as documentation and record keeping, is important.]]></situation> 
				</query>
				<query>
					<question ctrlno="73" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse should document intelligently and clearly. There are ways to help protect against an allegation of falsifying a medical record. These are the following:<br><br>
<span style="font-weight:normal">
1. Date, time, and sign every entry.<br>
2. Make entries soon after care is given.<br>
3. Write legibly.<br>
4. Be thorough, accurate, and objective.<br>
5. Use only approved abbreviations.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3, 4, and 5]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 3, and 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 3 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 4, an d 5]]></answer> 
						<situation><![CDATA[In any setting of nursing practice including community health, records management such as documentation and record keeping, is important.]]></situation> 
				</query>
				<query>
					<question ctrlno="74" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Public health nurses must know that all records have a lifecycle and retention scheduling. Clinical records must be retrained in the health care facility for:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Anytime with client's permission]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ten years from last date of service]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Two years from date of client's last visit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Five years from date of client admission]]></answer> 
						<situation><![CDATA[In any setting of nursing practice including community health, records management such as documentation and record keeping, is important.]]></situation> 
				</query>
				<query>
					<question ctrlno="75" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Controlled Substances such as drugs dispensed and administered, order and inventory records must be kept in the health care facility for how many years?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[six months]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[One year]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Five years]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Three years]]></answer> 
						<situation><![CDATA[In any setting of nursing practice including community health, records management such as documentation and record keeping, is important.]]></situation> 
				</query>
				<query>
					<question ctrlno="76" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The NDP is open to all nurses who fulfill the following qualifications, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Willing to undergo recruitment and selection process.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Possesses an official and validated PRC Professional Identification]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Must be at least 21years old at the time of application.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Physically and mentally fit as shown in the medical certificate]]></answer> 
						<situation><![CDATA[Avelina has recently passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="77" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The NDP has been designed by the Department of Health PRIMARILY to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[improve local health systems in support of Universal Health Care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[augment staff of rural health units]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[provide experience to new nurses in terms of work realities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[prevent nurses from seeking jobs abroad]]></answer> 
						<situation><![CDATA[Avelina has recently passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="78" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Under this program, Avelina will be hired on a Contract Of Services status. She will receive a monthly salary (PhP) of:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[13000]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[18000]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[15000]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[22, 000]]></answer> 
						<situation><![CDATA[Avelina has recently passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="79" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Avelina knows that as NDP nurse, she may be assigned in any of the following areas:<br><br>
<span style="font-weight:normal">
1. Rural Health Units<br>        
2. Barangay Health Stations<br>
3. Disaster-prone areas<br>
4. Level 1 LGU Hospitals<br>
5. DOH Hospitals<br>
6. Birthing Homes<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 4, and 6]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, and 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[2, 3, 5, and 6]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 4, and 5]]></answer> 
						<situation><![CDATA[Avelina has recently passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="80" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The NDP is a partnership between the DOH and other government agengies and organizations, which of the following institution is NOT included?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Department of Social Welfare and Development]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Professional Regulatory Board of Nursing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Local Government Units]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Philippine Nurses Association]]></answer> 
						<situation><![CDATA[Avelina has recently passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="81" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The presence of any of these risk factors means that _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[risk modification will have no effect on disease prevention]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[the chances of getting the disease are increased]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[a person with risk factors can get the disease]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[the disease is guaranteed not to get the disease]]></answer> 
						<situation><![CDATA[Risk factors include genetic and physiological factors, age physical environment and lifestyle.]]></situation> 
				</query>
				<query>
					<question ctrlno="82" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse includes well-being in her definition of health. What will the focus be when the nurse provides care to a family confronting the imminent death of a family member?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Reinforcing the need for the whole family to adapt to the impending death]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sharing the nurse's knowledge on the client 's symptoms of grief]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Discussing the perceived meaning of life with the family]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administering pain medication so that the client, can be kept comfortable]]></answer> 
						<situation><![CDATA[Risk factors include genetic and physiological factors, age physical environment and lifestyle.]]></situation> 
				</query>
				<query>
					<question ctrlno="83" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the care of families, crisis intervention is an important part of ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Secondary prevention]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Tertiary prevention]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Primary prevention]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Health promotion]]></answer> 
						<situation><![CDATA[Risk factors include genetic and physiological factors, age physical environment and lifestyle.]]></situation> 
				</query>
				<query>
					<question ctrlno="84" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Nurse asks Dante, who is being admitted in a district hospital, with uncontrolled diabetes mellitus, about his employment status. She knows that _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a person's compliance is affected by one's economic status]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dante's employment will cause complication to his diabetes]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[external variables have little effect on compliance]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[diabetes mellitus will affect his client's work condition]]></answer> 
						<situation><![CDATA[Risk factors include genetic and physiological factors, age physical environment and lifestyle.]]></situation> 
				</query>
				<query>
					<question ctrlno="85" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During a home visit, a member of the family who has been using marijuana for three years tells the nurse that he wants to be "detoxified". It is important for the nurse to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[instruct the patient to change his lifestyle]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[tell the patient that relapses are not tolerated]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[identify the patient's stage of change]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[realize that the patient is ready for change]]></answer> 
						<situation><![CDATA[Risk factors include genetic and physiological factors, age physical environment and lifestyle.]]></situation> 
				</query>
				<query>
					<question ctrlno="86" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During a support group meeting, Nurse Donato, in a teasing manner, has made a provocative remarks about your appearance and behavior as group leader. Select your most appropriate response.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Donato see me after this meeting."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Donato, what you are saying is inappropriate."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Donato you are excused from the group."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What do you think Donato is trying to tell us?"]]></answer> 
						<situation><![CDATA[As a public health nurse, you may encounter barriers or challenges in communication. Thus, it is important that you maintain your professional demeanor.]]></situation> 
				</query>
				<query>
					<question ctrlno="87" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA["The dress code in this facility does not include wearing blue jeans while on duty." This statement is an example of using which step in giving constructive criticism?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Listing consequences]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Expressing empathy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Describing the behavior]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Stating expectations]]></answer> 
						<situation><![CDATA[As a public health nurse, you may encounter barriers or challenges in communication. Thus, it is important that you maintain your professional demeanor.]]></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 an example of a barrier to successful negotiation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Understanding others' perspectives]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Becoming emotional]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Viewing negotiation as collaborative]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Avoiding phrases that are coercive]]></answer> 
						<situation><![CDATA[As a public health nurse, you may encounter barriers or challenges in communication. Thus, it is important that you maintain your professional demeanor.]]></situation> 
				</query>
				<query>
					<question ctrlno="89" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In one of your meetings, you reminded the health center staff that there are quite a number of members in the community who have not reached primary school. Which of the following is the BEST communication intervention for a client who is illiterate?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Use symbols and images]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use touch with speech]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Personalize speech by using first name]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Speak loudly and clearly]]></answer> 
						<situation><![CDATA[As a public health nurse, you may encounter barriers or challenges in communication. Thus, it is important that you maintain your professional demeanor.]]></situation> 
				</query>
				<query>
					<question ctrlno="90" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You also emphasized that, "communication must be culturally competent to be effective". Which of the following BEST reflects this statement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Listen actively to what is said.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Reflect on the meaning of the message.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use simple, direct words.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Provide an appropriate environment.]]></answer> 
						<situation><![CDATA[As a public health nurse, you may encounter barriers or challenges in communication. Thus, it is important that you maintain your professional demeanor.]]></situation> 
				</query>
				<query>
					<question ctrlno="91" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors will be appropriate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Case-control]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ecological]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cohort]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cross-sectional]]></answer> 
						<situation><![CDATA[Ms. Nenita will be involved in an interdisciplinary research to be Conducted by the City Health Office to address health problems of the population covered. To prepare for this task she reviews her knowledge on the research process and research designs.]]></situation> 
				</query>
				<query>
					<question ctrlno="92" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The type of epidemiologic study that is used to describe a group of persons enrolled in a study who share some characteristic of interest and who are followed over a period of time to observe spine health outcome is a(n):]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cross-sectional study]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Experimental study]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cohort study]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Case control study]]></answer> 
						<situation><![CDATA[Ms. Nenita will be involved in an interdisciplinary research to be Conducted by the City Health Office to address health problems of the population covered. To prepare for this task she reviews her knowledge on the research process and research designs.]]></situation> 
				</query>
				<query>
					<question ctrlno="93" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The research team will use summary indicators of health as method to depict health status. What is this approach called?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Analytic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Holistic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[prescriptive]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Evaluative]]></answer> 
						<situation><![CDATA[Ms. Nenita will be involved in an interdisciplinary research to be Conducted by the City Health Office to address health problems of the population covered. To prepare for this task she reviews her knowledge on the research process and research designs.]]></situation> 
				</query>
				<query>
					<question ctrlno="94" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Nenita is specifically assigned to talk individually with community leaders like the primary grade teacher and the barangay official in Charge of the health committee. Which data collection method will the nurse use?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Key informant interview]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Community mapping]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Participant observer]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Social survey]]></answer> 
						<situation><![CDATA[Ms. Nenita will be involved in an interdisciplinary research to be Conducted by the City Health Office to address health problems of the population covered. To prepare for this task she reviews her knowledge on the research process and research designs.]]></situation> 
				</query>
				<query>
					<question ctrlno="95" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms Nenita suggested to use an analytic approach in their research. Which of the following statements BEST describes the analytic approach?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Focuses on the community's health problems and issues]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Utilizes health indicators to define population health]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Views factors that influence health and by which interventions to improve health are directed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Addresses the social determinants of health to solve community's problems]]></answer> 
						<situation><![CDATA[Ms. Nenita will be involved in an interdisciplinary research to be Conducted by the City Health Office to address health problems of the population covered. To prepare for this task she reviews her knowledge on the research process and research designs.]]></situation> 
				</query>
				<query>
					<question ctrlno="96" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An epidemiological study validates the occurrence and distribution of disease. Among its uses are:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Understand disease causation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Explain local disease pattern]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explain the treatment modalities available]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All of the above]]></answer> 
						<situation><![CDATA[The following questions refer to the concepts/process in carrying Community Health Nursing service.]]></situation> 
				</query>
				<query>
					<question ctrlno="97" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ecologic triad is composed of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pathologic microorganism]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Physical and biological environment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Animal or human host]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All of the above]]></answer> 
						<situation><![CDATA[The following questions refer to the concepts/process in carrying Community Health Nursing service.]]></situation> 
				</query>
				<query>
					<question ctrlno="98" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a statistical tool that measures the killing power of the disease?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Crude death rate]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proportionate mortality rate]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Case fatality rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Attack rate]]></answer> 
						<situation><![CDATA[The following questions refer to the concepts/process in carrying Community Health Nursing service.]]></situation> 
				</query>
				<query>
					<question ctrlno="99" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following measures the number of deaths registered for a particular disease?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Crude death rate]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Specific death rate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Case fatality rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Attack rate]]></answer> 
						<situation><![CDATA[The following questions refer to the concepts/process in carrying Community Health Nursing service.]]></situation> 
				</query>
				<query>
					<question ctrlno="100" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is/are not measure of morbidity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Incidence rate]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prevalence rate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Attack rate]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Case fatality rate]]></answer> 
						<situation><![CDATA[The following questions refer to the concepts/process in carrying Community Health Nursing service.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="6" testsection="NLE Assessment" testpart="NURSING PRACTICE II - CARE OF HEALTHY/AT RISK MOTHER/CHILD"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE II - CARE OF HEALTHY/AT RISK MOTHER/CHILD</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[In conducting quality -improvement, Nurse Mi-la should look into which of the following as her basis, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patient's complaint data]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient's satisfaction survey]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Incident reports]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Patient's chart]]></answer> 
						<situation><![CDATA[Head nurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional support to the ward's patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="102" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The FIRST Step in the Quality improvement process is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assess progress]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Examine the data]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Confirm the existence of the problem by gathering data]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Set goals]]></answer> 
						<situation><![CDATA[Head nurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional support to the ward's patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="103" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST quality improvement intervention that Nurse Mila can do is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Maintain ongoing informal communication with staff.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Analyze patient's complaint record]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Interview staff individually and in groups,]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Recommend increase in salary of nursing staff.]]></answer> 
						<situation><![CDATA[Head nurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional support to the ward's patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="104" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Somme of the nursing staff seemed to have a sense of entitlement according, to nursing department leadership. They behaved as though they had unlimited job security (because of the strength of the nursing unions). Which of the following action is the BEST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Develop a documentation-and-tracking process for the observations Head nurse makes during their rounds with a specific focus on necessary improvement actions.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Revise job descriptions and performance evaluations for all nursing staff to include the new general care guidelines and highlight emotional support.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Continue to work on increasing staff accountability for service behaviors.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Develop new evidence-based general care guidelines for nurse -patient interactions.]]></answer> 
						<situation><![CDATA[Head nurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional support to the ward's patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="105" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following requires quality improvement? Select all that apply<br><br>
<span style="font-weight:normal">
1. Patient's fall / injury<br>
2. Infection<br>
3. Safety<br>
4. Pressure Ulcers<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 only]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, & 4]]></answer> 
						<situation><![CDATA[Head nurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional support to the ward's patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="106" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are some of the general symptoms during the PRIMARY HIV infection? The nurse enumerated the following, which among these are CORRECT?<br><br>
<span style="font-weight:normal">
1. Fatigue<br>
2.Headache<br>
3. Fever<br>
4. Sore throat<br>
5. Cough<br>
6. Dyspnea<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 5, 6]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 4, 5]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3 , 4, 6]]></answer> 
						<situation><![CDATA[Nurse Crissel was talking about HIV - Aids to a group of teenagers. Here are some questions which were asked by them during the open forum.]]></situation> 
				</query>
				<query>
					<question ctrlno="107" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When can AIDS be manifested? The nurse answer was, "It can be as early as ________."]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 year or as late as 2 years]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[2 years or as late as 10 years]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 year]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[6 months]]></answer> 
						<situation><![CDATA[Nurse Crissel was talking about HIV - Aids to a group of teenagers. Here are some questions which were asked by them during the open forum.]]></situation> 
				</query>
				<query>
					<question ctrlno="108" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Crissel also asked the participants if they got to know the transmission of HIV based from her lecture? Which is NOT correct?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Accidental bipod exposure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Kissing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Unprotected sex]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mother to child transmission]]></answer> 
						<situation><![CDATA[Nurse Crissel was talking about HIV - Aids to a group of teenagers. Here are some questions which were asked by them during the open forum.]]></situation> 
				</query>
				<query>
					<question ctrlno="109" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the question as to which of the following are the effects of AIDS on pregnancy, one teenager cited a wrong answer which was _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[mild weight loss]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[prematurity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[repeated abortion]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[infertility]]></answer> 
						<situation><![CDATA[Nurse Crissel was talking about HIV - Aids to a group of teenagers. Here are some questions which were asked by them during the open forum.]]></situation> 
				</query>
				<query>
					<question ctrlno="110" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[HIV transmission from mother to infant occur at post natal period during ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[bathing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[washing of vagina]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[bottle feeding]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[breastfeeding]]></answer> 
						<situation><![CDATA[Nurse Crissel was talking about HIV - Aids to a group of teenagers. Here are some questions which were asked by them during the open forum.]]></situation> 
				</query>
				<query>
					<question ctrlno="111" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT aligned to ethics in nursing ? A Nurse ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[has the freedom to do what he likes sans responsibility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[is obliged to avoid what is wrong . and do what is good]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[is a person capable of knowing what is right or wrong]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[should have a sense of accountability for his actions]]></answer> 
						<situation><![CDATA[Ethics is a field of moral science which deals with the morali of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned.]]></situation> 
				</query>
				<query>
					<question ctrlno="112" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A professional nurse has a duty to know and respect the Patient 's Bill of Rights. Which of the following is NOT included in the Patient's Bill of Rights? The right to/for ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a considerate and respectful card]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[privacy and confidentiality]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[a complete and current information about his illness]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[expect continuity of care from discharge to full recovery]]></answer> 
						<situation><![CDATA[Ethics is a field of moral science which deals with the morali of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned.]]></situation> 
				</query>
				<query>
					<question ctrlno="113" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What bio-ethical principle is violated by a nurse if he provides his patient fraudulent information about his diagnosis and prognosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Veracity]]></answer> 
						<situation><![CDATA[Ethics is a field of moral science which deals with the morali of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned.]]></situation> 
				</query>
				<query>
					<question ctrlno="114" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following directly VIOLATES the Patient's Bill of Rights?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Informing patients about the billing policies of the hospital.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Disclosing the HIV result to members of the patient's family.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Honestly telling the patient about his current condition.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Immediately referring results of laboratory to the physician.]]></answer> 
						<situation><![CDATA[Ethics is a field of moral science which deals with the morali of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned.]]></situation> 
				</query>
				<query>
					<question ctrlno="115" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Autonomy is the prerogative of the patient to give consent or refusal of treatment with the EXCEPTION of which of the following situations?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Erroneous belief of a head of a church]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Negative effect of superstition]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Near death]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Peer pressure]]></answer> 
						<situation><![CDATA[Ethics is a field of moral science which deals with the morali of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned.]]></situation> 
				</query>
				<query>
					<question ctrlno="116" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would be the possible disorder?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tetanus]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Rheumatic fever]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Scarlet fever]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Influenza]]></answer> 
						<situation><![CDATA[Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James, has verified that he has an inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the possibility of endocarditis.]]></situation> 
				</query>
				<query>
					<question ctrlno="117" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Alice's mother questions whether her other children can catch the disease. Which of the following should be the nurse's response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Your other children should be taking antibiotics to prevent them from catching the same disease.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[It is caused by an autoimmune reaction and is not contagious.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[You appear concerned that your daughter' s disease is contagious.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The fact that you brought Alice to the hospital early enough will decrease the chance for her siblings getting it.]]></answer> 
						<situation><![CDATA[Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James, has verified that he has an inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the possibility of endocarditis.]]></situation> 
				</query>
				<query>
					<question ctrlno="118" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In addition to carditis, which of the following should the nurse asses the child? It should be for the presence of ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[oliguria and edema]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[malabsorption and diarrhea]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[arthralgia and low grade fever]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[bronchitis and pneumonia]]></answer> 
						<situation><![CDATA[Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James, has verified that he has an inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the possibility of endocarditis.]]></situation> 
				</query>
				<query>
					<question ctrlno="119" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After throat swab for culture and sensitivity , the nurse would expect the- physician to prescribe an appropriate antibiotic. Which of the  following is the purpose of this medication? It is to prevent ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[recurrence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[transmission]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[inhalation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[inflammation]]></answer> 
						<situation><![CDATA[Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James, has verified that he has an inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the possibility of endocarditis.]]></situation> 
				</query>
				<query>
					<question ctrlno="120" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If left untreated such condition con progress to which of the following complications?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Kidney failure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Left-sided heart failure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Right-sided heart failure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Angina pectoris]]></answer> 
						<situation><![CDATA[Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James, has verified that he has an inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the possibility of endocarditis.]]></situation> 
				</query>
				<query>
					<question ctrlno="121" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When planning a teaching program for a child who has recently been diagnosed with type 1 diabetes, what will be the nurse' s FIRST concern for the Adel and her parents? To let them ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[assess their own feelings about diabetes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[learn how to monitor blood glucose level]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[understand why activities must be limited]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[learn how to administer insulin injections]]></answer> 
						<situation><![CDATA[Adel, 16 years old, was recently diagnosed with Type l Diabetes. She will receive NPH (Novolin N) insulin subcutaneously.]]></situation> 
				</query>
				<query>
					<question ctrlno="122" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An evening snack is planned for Adel receiving NPH (Novolin N) insulin. This will provide ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[encouragement for the child to stay on a diet]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[calories to help the child gain weight]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[nourishment to counteract, late insulin activity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[energy for immediate utilization]]></answer> 
						<situation><![CDATA[Adel, 16 years old, was recently diagnosed with Type l Diabetes. She will receive NPH (Novolin N) insulin subcutaneously.]]></situation> 
				</query>
				<query>
					<question ctrlno="123" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When teething about insulin and its potential for hypoglycemia, the nurse should include that its PEAK EFFECT occurs in which number of HOURS?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 to 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[5 to I0]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[4 to 12]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 to 4]]></answer> 
						<situation><![CDATA[Adel, 16 years old, was recently diagnosed with Type l Diabetes. She will receive NPH (Novolin N) insulin subcutaneously.]]></situation> 
				</query>
				<query>
					<question ctrlno="124" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When teaching Adel on dietary management, what should the nurse emphasize MOST?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Food in the form of concentrated glucose should be available all the time.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Meals should be preferably prepared and eaten at home.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Food should be weighed on a gram scale all the time.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Meals should be prepared separately from the rest of the family.]]></answer> 
						<situation><![CDATA[Adel, 16 years old, was recently diagnosed with Type l Diabetes. She will receive NPH (Novolin N) insulin subcutaneously.]]></situation> 
				</query>
				<query>
					<question ctrlno="125" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At 7 AM, the nurse receives the information that Adel has a 6 AM fasting blood glucose level of 180 mg /di. What should be her PRIORITY nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inform Adel that a complex carbohydrate such as cheese should be eaten.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage Adel to start exercising and to continue for 5 minutes.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tell Adel that the prescribed dose of regular insulin should be administered.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ask Adel to obtain again an immediate glucometer reading.]]></answer> 
						<situation><![CDATA[Adel, 16 years old, was recently diagnosed with Type l Diabetes. She will receive NPH (Novolin N) insulin subcutaneously.]]></situation> 
				</query>
				<query>
					<question ctrlno="126" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA["Commitment to continual learning and active participation in the development and growth of the profession are commendable obligations" is contained in which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Code of Ethics]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[RA 10912]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[RA 7164]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[RA 9173]]></answer> 
						<situation><![CDATA[To ensure patient safety at all times, personal and profession, growth of nurses is a necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized.]]></situation> 
				</query>
				<query>
					<question ctrlno="127" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which law declares that the policy of the State is to promote and upgrade the practice of profession in the country?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[RA 7164]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[RA 0173]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Code of Ethics]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[RA 10912]]></answer> 
						<situation><![CDATA[To ensure patient safety at all times, personal and profession, growth of nurses is a necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized.]]></situation> 
				</query>
				<query>
					<question ctrlno="128" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nursing programs that are based on needs assessment and needs analysis and should be offered free is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Continuing Development Program]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[In-service Training Program]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing Education Program]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Post-Graduate Program]]></answer> 
						<situation><![CDATA[To ensure patient safety at all times, personal and profession, growth of nurses is a necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized.]]></situation> 
				</query>
				<query>
					<question ctrlno="129" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In three year's time, Nurse Florence needs to attain certain number of Continuing Professional Development units to be able to renew her _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Philippine Nurses Association membership]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Professional license]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Professional Identification Card]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Professional Registration]]></answer> 
						<situation><![CDATA[To ensure patient safety at all times, personal and profession, growth of nurses is a necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized.]]></situation> 
				</query>
				<query>
					<question ctrlno="130" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Florence was asked by her Head nurse why she requested permission td enroll in the Graduate Program for the second semester. Her reply should be, EXCEPT]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[To have an impressive resume to enable her to be competitive]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Connect with people professionally]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Invest for the future]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pursue her interest in Pediatric Nursing in more depth]]></answer> 
						<situation><![CDATA[To ensure patient safety at all times, personal and profession, growth of nurses is a necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized.]]></situation> 
				</query>
				<query>
					<question ctrlno="131" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Since she wanted to capture the essence and emotion of thy victims shy chose to use the qualitative design, Which among the statements below is CORRECT about qualitative design?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It commences study at present but consummates at any future time.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It allows estimation of relationship between studied variables..]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[It provides insights into attitudes, beliefs, motives and behaviors of target population.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It tests results through numerical data and subjects them to statistical analysis.]]></answer> 
						<situation><![CDATA[Nurse Carmi made a study on domestic violence against women in certain province in Luzon.]]></situation> 
				</query>
				<query>
					<question ctrlno="132" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Carmi plans to gather 6 participants who are victims of domestic violence where she will base her questionnaires. What technique in qualitative research is applicable to this plan?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[data triangulation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[focus group discussion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[interview]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[case study]]></answer> 
						<situation><![CDATA[Nurse Carmi made a study on domestic violence against women in certain province in Luzon.]]></situation> 
				</query>
				<query>
					<question ctrlno="133" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To have a better analysis and interpretation of the findings, Nurse Carmi reviewed and compared them with other findings of previous researches on the same topic. This is done MAINLY by going back to which part of the study? The ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[statement of the problem]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[related literature and studies]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[conceptual framework of the study]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[theoretical framework of the study]]></answer> 
						<situation><![CDATA[Nurse Carmi made a study on domestic violence against women in certain province in Luzon.]]></situation> 
				</query>
				<query>
					<question ctrlno="134" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Carmi finally decided to make an in depth study of ONLY ONE SUBJECT of domestic violence. What design will she use?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Causality Design]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Predictive Correlational Design]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Descriptive Correlational Design]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Descriptive Case Study Design]]></answer> 
						<situation><![CDATA[Nurse Carmi made a study on domestic violence against women in certain province in Luzon.]]></situation> 
				</query>
				<query>
					<question ctrlno="135" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In as much as the research may have some risks on the part of the subject who is 21 years old, Nurse Carmi must assure the subject of her anonymity, confidentiality and respect for her human rights. ONE ABSOLUTE WAY is to get an informed and written consent from whom?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[parents]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[guardians]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[husband]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[subject herself]]></answer> 
						<situation><![CDATA[Nurse Carmi made a study on domestic violence against women in certain province in Luzon.]]></situation> 
				</query>
				<query>
					<question ctrlno="136" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When counselling parents of a child who has recently been diagnosed with hemophilia, what must Nurse Thelma KNOW about condition whose father is normal and the mother is the carrier?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[it is likely that all sons are affected.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[There is a 50% probability that sons will have the disease.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Every daughter is likely to be a carrier.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[There is a 25% chance a daughter will be a carrier.]]></answer> 
						<situation><![CDATA[Hemophilia is a rare blood disorder that affects the body's clotting factors. This may result to incapacitating complications to children affected with this disorder. A 3-year-old child Billy was diagnosed with hemophilia.]]></situation> 
				</query>
				<query>
					<question ctrlno="137" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Billy has slipped on the ice and bumped his knee. Which among the following should Nurse Thelma prepare to administer as per doctor's order? Intravenous infusion of ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cryoprecipitate]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[factor VIII]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[factor X]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[desmopressin ( PPAVP )]]></answer> 
						<situation><![CDATA[Hemophilia is a rare blood disorder that affects the body's clotting factors. This may result to incapacitating complications to children affected with this disorder. A 3-year-old child Billy was diagnosed with hemophilia.]]></situation> 
				</query>
				<query>
					<question ctrlno="138" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Thelma is providing home care instructions to the mother of Billy. Which of the following complications should Nurse Thelma tell the mother. Should repeated bleeding continues?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Leukemia]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Hemarthrosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Scchymosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hematoma]]></answer> 
						<situation><![CDATA[Hemophilia is a rare blood disorder that affects the body's clotting factors. This may result to incapacitating complications to children affected with this disorder. A 3-year-old child Billy was diagnosed with hemophilia.]]></situation> 
				</query>
				<query>
					<question ctrlno="139" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse analyzes the laboratory results of Billy. The nurse understands that the MOST likely ABNORMAL finding in Billy is which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Partial thromboplastin time]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hemoglobin level]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hematocrit level]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Platelet count]]></answer> 
						<situation><![CDATA[Hemophilia is a rare blood disorder that affects the body's clotting factors. This may result to incapacitating complications to children affected with this disorder. A 3-year-old child Billy was diagnosed with hemophilia.]]></situation> 
				</query>
				<query>
					<question ctrlno="140" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is planning a meal that would provide IRON for a child with bleeding disorders. Which dinner menu would be the BEST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Chicken nuggets, macaroni, peas, cantaloupe, milk]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fish sticks, french fries, banana, cookies, milk]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ground beef patty, lima beans, wheat roll, raisins, milk]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Peanut butter and jelly sandwich, apple slices, milk]]></answer> 
						<situation><![CDATA[Hemophilia is a rare blood disorder that affects the body's clotting factors. This may result to incapacitating complications to children affected with this disorder. A 3-year-old child Billy was diagnosed with hemophilia.]]></situation> 
				</query>
				<query>
					<question ctrlno="141" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Gestational diabetes is said to exist in pregnancy because of the diabetogenic effect of what hormone secreted by the placenta?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Human, placental lactogen]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Human chorionic gonadotropin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Estrogen and progesterone]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Relaxin]]></answer> 
						<situation><![CDATA[Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="142" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following infection will mothers with diabetes have FREQUENTLY?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[moniliasis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[herpes zoster]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[psoriasis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[herpes simplex]]></answer> 
						<situation><![CDATA[Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="143" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In 36 weeks, amniocentesis was ordered by the doctor for this patient. What is the purpose of this procedure? To detect/determine ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[an increase level of bilirubin]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[genetic abnormalities]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[down syndrome]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[fetal lung maturity]]></answer> 
						<situation><![CDATA[Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="144" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Aside from an endocrinologist, to whom should the nurse also plan to refer the patient to?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[general practitioner]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[neurologist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[surgeon]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[neonatologist]]></answer> 
						<situation><![CDATA[Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="145" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the PRIMARY effect to the newborn of a diabetic mother?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[hypoglycemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[anemia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[hyperinsulinism]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hyperglycemia]]></answer> 
						<situation><![CDATA[Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="146" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In taking the Obstetrical score, how will Nurse Merlita record Gravida, Para and (TPAL )?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[G5, P4, T1, P1, A2, L2]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[G5, P2,T1, P1, A2, L2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[G3, P2, T1, B2, A2, L1]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[G4, P4,T2, P3, A3, L2]]></answer> 
						<situation><![CDATA[Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant four time’s before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 weeks.]]></situation> 
				</query>
				<query>
					<question ctrlno="147" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When questioned, Clara admitted, that she sometimes has several glasses of wine with dinner. Her alcohol consumption puts her fetus at risk for which condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[alcohol addiction]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[anencephaly]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[learning disability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[down syndrome]]></answer> 
						<situation><![CDATA[Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant four time’s before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 weeks.]]></situation> 
				</query>
				<query>
					<question ctrlno="148" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To help determine whether Clara is at risk for a toxoplasmosis  infection, what will the nurse ask the client ?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Have you ever had osteomyelitis?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Have you recently had a rubeola vaccination?"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Do you have any cats at home?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Do you have any birds at home?"]]></answer> 
						<situation><![CDATA[Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant four time’s before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 weeks.]]></situation> 
				</query>
				<query>
					<question ctrlno="149" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Clara asks Nurse Merlita whether she can take castor oil for her constipation. How should the nurse respond? "No, it can ________."]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[lead to increased absorption of fat-soluble vitamins]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[promote sodium retention]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[produce an adverse effects]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[initiate premature uterine contractions]]></answer> 
						<situation><![CDATA[Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant four time’s before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 weeks.]]></situation> 
				</query>
				<query>
					<question ctrlno="150" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Clara also admitted to Nurse Merlita that she also uses cocaine at least once per day skipping meals at times. Which nursing diagnosis is MOST appropriate for her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Activity intolerance related to decreased tissue oxygenation.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Risk for infection related to metabolic and vascular abnormalities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Impaired gas exchange related to respiratory effects of substance abuse.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Impaired nutrition: less than body requirements related to limited food intake.]]></answer> 
						<situation><![CDATA[Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant four time’s before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 weeks.]]></situation> 
				</query>
				<query>
					<question ctrlno="151" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The factors that affect the ability of individuals to cope are ________. Select all that apply.<br><br>
<span style="font-weight:normal">
1. Level of development<br>
2. Coping skills<br>
3. Previous experiences with illness and hospitalization<br>
4. Seriousness of diagnosis<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 & 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<situation><![CDATA[Nursing assessment of individuals across the life span require nurse to be familiar with the physiological, cognitive, and psychosocial changes that occur during each stage of development.]]></situation> 
				</query>
				<query>
					<question ctrlno="152" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Appropriate nursing diagnoses for patients with developmental problems are, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Delayed growth and development]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Compromised family. Coping]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Impaired social interaction]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Altered Sleeping Pattern]]></answer> 
						<situation><![CDATA[Nursing assessment of individuals across the life span require nurse to be familiar with the physiological, cognitive, and psychosocial changes that occur during each stage of development.]]></situation> 
				</query>
				<query>
					<question ctrlno="153" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient's participation in the planning phase of the nursing diagnosis depends on ________. Select all that apply.<br><br>
<span style="font-weight:normal">
1. Developmental status<br>
2. Psychological condition<br>
3. Level of intelligence<br>
4. Comprehension of his disease<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<situation><![CDATA[Nursing assessment of individuals across the life span require nurse to be familiar with the physiological, cognitive, and psychosocial changes that occur during each stage of development.]]></situation> 
				</query>
				<query>
					<question ctrlno="154" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a 15-year-old female patient is so engrossed and worried as to what her friends think about her, she is categorized to be in the psychosocial development stage. Nurse Nene needs to inform the mother that this is a normal behavior. In what stage of the psychosocial development is the patient in?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Identity versus Role Confusion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Autonomy versus Doubt and Shame]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Industry versus Inferiority]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Initiative versus Guilt]]></answer> 
						<situation><![CDATA[Nursing assessment of individuals across the life span require nurse to be familiar with the physiological, cognitive, and psychosocial changes that occur during each stage of development.]]></situation> 
				</query>
				<query>
					<question ctrlno="155" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Head nurse of Pediatric Ward asked a staff nurse who is assigned to a 3 month old infant. At what age will her patient start to drink from a cup? The staff nurse's answer should be ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[12]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[24]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[9]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[5]]></answer> 
						<situation><![CDATA[Nursing assessment of individuals across the life span require nurse to be familiar with the physiological, cognitive, and psychosocial changes that occur during each stage of development.]]></situation> 
				</query>
				<query>
					<question ctrlno="156" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Katrina calms down the similarly anxious patient by telling her that the DEFINITIVE sign that labor is about to BEGIN is ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[rupture of bag of water]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[lengthening of cord]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[initiation of contraction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[bulging of perineum]]></answer> 
						<situation><![CDATA[Nurse Katrine admitted a labouring primigravida, Yolanda, brought by an anxious taxi driver.]]></situation> 
				</query>
				<query>
					<question ctrlno="157" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The, discomfort expected with TRUE LABOR contractions is MOST accurately described by which of the following? Discomfort ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[begins in the lower back, abdomen and then radiates over the entire abdomen]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[begins in the fundus and then radiates downward to the cervix]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[radiates from the umbilicus to the iliac region then to the lower extremities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[centers in the fundus of the uterus during the entire contraction]]></answer> 
						<situation><![CDATA[Nurse Katrine admitted a labouring primigravida, Yolanda, brought by an anxious taxi driver.]]></situation> 
				</query>
				<query>
					<question ctrlno="158" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Katrina completed the vaginal examination on the patient. She recorded: 75%,  7cm, 0. Which of the following is a CORRECT interpretation of the data?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Effacement is 5 cm completed.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Fetal presenting part is engaged.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dilatation 75% is completed.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Acceleration phase of the first stage of labor is about to begin.]]></answer> 
						<situation><![CDATA[Nurse Katrine admitted a labouring primigravida, Yolanda, brought by an anxious taxi driver.]]></situation> 
				</query>
				<query>
					<question ctrlno="159" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Katrina would further estimate that the above data means the Cervix is ________ of its length.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[0/4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[0/100000000000000]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[0/4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[0/2]]></answer> 
						<situation><![CDATA[Nurse Katrine admitted a labouring primigravida, Yolanda, brought by an anxious taxi driver.]]></situation> 
				</query>
				<query>
					<question ctrlno="160" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When does the membranes of a patient in labor MOST likely to rupture?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[During the perineal phase of the second stage of labor as the head of the baby crowns.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[During the active phase of the first stage of labor usually at the peak of a contraction.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[During the latent phase of the 1st stage of labor between contractions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Just immediately before the labor begins.]]></answer> 
						<situation><![CDATA[Nurse Katrine admitted a labouring primigravida, Yolanda, brought by an anxious taxi driver.]]></situation> 
				</query>
				<query>
					<question ctrlno="161" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Purisima, 38 weeks gestation, is admitted at the High Risk Ward. She was admitted due to labor pains with cervix of 6 cm. BP was 160 / ll0mmHg. She is given MgSo 4 per IV. How will Nurse Jessy determine that the MgSo 4 therapy has been effective?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Labor pains decreased .]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[There is clonus of the ankle.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[BP is maintained.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Seizures are prevented .]]></answer> 
						<situation><![CDATA[Nurses Jessy and Karyl are assigned in high risk maternity war. Here are some cases which they handle for the morning shift.]]></situation> 
				</query>
				<query>
					<question ctrlno="162" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What would Nurse Jessy monitor to suspect MgSo4 toxicity on Mrs. Purisima?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tingling in the toes.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rapid pulse rate and hyperventilation.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Decreased deep tendon reflexes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypotension.]]></answer> 
						<situation><![CDATA[Nurses Jessy and Karyl are assigned in high risk maternity war. Here are some cases which they handle for the morning shift.]]></situation> 
				</query>
				<query>
					<question ctrlno="163" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If Mrs. Purisima begins to exhibit signs of labor after eclamptic seizure, what will Nurse Jessy anticipate to occur?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Severe infection.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Abruptio placenta.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Uterine atony.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Placenta accrete.]]></answer> 
						<situation><![CDATA[Nurses Jessy and Karyl are assigned in high risk maternity war. Here are some cases which they handle for the morning shift.]]></situation> 
				</query>
				<query>
					<question ctrlno="164" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Karyl is assisting an obstetrician in the care of a pregnant woman in labor with herpes simplex viral infection. The nurse would anticipate which management of the condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Administration of anti-viral drug .]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vaginal douche.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hot sitz bath TID.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Preparation for Cesarian section .]]></answer> 
						<situation><![CDATA[Nurses Jessy and Karyl are assigned in high risk maternity war. Here are some cases which they handle for the morning shift.]]></situation> 
				</query>
				<query>
					<question ctrlno="165" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the patients of Karyl hag been exhibiting signs and symptoms of Rheumatic Heart Disease (RHD). These are the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[fever]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[abnormal pulse rhythm]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[petichea]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[heart murmurs]]></answer> 
						<situation><![CDATA[Nurses Jessy and Karyl are assigned in high risk maternity war. Here are some cases which they handle for the morning shift.]]></situation> 
				</query>
				<query>
					<question ctrlno="166" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following regulates the practice of the nursing profession?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Department of Health]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Professional Regulation Commission]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Civil Service Commission]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Professional. Regulatory Board of Nursing]]></answer> 
						<situation><![CDATA[Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care.]]></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 Nurse Vergel's patients needs to undergo invasive procedure. Based on the Patient's Bill of Rights, sequence the persons from whom Nurse Vergel could obtain consent?<br><br>
<span style="font-weight:normal">
1. Parents<br>
2. Legal guardian<br>
3. Next of kin<br>
4. Physician<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 4, & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 4, 2, & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3, & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 3, 2 & 4]]></answer> 
						<situation><![CDATA[Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="168" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, the patient has the right to demand the following, but NOT ________ pertaining to his care as confidential.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[information]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[communication]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[records]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[financial status]]></answer> 
						<situation><![CDATA[Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="169" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Right to Information does not include ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[any change in the plan of care before the change is made]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[extent to which payment maybe expected from Phil health]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[discount for the professional fee of the attending doctor(s)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[result of the evaluation of the nature and extent of his/her disease]]></answer> 
						<situation><![CDATA[Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="170" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient has the right to leave the hospital regardless of his physical condition provided s/he is informed of which of the following? Select all that apply.<br><br>
<span style="font-weight:normal">
1. Is informed of the medical consequences of ‘his / her decision.<br>
2. Releases those involved in his / her care from any obligation relative to the consequences of his decision.<br>
3. His/her decision will not prejudice public health and safety.<br>
4. Appropriate arrangement has been made to settle the unpaid bill.<br></span>
]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, & 4]]></answer> 
						<situation><![CDATA[Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="171" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Liza learned active listening. How will Liza demonstrate this on her patient named Grace? She should ________.<br><br>
<span style="font-weight:normal">
1. listen to what Grace verbalizes and observe how she expresses her feelings<br>
2. demonstrate interest on what Grape is talking about by avoiding her eyes<br>
3. maintain a close body posture such as keeping arms crossed and clenching fist<br>
4. tune out other thoughts and refrain from interrupting Grace while she is talking<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 and 3]]></answer> 
						<situation><![CDATA[Liza is a new nurse in the Obstetrics Ward. She remembered her Clinical instructor saying that a nurse must learn now to communicate well with her patients.]]></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 should NOT be considered by the nurse in interpreting nonverbal messages of a patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Culture, educational attainment and position in society.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Congruency of nonverbal expressions with spoken words.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Facial expression, posture, tone of voice and age.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Eye contact with all patients at all times regardless of race.]]></answer> 
						<situation><![CDATA[Liza is a new nurse in the Obstetrics Ward. She remembered her Clinical instructor saying that a nurse must learn now to communicate well with her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="173" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Demonstrating what she learned from school in terms of obtaining feedback, Liza's APPROPRIATE response to Grace's complaint, "My breasts are engorged and it is so painful, " should be ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Tell me about the pain. Is it tolerable, moderate or severe?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["it is alright all breastfeeding mothers feel the same as you".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["That's a sacrifice that mothers should do for her babies".]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Just continue breastfeeding , it will relieve you from your pain".]]></answer> 
						<situation><![CDATA[Liza is a new nurse in the Obstetrics Ward. She remembered her Clinical instructor saying that a nurse must learn now to communicate well with her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="174" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Liza also recalled her learning on how to REFOCVS conservations. Thus, when Grace's subsequent messages were, "I have this painful engorged breasts and my mother-in-law wants me to bottle feed instead of breastfeed". What will be Liza's BEST answer using refocusing technique?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["What were you saying about your mother-in-law?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["All mothers-in-law are just as helpful, so it will be better to just accept her."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I think we were talking about breast engorgement which, brought about."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What did you do about the pain you felt on your breast? "]]></answer> 
						<situation><![CDATA[Liza is a new nurse in the Obstetrics Ward. She remembered her Clinical instructor saying that a nurse must learn now to communicate well with her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="175" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the course of Liza's duty in the OB Ward, she also learned that she has to adjust her style of communication for different types of patients. Thus, Liza should adjust to which of the following characteristics of Grace? Select all that apply.<br><br>
<span style="font-weight:normal">
1. Level of usual communication<br>
2. Pace of interaction<br>
3. Display of emotions<br>
4. Full development of topic<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<situation><![CDATA[Liza is a new nurse in the Obstetrics Ward. She remembered her Clinical instructor saying that a nurse must learn now to communicate well with her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="176" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Amy, a multiparous patient , 28 hours after Cesarian delivery (CS), who is breastfeeding, complains of severe abdominal cramps. Nurse Kayla explains that these are caused by which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Flatulence accumulation after CS.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Release of Oxytocin during the breastfeeding session.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Healing of the abdominal incision after CS.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Side effects of the medications administered after delivery.]]></answer> 
						<situation><![CDATA[Nurse Kayla is assigned at the postpartum ward. The following questions refer to postpartum patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="177" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Three hours postpartum, a primiparous patient's fundus is firm and midline. On perinea inspection by Nurse Kayla, she observes a small constant trickle of blood. What will the nurse suspect for the patient to have?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Uterine inversion]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Perineal lacerations]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Retained placenta]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Bladder distention]]></answer> 
						<situation><![CDATA[Nurse Kayla is assigned at the postpartum ward. The following questions refer to postpartum patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="178" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the first postpartum day, a primiparous patient complains of perineal pain that was unrelieved by ibuprofen 400 mg given two hours ago. Nurse Kayla should assess for which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Vaginal lacerations.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Perineal hematoma.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[History of drug abuse.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Puerperal infection.]]></answer> 
						<situation><![CDATA[Nurse Kayla is assigned at the postpartum ward. The following questions refer to postpartum patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="179" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Twelve hours after vaginal delivery, Nurse Kayla palpates the fundus of a primiparous patient and finds. it to be firm, above the umbilicus and deviated to the right. What is the BEST thing for Nurse Kyla to do for the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Contact the physician for an order of methylergonovine.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gently massage the fundus to expel the clots.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Encourage patient to ambulate and to void.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Document this as a normal finding in the patient's records.]]></answer> 
						<situation><![CDATA[Nurse Kayla is assigned at the postpartum ward. The following questions refer to postpartum patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="180" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After instructing a primiparous patient about episiotomy care, which of the following indicates successful teaching?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I will wipe the area from front to back using a blotting motion."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["I will put ice packs on the site 15 minutes once a day for 3 to 4 days."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Before bed time, I will do a cold water bath."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I'll use sudsy water to clean the episiotomy."]]></answer> 
						<situation><![CDATA[Nurse Kayla is assigned at the postpartum ward. The following questions refer to postpartum patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="181" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The goal of a neutral thermal environment is to assist the newborns to stabilize its temperature that does not drop below which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[98.6 degree F]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[99.5 degrees F]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[97.7 degrees F]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[96.7 degrees F]]></answer> 
						<situation><![CDATA[Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and specialized process of nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="182" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses should be alert when caring for a preterm newborn, particularly for which of the following signs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hypercalcemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Premature closure of ductus arteriosus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Meconium aspiration syndrome]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Hypoglycemia]]></answer> 
						<situation><![CDATA[Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and specialized process of nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="183" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse starts giving information about preterm newborns to the parent. She tells them that preterm newborns exhibit which of the following characteristics/signs?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Allow elbows to be brought past the midline of the chest.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Exhibit an abundance of brown fat.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Resist t when the right heel is brought to the right ear.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assume significant flexed pasture.]]></answer> 
						<situation><![CDATA[Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and specialized process of nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="184" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Hypothermia is common in preterm newborns because of their inability to control heat. Which of the following is an EXCEPTION to the APPROPRIATE nursing intervention to prevent heat loss?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Using mechanical pressure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Drying and wrapping the baby]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Playing the crib beside the wall]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doing Kangaroo care]]></answer> 
						<situation><![CDATA[Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and specialized process of nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="185" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following conditions is NOT INCLUPED among the effect of cold stress?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hypoglycemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Metabolic acidosis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Increase intracranial pressure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cerebral palsy]]></answer> 
						<situation><![CDATA[Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and specialized process of nursing care.]]></situation> 
				</query>
				<query>
					<question ctrlno="186" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Melissa recalls that one of the major responsibilities of a Head nurse is record keeping. There are many reasons for keeping records in health care, but two stand out above all others. These are to ________.<br><br>
<span style="font-weight:normal">
1. compile a complete record of the patient's journey through services<br>
2. enable continuity of care for the patient both within and between services<br>
3. make available for legal purposes<br>
4. protect nurses from limitation<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 & 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Head nurse is on Maternity Leave for the next 6 months, she was appointed by the Area Nurse Supervisor to be the Charge Nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="187" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following statements demonstrate to Nurse Melissa that record keeping is good, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Entries are dated and timed as close to the actual time of the events as possible.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Relevant information about the condition of the patient/client at any given time and the. measures you have taken to respond, to their needs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Abbreviations is used.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A full account of your assessment and the care you have planned and provided.]]></answer> 
						<situation><![CDATA[Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Head nurse is on Maternity Leave for the next 6 months, she was appointed by the Area Nurse Supervisor to be the Charge Nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="188" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[0n record keeping, the Area Supervisor reminds Nurse Melissa that for most nurses who find themselves involved in legal proceedings, best defense to win the case is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[honesty]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[good memory]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[quality of nursing documentation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[knowledge]]></answer> 
						<situation><![CDATA[Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Head nurse is on Maternity Leave for the next 6 months, she was appointed by the Area Nurse Supervisor to be the Charge Nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="189" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which statement is incorrect regarding record keeping?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patients now have a legal right to see their own records.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Keeping records of patient care and treatment is NOT an integral part of nursing practice.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Any later alterations or additions must be carefully indicated, ensuring that the original entry can still be clearly read.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All records must be signed by the person making the entry together with the date and time of the entry.]]></answer> 
						<situation><![CDATA[Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Head nurse is on Maternity Leave for the next 6 months, she was appointed by the Area Nurse Supervisor to be the Charge Nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="190" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the patients asks where to get his/her medical record after discharge, the correct answer is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Office of the Attending Physician]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Medical Record Section]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Admission Section]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Office of the Administrative Officer]]></answer> 
						<situation><![CDATA[Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Head nurse is on Maternity Leave for the next 6 months, she was appointed by the Area Nurse Supervisor to be the Charge Nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="191" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a Community Nurse, Nurse Myrna should be able to demonstrate knowledge of current laws on reproductive health in which she practices. One Of the topics that Nurse Myrna will discuss is RA 10354 which is entitled ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reproductive Health Act of 2012]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The Responsible Parenthood and Reproductive Health Act of 2012]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The Reproductive Health and Responsible Parenthood of 2012]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[RH Bill]]></answer> 
						<situation><![CDATA[Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct health education to the residents of the Barangay on Reproductive Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="192" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This Law provides productive health care program to all citizens prioritizing, which of the following?<br><br>
<span style="font-weight:normal">
1. Women<br>
2. The poor<br>
3. Marginalized<br>
4. Those invulnerable or crisis situations<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1,2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct health education to the residents of the Barangay on Reproductive Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="193" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When conducting health education on Reproductive Health, it is important that Nurse Myrna examines her values because of which of the following reasons?<br><br>
<span style="font-weight:normal">
1. We all hold personal values that can influence how we respond to our clients.<br>
2. One's values may change in response to life experiences.<br>
3. Encounters with clients and colleagues may influence your beliefs without your having much of a chance to reflect on these changes.<br>
4. Others exist at a deeper level, so that we don't necessarily recognize the influence they have on our behavior and judgment? as health care providers.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3 &  4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct health education to the residents of the Barangay on Reproductive Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="194" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Reproductive Health services include the following , EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gender-based violence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Finding the correct partner]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Management and prevention of maternal and perinatal mortality and morbidity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Malnutrition and anemia]]></answer> 
						<situation><![CDATA[Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct health education to the residents of the Barangay on Reproductive Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="195" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Factors that affect reproductive health are, Which of the following? Select all that apply.<br><br>
<span style="font-weight:normal">
1. economic circumstances<br>
2. education<br>
3. living conditions and family environment<br>
4. social and gender relationships<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1,2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct health education to the residents of the Barangay on Reproductive Health.]]></situation> 
				</query>
				<query>
					<question ctrlno="196" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the BEST initiative that Nurse Angelina, can do, should there be non-availability of supply of alcohol used for hand hygiene that is vital in preventing cross-infection?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Requisition of the item from Central Supply before the supply tuns out.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inform the Head nurse of its non-availability.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Have your own alcohol until hospital supply is available.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Request the patients to provide their own alcohol.]]></answer> 
						<situation><![CDATA[Nurse Miriam Kate is the Charge Nurse of the Obstetrics & Gynecology Ward of a government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset by problems such as having inadequate supplies.]]></situation> 
				</query>
				<query>
					<question ctrlno="197" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One major way of preventing cross-infection is frequent handwashing. However, today, Nurse Angelina just found out there is water interruption. The INITIAL step that Nurse Angelina ought to do is report the problem to ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Head nurse]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Manila Water]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chief Nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nurse Supervisor]]></answer> 
						<situation><![CDATA[Nurse Miriam Kate is the Charge Nurse of the Obstetrics & Gynecology Ward of a government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset by problems such as having inadequate supplies.]]></situation> 
				</query>
				<query>
					<question ctrlno="198" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Angelina as a beginning nurse assigned in the Obstetric Ward was asked by Head nurse Mimi an example of how she will bd able to manage her environment. Which of her responses are CORRECT? Select all that apply.<br><br>
<span style="font-weight:normal">
1. Check availability and expiry date of fire extinguishers in the Obstetric Ward.<br>
2. Compliance to Republic Act 9003.<br>
3. Provision of a separate container for each type of waste for on-sit collection properly marked as "compostable&quot;, "non-recyclable&quot; , &quot;recyclable" or "special waste".<br>
4. Proper isolation of patients known or suspected of harboring infectious diseases.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3 & 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Miriam Kate is the Charge Nurse of the Obstetrics & Gynecology Ward of a government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset by problems such as having inadequate supplies.]]></situation> 
				</query>
				<query>
					<question ctrlno="199" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should Nurse Angeline request for. Alcohol-based hand rub to be effective for application to the hands for reducing the number of viable microorganisms on the hands, the ethyl content should be ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[60]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[90]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[70]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[95]]></answer> 
						<situation><![CDATA[Nurse Miriam Kate is the Charge Nurse of the Obstetrics & Gynecology Ward of a government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset by problems such as having inadequate supplies.]]></situation> 
				</query>
				<query>
					<question ctrlno="200" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Angeline discovered that bed mattresses in the Pay Ward slide easily, either to the left or right side of the bed causing patient fall, What would be Nurse Angeline's MOST appropriate way to provide patient safety?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Use restraint on Patient.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Raise upper and preferably lower rails at all times.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Frequent monitoring of patient.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ensure 24-hour responsible watcher.]]></answer> 
						<situation><![CDATA[Nurse Miriam Kate is the Charge Nurse of the Obstetrics & Gynecology Ward of a government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset by problems such as having inadequate supplies.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="6" 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[The first question she asked from Nurse Gayle is, how do you differentiate a patient with Crohn's disease from that of ulcerative colitis in terms of the following: Which of the following responses of Nurse Gayle is CORRECT?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Presence of bleeding: severe in Crohn's disease while in Ulcerative colitis bleeding is mild.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Presence of diarrhea: severe in Crohn's disease in ulcerative colitis it is mild.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Affected area: Crohn's disease is the descending while in ulcerative colitis is the ascending colon.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Course of the disease: Crohns disease is prolonged and variable, Ulcerative colitis has a remission and exacerbation.]]></answer> 
						<situation><![CDATA[Ms. Limjap is the staff development coordinator of a Tertiary hospital and has an in-service training program to a group of newly hired nurses for the month. Due to the many patients they haye in the hospital afflicted with Intestinal and rectal disorders, a refresher session on these cases became the focus of their discussion.]]></situation> 
				</query>
				<query>
					<question ctrlno="202" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Limjap further asked another orientee, Ms. Sharon "In preventing recurrence of Crohn's and  ulcerative colitis, what specific therapeutic regimen is effective to both conditions? The BEST response of Nurse Sharon is _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[corticosteroids]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[anti-chollinergic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[antacids]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[anti-spasmodics]]></answer> 
						<situation><![CDATA[Ms. Limjap is the staff development coordinator of a Tertiary hospital and has an in-service training program to a group of newly hired nurses for the month. Due to the many patients they haye in the hospital afflicted with Intestinal and rectal disorders, a refresher session on these cases became the focus of their discussion.]]></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 nurse, Ms. Lyn, what systematic complication do you likely expect when you are caring for a patient with crohn's disease? The BEST response of Nurse Lyn to Ms. Limjap is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[megacolon]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[perforation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[small bowel obstruction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hemorrhage]]></answer> 
						<situation><![CDATA[Ms. Limjap is the staff development coordinator of a Tertiary hospital and has an in-service training program to a group of newly hired nurses for the month. Due to the many patients they haye in the hospital afflicted with Intestinal and rectal disorders, a refresher session on these cases became the focus of their discussion.]]></situation> 
				</query>
				<query>
					<question ctrlno="204" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The succeeding questions of Ms. Limjap to the orientees include the following. What diagnostic test is usually ordered to patients with ulcerative colitis in order to distinguish this condition from other diseases of the colon?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Proctosigmoidoscopy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Albumin study]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Colonoscopy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ultra sound]]></answer> 
						<situation><![CDATA[Ms. Limjap is the staff development coordinator of a Tertiary hospital and has an in-service training program to a group of newly hired nurses for the month. Due to the many patients they haye in the hospital afflicted with Intestinal and rectal disorders, a refresher session on these cases became the focus of their discussion.]]></situation> 
				</query>
				<query>
					<question ctrlno="205" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If you are caring for patients who are passing out large volume of stools brought about by Ulcerative colitis, which of the following nursing diagnoses is the MOST appropriate to be formulated and incorporated in your nursing care plan?<br>br>
<span style="font-weight:normal">
1. Imbalanced nutrition less than body requirements R/T impaired absorption<br>
2. Risk for Deficient Fluid Volume R/T abnormal fluid loss<br>
3. Risk for ineffective tissue perfusion R/T low hemoglobin<br>
4. Acute Diarrhea R/T inflammation of the bowel<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[Ms. Limjap is the staff development coordinator of a Tertiary hospital and has an in-service training program to a group of newly hired nurses for the month. Due to the many patients they haye in the hospital afflicted with Intestinal and rectal disorders, a refresher session on these cases became the focus of their discussion.]]></situation> 
				</query>
				<query>
					<question ctrlno="206" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the admission interview, which of the following questions would the Nurse APPROPRIATELY asks when a patient is complaining of biliary colic?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[When do you feel the pain, is it before you sleep at night?]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do you feel the pain and tenderness in the left upper quadrant of your abdomen?]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Does the pain last for thirty minutes or less?]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[When do you feel the pain, is it after a heavy meal?]]></answer> 
						<situation><![CDATA[Ms. Betsay, 56 years old, a former dressmaker, married, was brought the a medical center because of severe abdominal pain radiating to the scapular region. Health history revealed that she has been fond of eating fatty prepared food. Patient appeared jaundice with facial grimaces. The physician on duty (POP) examined her and an impression of Cholelithiasis was given by the POD. Patient was ordered to be admitted for further work-up and possible surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="207" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the comprehensive assessment of the Nurse, which of the following would the Nurse likely to find when Ms. Betsay has an obstructive jaundice?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Itchiness of the abdomen]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Clay-colored stool]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reddish-colored urine and stool]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Presence of urobilinogen in the urine]]></answer> 
						<situation><![CDATA[Ms. Betsay, 56 years old, a former dressmaker, married, was brought the a medical center because of severe abdominal pain radiating to the scapular region. Health history revealed that she has been fond of eating fatty prepared food. Patient appeared jaundice with facial grimaces. The physician on duty (POP) examined her and an impression of Cholelithiasis was given by the POD. Patient was ordered to be admitted for further work-up and possible surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="208" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The POD ordered the patient for bile duct exploration with open cholecystectomy as the Xray and diagnostic tests revealed that she has multiple stones obstructing the billiary tract. After surgery a T-tube was connected as a drain. The nurse on duty (NOD) found out after twelve hours (12) that there was a remarkable decrease from 250ml to 80ml in the amount of bile drainage from the t-tube. What is the PRIORITY nursing action  should the NOD do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Report the incident to the physician on duty.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Assess the tube for any obstruction.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Irrigate the tube with the normal saline solution.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Change the position of the patient.]]></answer> 
						<situation><![CDATA[Ms. Betsay, 56 years old, a former dressmaker, married, was brought the a medical center because of severe abdominal pain radiating to the scapular region. Health history revealed that she has been fond of eating fatty prepared food. Patient appeared jaundice with facial grimaces. The physician on duty (POP) examined her and an impression of Cholelithiasis was given by the POD. Patient was ordered to be admitted for further work-up and possible surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="209" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After surgery, Ms. Betsay should be watched for ONE of the MOST common complications that may arise. The condition is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[pleurisy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[emphysema]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[broncho pneumonia]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[pneumonia]]></answer> 
						<situation><![CDATA[Ms. Betsay, 56 years old, a former dressmaker, married, was brought the a medical center because of severe abdominal pain radiating to the scapular region. Health history revealed that she has been fond of eating fatty prepared food. Patient appeared jaundice with facial grimaces. The physician on duty (POP) examined her and an impression of Cholelithiasis was given by the POD. Patient was ordered to be admitted for further work-up and possible surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="210" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse on duty is preparing for discharge plan for Ms. Betsay, what dietary restriction should she emphasize so that recurrence of stone formation will be prevented?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Calamansi juice, white bread amd chicken breast salad.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Whole milk, butter, cheese and fried meat.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Steamed fish, broiled vegetable and lean meat.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Broiled banana, vegetable salad and white meat of chicken.]]></answer> 
						<situation><![CDATA[Ms. Betsay, 56 years old, a former dressmaker, married, was brought the a medical center because of severe abdominal pain radiating to the scapular region. Health history revealed that she has been fond of eating fatty prepared food. Patient appeared jaundice with facial grimaces. The physician on duty (POP) examined her and an impression of Cholelithiasis was given by the POD. Patient was ordered to be admitted for further work-up and possible surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="211" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When admitting Master Glenn your assessment findings will LIKELY be the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Increased tactile fremitus]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Resonant to hyperresonant]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Wheezing sounds]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Crackles]]></answer> 
						<situation><![CDATA[Master Glenn is a senior high school student who has recently been diagnosed to have Bronchial Asthma. Eating seafoods and exposure to animals usually precipitate his attack. One day he was rushed to the Emergency Room (ER) because of asthmatic attack. He was given Theophylline and cromolyn sodium for his asthma. You are the nurse-on-duty in the emergency room.]]></situation> 
				</query>
				<query>
					<question ctrlno="212" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When administering theophylline to the patient, what PRIORITY drug-induced adverse reaction should you monitor as a nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Constipation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bradycardia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Diarrhea]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[restlessness]]></answer> 
						<situation><![CDATA[Master Glenn is a senior high school student who has recently been diagnosed to have Bronchial Asthma. Eating seafoods and exposure to animals usually precipitate his attack. One day he was rushed to the Emergency Room (ER) because of asthmatic attack. He was given Theophylline and cromolyn sodium for his asthma. You are the nurse-on-duty in the emergency room.]]></situation> 
				</query>
				<query>
					<question ctrlno="213" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When evaluating the effects of the drug (Theophylline). What is the positive outcome do you observe? Decreased in ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[breadth sounds]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[wheezing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[body temperature]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[allergic reaction]]></answer> 
						<situation><![CDATA[Master Glenn is a senior high school student who has recently been diagnosed to have Bronchial Asthma. Eating seafoods and exposure to animals usually precipitate his attack. One day he was rushed to the Emergency Room (ER) because of asthmatic attack. He was given Theophylline and cromolyn sodium for his asthma. You are the nurse-on-duty in the emergency room.]]></situation> 
				</query>
				<query>
					<question ctrlno="214" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One day, Master Glenn asked his medication nurse, why he has to take theophylline. The BEST response, of the nurse is it ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["dilates the bronchial tree and facilitates breathing."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["produces anti-histamine effect and prevent allergic reaction."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["minimizes the occurrence of seizure."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["constricts the bronchial tree and decreases inflammation."]]></answer> 
						<situation><![CDATA[Master Glenn is a senior high school student who has recently been diagnosed to have Bronchial Asthma. Eating seafoods and exposure to animals usually precipitate his attack. One day he was rushed to the Emergency Room (ER) because of asthmatic attack. He was given Theophylline and cromolyn sodium for his asthma. You are the nurse-on-duty in the emergency room.]]></situation> 
				</query>
				<query>
					<question ctrlno="215" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What nutritional instruction should you advise Master Glenn when taking Theophylline? He should AVOID taking ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[milk and milk products]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[fruit and vegetable juices]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[soda and non-carbonated drinks]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[hot tea or coffee]]></answer> 
						<situation><![CDATA[Master Glenn is a senior high school student who has recently been diagnosed to have Bronchial Asthma. Eating seafoods and exposure to animals usually precipitate his attack. One day he was rushed to the Emergency Room (ER) because of asthmatic attack. He was given Theophylline and cromolyn sodium for his asthma. You are the nurse-on-duty in the emergency room.]]></situation> 
				</query>
				<query>
					<question ctrlno="216" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What do you expect the physician to order considering the clinical manifestations of Ms. Belen?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[5% D/NSS]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[0.9% NSS]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ringers Lactate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[5% D/W]]></answer> 
						<situation><![CDATA[Belen, 62-year-old, who is diabetic is brought to the emergency room because her husband observed her to be disoriented for the past two days. Her blood sugar is 300 mg/dl. She has fruity breath odor and occasional arrhythmia. The physician suspected that the patient is having Diabetic Ketoacidosis (DKA). You assess the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="217" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, you understand that Type 2 Diabetes is characterized by the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Onset is acute]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Insidous in onset]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decrease in the number and size of Beta cells]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Insulin resistance with insulin deficiency]]></answer> 
						<situation><![CDATA[Belen, 62-year-old, who is diabetic is brought to the emergency room because her husband observed her to be disoriented for the past two days. Her blood sugar is 300 mg/dl. She has fruity breath odor and occasional arrhythmia. The physician suspected that the patient is having Diabetic Ketoacidosis (DKA). You assess the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="218" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Belen started to develop autonomic neuropathy, a common complication of Diabetes mellitus. You are aware that this condition can lead to what condition?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Gastro-intestinal and urinary incontinence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Development of deep ulcer formation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decreasing vision when ambulating]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tiredness and easy fatigability]]></answer> 
						<situation><![CDATA[Belen, 62-year-old, who is diabetic is brought to the emergency room because her husband observed her to be disoriented for the past two days. Her blood sugar is 300 mg/dl. She has fruity breath odor and occasional arrhythmia. The physician suspected that the patient is having Diabetic Ketoacidosis (DKA). You assess the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="219" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While in the hospital, the physician in coordination with the nurses, dietitian and other health professional has to consider patient care. What particular meal plan will be carried out by the nurse for Ms. Belen? Food has to be _______.<br><br>
<span style="font-weight:normal">
1. 60 to 70% caloric intake from CHO and monosaturated fats<br>
2. prepared from iower mono saturated oil like olive oil<br>
3. prepared from avocado oil and nuts<br>
4. high in CHO, high in saturated fats and low protein<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3, & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[Belen, 62-year-old, who is diabetic is brought to the emergency room because her husband observed her to be disoriented for the past two days. Her blood sugar is 300 mg/dl. She has fruity breath odor and occasional arrhythmia. The physician suspected that the patient is having Diabetic Ketoacidosis (DKA). You assess the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="220" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Belen will be discharged, in a few days time. What should be include in your care plan as part of your foot infection prevention?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Massage feet and legs with mild lotion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use tight stockings when ambulating]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Trim toe nails with ordinary nail cutter]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use heating pad whenever patient feels cod]]></answer> 
						<situation><![CDATA[Belen, 62-year-old, who is diabetic is brought to the emergency room because her husband observed her to be disoriented for the past two days. Her blood sugar is 300 mg/dl. She has fruity breath odor and occasional arrhythmia. The physician suspected that the patient is having Diabetic Ketoacidosis (DKA). You assess the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="221" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should be her FIRST strategy in order to meet her objective? To collect data on _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[the weekly wastages of supplies]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[months where consumption are high]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[the daily consumption of supplies]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[frequency of events like disasters]]></answer> 
						<situation><![CDATA[Rafaela is the Nurse in charge of the Central Supply Room (CSR) in Hospital Kundiman, a 100 bed capacity. She knows that she has to distribute supplies to the different wards in a manner that is equitable and just.]]></situation> 
				</query>
				<query>
					<question ctrlno="222" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Time is an important resource in managing supplies. Hence, it is BEST for the nurse who manages the CSR to requisition supplies and materials _______ days prior to their consumption. Which is this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[40]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[30]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[50]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[60]]></answer> 
						<situation><![CDATA[Rafaela is the Nurse in charge of the Central Supply Room (CSR) in Hospital Kundiman, a 100 bed capacity. She knows that she has to distribute supplies to the different wards in a manner that is equitable and just.]]></situation> 
				</query>
				<query>
					<question ctrlno="223" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During rainy days, there are more 0-5 years old pediatric patients who are hospitalized due to respiratory and gastrointestinal diseases. Hence, there are more who would need intravenous therapy. What size of cannula must be ordered by the nurse? Gauge _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[24-26]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[18-22]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[16-18]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[22-24]]></answer> 
						<situation><![CDATA[Rafaela is the Nurse in charge of the Central Supply Room (CSR) in Hospital Kundiman, a 100 bed capacity. She knows that she has to distribute supplies to the different wards in a manner that is equitable and just.]]></situation> 
				</query>
				<query>
					<question ctrlno="224" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the CORRECT principle of stocking Intravenous fluids in CSR?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A mix of previous and present stocks]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Present stock first]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Separation of the present from previous stocks]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Previous stock first]]></answer> 
						<situation><![CDATA[Rafaela is the Nurse in charge of the Central Supply Room (CSR) in Hospital Kundiman, a 100 bed capacity. She knows that she has to distribute supplies to the different wards in a manner that is equitable and just.]]></situation> 
				</query>
				<query>
					<question ctrlno="225" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to find out Oxygen wastage, Nurse Rafaela must advise the ward nurses to keep track of it on which of the following time frame? At LEAST every _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[shift]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[day]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[week]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hour]]></answer> 
						<situation><![CDATA[Rafaela is the Nurse in charge of the Central Supply Room (CSR) in Hospital Kundiman, a 100 bed capacity. She knows that she has to distribute supplies to the different wards in a manner that is equitable and just.]]></situation> 
				</query>
				<query>
					<question ctrlno="226" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Safety and quality care are considered priority by the surgical team before, during and after surgery, the quality outcome indicators for surgery that is ALARMING to the team includes which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patients with appropriate specific operative hair removal completed.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prophylactic antibiotic discontinued within 24 hours after surgery.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Indwelling catheter removed within 24 hours post-operatively.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Cardiac surgery patients uncontrolled 6am blood glucose post-operatively.]]></answer> 
						<situation><![CDATA[Perioperative nursing is a major competency that needs to be acquired by the graduate nurse regardless of the health care setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="227" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the Risk Factors for patients going for surgery is nicotine use. If patients are cigarette smokers, which of the following Nursing actions has to be Implemented by the nurse post-operatively?<br><br>
<span style="font-weight:normal">
1. Encourage breathing, coughing and early ambulation.<br>
2. Offer fluid intake 2500-3000 ml per day, if not contraindicated.<br>
3. Apply nicotine patch to reduce withdrawal symptom, if ordered.<br>
4. Support efforts to quit smoking through smoking cessation program.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<situation><![CDATA[Perioperative nursing is a major competency that needs to be acquired by the graduate nurse regardless of the health care setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="228" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is for surgery, preoperative medications are administered to achieve specific therapeutic outcomes, which of the following are examples of ANTICHOLINERGIC drugs which are administered to reduce oral and respiratory secretions?<br><br>
<span style="font-weight:normal">
1. Atropine sulfate<br>
2. Glycopyrrolate<br>
3. Scopolamine<br>
4. Ranitidine<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[Perioperative nursing is a major competency that needs to be acquired by the graduate nurse regardless of the health care setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="229" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Anesthesia is used to produce sedation, reflex loss and muscle relaxation during a surgical procedure. When a patient is for surgery of the lower abdomen, perineum and lower extremities, the surgeon will likely order what TYPE of anesthesia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[General]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Epidural]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Conscious]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Spinal]]></answer> 
						<situation><![CDATA[Perioperative nursing is a major competency that needs to be acquired by the graduate nurse regardless of the health care setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="230" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the World Health Organization surgical safety checklist, which of the following is NOT included in the sign-out area of the checklist?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Surgeon, anesthesia professional and nurse verbally confirm patient, site and procedure to be done.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nurse confirms with the team instruments, sponge and needle counts are correct.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Whether there are equipment problems to be addressed.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nurse confirms, with the team name of procedure recorded and how specimen is labeled.]]></answer> 
						<situation><![CDATA[Perioperative nursing is a major competency that needs to be acquired by the graduate nurse regardless of the health care setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="231" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient refuses to undergo insertion of a pacemaker despite the presence of a third degree AV block and respected by the health team is what bioethical principle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<situation><![CDATA[Ethical decision making in clinical health care is becoming more complex, this is brought about by the advancement of science and technology, cultural beliefs and patient's rights.]]></situation> 
				</query>
				<query>
					<question ctrlno="232" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The health care professionals consider the following as ethical dilemma EXCEPT which ONE of the following, when the _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[answer will produce profound effect on the situation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[choice is made between equally unfavorable alternatives on basis of risks and benefits]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[situation involves a conflict between two moral imperatives]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[situation cannot be solved by a review of scientific data]]></answer> 
						<situation><![CDATA[Ethical decision making in clinical health care is becoming more complex, this is brought about by the advancement of science and technology, cultural beliefs and patient's rights.]]></situation> 
				</query>
				<query>
					<question ctrlno="233" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Blanca brought her patient to the chapel by wheelchair as promised after checking the blood pressure of another patient in the ward, is an example of what ethical principle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Fidelity]]></answer> 
						<situation><![CDATA[Ethical decision making in clinical health care is becoming more complex, this is brought about by the advancement of science and technology, cultural beliefs and patient's rights.]]></situation> 
				</query>
				<query>
					<question ctrlno="234" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A newly hired graduate nurse Belen is on the second week of orientation by the In-service coordinator. Two of the nurses in the Intensive Care Unit (ICU) called "ON sick" so Ms. Belen was pulled out by the Supervisor to report to the ICU as she could not get a replacement due to staffing shortage . This ethical dilemma in management is an example ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[professional ethics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[governance ethics]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[organizational ethics]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Clinical ethics]]></answer> 
						<situation><![CDATA[Ethical decision making in clinical health care is becoming more complex, this is brought about by the advancement of science and technology, cultural beliefs and patient's rights.]]></situation> 
				</query>
				<query>
					<question ctrlno="235" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Simon who is assigned in the Emergency room was attending to an older woman who was having severe abdominal painn with a very unstable blood pressure. The doctor ordered a very high dose of morphine So4 which Nurse Simon questioned. What ethical principle is applied in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<situation><![CDATA[Ethical decision making in clinical health care is becoming more complex, this is brought about by the advancement of science and technology, cultural beliefs and patient's rights.]]></situation> 
				</query>
				<query>
					<question ctrlno="236" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gladys is conducting an assessment of Mrs. Carpio who has edema of the lower extremities due to congestive heart failure. If edema is graded on a scale of +1 (no visible edema in the leg) to 4+ (Leg yery
swollen), what will Nurse Gladys document in het chart if her assessment findings of the edema is SLIGHTLY swollen?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3]]></answer> 
						<situation><![CDATA[Quality documentation is an essential component of the nurse role in the Health facilities. Nurse Gladys is assigned in the Female medical ward where most of her patients have cardiac and vascular disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="237" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What specific term should Nurse Gladys write in her charting when a patient is suffering from a change in the angle between the nail base greater than 180 degrees due to congenital heart disease?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Peripheral neuropathy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Peripheral cyanosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[inflammation of the fingers]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Clubbing of the fingers]]></answer> 
						<situation><![CDATA[Quality documentation is an essential component of the nurse role in the Health facilities. Nurse Gladys is assigned in the Female medical ward where most of her patients have cardiac and vascular disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="238" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Carpio has an order of Thiaxide diuretics for her edema. The following is the entry that you expect to be written in her report EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[serum electrolyte monitored everyday]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[weight taken before drug is administered]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[intake and output done every shift]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[drug is administered at 8 o'clock in the evening]]></answer> 
						<situation><![CDATA[Quality documentation is an essential component of the nurse role in the Health facilities. Nurse Gladys is assigned in the Female medical ward where most of her patients have cardiac and vascular disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="239" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT APPROPRIATE description and written in the Nurses notes when a patient has a pitting edema?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Degree of edema]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Degree of temperature]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Duration of indentation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Depth of edema]]></answer> 
						<situation><![CDATA[Quality documentation is an essential component of the nurse role in the Health facilities. Nurse Gladys is assigned in the Female medical ward where most of her patients have cardiac and vascular disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="240" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Ruby, 28-year-old also a patient of Nurse Gladys is suffering from Rheumatic fever due to a previous streptococcal infection. In monitoring patient's status, the nurse should document which of the following
TYPICAL manifestations EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[increase body temperature]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[non-pruritic rashes]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[voluntary muscle spasm]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[migratory joint pains]]></answer> 
						<situation><![CDATA[Quality documentation is an essential component of the nurse role in the Health facilities. Nurse Gladys is assigned in the Female medical ward where most of her patients have cardiac and vascular disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="241" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the APPROPRIATE initial question to be asked to the patient upon admission?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Does stress give you problem with your eating habits?"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Do you recall the food you have taken prior to ypur admission?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Do your family members allot enough budget for your nutritional needs?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What is your usual eating pattern?"]]></answer> 
						<situation><![CDATA[Mrs. Cruz, 68 years old, 5'2" tall, weighs 80 lbg. came to the General hospital because of diarrhea and eating problems. Her BMI is <18.5 and has not eaten anything for almost 12 hours.]]></situation> 
				</query>
				<query>
					<question ctrlno="242" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considering the clinical manifestations presented by the patient, how BEST should the nurse state her nursing diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Imbalanced nutrition less than body requirements R/T poor absorption of food.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Activity intolerance R/T inadequate caloric intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Risk for infection R/T poor nutritional status.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Self-care deficit R/T decreased strength.]]></answer> 
						<situation><![CDATA[Mrs. Cruz, 68 years old, 5'2" tall, weighs 80 lbg. came to the General hospital because of diarrhea and eating problems. Her BMI is <18.5 and has not eaten anything for almost 12 hours.]]></situation> 
				</query>
				<query>
					<question ctrlno="243" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The doctor ordered a nasogastric tube( NGT) inserted before administering Osmolite tube feeding. Which of the following nursing measures should the nurse do?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Assess the presence of bowel sounds.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Evaluate if patient's residual is <50 ml]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Warm the Osmolite to 98.8 F.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Flush the NGT with 10 ml of water.]]></answer> 
						<situation><![CDATA[Mrs. Cruz, 68 years old, 5'2" tall, weighs 80 lbg. came to the General hospital because of diarrhea and eating problems. Her BMI is <18.5 and has not eaten anything for almost 12 hours.]]></situation> 
				</query>
				<query>
					<question ctrlno="244" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following results will describe a normal physical finding when performing gastro-intestinal assessment?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eversion of umbilicus upon inspection.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Tympany on percussion of the abdomen.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gurgling abdominal sounds upon auscultation.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Liver edge of 1-2cm below the right costal margin on palpation.]]></answer> 
						<situation><![CDATA[Mrs. Cruz, 68 years old, 5'2" tall, weighs 80 lbg. came to the General hospital because of diarrhea and eating problems. Her BMI is <18.5 and has not eaten anything for almost 12 hours.]]></situation> 
				</query>
				<query>
					<question ctrlno="245" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following outcomes indicate the NGT feeding was effective?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Vital signs remained stable.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[24 hours urine output is equivalent to her intake.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Patient gains 2 lbs. in a week.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Blood sugar remains between 100-150 mg/dl.]]></answer> 
						<situation><![CDATA[Mrs. Cruz, 68 years old, 5'2" tall, weighs 80 lbg. came to the General hospital because of diarrhea and eating problems. Her BMI is <18.5 and has not eaten anything for almost 12 hours.]]></situation> 
				</query>
				<query>
					<question ctrlno="246" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As the attending Nurse of Ms. Aegel, what PRIORITY Nursing action should you do in this situation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Check for location of bleeding.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Conduct a comprehensive assessment.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Call the family members immediately.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Call the ER doctor at once.]]></answer> 
						<situation><![CDATA[Aegel, 43 years old was on her way home from work when she met a Head on collision along the highway and was rushed to nearest health facility around the area by some concerned citizens. The patient was moaning in pain, bleeding, anxious but conscious. You are the nurse in the Emergency Room ( ER) with two or more nurses and one nursing attendant who was attending to other patients. There were no doctors around as they were having their conference in another room of the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="247" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When patient Aegel verbalizes "I am experiencing pain as crushing and annoying" this is a characteristic of pain in terms of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[intensity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[location]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[quality]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[duration]]></answer> 
						<situation><![CDATA[Aegel, 43 years old was on her way home from work when she met a Head on collision along the highway and was rushed to nearest health facility around the area by some concerned citizens. The patient was moaning in pain, bleeding, anxious but conscious. You are the nurse in the Emergency Room ( ER) with two or more nurses and one nursing attendant who was attending to other patients. There were no doctors around as they were having their conference in another room of the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="248" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To comply with the established standards of care in the conduct of assessment of patients in pain, it is APPROPRIATE for the Nurse to conduct ______.<br><br>
<span style="font-weight:normal">
1. when the patient is admitted<br>
2. at least once per shift<br>
3. when a patient is at rest<br>
4. before administering pain medication<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Aegel, 43 years old was on her way home from work when she met a Head on collision along the highway and was rushed to nearest health facility around the area by some concerned citizens. The patient was moaning in pain, bleeding, anxious but conscious. You are the nurse in the Emergency Room ( ER) with two or more nurses and one nursing attendant who was attending to other patients. There were no doctors around as they were having their conference in another room of the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="249" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considering the pain assessment scale, (1, is the least pain and 5 is the most painful) Ms. Aegel described her pain in the scale of 5, you expect that the doctor will order which of the following pain medication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Meperidine Hcl. (Demerol)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fentanyl (Duragesic)]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Morphine sulphate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Acetaminophen (Tylenol)]]></answer> 
						<situation><![CDATA[Aegel, 43 years old was on her way home from work when she met a Head on collision along the highway and was rushed to nearest health facility around the area by some concerned citizens. The patient was moaning in pain, bleeding, anxious but conscious. You are the nurse in the Emergency Room ( ER) with two or more nurses and one nursing attendant who was attending to other patients. There were no doctors around as they were having their conference in another room of the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="250" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Aegel lost several CC of blood because of severe bleeding. An emergency blood transfusion was ordered. A cross-matching was done in order to determine her blood type. Which of the following are considered FACTS about blood transfusion?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[In case of emergency, the IV meds can be administered in the tubing used for blood transfusion.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Type "O" blood is considered the universal recipent.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The fluid that is administered before and after blood transfusion is Dextrose 50% in water.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The maximum SAFE period for blood transfusion of ONE (1) unit of blood is 4 hours.]]></answer> 
						<situation><![CDATA[Aegel, 43 years old was on her way home from work when she met a Head on collision along the highway and was rushed to nearest health facility around the area by some concerned citizens. The patient was moaning in pain, bleeding, anxious but conscious. You are the nurse in the Emergency Room ( ER) with two or more nurses and one nursing attendant who was attending to other patients. There were no doctors around as they were having their conference in another room of the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="251" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, which of the following do you expect to be manifested by Rowena as an early sign of Mitral valve prolapse during your physical assessment? A _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[diastolic click of the valve leaflet as a result of the ballooning of the right atrium.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[diastolic click of the valve leaflet as a result of the ballooning of the left atrium.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[systolic click of the valve leaflet as a result of the ballooning of the left atrium.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[systolic click of the valve leaflet as a result of the ballooning of the right atrium]]></answer> 
						<situation><![CDATA[Rowena is a student nurse who has been suspected to have a mitral valve prolapse (MVP) during the annual physical examination of students enrolled in X university. She was referred to a cardiologist for further work-up. You are assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="252" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient remains to be asymptomatic for six months and was very carefree in complying with the preventive measures instructed by the health team. Choose from the following the signs and symptoms that you further expect from Rowena to manifest.<br><br>
<span style="font-weight:normal">
1. fatigue<br>
2. Dizimess<br>
3. palpitation<br>
4. Anxiety<br>
5. Shortness of breadth<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3, 4, & 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, 4 & 5]]></answer> 
						<situation><![CDATA[Rowena is a student nurse who has been suspected to have a mitral valve prolapse (MVP) during the annual physical examination of students enrolled in X university. She was referred to a cardiologist for further work-up. You are assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="253" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST approach in assessing the EARLY sign of Mitral valve prolapse is through ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[percussion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[palpation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[inspection]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[auscultation]]></answer> 
						<situation><![CDATA[Rowena is a student nurse who has been suspected to have a mitral valve prolapse (MVP) during the annual physical examination of students enrolled in X university. She was referred to a cardiologist for further work-up. You are assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="254" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When an individual is suffering from MVP like Rowena you should emphasize to her to AVOID the following EXCEPT ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[smoking]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[alcoholic beverages]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[caffeine]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[light exercises]]></answer> 
						<situation><![CDATA[Rowena is a student nurse who has been suspected to have a mitral valve prolapse (MVP) during the annual physical examination of students enrolled in X university. She was referred to a cardiologist for further work-up. You are assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="255" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the nursing diagnoses that you have included in your care plan for Ms. Rowena is "Excess volume R/T decreased Cardiac output secondary to valvular disease". Which of the following is the POTENTIAL outcome if medical and nursing interventions have been effectively implemented?<br><br>
<span style="font-weight:normal">
1. Adequate fluid volume is maintained.<br>
2. Vital signs within normal limits.<br>
3. Clear lung sounds.<br>
4. Pulmonary congestion absent.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Rowena is a student nurse who has been suspected to have a mitral valve prolapse (MVP) during the annual physical examination of students enrolled in X university. She was referred to a cardiologist for further work-up. You are assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="256" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Gallo, 54-year-old, a broker has been complaining of on and off abdominal pain, for almost a month now. He has an order of colonoscopy for the first time. He asked the nurse, what is this procedure all about? The BEST response of Nurse Dianne is, it is a procedure that ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["allows direct visualization of the esophageal, gastric and duodenal mucosa through a lighted endoscope".]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["visualises the rectum and advance the proximal sigmoid into the descending colon with a flexible scope".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["allows visualisation of the anal region, rectum and accessory organs with the use of a proctoscope".]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["visualizes the anus, rectum, transcending and ascending colon with the use of flexible scope".]]></answer> 
						<situation><![CDATA[Nurse Dianne is on 3-11 shift in the pay ward where most of the patients are for diagnostic and laboratory examinations. The nurse is expected to be competent in the communication process especially in explaining the procedure to the patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="257" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Dianne also explained the preparation for the diagnostic test to the patient and his wife who was with him. The patient further asks, "How long will I have to fast". Which of the following is the MOST appropriate response of the nurse to Mr. Gallo?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Based on the protocol, you need to fast 8 hours before the test".]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["For an accurate result fasting should be 10 hours prior to the procedure".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["The physician orders for you to go on fasting 3-4 hours before the test".]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["It needs 5-6 hours for you to go on fasting before the procedure".]]></answer> 
						<situation><![CDATA[Nurse Dianne is on 3-11 shift in the pay ward where most of the patients are for diagnostic and laboratory examinations. The nurse is expected to be competent in the communication process especially in explaining the procedure to the patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="258" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The wife also inquired from fours Dianne, why her husband has to undergo fasting. Which of the following is the BEST response of the nurse? "This is to ______."]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[free him from forming impacted materials which can obstruct the test]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[prevent any perforation that can happen during the procedure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[have a good response to the administration of general anesthesia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[prevent your husband from aspiration and vomiting of food]]></answer> 
						<situation><![CDATA[Nurse Dianne is on 3-11 shift in the pay ward where most of the patients are for diagnostic and laboratory examinations. The nurse is expected to be competent in the communication process especially in explaining the procedure to the patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="259" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To be able for Mr. Gallo and his wife understand more about the procedure, Nurse Dianne reinforces her explanation with a pamphlet containing illustrations and photographs of patients for colostomy. Which of the following statements of Mr. Gallo is reflective of knowledge deficit?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I need to have an informed consent prior to colonoscopy".]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["I have to eat my meals immediately after the procedure".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I will be lying on my left side with legs drawn up toward my chest during the test".]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I will be in bed rest till I have recovered from my sedation".]]></answer> 
						<situation><![CDATA[Nurse Dianne is on 3-11 shift in the pay ward where most of the patients are for diagnostic and laboratory examinations. The nurse is expected to be competent in the communication process especially in explaining the procedure to the patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="260" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After the colonoscopy, Mr. Gallo looks sad and said to the nurse. "I am afraid of the result of the colonoscopy, I might have cancer". The MOST appropriate response of Nurse Dianne is ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I am sure they will not see cancer in your diagnostic test".]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Dont worry, everything will be alright, with Gods Grace".]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["You said you are afraid of the result of colonoscopy, for you might have cancer".]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Why do you say you are afraid of the result of the colonoscopy?"]]></answer> 
						<situation><![CDATA[Nurse Dianne is on 3-11 shift in the pay ward where most of the patients are for diagnostic and laboratory examinations. The nurse is expected to be competent in the communication process especially in explaining the procedure to the patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="261" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the models of quality health care is the blueprint of action which nurse Karen adopts in quality improvement. What part of the model is mapping current and proposed processes collecting data and analyzing the result of performance in the PDCA model?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Plan]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Act]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Check]]></answer> 
						<situation><![CDATA[Nurse Karen, a quality manager champion, in a Tertiary hospital has been awarded this title because she has been consistently modeling to the whole nursing department the culture of quality.]]></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 is the quality TOOLBOX when Nurse Karen makes use of an illustration of all protesses, decision-points, action steps and waiting stages in order to define problems and process improvement in healthcare?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Flow chart]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fish bone diagram]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Scatter diagram]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pareto chart]]></answer> 
						<situation><![CDATA[Nurse Karen, a quality manager champion, in a Tertiary hospital has been awarded this title because she has been consistently modeling to the whole nursing department the culture of quality.]]></situation> 
				</query>
				<query>
					<question ctrlno="263" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the process of doing performance appraisal of nursing staff, Nurse Karen is guided by the basic goals of comprehensive appraisal system. Which of the following is included in this process?<br><br>
<span style="font-weight:normal">
1. Determine the capability required for the job.<br>
2. Match abilities of the nurse with job requirements.<br>
3. Improve nurse's capability.<br>
4. Enhance nurse's motivation.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 and 4]]></answer> 
						<situation><![CDATA[Nurse Karen, a quality manager champion, in a Tertiary hospital has been awarded this title because she has been consistently modeling to the whole nursing department the culture of quality.]]></situation> 
				</query>
				<query>
					<question ctrlno="264" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In conducting performance appraisal, Nurse Karen as a manager, is aware that bias can happen when assessing her staff with just one method. To minimize subjectivity multiple methods can be employed. Which of the following methods is MOST applicable for a staff position level?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[peer review]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Management by objectives]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[360 degree evaluation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[self-evaluation]]></answer> 
						<situation><![CDATA[Nurse Karen, a quality manager champion, in a Tertiary hospital has been awarded this title because she has been consistently modeling to the whole nursing department the culture of quality.]]></situation> 
				</query>
				<query>
					<question ctrlno="265" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Karen has a staff nurse who has been with her unit for almost two years. Recently, she has observed that her work performance is getting substandard, such that she misses deadlines and is becoming uncooperative. What is BEST approach to be done to this problem?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mentoring]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Scolding]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Counseling]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Coaching]]></answer> 
						<situation><![CDATA[Nurse Karen, a quality manager champion, in a Tertiary hospital has been awarded this title because she has been consistently modeling to the whole nursing department the culture of quality.]]></situation> 
				</query>
				<query>
					<question ctrlno="266" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The graduates from the colleges of Nursing are being prepared to take the Nursing Licensure Examination (NLE) with the main goal to ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[provide opportunity for overseas employment]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[determine the standards of nursing practice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[protect the public from incompetent nurse practitioner]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[limit the practice of the profession]]></answer> 
						<situation><![CDATA[A domain in the development of the competency of the practicing nurse is ones' Legal responsibility.]]></situation> 
				</query>
				<query>
					<question ctrlno="267" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Libby is a professional nurse who was approached by her cousin to be in a Television show where she has to wear the nurses uniform and advertise a commercially prepared beauty product for use in their work setting. Her mother is presently having dialysis so she accepted the offer. Ms. Libby is violating the ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[nursing law]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[nursing code of ethics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[nursing jurisprudence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[consumers fraud law]]></answer> 
						<situation><![CDATA[A domain in the development of the competency of the practicing nurse is ones' Legal responsibility.]]></situation> 
				</query>
				<query>
					<question ctrlno="268" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Larson is scheduled for Coronary Artery-by-pass graft (CABG) surgery. He has to sign an informed consent prior to operation. The validity of this consent is how long?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[36 hours after surgery]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[24 hours after surgery]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[after the surgical procedure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[12 hours after surgery]]></answer> 
						<situation><![CDATA[A domain in the development of the competency of the practicing nurse is ones' Legal responsibility.]]></situation> 
				</query>
				<query>
					<question ctrlno="269" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient was admitted in a medical center by his physician for an Exploratory laparotomy. After discharge for two days, he was complaining of chills and fever. The abdominal incision was passing out yellowish purulent discharge. He had an abdominal Xray and was found out to have 2pcs of gauze inside the abdomen. A libel suit was filed by the family. Who is liable in this case?<br><br>
<span style="font-weight:normal">
1. Surgeon<br>
2. Circulating nurse<br>
3. Anesthesiologist<br>
4. Hospital<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2, 3, & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<situation><![CDATA[A domain in the development of the competency of the practicing nurse is ones' Legal responsibility.]]></situation> 
				</query>
				<query>
					<question ctrlno="270" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rose is assigned to a patient in ICU who is dying due to cardiac arrest. After two hours, the patient, was pronouned dead, which of the following health status should guide the nurse if the patient is declared dead?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[All body systems are no longer functioning]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Flat sign of electro-cardiogram]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Has no more pain sensation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Stoppage of heart heat and blood pressure]]></answer> 
						<situation><![CDATA[A domain in the development of the competency of the practicing nurse is ones' Legal responsibility.]]></situation> 
				</query>
				<query>
					<question ctrlno="271" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT TRUE of Type 2 Diabetes Mellitus?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Increased production of glucose from the liver]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Insulin resistance in the peripheral tissues]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Destruction of beta cells from autoimmune mechanisms which result in lack of insulin and hyperglycemia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Defective beta cell secretion with loss of insulin]]></answer> 
						<situation><![CDATA[Dina, 72 years old, has been diagnosed to have type 2 Diabetes Mellitus and has been admitted due to headache and blurring of vision. She had been on insulin therapy for almost 10 years now.]]></situation> 
				</query>
				<query>
					<question ctrlno="272" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Dina is taking Human Insulin injection for diabetes. Which of the following health instructions should you APPROPRIATELY emphasized in order to avoid hypoglycemia? Inject insulin into the _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[anterior part of the leg muscle intramuscularly]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[gluteal region subcutaneously and rotate]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[abdominal wall subcutaneously and then rotate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[deltoid muscle intramuscularly and rotate]]></answer> 
						<situation><![CDATA[Dina, 72 years old, has been diagnosed to have type 2 Diabetes Mellitus and has been admitted due to headache and blurring of vision. She had been on insulin therapy for almost 10 years now.]]></situation> 
				</query>
				<query>
					<question ctrlno="273" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The granddaughter of Dina asked you. How does regular exercise help my grandmother overcome her diabetes?" Your BEST response is exercise _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Increases metabolic rate and consumption of glucose by the muscles."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Lowers cholesterol and triglyceride levels."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Reduces cardiovascular risks."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Increases blood sugar levels."]]></answer> 
						<situation><![CDATA[Dina, 72 years old, has been diagnosed to have type 2 Diabetes Mellitus and has been admitted due to headache and blurring of vision. She had been on insulin therapy for almost 10 years now.]]></situation> 
				</query>
				<query>
					<question ctrlno="274" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the cause of Somogyi effect, which occurs during sleep in patients with diabetes mellitus?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Too much globulin]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Increased insulin in the body.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Too much albumin.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Limited insulin in the body.]]></answer> 
						<situation><![CDATA[Dina, 72 years old, has been diagnosed to have type 2 Diabetes Mellitus and has been admitted due to headache and blurring of vision. She had been on insulin therapy for almost 10 years now.]]></situation> 
				</query>
				<query>
					<question ctrlno="275" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A common chronic complication of diabetes due to the thickening of the capillaries and arterioles of the eye is?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Papilledema]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Retinal detachment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Glaucoma]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Diabetic retinopathy]]></answer> 
						<situation><![CDATA[Dina, 72 years old, has been diagnosed to have type 2 Diabetes Mellitus and has been admitted due to headache and blurring of vision. She had been on insulin therapy for almost 10 years now.]]></situation> 
				</query>
				<query>
					<question ctrlno="276" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that pain asociated with duodenal ulcer commonly occurs ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2-3 hours after meals]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[an hour after taking midnight snack]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[one hour after taking snack in the afternoon]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[immediately after intake of food]]></answer> 
						<situation><![CDATA[Gina, 45 years old, a fish vendor consulted the Out Patient Department (OPD) because of dull, gnawing pain in the mid epigastric area of the abdomen. She claimed that she vomited fresh blood before going to the OPD. The doctor instructed the Nurse-on-Duty (NOD) to admit the patient, for possible work-up for duodenal ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="277" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Gina asked the nurse why she is having "heartburn" during the day. The APPROPRIATE response of the nurse is _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["when your stomach is empty, this burning sensation in the stomach moves up to the esophagus."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["it is brought about by gasiric outlet obstruction due to muscular spasm."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["brought by the severe pain and floating of the stomach."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["it is due to the inflammed mucous membrane adjacent to the ulcer of the stomach."]]></answer> 
						<situation><![CDATA[Gina, 45 years old, a fish vendor consulted the Out Patient Department (OPD) because of dull, gnawing pain in the mid epigastric area of the abdomen. She claimed that she vomited fresh blood before going to the OPD. The doctor instructed the Nurse-on-Duty (NOD) to admit the patient, for possible work-up for duodenal ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="278" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The doctor ordered Ms. Gina to undergo upper Endoscopic procedure. Which of the following is NOT a goal of this diagnostic test?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Detect size and location of the lesion.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Find positive nodes and distal lesion of the stomach.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Direct visualization of inflammatory changes, lesions and ulcers.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Detect presence of H. Pylori infection.]]></answer> 
						<situation><![CDATA[Gina, 45 years old, a fish vendor consulted the Out Patient Department (OPD) because of dull, gnawing pain in the mid epigastric area of the abdomen. She claimed that she vomited fresh blood before going to the OPD. The doctor instructed the Nurse-on-Duty (NOD) to admit the patient, for possible work-up for duodenal ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="279" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The doctor prescribed Ms. Gina a histamine blocker and to avoid intake of alcohol. The doctor requested the nurse to explain why alcohol has to be avoided by the patient. Which of the following is the MOST acceptable explanation for this order? Alcohol ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[is a gastric irritant.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[can cause addiction to the patient.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[increases effectiveness of the histamine blocker.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[decreases effectiveness of the histamine blocker.]]></answer> 
						<situation><![CDATA[Gina, 45 years old, a fish vendor consulted the Out Patient Department (OPD) because of dull, gnawing pain in the mid epigastric area of the abdomen. She claimed that she vomited fresh blood before going to the OPD. The doctor instructed the Nurse-on-Duty (NOD) to admit the patient, for possible work-up for duodenal ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="280" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Familial tendency is also a significant predisposing factor in the development of peptic ulcer. Which type of personality is susceptible to development of peptic ulcer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Type O]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Type AB]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Type B]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Type A]]></answer> 
						<situation><![CDATA[Gina, 45 years old, a fish vendor consulted the Out Patient Department (OPD) because of dull, gnawing pain in the mid epigastric area of the abdomen. She claimed that she vomited fresh blood before going to the OPD. The doctor instructed the Nurse-on-Duty (NOD) to admit the patient, for possible work-up for duodenal ulcer.]]></situation> 
				</query>
				<query>
					<question ctrlno="281" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The statement: "Essential Intrapartum Newborn Care reduces mortality and morbidity rates of neonates in the first 28 days of life" is a _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Null hypothesis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Simple hypothesis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Complex hypothesis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Non directional hypothesis]]></answer> 
						<situation><![CDATA[The Department of Health is conducting an annual Research forum on global health care. The Research team in your hospital decided to conduct a study related to Essential Intrapartum Newborn Care (EINC).]]></situation> 
				</query>
				<query>
					<question ctrlno="282" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The population who will receive the EINC is known as:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Response group]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Study subject]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Contact group]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Control group]]></answer> 
						<situation><![CDATA[The Department of Health is conducting an annual Research forum on global health care. The Research team in your hospital decided to conduct a study related to Essential Intrapartum Newborn Care (EINC).]]></situation> 
				</query>
				<query>
					<question ctrlno="283" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the Outcome variable?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Well-being of the neonates]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Morbidity and mortality rates]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Essential Intrapartum Newborn Care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Neonates in the first 28 days of life]]></answer> 
						<situation><![CDATA[The Department of Health is conducting an annual Research forum on global health care. The Research team in your hospital decided to conduct a study related to Essential Intrapartum Newborn Care (EINC).]]></situation> 
				</query>
				<query>
					<question ctrlno="284" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An example of an operational definition acceptable in research is ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[love is taking care of people]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[weight is five pounds excess of normal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[caring is providing needs of a person]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[pain is more than a physical discomfort]]></answer> 
						<situation><![CDATA[The Department of Health is conducting an annual Research forum on global health care. The Research team in your hospital decided to conduct a study related to Essential Intrapartum Newborn Care (EINC).]]></situation> 
				</query>
				<query>
					<question ctrlno="285" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If you want to propose to DOH that EINC protocol be implemented in all health facilities, in what section of the research study should this be found?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Conclusion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Implication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Interpretation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Recommendation]]></answer> 
						<situation><![CDATA[The Department of Health is conducting an annual Research forum on global health care. The Research team in your hospital decided to conduct a study related to Essential Intrapartum Newborn Care (EINC).]]></situation> 
				</query>
				<query>
					<question ctrlno="286" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When planning for a teaching program for Mr. Ping and the family members, your PRIMARY concern as a nurse is for them to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[learn to know how to monitor blood pressure of the patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[learn to know how to perform stress management]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[understand why strenuous activities has to be avoided]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[know and understand about the disease propose]]></answer> 
						<situation><![CDATA[Mr. Ping, 58-year-old, 5'4", 180 lbs a former employee in an auditing firm consulted the OPD because of an on and off headache, pain on the neck and sometimes dizziness when walking. Based on the health history and physical examination, he was having hypertension (HPN).]]></situation> 
				</query>
				<query>
					<question ctrlno="287" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considering the patient's rights, the physician explained to the patient the classification of blood pressure (BP) for adults and its category. Since Mr. Ping's BP ranges from 145/159 (systolic) 92/98 (diastolic) and was consistent for almost 3 months he was classified to be in ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[stage 2 HPN]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[stage 3 HPN]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[stage 1 HPN]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[prehypertension]]></answer> 
						<situation><![CDATA[Mr. Ping, 58-year-old, 5'4", 180 lbs a former employee in an auditing firm consulted the OPD because of an on and off headache, pain on the neck and sometimes dizziness when walking. Based on the health history and physical examination, he was having hypertension (HPN).]]></situation> 
				</query>
				<query>
					<question ctrlno="288" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When teaching Mr. Ping about lifestyle modifications, the role of exercise is highly essential because of his weight. The nurse should emphasize to the patient to engage in aerobic exercises INITIALLY for _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[60 minutes 2x a week]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[45 minutes 3x a week]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[25 to 35 minutes 4x a week]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[30 minutes everyday]]></answer> 
						<situation><![CDATA[Mr. Ping, 58-year-old, 5'4", 180 lbs a former employee in an auditing firm consulted the OPD because of an on and off headache, pain on the neck and sometimes dizziness when walking. Based on the health history and physical examination, he was having hypertension (HPN).]]></situation> 
				</query>
				<query>
					<question ctrlno="289" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The DASH diet has been prescribed to Mr. Ping by his physician. Which of the following is NOT included in the Dietary Approach to stop Hypertension?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Meats lean, poultry without skin and fish.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vegetables like squash, spinach, carrot and potatoes.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fruits like bananas, oranges, melons and mangoes.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Dairy products, high in fats, non-skim mozzarella cheese.]]></answer> 
						<situation><![CDATA[Mr. Ping, 58-year-old, 5'4", 180 lbs a former employee in an auditing firm consulted the OPD because of an on and off headache, pain on the neck and sometimes dizziness when walking. Based on the health history and physical examination, he was having hypertension (HPN).]]></situation> 
				</query>
				<query>
					<question ctrlno="290" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Beta-adrenergic blocker Propranalol 80 mg. (BID) has been ordered to Mr. Ping. As a nurse what adverse effects should be included in your teaching plan when a patient is taking this drug? <br><br>
<span style="font-weight:normal">
1. Dizziness & fatigue<br>
2. Insomnia & nightmares<br>
3. Fatigue & bradycardia<br>
4. Sexual dysfunction<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 &4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<situation><![CDATA[Mr. Ping, 58-year-old, 5'4", 180 lbs a former employee in an auditing firm consulted the OPD because of an on and off headache, pain on the neck and sometimes dizziness when walking. Based on the health history and physical examination, he was having hypertension (HPN).]]></situation> 
				</query>
				<query>
					<question ctrlno="291" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Josie is a graduate nurse assigned in the cardiac rehabilitation unit after she has undergone a special training program in rehabilitation nursing. She is aware that working in this unit needs collaborative practice. Which of the following is NOT an acceptabale behavior in teamwork?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[actively engaging in care planning and management including audit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[contributing to decision making regarding patient's needs and concerns]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[respecting the role of the members of the health team in care management]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[questioning therapeutic interventions by the health team despite evidences]]></answer> 
						<situation><![CDATA[The role of the health professionals in the Care delivery system has been very challenging especially with the contemporary approach to practice where teamwork and collaboration is highly needed.]]></situation> 
				</query>
				<query>
					<question ctrlno="292" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the Cardiac rehabilitation program, the team members emphasizes to the patient and family the importance of education and lifestyle changes. In which phase of the cardiac rehabilitation includes low level exercise, physical activity and changes for the resumption of an active lifestyle?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[phase 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Phase 1.5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Phase 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Phase 1]]></answer> 
						<situation><![CDATA[The role of the health professionals in the Care delivery system has been very challenging especially with the contemporary approach to practice where teamwork and collaboration is highly needed.]]></situation> 
				</query>
				<query>
					<question ctrlno="293" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The implementation of course of action from several alternatives are usually done by the team when designing a program for the rehabilitation of cardiac patients . The steps for an EFFECTIVE decision-making include which of the following ______?<br><br>
<span style="font-weight:normal">
1. determine the goal of the outcome<br>
2. identify the need for the decision<br>
3. evaluate the alternative action/s chosen, if it was achieved<br>
4. identify alternative actions, with each benefits and consequences<br>
5. choose an alternative action/s<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2, 1, 4, 5 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, 2, 4 & 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3, 2, 1, 4 & 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[4, 1, 3, 2 & 5]]></answer> 
						<situation><![CDATA[The role of the health professionals in the Care delivery system has been very challenging especially with the contemporary approach to practice where teamwork and collaboration is highly needed.]]></situation> 
				</query>
				<query>
					<question ctrlno="294" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The interdisciplinary team of cardiac rehabilitation professionals works with each patients to help attain mutually established goals. Which of the following is NOT included in the Short term goals ______?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[limiting the physiological and psychological effects of the heart disease.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reconditioning the patient to assume activities of the daily living.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[reversing completely the atherosclerotic disease process.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[decreasing the risk and symptoms of cardiac disease]]></answer> 
						<situation><![CDATA[The role of the health professionals in the Care delivery system has been very challenging especially with the contemporary approach to practice where teamwork and collaboration is highly needed.]]></situation> 
				</query>
				<query>
					<question ctrlno="295" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Josie, as a member of the rehabilitation team promote wellness and help cardiovascular patients and those at risk, alter their lifestyles through which of the following EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[smoking cessation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[stress management]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[vigorous exercise]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[low-fat, low-cholesterol diet]]></answer> 
						<situation><![CDATA[The role of the health professionals in the Care delivery system has been very challenging especially with the contemporary approach to practice where teamwork and collaboration is highly needed.]]></situation> 
				</query>
				<query>
					<question ctrlno="296" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Marina, 55-year-old cook, consulted your unit because of on and off pain over the right upper of the abdomen, while performing your health history, the patient asked you, what particular organs are found in this particular affected area? Your BEST response is ______.<br><br>
<span style="font-weight:normal">
1. duodenum<br>
2. pylorus<br>
3. liver<br>
4. spleen<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[3 & 4]]></answer> 
						<situation><![CDATA[You are the Nurse-on-Duty (NOD) in the OPD on a Wednesday which is a day dedicated to patients with Gastro-intestinal problems.]]></situation> 
				</query>
				<query>
					<question ctrlno="297" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In performing physical assessment of the abdomen, auscultation has to be done FIRST than palpation because ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[it is less painful than performing palpation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[more reliable means of evaluating the abdominal structure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[it is easier to perform than palpation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[palpation will alter the placement of the organ]]></answer> 
						<situation><![CDATA[You are the Nurse-on-Duty (NOD) in the OPD on a Wednesday which is a day dedicated to patients with Gastro-intestinal problems.]]></situation> 
				</query>
				<query>
					<question ctrlno="298" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There were several diagnostic examinations done on patient Marina as she was also passing dark and tarry stool. Colonoscopy was ordered and prior to this procedure, she was placed on ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[clear liquids twenty four (24) before the procedure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[nothing per orem (NPO) overnight]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Soft diet twelve hours (12) before the procedure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[sips of water an hour before the procedure]]></answer> 
						<situation><![CDATA[You are the Nurse-on-Duty (NOD) in the OPD on a Wednesday which is a day dedicated to patients with Gastro-intestinal problems.]]></situation> 
				</query>
				<query>
					<question ctrlno="299" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The MOST common electrolyte intestinal lavage solutions use for effective cleansing of the bowel of Ms. Marina is the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Glucolyte]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nulytely]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Golytely]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Colyte]]></answer> 
						<situation><![CDATA[You are the Nurse-on-Duty (NOD) in the OPD on a Wednesday which is a day dedicated to patients with Gastro-intestinal problems.]]></situation> 
				</query>
				<query>
					<question ctrlno="300" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As the NOD, it is very important to be alert of the side effects of solutions received by the patient for colonoscopy which include the following. Which side effects are TRUE of electrolytes?<br><br>
<span style="font-weight:normal">
1. Bloating cramps<br>
2. Hypothermia<br>
3. Nausea<br>
4. Electrolyte imbalance<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[You are the Nurse-on-Duty (NOD) in the OPD on a Wednesday which is a day dedicated to patients with Gastro-intestinal problems.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="6" testsection="NLE Assessment" testpart="NURSING PRACTICE IV - CARE OF CLIENTS (PART B)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE IV - CARE OF CLIENTS (PART 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[The nurse prepares the department to receive the injured. This situation would be BEST classified as a/an:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[unnatural calamity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[natural calamity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[mass casualty incident]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[accidental disaster]]></answer> 
						<situation><![CDATA[A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="302" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The first responders to the scene of disaster would MOST likely use, which of the following tools to separate victims for easy recognition of those in need of immediate care.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[number codes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[triage tag]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[category tags]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[SALT triage]]></answer> 
						<situation><![CDATA[A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="303" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ED nurse plans the coding for disaster victims. Which colors are MOST associated with triage?<br><br>
<span style="font-weight:normal">
1. Green<br>
2. Yellow<br>
3. Black<br>
4. Blue<br>
5. White<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 4, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3, 4, 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<situation><![CDATA[A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="304" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ED nurse receives a victim with severe life-threatening injuries and most likely will not survive. The victim would be triaged as.:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[yellow]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[red]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[black]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[white]]></answer> 
						<situation><![CDATA[A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="305" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the victims, a female was brought to the ED crying hysterically and looking frightened. She exclaims she was inside her house when the landslide occurred and just barely escaped, what is the BEST action by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refer her to the proper authorities for counselling.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Triage her and give appropriate treatment.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Call a physician to talk to her.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Advise her to go home with a relative.]]></answer> 
						<situation><![CDATA[A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.]]></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 determines the extent of burns using the rule of nines. Which of the following assessment findings should the nurse document?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[18% of the child's body surface is burned.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[45% of the child's body surface is burned.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[50% of the child's body surface is burned.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[25% of the child's body surface is burned.]]></answer> 
						<situation><![CDATA[A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.]]></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 writes a nursing diagnosis for the child which is the basis of care for the first 24 hours of admission. The MOST appropriate nursing diagnosis would be _______:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fear and Anxiety]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Disturbed Body Image]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Risk for Infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impaired Mobility]]></answer> 
						<situation><![CDATA[A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.]]></situation> 
				</query>
				<query>
					<question ctrlno="308" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician writes an order for the client. Infuse P5 Water 500 cc to run for 8 hours. The IV micro set delivers 60 drops per ml. How many drops should the nurse regulate the flow and record it in the client's chart?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[50 drops per minute]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[62 drops per minute]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[35 drops per minute]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[30 drops per minute]]></answer> 
						<situation><![CDATA[A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.]]></situation> 
				</query>
				<query>
					<question ctrlno="309" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse commits an error in documenting the care of the burnt child. She consults the charge nurse to find out if the hospital has an established policy on correcting documentation errors, which of the following is an accepted form for correcting errors?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Enclose in parenthesis the erroneous statement, draw a line across the statement, and make the correct entry above the 1 drawn.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Correct the error by applying correction fluid or tape and write the correct entry over it.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cross through the erroneous word or statement with a double line, affix your initials, write the phrase "mistaken entry" then write the correct information.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Use the slide rule method. Cross through the erroneous word or statement with a single line, affix your initials, write the date and time the correction was made, then write the correct information.]]></answer> 
						<situation><![CDATA[A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.]]></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 is aware; that documentation requires the following EXCEPT: Documentation should:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[So systematic and organized.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Comply with policy standards of the health care facility.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Present exact and correct details pertinent to the event.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Include reactions arid interpretations of the nurse on the event.]]></answer> 
						<situation><![CDATA[A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.]]></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 principles of quality improvement is MOST appropriate for patient care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The priority is to benefit clients and all other internal and external customers.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Improvement of the quality of service is a continuous process.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Improvement opportunities, are developed by focusing on the work process.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Quality is achieved. through the participation of everyone in the organization.]]></answer> 
						<situation><![CDATA[The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.]]></situation> 
				</query>
				<query>
					<question ctrlno="312" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The assistant chief nurse understands that the implication of quality improvement for client care can be measured by the overall value of care. Outcomes can be-measured by which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Client's recommendation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Clinical outcome]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cost of care]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Client satisfaction]]></answer> 
						<situation><![CDATA[The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.]]></situation> 
				</query>
				<query>
					<question ctrlno="313" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The assistant Chief nurse is oriented on the various improvement strategies at the organizational level. One of these strategies is benchmarking. Which of the following describes the bench marking process?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Comparing data in the literature with the data collected per client.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reviewing own unit's data for opportunities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Collecting data of an individual client.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Comparing own data with that of other organizations to identify opportunities.]]></answer> 
						<situation><![CDATA[The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.]]></situation> 
				</query>
				<query>
					<question ctrlno="314" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The assistant chief nurse understands that a sentinel event review is one strategy to improve the health care delivery system. The FIRST action to be initiated following a sentinel event is for the assistant chief nurse to _______ .]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[conduct an immediate investigation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[conduct a root cause analysis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[recommend corrective action of personnel involved]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[recommend what action personnel involved should avoid]]></answer> 
						<situation><![CDATA[The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.]]></situation> 
				</query>
				<query>
					<question ctrlno="315" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Quality improvement can be achieved through the participation of everybody in the health care organization at all levels. Which of the following is an example of nurses participation as an individual.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Work with others in the unit to change the way client's report is given to be more time efficient.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Suggest the process for notifying the pharmacy department about a missing medication..]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Participate in a team to find a solution.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Change the activities of her day to spend mere time with a Client's family.]]></answer> 
						<situation><![CDATA[The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.]]></situation> 
				</query>
				<query>
					<question ctrlno="316" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The conference speaker explained the difference between evidence-based practice and evidence-based nursing practice, which of the following is NOT TRUE regarding evidence-based nursing practice? Evidence based nursing practice _______]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[has a medical focus.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[uses a theory-derived and research-based information in making decisions about nursing care delivery.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[considers the patient's needs and preferences based on nursing theory and research.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[is a strategy used to improve patient care outcomes.]]></answer> 
						<situation><![CDATA[Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="317" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The speaker encouraged the nurses to participate in the use of evidence-based nursing practice. The speaker said that nurses must _______.<br><br>
<span style="font-weight:normal">
1. participate .in the development, use, or evaluation of practice guidelines.<br>
2. read and analyze outcomes of research studies.<br>
3. involve themselves in everyday patient care and nursing practice<br>
4. know why they are doing what they are doing.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="318" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Edna is aware of the importance of patient outcomes as a measure of quality care. Which of the following statements is TRUE regarding patient-focused outcome indicators? To _______<br><br><span style="font-weight:normal">
1. achieve safe, quality, cost-effective care for patients in daily practice.<br>
2. realize that individual nursing practice styles directly effect the rates at which patients recover.<br>
3. prevent development of unnecessary complications and injury.<br>
4. determine satisfaction rate from patients or family care receiver from nursing staff.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2 & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="319" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A model for using evidence-based practice was presented. The model has the following elements: Plan, Do, Study and Act (PDSA). If Nurse Edna wants to utilize this model to improve ward management,  what questions will she ask?<br><br>
<span style="font-weight:normal">
1.What are we trying to accomplish?<br>
2. How well do we know that a change is art improvement?<br>
3. Will the patient be satisfied with the improvement?<br>
4. What change/changes can we make that will result in an improvement?<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 3]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="320" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Edna is aware that patient care improvement must be based on which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Total cost of health care.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Building and applying knowledge.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hospital policy on how to staff a nursing unit.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Accreditation standards.]]></answer> 
						<situation><![CDATA[Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="321" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse teaches the client how to deep breath effectively after a lobectomy. The nurse instructs the client to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Contract the abdominal muscles, take a deep breath through the mouth, hard exhale slowly as one trying to blow out a candle.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Relax the abdominal muscles, take a slow deep breath through the nose, and hold it for 3 to 5 seconds.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Relax the abdominal muscles, take a deep breath through the mouth and exhale slowly for 15 seconds.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Contract the abdominal muscles, take a slow deep breath through the nose, and hold it for 3 to 5 seconds.]]></answer> 
						<situation><![CDATA[The nurse cares for a client with cancer who had lung surgery. The nurse educates the client on breathing exercises and ambulation.]]></situation> 
				</query>
				<query>
					<question ctrlno="322" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client asks the nurse how much of his lungs are removed. The nurse responds based on information that in lobectomy, a lobe is removed. In a wedge resection, which of the following is removed?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A small, localized area near the surface of the lung.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[One entire lung.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Two lobes of the lung.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A segment of the lung, including a bronchiole and its alveoli.]]></answer> 
						<situation><![CDATA[The nurse cares for a client with cancer who had lung surgery. The nurse educates the client on breathing exercises and ambulation.]]></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 asks the nurse, what will fill the space where the lobe was? The correct response would be : The _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[lung space will be filled up with serous fluid.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[surgeon filled the space with gel.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[space stays empty.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[remaining lobe or lobes over expand to fill the space.]]></answer> 
						<situation><![CDATA[The nurse cares for a client with cancer who had lung surgery. The nurse educates the client on breathing exercises and ambulation.]]></situation> 
				</query>
				<query>
					<question ctrlno="324" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the second post operative day, the nurse auscultates the lungs and determines scattered crackles bilaterally. Which of the following interventions would be MOST appropriate for the nurse to perform?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage deep breathj.ng and ambulation as soon as the client is able .]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage coughing and check the water seal system.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reduce the frequency of pain medications and increase the suction in the water seal bottle.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Perform endotracheal suctioning every shift.]]></answer> 
						<situation><![CDATA[The nurse cares for a client with cancer who had lung surgery. The nurse educates the client on breathing exercises and ambulation.]]></situation> 
				</query>
				<query>
					<question ctrlno="325" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse teaches the client to perform which of the following exercise to prevent shoulder ankylosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Raise and lower the head.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Turn from side to side.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Raise the arm on the affected side over the head.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Flex and extend the elbow on the affected side.]]></answer> 
						<situation><![CDATA[The nurse cares for a client with cancer who had lung surgery. The nurse educates the client on breathing exercises and ambulation.]]></situation> 
				</query>
				<query>
					<question ctrlno="326" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When clients are wheeled into the ED, nurse Elma applies a triage priority rating system, when a client must be treated immediately otherwise the client's life, limb or vision are threatened, the category is _______:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Raise and lower the head.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Turn from side to side.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Raise the arm on the affected side over the head.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Flex and extend the elbow on the affected side.]]></answer> 
						<situation><![CDATA[Nurse Elma specializes in emergency nursing. She collaborate with the ED physician, triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department]]></situation> 
				</query>
				<query>
					<question ctrlno="327" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A client with spinal cord injury due to trauma is brought to the ED by EMS personnel. Nurse Elma assesses the client. Which of the following, will the nurse suspect the client to manifest?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[tachycardia]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[diaphoresis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[pain]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[temporary loss of reflex function]]></answer> 
						<situation><![CDATA[Nurse Elma specializes in emergency nursing. She collaborate with the ED physician, triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department]]></situation> 
				</query>
				<query>
					<question ctrlno="328" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The neurosurgeon performs a neurological assessment on the client. Base on the Glasgow Coma Scale, the client has a total score of 8. Nurse Elma recognizes this score to indicate which type of injury?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[severe injury]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[minor injury]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[moderate injury]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[no injury]]></answer> 
						<situation><![CDATA[Nurse Elma specializes in emergency nursing. She collaborate with the ED physician, triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department]]></situation> 
				</query>
				<query>
					<question ctrlno="329" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Elma writes a nursing diagnosis. Which of the following diagnoses is a PRIORITY nursing diagnosis for a client with spinal cord injury?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Risk for infection]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dysreflexia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ineffective airway clearance]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ineffective breathing pattern]]></answer> 
						<situation><![CDATA[Nurse Elma specializes in emergency nursing. She collaborate with the ED physician, triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department]]></situation> 
				</query>
				<query>
					<question ctrlno="330" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The neurosurgeon determines the client' s spinal cord injury is at the level of T5. Nurse Elma is alerted when the client complains of severe headache, is diaphoretic, and head and neck appear to be flushed. She takes the vital signs. Pulse rate is 47 beats per minute and blood pressure is 220/114 mmg Hg. Based on the assessment data, nurse Elma concludes that the client needs IMMEDIATE treatment for _______ :]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[spinal shock]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[autonomic dysreflexia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[pulmonary embolism]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[malignant hypertension]]></answer> 
						<situation><![CDATA[Nurse Elma specializes in emergency nursing. She collaborate with the ED physician, triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department]]></situation> 
				</query>
				<query>
					<question ctrlno="331" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse interviews the client. Which of the factors would be a MOST significant risk factor for allergies?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A recent upper respiratory infection.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Family history of allergic reactions.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Living in a third world country.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Exposure to fungal infection.]]></answer> 
						<situation><![CDATA[Nurse Tina admits a 25-year-old female for severe angioedema involving the face, hands and feet. The patient further complains of burning and stinging of the lesions.]]></situation> 
				</query>
				<query>
					<question ctrlno="332" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on assessment findings, nurse Tina writes a nursing diagnosis. The MOST appropriate nursing diagnosis is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Risk for Injury]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Altered Comfort]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Risk for Infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impaired Skin Integrity]]></answer> 
						<situation><![CDATA[Nurse Tina admits a 25-year-old female for severe angioedema involving the face, hands and feet. The patient further complains of burning and stinging of the lesions.]]></situation> 
				</query>
				<query>
					<question ctrlno="333" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient undergoes allergen testing using the. cutaneous scratch method. To prevent anaphylaxis, nurse Tina should initially monitor the patient's _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[bilateral lung sounds]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[arm at the site of the skin testing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[pupil's size and reaction to light]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[blood pressure and pulse]]></answer> 
						<situation><![CDATA[Nurse Tina admits a 25-year-old female for severe angioedema involving the face, hands and feet. The patient further complains of burning and stinging of the lesions.]]></situation> 
				</query>
				<query>
					<question ctrlno="334" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Tina knows that allergic reactions usually occur within minutes after injection of an allergen. The nurse should _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[administer high-flow oxygen]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[document the patient's allergy history]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[observe the patient for about 20 minutes after injection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[monitor the patient's blood pressure and pulse]]></answer> 
						<situation><![CDATA[Nurse Tina admits a 25-year-old female for severe angioedema involving the face, hands and feet. The patient further complains of burning and stinging of the lesions.]]></situation> 
				</query>
				<query>
					<question ctrlno="335" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders Epinephrine 1:10,000 0.5 ml IV. After administering the drug, the NEXT action of nurse Tina is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[start oxygen at 100% using a non-breather mask.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prepare an infusion of dopamine (Intropin).]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[administer diphenhydramine (Benadryl) IV.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[give a dose of cimetidine (Tagamet).]]></answer> 
						<situation><![CDATA[Nurse Tina admits a 25-year-old female for severe angioedema involving the face, hands and feet. The patient further complains of burning and stinging of the lesions.]]></situation> 
				</query>
				<query>
					<question ctrlno="336" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lawrence knows that radiation therapy is used to treat colon cancer before surgery, which of the following is the effect of radiation therapy? It _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[helps heal the bowel after surgery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[eliminates malignant cell]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[cures the cancer]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[reduces the size of the tumor]]></answer> 
						<situation><![CDATA[A 51-year-old male is admitted for complaints of rectal bleeding, abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy]]></situation> 
				</query>
				<query>
					<question ctrlno="337" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient undergoes radiation therapy. Nurse Lawrence noted that the patient's white blood cell ( WBC) count is severely depressed . The PRIORITY nursing intervention would be to _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Place the patient in a private room and maintain strict aseptic technique for all procedures.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Instruct the patient to avoid shaving with a sharp razor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Encourage visitors to visit the patient regularly to reduce the feelings of isolation the patient may feel.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Encourage the patient to include fresh fruits and green leafy vegetables in his diet.]]></answer> 
						<situation><![CDATA[A 51-year-old male is admitted for complaints of rectal bleeding, abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy]]></situation> 
				</query>
				<query>
					<question ctrlno="338" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lawrence is aware that chemotherapy should only be administered by nurses who have taken special courses in administering chemotherapy and who are highly skilled. Before the nurse gives the prescribed dose of a chemotherapeutic agent the nurse should do which of the following:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Verify dose, drug, and schedule with another trained nurse.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Collect an extra-syringe and needle in case of contamination.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explain the expected side effects of the drug to the patient.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cover the patient with a water-resistant shield.]]></answer> 
						<situation><![CDATA[A 51-year-old male is admitted for complaints of rectal bleeding, abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy]]></situation> 
				</query>
				<query>
					<question ctrlno="339" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lawrence assesses the patient receiving chemotherapy. Select the signs and symptoms that would require further evaluation.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patient complains of fatigue.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hair loss on scalp.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Large areas of ecchymosis in various sites oh the body.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[dry mucous membrane.]]></answer> 
						<situation><![CDATA[A 51-year-old male is admitted for complaints of rectal bleeding, abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy]]></situation> 
				</query>
				<query>
					<question ctrlno="340" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lawrence writes a care plan for the patient receiving chemotherapy. Select what should be included in the care plan.<br><br>
					<span style="font-weight:normal">
					1. nursing diagnosis<br>
					2. medical diagnosis<br>
					3. outcomes<br>
					4. Interventions<br>
					5. patient education<br>
					6. evaluation<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2, 3, 4, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3, 4, 6]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3, 4, 5, 6]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3, 4, 5, 6]]></answer> 
						<situation><![CDATA[A 51-year-old male is admitted for complaints of rectal bleeding, abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy]]></situation> 
				</query>
				<query>
					<question ctrlno="341" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders total parenteral nutrition (TPN) for the burn patient - Which of the following statements is TRUE in this case? TPN is. needed to ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[provide supplemental - vitamins and minerals]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[correct water and electrolyte imbalances]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[ensure adequate caloric and protein intake]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[allow the gastrointestinal tract to rest]]></answer> 
						<situation><![CDATA[Nurse Elma assists in the care of a 25-year-old male who is admitted in the emergency department for burns in the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="342" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Elma is aware that fluid shifts occur during the emergent phase of a burn injury. This shifting is due to fluid moving from what space? From _______.]]></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[vascular to interstitial space]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[interstitial to vascular space]]></answer> 
						<situation><![CDATA[Nurse Elma assists in the care of a 25-year-old male who is admitted in the emergency department for burns in the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="343" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Elma understands that fluid shift results from an increase of which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[total volume of intravascular plasma]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[total volume of circulating whole blood]]></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[Nurse Elma assists in the care of a 25-year-old male who is admitted in the emergency department for burns in the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="344" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following fluid and electrolyte imbalance would Nurse Elma anticipate that the patient would be particularly susceptible to in the emergent phase of burn care?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Metabolic alkalosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hemodilution]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypernatremia]]></answer> 
						<situation><![CDATA[Nurse Elma assists in the care of a 25-year-old male who is admitted in the emergency department for burns in the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="345" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient is ordered to receive fluid resuscitation therapy. Nurse Elma adjusts the infusion rate by evaluating the patient's:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hourly body temperature]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[hourly urine output]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[hourly urine specific gravity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[daily body weight]]></answer> 
						<situation><![CDATA[Nurse Elma assists in the care of a 25-year-old male who is admitted in the emergency department for burns in the chest, abdomen, right arm and right leg.]]></situation> 
				</query>
				<query>
					<question ctrlno="346" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Flora recognize the signs and symptoms gf hypercalcemia. Which of the following signs is an indication of the diagnosis hypercalcemia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[positive. Trousseau's sign]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hyperactive bowel sounds]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[hypotonicity of the muscles]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Twitching]]></answer> 
						<situation><![CDATA[Nurse Flora admits a 30-year-old female with tentative diagnose of hypercalcemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="347" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Flora assesses the patient. The assessment should focus on:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[muscle strength]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[blood pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[weight]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[edema]]></answer> 
						<situation><![CDATA[Nurse Flora admits a 30-year-old female with tentative diagnose of hypercalcemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="348" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient informs the nurse that she is taking Thiazide diuretics. Nurse Flora knows that Thiazide diuretics drug are one of the most common causes of hypercalcemia. Which of the following signs should the nurse observe for?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[increased peristalsis]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[neurologic depression]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[neuromuscular irritability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[degreased urine output]]></answer> 
						<situation><![CDATA[Nurse Flora admits a 30-year-old female with tentative diagnose of hypercalcemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="349" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient goes into hypercalcemic crisis. Family members are anxious and worried. One relative expresses to Nurse Flora "We don't know what to do if she dies." What, is the BEST response of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Do not worry. We always see this kind of crisis and we can treat it."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[" I understand your concern, but I have to take care of the patient first."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Yes, it is serious but I can come back, talk to you and answer your questions."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Has your loved one been eating processed food and drinking alcoholic beverages lately?"]]></answer> 
						<situation><![CDATA[Nurse Flora admits a 30-year-old female with tentative diagnose of hypercalcemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="350" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Fortunately, the patient recovers from the hypercalcemic crisis. The patient is ready for discharge. Which of the following activities should be included in the discharge plan? Instruct the patient to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[take in antidiarrheal medications as prescribed by the physician]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[encourage foods that increase urine acidity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[decrease sodium and calcium intake]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[restrict fluid intake to less than 1 liter a day]]></answer> 
						<situation><![CDATA[Nurse Flora admits a 30-year-old female with tentative diagnose of hypercalcemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="351" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before admitting the client, you should FIRST make sure that:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The consent for admission is signed by the client.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The consent for admission is signed by the wife and witnessed by the daughter.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The client can pay his hospital bills.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The consent form is signed by the social worker.]]></answer> 
						<situation><![CDATA[Mr. M.E., 37 years old, was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue, malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.]]></situation> 
				</query>
				<query>
					<question ctrlno="352" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr.  M. E. is brought to the medical ward. The next day, he wants to know about his illness. The nurse on duty replied, "you don 't need to know your diagnosis ". Which of the following rights of the patient is violated? Right to _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[obtain from his physician complete current information concerning his diagnosis, treatment and prognosis.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[receive from his physician information necessary to give informed consent.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[expect reasonable continuity of care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[considerate and respectful care, irrespective of one's socio-economic status.]]></answer> 
						<situation><![CDATA[Mr. M.E., 37 years old, was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue, malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.]]></situation> 
				</query>
				<query>
					<question ctrlno="353" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After five days of hospitalization, the physician said Mr. M.E. can be discharged. He ordered medications to be taken at home. The client is still weak and symptomatic. Which of the following rights could be violated in this case?. Right to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[know hospital rules and regulation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[privacy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[refuse treatment]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[continuity of care]]></answer> 
						<situation><![CDATA[Mr. M.E., 37 years old, was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue, malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.]]></situation> 
				</query>
				<query>
					<question ctrlno="354" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Because Mr. M.E. cannot pay for his medical bills, he is referred to the Social worker. Which of the following rights is applicable in this case the right to _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[considerate and respectful care irrespective of his socio-economics status.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[expect reasonable continuity of care.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[examine and receive an explanation of his medical bills regardless of the source of payment.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[know what hospital rules and regulation apply to his conduct as a client.]]></answer> 
						<situation><![CDATA[Mr. M.E., 37 years old, was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue, malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.]]></situation> 
				</query>
				<query>
					<question ctrlno="355" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse discusses and shares the medical records of Mr. M.E. to a group of visiting members of a medical mission team. Which of the following rights could be violated? The right to...:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[expect that all communications and records pertaining to his care should be treated as confidential.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[obtain information regarding any relationship of the hospital to another health care and educational institution in so far as his care is concerned.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[informed consent.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[privacy.]]></answer> 
						<situation><![CDATA[Mr. M.E., 37 years old, was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue, malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.]]></situation> 
				</query>
				<query>
					<question ctrlno="356" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Jenny implements a change in the nursing delivery system from functional to team nursing. This type of nursing model of practice is;]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Nursing personnel are led by a registered nurse in providing care to a group of patients.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A task approach method used to provide care to patients.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Managed care concepts arid tools are used in providing patient care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A single registered nurse is responsible for providing care to a group of patients.]]></answer> 
						<situation><![CDATA[Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="357" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In implementing the change, Ms. Jenny has the consensus of the staff and other personnel involved in the care of patients. The main purpose of achieving a consensus when making a decision within a group is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[demonstrate that staff members are flexible]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[facilitate cooperative effort toward goal achievement]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[explore possible alternate solutions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ensure the use of effective autocratic decision making]]></answer> 
						<situation><![CDATA[Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="358" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Jenny is aware that there are nursing and other personnel who may be resistant to the change and are not taking an active part in facilitating the process of change. To overcome resistance to change, the MOST important action by Ms. Jenny would be to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[emphasize the positive consequences of the change]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[identify the reason or reasons for the resistance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[state clearly and concisely the purpose of the change]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[modify the objectives to appeal to more people holding key positions]]></answer> 
						<situation><![CDATA[Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="359" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To ensure efficiency when organizing daily workload, Ms. Jenny reminds her staff that they should do which of the following;]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Organize care around legally required activities.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Plan activities to promote nursing convenience.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Perform routine bed baths between 3:00 to 10:00 in the morning.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Provide care to a patient in isolation first.]]></answer> 
						<situation><![CDATA[Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="360" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST effective resource in helping a staff nurse identify a solution to a clinical problem?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[other staff nurses in the unit]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[nursing procedure manual]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[organizational chart of the hospital]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nurse manager of the unit]]></answer> 
						<situation><![CDATA[Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="361" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ray is aware that RA is a debilitating chronic autoimmune disease. The patient asks the nurse why his joints are becoming increasingly painful. Which of the following statements is TRUE about RA? Rheumatoid Arthritis _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[is usually caused by the aging process]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[results from degenerative joint damages]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[begins with inflammation of joints synovial tissue]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[affects only the weight-bearing joints of the body]]></answer> 
						<situation><![CDATA[A 55-year-old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis (RA).]]></situation> 
				</query>
				<query>
					<question ctrlno="362" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient further complains that he gets tired easily when helping his wife in household chores. He further complains that whenever he walks, his knee hurts. Based on this information, Nurse Ray writes a nursing diagnosis. Which of the following nursing diagnoses is MOST appropriate?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Activity intolerance related to fatigue and pain]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Body image disturbances related to fatigue and joint pains]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ineffective individual coping related to chronic pain]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Self-care deficit related to increasing joint pains]]></answer> 
						<situation><![CDATA[A 55-year-old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis (RA).]]></situation> 
				</query>
				<query>
					<question ctrlno="363" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ray develops a care plan for positioning the patient. Nurse Ray instructs the patient to assume a position that would _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[prevent venous stasis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[promote maximum support]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[prevent flexion deformities of the joints]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[decrease edema around the joints]]></answer> 
						<situation><![CDATA[A 55-year-old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis (RA).]]></situation> 
				</query>
				<query>
					<question ctrlno="364" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ray writes a nursing diagnosis of Activity intolerance related to lack of energy conservation, which of the following activities would Nurse Ray LIKELY to choose to implement in response to the diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage the patient to perform all tasks planned for the day.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Instruct the patient not to perform daily hygienic care until activity intolerance improves.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administer narcotics to promote pain relief and rest.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Encourage the patient, to alternate periods of rest and activity throughout the day.]]></answer> 
						<situation><![CDATA[A 55-year-old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis (RA).]]></situation> 
				</query>
				<query>
					<question ctrlno="365" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient is ready for discharge. He tells Nurse Ray important to exercise my joints, so I won't lose mobility. But my joints are so stiff and painful that exercise is difficult.", Which of the following responses by Nurse Ray is MOST appropriate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Talk to your physician and tell him how you feel. Maybe he can increase the dosage of your pain medication."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Take a warm bath before exercising. This may relieve some of your discomfort."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["You are probably exercising too much. Decrease your exercise to every other day."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Stiffness and pain are part of your ailment. You can learn to cope by focusing on activities you enjoy."]]></answer> 
						<situation><![CDATA[A 55-year-old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis (RA).]]></situation> 
				</query>
				<query>
					<question ctrlno="366" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that a client who has experienced cardiac arrest is MOST at risk for which of the following imbalances?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Metabolic alkalosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Respiratory alkalosis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Metabolic acidosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respiratory acidosis]]></answer> 
						<situation><![CDATA[The nurse cares for several clients with acid-base imbalances.]]></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 assists in the care of a 30-year-old male post surgical client undergoing nasogastric suctioning. The nurse understands that clients with nasogastric suction is MOST at risk with what imbalances?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Respiratory acidosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Metabolic acidosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Metabolic alkalosis]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Respiratory alkalosis]]></answer> 
						<situation><![CDATA[The nurse cares for several clients with acid-base imbalances.]]></situation> 
				</query>
				<query>
					<question ctrlno="368" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses a 32-year-old female client who appears very anxious, restless and irritable. The client has marked increase rate and depth of respirations. Based on the information gathered, the client is experiencing which of the following imbalances?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Respiratory alkalosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Metabolic acidosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Metabolic alkalosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respiratory acidosis]]></answer> 
						<situation><![CDATA[The nurse cares for several clients with acid-base imbalances.]]></situation> 
				</query>
				<query>
					<question ctrlno="369" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The female client who is very anxious and fidgety is blowing off to much carbon dioxide, develops tingling sensation of the lips and fingers and is not able to control her respirations. The MOST appropriate nursing intervention for this client is to _______:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Instruct the client to blow her hose and take deep breaths]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer oxygen]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Have the client breathe into a paper bag]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administer intravenous fluids as ordered]]></answer> 
						<situation><![CDATA[The nurse cares for several clients with acid-base imbalances.]]></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 obtains a sample of a client's arterial blood gas (ABGs). Which of the following statements is NOT true about ABGs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Interpretation of the client's ABGs involves evaluation of pH, PC02 and HC03; components of the ABGs.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ABGs assess the client's oxygenation status and acid-base status.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ABGs provide information on blood parameters.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[ABGs assess the client's electrolyte and fluid balance]]></answer> 
						<situation><![CDATA[The nurse cares for several clients with acid-base imbalances.]]></situation> 
				</query>
				<query>
					<question ctrlno="371" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse victor who admitted patient Mila is aware that a decrease in cardiac output results in a decrease in cerebral blood flow. Which of the following symptoms is one of the EARLIEST signs of cardiogenic shock?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tachycardia]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Altered level of consciousness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Presence of fourth heart sound (S4)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Decreased urine output]]></answer> 
						<situation><![CDATA[Mila, a 35-year-old female was brought in the Emergency Unit complaining of cold, clammy skin, disorientation, restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="372" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Victor assesses patient Mila. Decrease of which of the following factors would help detect that the patient is at risk in developing cardiogenic shock?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Heart rate]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Cerebral blood flow]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cardiac index]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Blood pressure]]></answer> 
						<situation><![CDATA[Mila, a 35-year-old female was brought in the Emergency Unit complaining of cold, clammy skin, disorientation, restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="373" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Victor reviews the medical history of patient Mila, which of the following conditions is the MOST common cause of cardiogenic shock?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Degreased hemoglobin level]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hypotension]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Acute myocardial infarction (MI)]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Coronary artery disease]]></answer> 
						<situation><![CDATA[Mila, a 35-year-old female was brought in the Emergency Unit complaining of cold, clammy skin, disorientation, restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.]]></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 procedures would be MOST helpful to Nurse Victor to confirm the underlying cause of cardiogenic shock?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitoring pulmonary artery pressure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Monitoring cardiac enzymes]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Monitoring mean arterial pressure using an intra-arterial line.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Measuring central venous pressure]]></answer> 
						<situation><![CDATA[Mila, a 35-year-old female was brought in the Emergency Unit complaining of cold, clammy skin, disorientation, restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="375" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician prescribes a treatment plan for patient Mila. Nurse Victor understands that the initial treatment goal is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prevent infection]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Correct metabolic acidosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Correct hypoxia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase myocardial oxygen supply]]></answer> 
						<situation><![CDATA[Mila, a 35-year-old female was brought in the Emergency Unit complaining of cold, clammy skin, disorientation, restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.]]></situation> 
				</query>
				<query>
					<question ctrlno="376" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse evaluates Ms. Dong-a for breast cancer. Which of the following is a risk factor for developing breast cancer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Using foam contraceptives]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Having an early menarche before the age of 12]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Having an early menopause before the age of 45]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Giving birth to a first child before the age of 20]]></answer> 
						<situation><![CDATA[Ms. Dong-a, 35 years old, and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination. On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.]]></situation> 
				</query>
				<query>
					<question ctrlno="377" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse recalls that there are other known risk factors for breast, cancer such as family history, environmental and dietary factors. Which of the following is a BEST established dietary risk factor for breast cancer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[fat-rich foods]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[alcohol intake]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[carbonated drink consumption]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[caffeine consumption]]></answer> 
						<situation><![CDATA[Ms. Dong-a, 35 years old, and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination. On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.]]></situation> 
				</query>
				<query>
					<question ctrlno="378" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that for breast cancer patients, the single and MOST important predictor of outcome is the ________:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[presence of mastitis and an infection process upon diagnosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[presence of nipple discharge at the time of diagnosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[histological status of the axillary nodes]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[age of the patient]]></answer> 
						<situation><![CDATA[Ms. Dong-a, 35 years old, and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination. On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.]]></situation> 
				</query>
				<query>
					<question ctrlno="379" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Dong-a appears to be worried and anxious. She asks the nurse what the doctor meant when told that she has Stage II cancer. The nurse explains that staging is based on the size of the primary tumor. In Stage II, the tumor is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3 cm in diameter and confined to the breast]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[larger than 5 cm with involvement of the internal mammary lymph nodes]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[2 cm or less in diameter and confined to the breast]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[up to 5 cm, or early metastasis to axillary lymph nodes]]></answer> 
						<situation><![CDATA[Ms. Dong-a, 35 years old, and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination. On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.]]></situation> 
				</query>
				<query>
					<question ctrlno="380" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on further assessment, biopsy results, Ms. Dong-a may have to undergo mastectomy. The nurse recognizes that mastectomy is the treatment of choice when which of the following conditions apply?<br><br>
						<span style="font-weight:normal">
						1. tumor involves the nipple-creola complex<br>
						2. tumor is larger than 7cm<br>
						3. tumor exhibits extensive intraductal disease involving multiple quadrants of the breast<br>
						4. patient cannot comply with daily radiation therapy<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<situation><![CDATA[Ms. Dong-a, 35 years old, and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination. On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.]]></situation> 
				</query>
				<query>
					<question ctrlno="381" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The independent variables of this study are the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[height and weight]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[age]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[gender]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[educational attainment]]></answer> 
						<situation><![CDATA[Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.]]></situation> 
				</query>
				<query>
					<question ctrlno="382" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The dependent variables of this study are which of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cancer]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[physical characteristics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[amount of serum concentration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[physiologic outcomes]]></answer> 
						<situation><![CDATA[Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.]]></situation> 
				</query>
				<query>
					<question ctrlno="383" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Carol formulates the problem statement for the study. She understands that a good problem has which of the following characteristics: The problem _______.<br><br>
					<span style="font-weight:normal">
					1. clearly and unambiguously identifies the variables under consideration.<br>
					2. clearly expresses, the relationship of the variables to one another.<br>
					3. specifies the nature of the population being studied.<br>
					4. implies the possibility of empirical testing.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 3 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 and 3]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[All of the options]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 and 4]]></answer> 
						<situation><![CDATA[Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.]]></situation> 
				</query>
				<query>
					<question ctrlno="384" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Carol determines the participants in the study: The sample of the Study will be every 5th person in the oncology unit. A table of random numbers will be used to select the beginning of the sampling with in the first sampling interval. This is an example of which sampling method?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Simple random sampling]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Quota sampling]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stratified random sampling]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Systematic sampling]]></answer> 
						<situation><![CDATA[Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.]]></situation> 
				</query>
				<query>
					<question ctrlno="385" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Carol plans to use a method of data collection that use technical instruments to collect data about the client's physical, chemical, microbiological and anatomical status, which of the following is a method appropriate for the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[psychological]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[physiological]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[instrumentation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[pharmacological]]></answer> 
						<situation><![CDATA[Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.]]></situation> 
				</query>
				<query>
					<question ctrlno="386" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You approach the person who is apparently choking. What should you do FIRST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sweep the person's mouth with your finger.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Apply sharp upward thrusts over the person's sternum.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Determine if the person can make any verbal sounds.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hit the middle of the person's back firmly.]]></answer> 
						<situation><![CDATA[You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.]]></situation> 
				</query>
				<query>
					<question ctrlno="387" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You prepare to perform the Heimlich maneuver on the conscious adult male. What are the steps to be followed? Arrange the procedure in sequence.<br><br>
					<span style="font-weight:normal">
					1. Place the thumb side of the fist just above the umbilicus and veil below the xiphoid process.<br>
					2. Make a fist.<br>
					3. Stand behind the victim<br>
					4. Place arms around the victim ' s waist<br>
					5. Perform five quick in and up thrusts (between the umbilicus and xiphoid process)<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 5, 3, 4, 1]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3, 4, 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[4, 3, 1, 2, 5]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[3, 4, 2, 1, 5]]></answer> 
						<situation><![CDATA[You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.]]></situation> 
				</query>
				<query>
					<question ctrlno="388" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the victim is unconscious, the sequence is:<br><br>
					<span style="font-weight:normal">
					1. Place the heel of one hand on top of the other between the umbilicus and xiphoid process.<br>
					2. Straddle the victim's thighs.<br>
					3. Give five thrusts in and up with the heel of the bottom hand.<br>
					4. Make a fist.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 1, 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 4, 1, 3]]></answer> 
						<situation><![CDATA[You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.]]></situation> 
				</query>
				<query>
					<question ctrlno="389" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When you perform abdominal thrusts during the Heimlich maneuver, you are trying to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[produce a burp to expel the foreign body]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[pump the heart to push air out of the lungs]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[produce a rush of air that expels the foreign body]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[put pressure on the stomach to expel the foreign body]]></answer> 
						<situation><![CDATA[You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.]]></situation> 
				</query>
				<query>
					<question ctrlno="390" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the victim is pregnant or obese, which modification of the Heimlich maneuver would be appropriate for this person?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Thrust against the middle of the sternum rather than between the umbilicus and xiphoid process.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Perform thrust gently, rather than forcefully, and discontinue the thrusts after 6 tries, if unsuccessful.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Place the fist with the pinkie finger, rather than the thumb against the person's body.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Perform the thrusts with the person in the supine, rather than standing position.]]></answer> 
						<situation><![CDATA[You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.]]></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 recalls that this client is her third admission in the last 8 months. The client is familiar with the nurse. Which of the following remarks by the nurse would be MOST beneficial to the client?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You are back again, what is wrong this time?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I don't have to explain things to you. You have been here before anyway."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["It's been 3 months since you were last here. How do you feel about being back in the hospital?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["It's nice to see you again. Do you miss the hospital?"]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="392" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician assesses the client and recommends a partial bowel resection and an ileostomy. The client tells the nurse, "My doctor likes to play smart. I'm sure the more he operates, the better he it." Which of the following responses by the nurse would be MOST appropriate:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Are you not being hard on your doctor? He is trying to help you."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["What do you mean by that?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["You sound upset. We can talk about it, if you would like to."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Is your remark in any way have something to do with your operation?"]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="393" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client becomes increasingly irritable thinking about her operation. She is unpleasant to her visitors and refuses her medication and treatments. Which of the following nursing interventions would be therapeutic?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage the client to direct her anger to her family members.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Continue performing assigned tasks and duties as though nothing has happened.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Encourage the client to discuss her feelings and concerns.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Offer the client positive reinforcement every time she cooperates with her medications and treatments.]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="394" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client refuses to eat her lunch and angrily tells the nurse to get out of her room. What would be the nurses best response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I'll get you something to relax you."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["You sound angry, what is upsetting you?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Your anger does not bother me. I'll back later."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I'll leave, but you need to eat."]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></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 makes arrangement for a former client who underwent ileostomy to talk with the client. The reason for which is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[encourage the client and provide realistic information on ileostomy.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[let the client know that she is not the only one who experienced the operation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[provide support for the plan of the physician regarding therapy of the client.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[convince the client that she will not be disfigured and can still lead quality life.]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="396" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which principle is explicable in a situation where a sponge was left inside the abdomen of a patient who had an exploratory laparotomy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Doctrine of Force Majeure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Doctrine of Res Ipsa Loquitor]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Doctrine of Viz major]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doctrine of Respondeat Superior]]></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>
				<query>
					<question ctrlno="397" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Under the Doctrine of Respondeat Superior, who among the following is liable if the patient who had exploratory previously was reopened and a piece of gauze was found in the abdominal cavity? The ________: ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Instrument nurse]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Surgeon]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Operating Room Nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assistant surgeon]]></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>
				<query>
					<question ctrlno="398" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Doctrine of Respondeat Superior holds that:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The employer is responsible for the actions of his/her employee.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The employer is not responsible for the actions of his/her employee.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The employee is not responsible for his/her own actions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Using restraints without the patient's permission constitute false imprisonment.]]></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>
				<query>
					<question ctrlno="399" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Performing an act which a reasonable and prudent nurse would not do or the failure to perform an act which a reasonable and prudent nurse would have done under similar situations is construed as ________:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[misdemeanor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[malfeasance]]></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>
				<query>
					<question ctrlno="400" 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="6" testsection="NLE Assessment" testpart="NURSING PRACTICE V - CARE OF CLIENTS (PART C)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE V - CARE OF CLIENTS (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 are teaching a patient about taking prophylactic warfarin sodium (Coumadin). Which of these statements indicate that the patient understands how to take the drug. SELECT all that apply:<br><br>
<span style="font-weight:normal">
1. The drug's action peak in two hours<br>
2. Maximum dosage is not achieved until 3
to 4 days after starting the medication<br>
3. Effects of the drug continue for 4 to 5 days after discontinuing the medication<br>
4. Protamine Sulfate is the antidote for Warfarin<br>
5. I should have my blood levels tested periodically<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[2, 3, 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 4, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<situation><![CDATA[You are assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="402" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Maintaining oral hygiene for a stroke patient is important in his care. You are teaching a family member how to give oral care to the stroke patient. Which of the following nursing measures is NOT APPROPRIATE when giving oral care to such patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cleaning the patient's mouth and teeth with a soft-bristled toothbrush]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Keeping portable suctioning equipment at the bedside]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Opening the patient's mouth with a padded tongue depressor]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Placing the patient on his back with a small pillow under the head]]></answer> 
						<situation><![CDATA[You are assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="403" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your patient has hemiparalysis. In giving instruction to the watcher when changing the patient's position in bed, which of the following is NOT APPROPRIATE?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Lifting the patient when moving him up in bed]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rolling the patient unto the side]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Using a trapeze to help the patient lift off the bed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sliding the patient to move up in bed]]></answer> 
						<situation><![CDATA[You are assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="404" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is experiencing mood swings after a stroke. Often times she has episodes of crying that are distressing to the family members, what is the BEST TECHNIQUE that you will advise the family members when the patient is having crying spells?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ignore the patient during this time]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Sit quietly with the patient until the crying episode is over]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tell the patient that the behavior is unacceptable]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Attempt to divert the patient's attention]]></answer> 
						<situation><![CDATA[You are assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="405" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To prevent joint deformities of the arms and hands of a hemiplegic patients what are the APPROPRIATE positions will you include in your health teachings to the family members? SELECT all that apply.<br><br>
<span style="font-weight:normal">
1. Placing a pillow in the axilla so the arm is way from the body<br>
2. Inserting a pillow under the slightly flexed arm so the hand is higher than the elbow<br>
3. Immobilizing the extremity with a sling<br>
4. Placing a hand cone so the fingers are barely flexed<br>
5. Keeping the arms at the sides using a pillow<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 3, 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<situation><![CDATA[You are assigned as a staff nurse in the Stroke Unit of the Medical Ward. One of your responsibilities is to provide health teachings to the stroke patients and to the other members of the family. The following questions refer to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="406" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While caring for this client, the family notices that loud noises cause a serious anxiety response. Which of the following explanations by you would help the family understand the client's response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[After a trauma, the client cannot respond to stimuli in an appropriate manner]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Clients often experience extreme fear about normal environmental stimuli]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Environmental triggers can cause the client to react emotionally]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The response indicates that another emotional problem needs investigation]]></answer> 
						<situation><![CDATA[You are a community health nurse assisting a family in the care of their daughter suffering from post-traumatic stress disorder.]]></situation> 
				</query>
				<query>
					<question ctrlno="407" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following instructions should you include about relationships for this client with post-traumatic stress disorder?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Assess the client's discomfort when talking about feelings to family members]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Explain that avoiding emotional attachment protects against anxiety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Warn the client that she will have a tendency to be overdependent in relationships]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Encourage the client to resume former roles as soon as possible]]></answer> 
						<situation><![CDATA[You are a community health nurse assisting a family in the care of their daughter suffering from post-traumatic stress disorder.]]></situation> 
				</query>
				<query>
					<question ctrlno="408" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing interventions would best help this client and her family handle Interpersonal conflict at home? Have the family:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[discuss how to change dysfunctional family patterns]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[teach the client to identify defensive behaviour]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[agree not to tell the client what to do about problems]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[arrange for the client to participate in social activities]]></answer> 
						<situation><![CDATA[You are a community health nurse assisting a family in the care of their daughter suffering from post-traumatic stress disorder.]]></situation> 
				</query>
				<query>
					<question ctrlno="409" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing actions would be more appropriate when speaking with this client about the trauma she experienced?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Listen attentively]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Request that the client write what is being said]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ask questions to convey an interest in the details]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Obtain validation of what the client says from another party]]></answer> 
						<situation><![CDATA[You are a community health nurse assisting a family in the care of their daughter suffering from post-traumatic stress disorder.]]></situation> 
				</query>
				<query>
					<question ctrlno="410" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing actions would you include in the plan of care for this client who keeps saying that the trauma she experienced was just a case of bad luck?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Assist the client in defining the experience as a trauma]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage the client to verbalize the experience]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Work with the client to take steps to move on with her life]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Help the client accept positive and negative feelings]]></answer> 
						<situation><![CDATA[You are a community health nurse assisting a family in the care of their daughter suffering from post-traumatic stress disorder.]]></situation> 
				</query>
				<query>
					<question ctrlno="411" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You plan to study the effectiveness of films in teaching active exercises to post stroke patients. Which of the following research designs will give you the most confidence to answer the research problem?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Time-series design]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Non-equivalent control group design]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[One-group pre-test, post-test design]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Post-test only, control group design]]></answer> 
						<situation><![CDATA[One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research.]]></situation> 
				</query>
				<query>
					<question ctrlno="412" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following sampling techniques is the most appropriate to answer a research question on the effectiveness of active exercise on the mobility of post stroke patients?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Convenience sampling]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Purposive sampling]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Quota sampling]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Random sampling]]></answer> 
						<situation><![CDATA[One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research.]]></situation> 
				</query>
				<query>
					<question ctrlno="413" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You want to develop a tool for measuring the level of consciousness of stroke patients. This is what type of research?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Historical study]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Case study]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Comparative study]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Methodological Study]]></answer> 
						<situation><![CDATA[One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research.]]></situation> 
				</query>
				<query>
					<question ctrlno="414" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You want to examine the differences in the eating behaviors between two groups of high school students. Which of the following research designs would you use to answer the research question?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Case study]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Correlation study]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Comparative design]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Survey study]]></answer> 
						<situation><![CDATA[One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research.]]></situation> 
				</query>
				<query>
					<question ctrlno="415" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In a study on the relationship between personality make-up and obesity, an r=.8 would mean:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a high, negative correlation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[moderate, positive correlation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[a high, positive correlation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a low, positive correlation]]></answer> 
						<situation><![CDATA[One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research.]]></situation> 
				</query>
				<query>
					<question ctrlno="416" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the precipitating factor for Ella's feeling of wanting to die?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The death of Lory]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Her age]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Her authoritative mother]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Her fear of death]]></answer> 
						<situation><![CDATA[Ella, a 10-year-old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the Emergency Room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven.]]></situation> 
				</query>
				<query>
					<question ctrlno="417" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ella's feeling of joining Lory in heaven is a manifestation of:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Suicidal intent]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Suicidal threat]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Paranoia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Suicidal ideation]]></answer> 
						<situation><![CDATA[Ella, a 10-year-old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the Emergency Room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven.]]></situation> 
				</query>
				<query>
					<question ctrlno="418" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ella states "I will hang myself". This is a manifestation of:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Denial]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Suicidal threat]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Suicidal intent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Paranoia]]></answer> 
						<situation><![CDATA[Ella, a 10-year-old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the Emergency Room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven.]]></situation> 
				</query>
				<query>
					<question ctrlno="419" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the best predictor of adolescents attempting suicide?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Depressed mood]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Joyful mood]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Feeling of euphoria]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Feeling of hopelessness]]></answer> 
						<situation><![CDATA[Ella, a 10-year-old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the Emergency Room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven.]]></situation> 
				</query>
				<query>
					<question ctrlno="420" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ella states "I wish I were dead I cannot stand anymore not having Lory around". Your most appropriate nursing action would be:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Do nothing because Ella will not do it]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Refer Ella to your supervisor]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stay with Ella]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Explore Ella's feelings]]></answer> 
						<situation><![CDATA[Ella, a 10-year-old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the Emergency Room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven.]]></situation> 
				</query>
				<query>
					<question ctrlno="421" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Initially, What assessment data would be the MOST IMPORTANT for you to make?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Exposure to an infectious disease]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Difficulty in swallowing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Difficulty in urinating]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Diet intake for the last 24 hours]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year-old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician's impression is Infectious Polyneuritis.]]></situation> 
				</query>
				<query>
					<question ctrlno="422" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Bianca was admitted to the Pediatric Ward, what would be your PRIORITY nursing action when caring for her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Providing a diversional activity for Bianca]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Evaluating Bianca's bilateral muscle strength]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Making a game of range-of motion exercises]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Assessing Bianca's ability to follow simple commands]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year-old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician's impression is Infectious Polyneuritis.]]></situation> 
				</query>
				<query>
					<question ctrlno="423" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The pediatric ward nurse asks Bianca to cough every now and then. She also assesses Bianca's speech for decreased volume and clarity. The underlying rationale for these two assessments is to determine the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[regression to an earlier developmental phase]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[involvement of facial and cranial nerves]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[increased intracranial pressure]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[inflammation of the larynx and epiglottis]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year-old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician's impression is Infectious Polyneuritis.]]></situation> 
				</query>
				<query>
					<question ctrlno="424" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Assessment findings revealed that Bianca has weak gag and cough reflexes. During this acute phase of Bianca's illness, which of the following problems should receive the HIGHEST PRIORITY?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Impaired swallowing related to neuromuscular impairment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Risk for infection due to an altered immune system]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ineffective breathing pattern related to neuromuscular impairment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Total urinary incontinence related to fluid losses]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year-old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician's impression is Infectious Polyneuritis.]]></situation> 
				</query>
				<query>
					<question ctrlno="425" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Bianca was placed on a mechanical ventilator. Which of the following nursing actions should the ward nurse give emphasis to?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Turning Bianca slowly and gently from side to side to prevent respiratory complications]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Engaging Bianca in vigorous passive range-of-motion exercises to prevent loss of muscle function]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Maintaining Bianca in a supine position to prevent unnecessary nerve stimulation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Transferring Bianca to a bedside chair three times a day to prevent postural hypotension]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year-old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician's impression is Infectious Polyneuritis.]]></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 is a common sign/symptom of rheumatoid arthritis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Presence of crepitus over joints]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Symptoms aggravated by humidity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Deformity and displacement of proximal joints]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Presence of Heberden's nodes]]></answer> 
						<situation><![CDATA[Jennylyn Abad, a 40-year-old woman, Has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="427" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would NOT be a common laboratory finding in rheumatoid arthritis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Low hemoglobin]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Positive RA factor]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Positive Lupus Erythematosus (LE) prep]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increased white blood count]]></answer> 
						<situation><![CDATA[Jennylyn Abad, a 40-year-old woman, Has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="428" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Jennylyn has been taking steroids for the last five years to control her arthritis. Which of the following is a common side effect of steroid therapy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hyponatremia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[increased blood glucose]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Protein anabolism]]></answer> 
						<situation><![CDATA[Jennylyn Abad, a 40-year-old woman, Has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="429" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following diets is best suited to decrease the side effects of Jennylyn's Steroid therapy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Normal carbohydrate, high protein, high potassium]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[low carbohydrate, high protein, high potassium]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[low carbohydrate, high protein, low potassium]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[High carbohydrate, low protein, low sodium]]></answer> 
						<situation><![CDATA[Jennylyn Abad, a 40-year-old woman, Has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="430" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Jennylyn was on Ibuprofen which has been stopped when the steroid therapy was started. Which was the main reason for stopping the ibuprofen once the steroid therapy was started?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The two drugs taken together increase the risk of GI bleeding]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The Ibuprofen would interfere with the action of the steroid]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The Ibuprofen was not needed with the steroid]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The two drugs together would cause severe liver damage]]></answer> 
						<situation><![CDATA[Jennylyn Abad, a 40-year-old woman, Has a history of Rheumatoid Arthritis for the last ten years. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="431" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following inflammatory conditions commonly occurs in the shoulder?<br><br>
<span style="font-weight:normal">
1) Bursitis<br>
2) Carpal Tunnel Syndrome<br>
3) Tendonitis<br>
4) Dupuytren's<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="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1 and 3]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of patients with varied musculo-skeletal conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="432" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT considered a conservative treatment for inflammatory conditions of the shoulder?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Non-Steroid Anti-inflammatory Drugs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Intermittent ice and heat application to the joint]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Laser photo-therapy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Resting of the extremity]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of patients with varied musculo-skeletal conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="433" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Impaired movement of the rotator cuff of the shoulder is generally termed as Impingement Syndrome. Edema, which is an early manifestation of this syndrome, is due to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[acute trauma of the shoulder]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[muscle spasm]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[hemorrhage of the structures involved]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[atrophy due to disuse]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of patients with varied musculo-skeletal conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="434" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For a persistent shoulder pain and weakness, this usual treatment modality performed is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Pulsed-magnetic field]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Laser photo-therapy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Radio-frequency ablation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Arthroscopic Synovectomy]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of patients with varied musculo-skeletal conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="435" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the most common foot problems is Callus. This condition precedes the formation of a Callus _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[External pressure on the foot]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Faulty foot mechanics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Flexion deformity of the interphalangeal joint]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Penetrating nail plate in the surrounding skin of the foot]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of patients with varied musculo-skeletal conditions.]]></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 nursing actions will you do if the patient is unconscious and unable to make decisions? This fact should be:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[reported to the nurse supervisor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reported to the attending physician]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[documented in the patient's chart]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[reported to the police]]></answer> 
						<situation><![CDATA[You are a staff nurse working in a hospital and encounter situations with ethico-moral implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="437" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient came in from prison for emergency treatment. Which of the following precautionary measures will you institute to ensure the safety of the hospital staff and the other patients?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Provide the same assessment and care to the client]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Use restraints]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[lock the ER door against entry if security is in question]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Never release the hand or ankle restraint]]></answer> 
						<situation><![CDATA[You are a staff nurse working in a hospital and encounter situations with ethico-moral implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="438" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In using restraints to patients, which of the following guideline will you follow?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Apply restraints because the patient needs it]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Apply restraints according to the hospital policy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Restraint is the most effective nursing intervention to minimize aggressive behavior]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Maintain respect for the client when applying restraints]]></answer> 
						<situation><![CDATA[You are a staff nurse working in a hospital and encounter situations with ethico-moral implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="439" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have observed that a group of students are implementing their research project on the effect of hot and cold application to febrile patient without informing the participants properly. What ethical principle was violated by the students?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respect for person]]></answer> 
						<situation><![CDATA[You are a staff nurse working in a hospital and encounter situations with ethico-moral implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="440" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A researcher should pay particular attention in protecting the right of certain vulnerable groups. Which of the following is NOT considered vulnerable?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Prisoners]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Children]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mentally-challenged persons]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Postpartum mother with normal delivery]]></answer> 
						<situation><![CDATA[You are a staff nurse working in a hospital and encounter situations with ethico-moral implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="441" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A four-year old hydrocephalic preschooler is scheduled to have a ventriculo-peritoneal shunt at the right side of the head. Which of the following positions should the child be placed immediately after surgery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Supine, with the head of the bed flat ]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[On the left side with the head of the bed flat]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prone, with the head of the bed elevated]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[On the right side, with the foot of the bed elevated]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look into their level of knowledge and skills to serve as baseline data for improving the nursing care of hydrocephalic patients on ventriculo-peritoneal shunt. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="442" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What nursing action should the nurse do when providing post-operative nursing care to a child after insertion of a ventriculo-peritoneal shunt?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitoring for increased temperature]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Check the urine for glucose and protein]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administer narcotics for pain control]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Test cerebrospinal fluid leakage for protein]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look into their level of knowledge and skills to serve as baseline data for improving the nursing care of hydrocephalic patients on ventriculo-peritoneal shunt. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="443" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An infant who has hydrocephalus is irritable, lethargic, and difficult to feed before the ventriculo-peritoneal shunt is played. To maintain the infant's nutritional status, which of the following nursing actions
is the M0ST APPROPRIATE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Feeding the infant just before doing any procedures]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[giving the infant small, frequent feedings]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Scheduling the feeding every six hours]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Feeding the infant in a horizontal position]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look into their level of knowledge and skills to serve as baseline data for improving the nursing care of hydrocephalic patients on ventriculo-peritoneal shunt. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="444" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The parents of a school-age child with ventriculo-peritoneal shunt were given discharge teaching, which of the following signs a blocked shunt would the parents be able to identify that the discharge teaching is successful?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Irritability and increasing difficulty with eating]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Elevated temperature and reddened incisional site]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decreased urine output with stable intake]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tensed fontanel and increased head circumference]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look into their level of knowledge and skills to serve as baseline data for improving the nursing care of hydrocephalic patients on ventriculo-peritoneal shunt. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="445" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a six-year old child underwent placement of ventriculo-peritoneal shunt, he was put on I.V. medication. The head nurse observed that many of the staff nurses are disconnecting the flush syringe first and then
clamping the intermittent infusion device. The staff nurse seems not to understand the benefits of positive pressure techniques. Which of the following strategies would be the MOST EFFECTIVE way to improve the Staff nurses' technique in giving I.V. medication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Post an evidence-based article on the topic in the unit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Create a poster presentation on the topic with a required post test]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Send a memorandum on the importance of clamping the device first]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask each nurse if they are aware that their practice is not current]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look into their level of knowledge and skills to serve as baseline data for improving the nursing care of hydrocephalic patients on ventriculo-peritoneal shunt. The following questions refer to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="446" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In providing tracheostomy care which of the following is the nurse's PRIORITY nursing action? The nurse _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cuts the dressings using sterile scissors]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[cleans the incision, with iodine-based antiseptic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[secures clean ties before removing soiled ones]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[uses clean technique]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Stroke Unit of the Medical Ward. You have a stroke patient with a tracheostomy. In the Unit's last meeting it was discussed that there has been an increasing complaints on the nurses' incompetence in caring for a patient with tracheostomy. The following questions relate to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="447" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing actions should the nurse TEACH the patient's care giver regarding tracheostomy care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Remove the tracheostomy tube if obstruction occurs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Leave the tracheostomy ties in place until the physician changes them]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Remove and clean the inner cannula daily]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Never put a covering over the tracheostomy stoma]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Stroke Unit of the Medical Ward. You have a stroke patient with a tracheostomy. In the Unit's last meeting it was discussed that there has been an increasing complaints on the nurses' incompetence in caring for a patient with tracheostomy. The following questions relate to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="448" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a tracheostomy procedure, the nurse documents important observations made during the procedures such as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[response of the patient after the procedure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[vital signs of the patient during the procedure]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[amount, color, and consistency of sputum and appearance of the incision]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[behavior of the patient during the procedure]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Stroke Unit of the Medical Ward. You have a stroke patient with a tracheostomy. In the Unit's last meeting it was discussed that there has been an increasing complaints on the nurses' incompetence in caring for a patient with tracheostomy. The following questions relate to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="449" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the purpose of a tracheostomy? To _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[establish an airway]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[establish a pathway for nutrition]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[monitor respiratory functions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[maintain the patency of the airway]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Stroke Unit of the Medical Ward. You have a stroke patient with a tracheostomy. In the Unit's last meeting it was discussed that there has been an increasing complaints on the nurses' incompetence in caring for a patient with tracheostomy. The following questions relate to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="450" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following can be a MAJOR PROBLEM for a patient with tracheostomy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Breathing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ingesting]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Swallowing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Singing]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Stroke Unit of the Medical Ward. You have a stroke patient with a tracheostomy. In the Unit's last meeting it was discussed that there has been an increasing complaints on the nurses' incompetence in caring for a patient with tracheostomy. The following questions relate to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="451" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have observed that Lorena is manifesting "spitting". This characteristic of BPD is best defined as _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[viewing people and objects as parts, either good or bad]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[having two personalities]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[talking about other people behind their back]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[literally spitting in other people's face]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Psychiatric Unit of a private hospital. Lorena, 20-year-old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone. She claimed that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from Borderline Personality Disorder (BPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="452" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When assessing a patient with BPD which of the following information would you focus on?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ability to get people on his/her side]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Disruption in some aspects of his/her life]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Desire for intimate relationship]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increased acceptance from other people]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Psychiatric Unit of a private hospital. Lorena, 20-year-old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone. She claimed that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from Borderline Personality Disorder (BPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="453" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lorena revealed she has a tendency to manipulate others. What would be the MOST APPROPRIATE short-term goal for her? For Lorena to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[have an intimate relationship]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[acknowledge her own behavior]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[stop arguing with other people]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[express her feelings verbally]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Psychiatric Unit of a private hospital. Lorena, 20-year-old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone. She claimed that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from Borderline Personality Disorder (BPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="454" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patients with BPD manifest transient psychotic symptoms. What is the drug of choice to treat these symptoms?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mood stabilizer]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Benzodiazepines]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lithium]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Antipsychotics]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Psychiatric Unit of a private hospital. Lorena, 20-year-old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone. She claimed that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from Borderline Personality Disorder (BPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="455" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lorena has a history of alcohol abuse so she was started on Antabuse. Which of the following is a COMMON side effect of this drug?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hypertension]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bradycardia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Depression]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Elation]]></answer> 
						<situation><![CDATA[You are a staff nurse in the Psychiatric Unit of a private hospital. Lorena, 20-year-old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone. She claimed that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from Borderline Personality Disorder (BPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="456" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Angela says "My dead mother ordered me to kill my two children before the devil could get them". What behavior is being manifested by Angela?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Auditory hallucination]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Visual hallucination]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tactile stimulation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[olfactory hallucination]]></answer> 
						<situation><![CDATA[Angela, a 40-year-old, single mother of two preschool children aged two (2) and five (5) years old respectively was admitted to the Psychiatric Unit for attempting to kill her two children.]]></situation> 
				</query>
				<query>
					<question ctrlno="457" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You asked Angela to touch a 25-centavo coin and one-peso coin. You have observed that Angela was having difficulty differentiating one coin from the other. This is a manifestation of _____. ]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[astereognosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[kinesthetic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[agraphestesia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[cenesthetic]]></answer> 
						<situation><![CDATA[Angela, a 40-year-old, single mother of two preschool children aged two (2) and five (5) years old respectively was admitted to the Psychiatric Unit for attempting to kill her two children.]]></situation> 
				</query>
				<query>
					<question ctrlno="458" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have observed that Angela is manifesting persistent hallucinations. What is the MOST EFFECTIVE therapy in treating patient with a condition like that of Angela's?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cognitive-behavior therapy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Crisis intervention]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Psycho-pharmacologic treatment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anti-psychotic drugs]]></answer> 
						<situation><![CDATA[Angela, a 40-year-old, single mother of two preschool children aged two (2) and five (5) years old respectively was admitted to the Psychiatric Unit for attempting to kill her two children.]]></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 GOAL of nursing intervention for a patient who is hallucinating?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[To help the patient to have an increased awareness that the symptoms she is experiencing is not real]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To help the patient to identify what triggers her hallucination]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To encourage the patient to verbalize her fears, anxiety and anger]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To help the patient to go back to her real world]]></answer> 
						<situation><![CDATA[Angela, a 40-year-old, single mother of two preschool children aged two (2) and five (5) years old respectively was admitted to the Psychiatric Unit for attempting to kill her two children.]]></situation> 
				</query>
				<query>
					<question ctrlno="460" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What communication technique would be Most Effective to achieve the nursing goal for patient with hallucination?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Listening]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Facilitative communication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[One-on-one discussion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Social interaction]]></answer> 
						<situation><![CDATA[Angela, a 40-year-old, single mother of two preschool children aged two (2) and five (5) years old respectively was admitted to the Psychiatric Unit for attempting to kill her two children.]]></situation> 
				</query>
				<query>
					<question ctrlno="461" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the characteristics of charting is brevity. Which of the following examples of charting shows this characteristic?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nurse brought the patient to OR via stretcher at 10:15]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient left for surgery via stretcher at 10:15 am]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To surgery via stretcher at 10: 15]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Patient brought by the nurse to OR via stretcher at 10: 15 accompanied by the "bantay"]]></answer> 
						<situation><![CDATA[Charting is part of the professional nurse's responsibility related to records management. The following questions refer to this statement.]]></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 NOT a requirement for a late entry in charting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nurse's initials above the time]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[May be made if something has been forgotten]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Circle it and write "late entry"]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Reason for the late entry]]></answer> 
						<situation><![CDATA[Charting is part of the professional nurse's responsibility related to records management. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="463" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There is a blank space after your last entry in your charting. You will _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[draw a double line after your last entry]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[sign your full name after your last entry]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[draw a horizontal line through the center of an empty line]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[draw a perpendicular line across the empty space]]></answer> 
						<situation><![CDATA[Charting is part of the professional nurse's responsibility related to records management. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="464" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following should the nurse's notes focus on?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Immediate past and the present]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The present only]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The future]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The recent past]]></answer> 
						<situation><![CDATA[Charting is part of the professional nurse's responsibility related to records management. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="465" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following sample charting would show the characteristic of ACCURACY?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Intake from 70O-1000 ml: 80 ml of coffee; 240 ml of orange juice; 500 ml of water]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient on forced fluid but refused to take it most of the time]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient on forced fluids, observed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Given fluid at frequent intervals but takes only a few sips]]></answer> 
						<situation><![CDATA[Charting is part of the professional nurse's responsibility related to records management. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="466" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient came in with signs of heat stroke. Which of the following are signs/symptoms of profound CNS dysfunction?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Elevated temperature]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hot, dry skin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tachypnea, hypotension, tachycardia]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Confusion, delirium, bizarre behavior]]></answer> 
						<situation><![CDATA[During summer season incidence of heat stroke rises. As a Community health nurse you should disseminate information on this as part of your role as a health educator.]]></situation> 
				</query>
				<query>
					<question ctrlno="467" 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 in the care of patient with a heat stroke?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[to maintain cardiac functions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[to reduce immediately the high temperature]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[to restore normal body temperature]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[to prevent further complications]]></answer> 
						<situation><![CDATA[During summer season incidence of heat stroke rises. As a Community health nurse you should disseminate information on this as part of your role as a health educator.]]></situation> 
				</query>
				<query>
					<question ctrlno="468" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the best advice you would give to an athlete to prevent heat stroke?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[to monitor fluid losses and weight loss during workout activities and to replace fluids]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[to avoid immediate exposure to high temperatures]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[to maintain adequate fluid intake]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[to avoid planning outdoor activities between 10 a.m. and 2 p.m.]]></answer> 
						<situation><![CDATA[During summer season incidence of heat stroke rises. As a Community health nurse you should disseminate information on this as part of your role as a health educator.]]></situation> 
				</query>
				<query>
					<question ctrlno="469" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To prevent heat stroke, the following pieces of advice are given to the community, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Avoid direct exposure to the sun especially late in the morning]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Always drink plenty of water]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use a hat or an umbrella when going out of the house]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Just stay home and relax]]></answer> 
						<situation><![CDATA[During summer season incidence of heat stroke rises. As a Community health nurse you should disseminate information on this as part of your role as a health educator.]]></situation> 
				</query>
				<query>
					<question ctrlno="470" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would be your best advice to the community people during summer time to prevent dehydration?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Use a hat or an umbrella when going out of the house]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Just stay home and relax]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Drink plenty of fluids]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Wear light-colored clothing]]></answer> 
						<situation><![CDATA[During summer season incidence of heat stroke rises. As a Community health nurse you should disseminate information on this as part of your role as a health educator.]]></situation> 
				</query>
				<query>
					<question ctrlno="471" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are the nurse attending to Lizbeth. You have observed that she has a habit of washing her hands repeatedly for long periods of time. This is a manifestation of what kind of behavior?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Negative]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hyperactive]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ritualistic]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nonconformist]]></answer> 
						<situation><![CDATA[Lizbeth, a 30-year-old registered nurse with two children, legally separated from her husband was admitted to the psychiatric unit three weeks ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="472" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lizbeth engages in this behavior to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[protect herself from undesirable people]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[relieve her anxiety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[occupy herself with purposeful activity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[call the attention of others]]></answer> 
						<situation><![CDATA[Lizbeth, a 30-year-old registered nurse with two children, legally separated from her husband was admitted to the psychiatric unit three weeks ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="473" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A new nurse introduces herself to Lizbeth and asks her name. Lizbeth responds "I am an obsessive-compulsive neurotic. I have had psychoanalysis for ten years. What do you think can you do for me?" Your BEST response would be _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Can we talk about that Lizbeth?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I need to know you better Lizbeth" ]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ "You seem to feel hopeless"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Who was your psychoanalyst?"]]></answer> 
						<situation><![CDATA[Lizbeth, a 30-year-old registered nurse with two children, legally separated from her husband was admitted to the psychiatric unit three weeks ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="474" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lizbeth tells you "That new nurse makes me angry. Like you, she does not understand what my real problem is". Your BEST reply would be _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You seem to be upset. I will come back later"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You have the right to be upset when people don't seem to understand "]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["That's a common feeling. I understand. Let's talk about it"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I know what your problem is. You are an obsessive-compulsive personality]]></answer> 
						<situation><![CDATA[Lizbeth, a 30-year-old registered nurse with two children, legally separated from her husband was admitted to the psychiatric unit three weeks ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="475" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Diazepam (Valium) was prescribed for Lizbeth. You gave her instructions on effects of the drug. What statement would indicate that Lizbeth needs further health teaching about the medication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I'm so glad I can still eat chocolates while I'm taking this."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I'm so glad no blood tests are necessary while I'm taking this"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I'm so glad Valium won't affect my driving skills"]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["I'm so glad I will only have to take this until I learn to be less anxious"]]></answer> 
						<situation><![CDATA[Lizbeth, a 30-year-old registered nurse with two children, legally separated from her husband was admitted to the psychiatric unit three weeks ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="476" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You were invited by a women's organization to be the resource speaker on "Violence against women and children". Women and their children are protected against violence under Republic Act No. _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[9173]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[9211]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[9262]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[9160]]></answer> 
						<situation><![CDATA[As a professional nurse, one of your roles is an advocate for to patient's rights. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="477" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the violent acts is sexual violence. Which of the following does NOT constitute sexual violence?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Acts of lasciviousness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rape]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Treating a child as a sex object]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Economic abuse]]></answer> 
						<situation><![CDATA[As a professional nurse, one of your roles is an advocate for to patient's rights. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="478" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should be the nurse's MAIN concern when a case of abuse, maltreatment, or neglect is suspected in a patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reporting the incidence to proper authorities]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Safety and welfare of the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Referring the patient to a mental health worker]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Just keep quiet about the matter]]></answer> 
						<situation><![CDATA[As a professional nurse, one of your roles is an advocate for to patient's rights. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="479" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the MOST common clinical manifestation of child neglect?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Missed appointment with healthcare provider]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fractures]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Unexplained bruises]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Malnutrition and dehydration]]></answer> 
						<situation><![CDATA[As a professional nurse, one of your roles is an advocate for to patient's rights. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="480" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should be the FOCUS of care for patients who are suspected to be abused, maltreated, or neglected?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Immediate treatment of any injury]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Consequences of the acts]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prevention of further injury]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Referral to legal authorities]]></answer> 
						<situation><![CDATA[As a professional nurse, one of your roles is an advocate for to patient's rights. The following questions refer to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="481" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Otosclerosis is a common cause of what condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Premature labor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Meningitis Auditory nerve]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sensori-neural hearing loss]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Conductive hearing loss]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Ear Unit of the Medical Ward of a government hospital. Clarita, a 25-year-old stage actress admitted with the chief complaint of on and off tinnitus right ear. The audiogram confirms conductive hearing loss or mixed loss especially in the low frequencies. Clarita was diagnosed with Otosclerosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="482" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The audiogram also confirms a sensori-neural hearing loss. What ear structure is damaged when this condition is present?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Outer and/or middle ear]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tympanic membrane]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Cochlear nerve]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Stapes]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Ear Unit of the Medical Ward of a government hospital. Clarita, a 25-year-old stage actress admitted with the chief complaint of on and off tinnitus right ear. The audiogram confirms conductive hearing loss or mixed loss especially in the low frequencies. Clarita was diagnosed with Otosclerosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="483" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Clarita was given Sodium Fluoride. What is the rationale for giving this to her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To mature the spongy bone growth]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To remove the diseased stapes]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[To prevent further complications]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To restore hearing]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Ear Unit of the Medical Ward of a government hospital. Clarita, a 25-year-old stage actress admitted with the chief complaint of on and off tinnitus right ear. The audiogram confirms conductive hearing loss or mixed loss especially in the low frequencies. Clarita was diagnosed with Otosclerosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="484" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A surgical procedure was recommended for Clarita. Which of the following surgical procedures is useful in correcting her condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Myringotomy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ossicular reconstruction]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cochlear transplant]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Stapedectomy]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Ear Unit of the Medical Ward of a government hospital. Clarita, a 25-year-old stage actress admitted with the chief complaint of on and off tinnitus right ear. The audiogram confirms conductive hearing loss or mixed loss especially in the low frequencies. Clarita was diagnosed with Otosclerosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="485" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After her surgery, Clarita was placed on her left side with the head of the bed elevated. What is the rationale for placing her in this position?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[To minimize the pressure in the middle ear]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To prevent complication of bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To ensure patient safety]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To prevent vomiting]]></answer> 
						<situation><![CDATA[You are a staff nurse at the Ear Unit of the Medical Ward of a government hospital. Clarita, a 25-year-old stage actress admitted with the chief complaint of on and off tinnitus right ear. The audiogram confirms conductive hearing loss or mixed loss especially in the low frequencies. Clarita was diagnosed with Otosclerosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="486" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Co stresses the importance of promoting 'esprit d corps' among the nursing staff. Which of the following statements indicates that they understand the meaning of the term?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[In order that we achieve the goals of the institution, we  must follow the directives coming from above.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["We will ensure that all resources we need are available when needed."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Let's work together in harmony; we need to be supportive of one another."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["We need to show, our competence to the higher management level"]]></answer> 
						<situation><![CDATA[Ms. Ligaya Co is a chief nurse in a secondary level hospital with 100 nursing staff consisting of registered staff nurses, nursing assistants and aides.]]></situation> 
				</query>
				<query>
					<question ctrlno="487" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She asserts the importance of promoting a positive organizational culture among the nursing staff. Which of the following behaviors indicate that this has been attained?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Obedient and uncomplaining]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Powerful and oppositional]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Competitive and perfectionist]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Caring and nurturing with one another]]></answer> 
						<situation><![CDATA[Ms. Ligaya Co is a chief nurse in a secondary level hospital with 100 nursing staff consisting of registered staff nurses, nursing assistants and aides.]]></situation> 
				</query>
				<query>
					<question ctrlno="488" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Co is a visionary, a strategist, and desires to be a committed leader. Which of the following types of leadership do these behaviors reflect?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Servant]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Transactional]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Connective]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Transformational]]></answer> 
						<situation><![CDATA[Ms. Ligaya Co is a chief nurse in a secondary level hospital with 100 nursing staff consisting of registered staff nurses, nursing assistants and aides.]]></situation> 
				</query>
				<query>
					<question ctrlno="489" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She knows that as a leader, she has to strategize in order to create followership in response to authority. This capacity to act or the strength to accomplish a goal is referred to as ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[power]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[accountability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[responsibility]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[authority]]></answer> 
						<situation><![CDATA[Ms. Ligaya Co is a chief nurse in a secondary level hospital with 100 nursing staff consisting of registered staff nurses, nursing assistants and aides.]]></situation> 
				</query>
				<query>
					<question ctrlno="490" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Co gathered the nursing staff and other health care workers in the hospital who supported the idea of having a meeting to discuss problems that affect the delivery of care and to agree to speak with one voice. This power mechanism is called _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[coalition]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[upward appeal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[rationality]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[assertiveness]]></answer> 
						<situation><![CDATA[Ms. Ligaya Co is a chief nurse in a secondary level hospital with 100 nursing staff consisting of registered staff nurses, nursing assistants and aides.]]></situation> 
				</query>
				<query>
					<question ctrlno="491" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the effects of drinking coffee two to three cups a day on the central nervous system?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Feeling motivated and energized, less fatigued]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feeling motivated and energized, headache]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Feeling energized and drowsy, headache]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Headache, less fatigued]]></answer> 
						<situation><![CDATA[Ana, a 28-year-old supervisor in a business processing office, consulted at the Out-patient department of the hospital with the chief complaints of headache, drowsiness, nausea, and vomiting. She revealed that one week before consult she stopped drinking coffee which she used to take three to five cups a day. She was diagnosed with Caffeine Discontinuation Syndrome (CPS).]]></situation> 
				</query>
				<query>
					<question ctrlno="492" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following reinforces a person to continue drinking coffee?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Feeling of unpleasant symptoms when drinking is abruptly stopped.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Drinking coffee at Starbucks is the "in-thing"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Feeling of well-being]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The price of coffee is getting lower]]></answer> 
						<situation><![CDATA[Ana, a 28-year-old supervisor in a business processing office, consulted at the Out-patient department of the hospital with the chief complaints of headache, drowsiness, nausea, and vomiting. She revealed that one week before consult she stopped drinking coffee which she used to take three to five cups a day. She was diagnosed with Caffeine Discontinuation Syndrome (CPS).]]></situation> 
				</query>
				<query>
					<question ctrlno="493" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ana was given Luminal 60 mg./day p.o. This drug is a/an _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[intermediate-acting sedative]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[short-acting sedatives]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[hypnotic drug]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[long-lasting sedative]]></answer> 
						<situation><![CDATA[Ana, a 28-year-old supervisor in a business processing office, consulted at the Out-patient department of the hospital with the chief complaints of headache, drowsiness, nausea, and vomiting. She revealed that one week before consult she stopped drinking coffee which she used to take three to five cups a day. She was diagnosed with Caffeine Discontinuation Syndrome (CPS).]]></situation> 
				</query>
				<query>
					<question ctrlno="494" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While doing your assessment Ana complained of nausea. Which of the following would be your PRIORITY nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refer Ana to the attending physician immediately]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Let et Ana put her head in-between her legs]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Administer an anti-emetic drug]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Offering Ana some ice chips]]></answer> 
						<situation><![CDATA[Ana, a 28-year-old supervisor in a business processing office, consulted at the Out-patient department of the hospital with the chief complaints of headache, drowsiness, nausea, and vomiting. She revealed that one week before consult she stopped drinking coffee which she used to take three to five cups a day. She was diagnosed with Caffeine Discontinuation Syndrome (CPS).]]></situation> 
				</query>
				<query>
					<question ctrlno="495" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have observed Ana to be pacing in the room, restless, and stutter when you speak to her. You would assess Ana as manifesting which of the following global anxiety responses?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cognitive]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Behavioral]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Motor]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Biological]]></answer> 
						<situation><![CDATA[Ana, a 28-year-old supervisor in a business processing office, consulted at the Out-patient department of the hospital with the chief complaints of headache, drowsiness, nausea, and vomiting. She revealed that one week before consult she stopped drinking coffee which she used to take three to five cups a day. She was diagnosed with Caffeine Discontinuation Syndrome (CPS).]]></situation> 
				</query>
				<query>
					<question ctrlno="496" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Verbal communication is the use of words when talking to your patient. The use of literal words when you speak is the]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[understandable phrases]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Content]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[the circumstances]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[understandable sentences]]></answer> 
						<situation><![CDATA[You are a staff nurse in a psychiatric unit. Use of therapeutic communication is one of your nursing responsibilities.]]></situation> 
				</query>
				<query>
					<question ctrlno="497" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Context of a verbal communication is the:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[use of understandable sentences]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[use of literal words]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[use of clear sentences]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[environment where communication occurs]]></answer> 
						<situation><![CDATA[You are a staff nurse in a psychiatric unit. Use of therapeutic communication is one of your nursing responsibilities.]]></situation> 
				</query>
				<query>
					<question ctrlno="498" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nonverbal communication is the behavior that accompanies verbal communication. Which of the following is NOT an indicator of this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eye Contact]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Words representing an object]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Grunts and groan]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Body Language]]></answer> 
						<situation><![CDATA[You are a staff nurse in a psychiatric unit. Use of therapeutic communication is one of your nursing responsibilities.]]></situation> 
				</query>
				<query>
					<question ctrlno="499" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following give meaning and context to the message?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Process]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Phrases and sentences]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Context]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Thoughts and feelings]]></answer> 
						<situation><![CDATA[You are a staff nurse in a psychiatric unit. Use of therapeutic communication is one of your nursing responsibilities.]]></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 situations is an example of incongruent message?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[When the nurse means what she says]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[When the words and behavior of the nurse agree]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[When what the nurse says and does do not agree]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[When content and process agree]]></answer> 
						<situation><![CDATA[You are a staff nurse in a psychiatric unit. Use of therapeutic communication is one of your nursing responsibilities.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
</catalog>