<?xml version="1.0"?>
<catalog testname="NURSING LICENSURE EXAM">
	<group type="questions" testno="1" testsection="NLE Assessment 1" testpart="NURSING PRACTICE I -  COMMNUNITY HEALTH NURSING"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE I -  COMMNUNITY HEALTH NURSING</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="1" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When performing a family assessment, select what the nurse must FIRST determine.
]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[How the family expresses and manages emotions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The communication patterns between the patient and parents]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Names and relationships among family members]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The meaning that the patient's suicide attempt has for family members
]]></answer> 
						<situation><![CDATA[Situation: Boy George is a 15-year-old adolescent who lives with his mother, father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.]]></situation> 
				</query>
				<query>
					<question ctrlno="2" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the BEST QUESTION for the nurse to ask to assess a family's ability to cope?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Do you think your family copes effectively?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["What do you think of the current family problem?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["What strengths does your family have?"]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Can you describe how you successfully handled one family problem?"]]></answer> 
						<situation><![CDATA[Situation: Boy George is a 15-year-old adolescent who lives with his mother, father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.]]></situation> 
				</query>
				<query>
					<question ctrlno="3" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother of Boy George asks the nurse, "Why do you want to do a family assessment? My teenager is the patient, not the rest of us." What is the BEST response of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Family dysfunction might have caused the mental illness."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Every family member's perception of events is different and adds to the total picture.&quot;]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Family members provide more accurate information than the patient."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Family assessment is a protocol for care of all patients with mental illness."]]></answer> 
						<situation><![CDATA[Situation: Boy George is a 15-year-old adolescent who lives with his mother, father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.]]></situation> 
				</query>
				<query>
					<question ctrlno="4" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which information is the nurse MOST likely to find when assessing the family of a patient with mental illness?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Power in the family is maintained in the parental dyad and rarely delegated.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Several family members have serious problems with their psychological health.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stress that living with a mentally ill member has challenged the family's function.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The family exhibits many characteristics of dysfunctional families.]]></answer> 
						<situation><![CDATA[Situation: Boy George is a 15-year-old adolescent who lives with his mother, father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.]]></situation> 
				</query>
				<query>
					<question ctrlno="5" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Parents of Boy George say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Which of the following is the nurse's MOST helpful intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Facilitate achievement of normal developmental tasks of the family.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Build the parents self-concept as coping pattern.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Teach the parents techniques of therapeutic communication.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Refer the parents to a support group.]]></answer> 
						<situation><![CDATA[Situation: Boy George is a 15-year-old adolescent who lives with his mother, father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.]]></situation> 
				</query>
				<query>
					<question ctrlno="6" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT recognized as part of the nurse's role as member of the health team?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Care manager and supervisor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provider of care and educator]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient advocate and supporter]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Performing physician's functions with supervision]]></answer> 
						<situation><![CDATA[Situation: Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities.]]></situation> 
				</query>
				<query>
					<question ctrlno="7" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The health team has brainstormed for ideas on creating a more collaborative environment in a health care facility. Which idea or action would be the BEST to develop further?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Develop a plan for the different team members to follow and show impact of their work.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Emphasize that no one profession has all the necessary competence to provide all care.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Hold education sessions regarding collaboration for each unit.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Institute collaborative strategies that are traditionally practiced.]]></answer> 
						<situation><![CDATA[Situation: Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities.]]></situation> 
				</query>
				<query>
					<question ctrlno="8" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which patient scenario describes the BEST example of professional collaboration?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The nurse, physician, and physical therapist have all visited separately with the patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[The nurse and physician discuss the patient's muscle weakness and initiate a referral, for physical therapy.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The nurse, physical therapist, and physician have all developed separate care plans for the patient]]></answer> 
						<situation><![CDATA[Situation: Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities.]]></situation> 
				</query>
				<query>
					<question ctrlno="9" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which activities are appropriate for the nurse to collaborate with a patient? <br><br>
					<span style="font-weight:normal">
					1. Prescribing a new medication dose<br>
					2. Health promotion activities<br>
					3. End-of-life comfort decisions<br>
					4. Interpreting laboratory results<br>
					5. Lifestyle changes to improve health<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2, 3, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 4, 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[Situation: Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities.]]></situation> 
				</query>
				<query>
					<question ctrlno="10" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by a patient with Tuberculosis. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the BEST response by the nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["I would like to listen to your concerns about the prescribed care."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["It is important that you do what the physician has prescribed."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I can come back after you talk with your spouse about the care."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Let me review what is needed again, then I'll talk to you later."]]></answer> 
						<situation><![CDATA[Situation: Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities.]]></situation> 
				</query>
				<query>
					<question ctrlno="11" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following BEST defines a disaster?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Any event that results in multiple deaths.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Devastation that covers a broad geographical area.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Devastation that cannot be relieved without assistance.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The event results in multiple injuries, deaths and property damage.]]></answer> 
						<situation><![CDATA[Situation: Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.]]></situation> 
				</query>
				<query>
					<question ctrlno="12" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Roger is guided by the ICN framework of disaster nursing competencies. This framework consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster. What consists of the FIRST stage?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Response]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Preparedness]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Prevention]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Recovery]]></answer> 
						<situation><![CDATA[Situation: Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.]]></situation> 
				</query>
				<query>
					<question ctrlno="13" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Roger has invited several agencies in the community to a meeting to discuss the disaster plan for the community, which of the following BEST describes the purpose of this meeting? To ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[enhance communication among agencies in the community]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[increase stability in the community]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[manage response to disasters in the community]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[improve overall community functioning]]></answer> 
						<situation><![CDATA[Situation: Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.]]></situation> 
				</query>
				<query>
					<question ctrlno="14" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Roger adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk ensuing a disaster, which of the following is the MOST appropriate approach?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["I am with you. It is good you are trying to release your distress by crying. It will make you feel better."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["What you need to do now is to wait for instructions and services to be provided."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Don't feel bad. Others are in the same situation as yours."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["You need not cry. You need to move on and build your life again."]]></answer> 
						<situation><![CDATA[Situation: Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.]]></situation> 
				</query>
				<query>
					<question ctrlno="15" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As he passed by a road going to an evacuation center, Nurse Roger encountered a flash flood. A flash flood _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[occurs suddenly and for a short duration]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[is caused by the blocking of drains]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[is caused by heavy rains]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[occurs in urban areas]]></answer> 
						<situation><![CDATA[Situation: Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.]]></situation> 
				</query>
				<query>
					<question ctrlno="16" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You want to distinguish between records and reports. As applied to public health, the following are the type of RECORDS, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[events such as births, illness, deaths]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[analysis of a problem situation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[clinic consultation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[written data on home visit]]></answer> 
						<situation><![CDATA[Situation: In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports.]]></situation> 
				</query>
				<query>
					<question ctrlno="17" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[REPORTS are prepared usually for administrative purposes. Which of the examples below is NOT a report?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Summary of services delivered]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Accomplishments and failures of services]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Description of a program and planned services]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Client information and profile]]></answer> 
						<situation><![CDATA[Situation: In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports.]]></situation> 
				</query>
				<query>
					<question ctrlno="18" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are commonly user records and reports in public health nursing practice. The individual clinical record contains which of the following information? <br><br>
					<span style="font-weight:normal">
					1. Socio-demographic characteristics<br>
					2. Patient's chief complaint<br>
					3. Physical examination findings<br>
					4. Prescription of drugs<br>
					5. Frequency of clinic check up<br>
					6. Attendance to community settings<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 3, 5, 6]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 4, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3, 4, 5, 6]]></answer> 
						<situation><![CDATA[Situation: In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports.]]></situation> 
				</query>
				<query>
					<question ctrlno="19" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. The FSPR consists of four parts, the FIRST being _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health and nursing Problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nursing Care Plan]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assessment of the Family and the Environment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Service and Progress Notes]]></answer> 
						<situation><![CDATA[Situation: In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports.]]></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 relates to the family's NURSING PROBLEM?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inability to assume health tasks with respect to health problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Crisis situation or developmental deficit]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Health threats, risks or hazards]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Strained relationships or disunity]]></answer> 
						<situation><![CDATA[Situation: In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports.]]></situation> 
				</query>
				<query>
					<question ctrlno="21" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The need for supervision may arise from the following: <br><br>
					<span style="font-weight:normal">
					1. Lack of staff motivation<br>
					2. Conflict between personal and organizational goals<br>
					3. Lack of knowledge and skills<br>
					4. Desire for promotion or job permanency<br>
					5. Achieve health goals for the agency<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 4, 5]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3, 4, 5]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<situation><![CDATA[Situation: Miss Lontok, a Public Health Nurse Supervisor, is preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document oh how to organize and systematizes supervisory activities.]]></situation> 
				</query>
				<query>
					<question ctrlno="22" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Lontok would require information regarding the supervisory needs of the midwives which can be taken from which of the following? <br><br>
					<span style="font-weight:normal">	
					1. Review of records and reports<br>
					2. Interview of the midwives<br>
					3. Review of literature<br>
					4. Observation of the midwives at work<br>
					5. Results of survey among the staff<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<situation><![CDATA[Situation: Miss Lontok, a Public Health Nurse Supervisor, is preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document oh how to organize and systematizes supervisory activities.]]></situation> 
				</query>
				<query>
					<question ctrlno="23" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms, Lontok prioritizes supervisory needs and problems based on the following criteria, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[convenience to both parties to address needs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[degree of importance of the identified need]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[availability of resources needed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[activities needed to meet the identified need]]></answer> 
						<situation><![CDATA[Situation: Miss Lontok, a Public Health Nurse Supervisor, is preparing a supervisor plan for midwives under her charge. A supervisory plan is a written document oh how to organize and systematizes supervisory activities.]]></situation> 
				</query>
				<query>
					<question ctrlno="24" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the actual supervisory visit, which of the following is NOT expected of Ms. Lontok? She _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[discusses the objectives of the visit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[expresses appreciation and support given for the visit]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[conveys a formal, strict approach to the midwives]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[explains the process and outcomes of the visit]]></answer> 
						<situation><![CDATA[Situation: Miss Lontok, a Public Health Nurse Supervisor, is preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document oh how to organize and systematizes supervisory activities.]]></situation> 
				</query>
				<query>
					<question ctrlno="25" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After setting the objectives and selecting the activities, Ms. Lontok would need to identify the indicators for evaluation. Which one is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Needs met]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Performance increased]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Promotion achieved]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Quality of service improved]]></answer> 
						<situation><![CDATA[Situation: Miss Lontok, a Public Health Nurse Supervisor, is preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document oh how to organize and systematizessupervisory activities.]]></situation> 
				</query>
				<query>
					<question ctrlno="26" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Isay collects data and monitors the health status of the population. Which of the following core public health functions is being implemented?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Assurance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Policy Development]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prevention]]></answer> 
						<situation><![CDATA[Situation: As a public health nurse, Ms. Isay intends to focus on a specific population to advocate, educate, collaborate with members from a  community to improve heath of the people.]]></situation> 
				</query>
				<query>
					<question ctrlno="27" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Isay included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health status data]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Health care resource information]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Health risk factors]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Sociodemographic data]]></answer> 
						<situation><![CDATA[Situation: As a public health nurse, Ms. Isay intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve heath of the people.]]></situation> 
				</query>
				<query>
					<question ctrlno="28" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Working in the community with an aggregate/population, who does Ms. Isay MOST likely to interact with?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Students in a local high school]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patients at the local hospital]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Residents who play basketball]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Christians in the community]]></answer> 
						<situation><![CDATA[Situation: As a public health nurse, Ms. Isay intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve heath of the people.]]></situation> 
				</query>
				<query>
					<question ctrlno="29" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Isay has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Improving the effectiveness of care provided]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sponsoring a fund-raising project]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[volunteering for a community action]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Providing health interventions for individuals]]></answer> 
						<situation><![CDATA[Situation: As a public health nurse, Ms. Isay intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve heath of the people.]]></situation> 
				</query>
				<query>
					<question ctrlno="30" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Isay is working to improve population-focused care in the community. Which of the following BEST describes a key opportunity for nurses like her to accomplish this goal?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assuming traditional nursing roles]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Conducting community assessments]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Specializing in community health practice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Influencing public health policy]]></answer> 
						<situation><![CDATA[Situation: As a public health nurse, Ms. Isay intends to focus on a specific population to advocate, educate, collaborate with members from a  community to improve heath of the people.]]></situation> 
				</query>
				<query>
					<question ctrlno="31" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the Appropriate approach for the community/public health, nurse in balancing individual privacy and autonomy and the community's needs for safety and security?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fulfill agency policies first.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Implement professional standards of nursing practice.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Remember that group needs outrank individual needs.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Seek a balance between individuals' needs and the community's needs.]]></answer> 
						<situation><![CDATA[Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also include questions about end-of-life care. Nurses are often the ones working closest with patients and families while administering care.]]></situation> 
				</query>
				<query>
					<question ctrlno="32" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In regard to informed consent, which of the following statements is TRUE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Client may not be told about costs and alternatives to treatment.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Consent must be voluntary.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Only parents themselves should give consent for minor children.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Legally incompetent adults can give consent.]]></answer> 
						<situation><![CDATA[Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also include questions about end-of-life care. Nurses are often the ones working closest with patients and families while administering care.]]></situation> 
				</query>
				<query>
					<question ctrlno="33" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Client has a "living will" in which he states he does not want to be kept alive by artificial means even at, home. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tell the family that they have no legal rights.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Report the situation to the hospital's Ethics Committee.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Advise the family that they have the right to ignore the living will as the patient cannot speak.]]></answer> 
						<situation><![CDATA[Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also include questions about end-of-life care. Nurses are often the ones working closest with patients and families while administering care.]]></situation> 
				</query>
				<query>
					<question ctrlno="34" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During a routine visit, the nurse noted that Perlita, 20-year-old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[malpractice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reasonable prudence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[maleficence]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[negligence]]></answer> 
						<situation><![CDATA[Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also include questions about end-of-life care. Nurses are often the ones working closest with patients and families while administering care.]]></situation> 
				</query>
				<query>
					<question ctrlno="35" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following examples would indicate observance of client confidentiality?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reading a friend's chart in another health care facility.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Describing a difficulty with a client in a health team conference.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Using a client's name in a social conversation.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Talking about the client's symptoms in front of family members.]]></answer> 
						<situation><![CDATA[Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also include questions about end-of-life care. Nurses are often the ones working closest with patients and families while administering care.]]></situation> 
				</query>
				<query>
					<question ctrlno="36" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impact of the patient's family history on likelihood of developing diabetes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Symptoms indicating that the patient should contact the health care provider]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Effect of endogenous insulin on transportation of glucose into cells]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Function of the liver in formation of glycogen and gluceneogenesis]]></answer> 
						<situation><![CDATA[Situation: Non-Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.]]></situation> 
				</query>
				<query>
					<question ctrlno="37" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To obtain the MOST complete information when doing an assessment for a 75-year-old patient, you will _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ask the patient to write down medical problems and medications]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[use a geriatric assessment instrument to evaluate the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[interview both the patient and the primary patient caregiver]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[review the patient's chart for the history of medical problems]]></answer> 
						<situation><![CDATA[Situation: Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.]]></situation> 
				</query>
				<query>
					<question ctrlno="38" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which information about a 77-year-old patient who is being assessed by the public health nurse is of UTMOST concern? The patient _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[says, "I don't go on my daily walks since I had pneumonia two months ago."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[tells the nurse, "I prefer to manage my life without much help from others."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[uses three different medications for chronic heart and joint problems.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[organizes medications in a marked pillbox "so I don't forget them."]]></answer> 
						<situation><![CDATA[Situation: Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.]]></situation> 
				</query>
				<query>
					<question ctrlno="39" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When caring for an older adult who lives in a rural area, you will _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ensure transportation to appointments with the health care provider]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[assess the patient for chronic diseases that are unique to rural areas]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[obtain adequate medications for the patient to last for 4 to 6 months]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[suggest that the patient move to an urban area for better health care]]></answer> 
						<situation><![CDATA[Situation: Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.]]></situation> 
				</query>
				<query>
					<question ctrlno="40" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[71-year-old with appendicitis who has had an emergency appendectomy]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[60-year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159 kg)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[54-year-old with cholecystitis who has had a laparoscopic cholecystectomy.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[62-year-old with acute sinusitis who will require antibiotic therapy for 5 days]]></answer> 
						<situation><![CDATA[Situation: Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.]]></situation> 
				</query>
				<query>
					<question ctrlno="41" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The key global agency that initiated the Alma Ata conference on Primary Health Care is the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[World Bank]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[World Health Organization (WHO)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[CARE International]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[United Nations Children's Fund (UNICEF)]]></answer> 
						<situation><![CDATA[Situation: After passing the Nurses Licensure Examination, Nurse Magbanua takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).]]></situation> 
				</query>
				<query>
					<question ctrlno="42" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which Asian country is considered among the FIRST to adopt the principles of PHC?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Malaysia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Indonesia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Thailand]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Philippines]]></answer> 
						<situation><![CDATA[Situation: After passing the Nurses Licensure Examination, Nurse Magbanua takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).]]></situation> 
				</query>
				<query>
					<question ctrlno="43" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Magbanua is aware that she has to use "tools and methods that are suitable and acceptable to  the families and communities" that she serves. This PHC principle is referred to as ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cultural application]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[appropriate technology]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[essential methodology]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[community participation]]></answer> 
						<situation><![CDATA[Situation: After passing the Nurses Licensure Examination, Nurse Magbanua takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).]]></situation> 
				</query>
				<query>
					<question ctrlno="44" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Magbanua recognizes that health services offered are to be in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[availability]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[acceptability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[affordability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[accessibility]]></answer> 
						<situation><![CDATA[Situation: After passing the Nurses Licensure Examination, Nurse Magbanua takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).]]></situation> 
				</query>
				<query>
					<question ctrlno="45" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Collaboration and cooperation is crucial to the achievement of PHC goals. The referral system among the RHU, non-government organization, and local social welfare and development office is classified as what type of relationship?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intra-sectoral collaboration]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Coalition building]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Inter-sectoral collaboration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Network linkage]]></answer> 
						<situation><![CDATA[Situation: After passing the Nurses Licensure Examination, Nurse Magbanua takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).]]></situation> 
				</query>
				<query>
					<question ctrlno="46" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Assessment is the first step in the nursing process. In the community setting, which of the following objectives of assessment by the public health nurse is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Identify specific risk factors related to health and health problems.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Define the nature of the health status and health-related problems.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Identify clients who should be given priority for care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Determine who should be referred to different health care facilities.]]></answer> 
						<situation><![CDATA[Situation: Assessment at the community-level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and/or gathers primary data for community diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="47" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Conducting a community assessment leads to a community diagnosis, its product consists of a profile of the community's state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[observation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[community census]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[interview]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[records review]]></answer> 
						<situation><![CDATA[Situation: Assessment at the community-level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and/or gathers primary data for community diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="48" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The data on health and disease can be gathered from different sources. Which of the following sources provide a MOST accurate set of data?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Population health profile from school and factory clinics.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Births and deaths from city/municipality registrar.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Morbidity data from field personnel.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mortality cases from medical death certificates.]]></answer> 
						<situation><![CDATA[Situation: Assessment at the community-level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and/or gathers primary data for community diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="49" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Data analysis involves quantification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health resources problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Health status problems]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Health-related problems]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Comprehensive problems]]></answer> 
						<situation><![CDATA[Situation: Assessment at the community-level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and/or gathers primary data for community diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="50" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Modifiability of the problem]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Preventive potential]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Magnitude of the problem]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nature of the problem]]></answer> 
						<situation><![CDATA[Situation: Assessment at the community-level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and/or gathers primary data for community diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="51" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increasing salary scale for nurses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Improved public image of nurses in social media]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increasing number of nurses with doctoral degree]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Demonstration of competency and high-quality care]]></answer> 
						<situation><![CDATA[Situation: Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="52" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST important element in nursing's attempt to gain full autonomy of practice?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Maintaining the education system for nurses as it is now]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Economic well-being and welfare of nurses]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Restricting the latitude of decisions made by nurses]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Gaining and maintaining control of nursing practice by nurses]]></answer> 
						<situation><![CDATA[Situation: Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="53" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the BEST method for nurses to prepare for future professional practice?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Train other health care workers to whom delegation of tasks can be given]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Understand and explore the issues involved in professional practice]]></answer>
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Establish a coalition with professional health organizations]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Take additional courses in the use of computers and telemetry]]></answer> 
						<situation><![CDATA[Situation: Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="54" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What allows a nurse to exert legitimate power over a client when providing nursing care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The ability to perform procedures to alleviate patient's discomfort]]></answer>
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The ability to provide the client and family incentives and for self-care]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[The power given to the nurse by reason of licensure examination and registration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The establishment of a professional and personal relationship with the client]]></answer> 
						<situation><![CDATA[Situation: Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="55" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Career counseling]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Continuing education]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pre-employment education]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[In-service education]]></answer> 
						<situation><![CDATA[Situation: Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="56" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The acronym PDCA stands for]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Plan-Do-Check-Act]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Program-Design-Check-Act]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Plan-Draft-Certify-Act]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prepare-Do-Check-Achieve]]></answer> 
						<situation><![CDATA[Situation: The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined, improvement process, such as the PDCA which is focused on activities that are responsive to community needs and improving population health." Public Health Nurse Casuela learned this management process during her undergraduate studies in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="57" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Casuela will use the PDCA when: <br><br>
						<span style="font-weight:normal">
						1. working toward continuous improvement<br>
						2. implementing any change<br>
						3. developing a new design of a process or service<br>
						4. completing a designed project<br>
						5. planning data collection and analysis to prioritize problems<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 3, 4, 5]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, 5]]></answer> 
						<situation><![CDATA[Situation: The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined, improvement process, such as the PDCA which is focused on activities that are responsive to community needs and improving population health." Public Health Nurse Casuela learned this management process during her undergraduate studies in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="58" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Using the PDCA cycle as a model for defining most of the work processes, the following are some areas of its applications, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[needs analysis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[overall strategic planning]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[staff goal setting arid evaluation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[delegation of work to lower levels]]></answer> 
						<situation><![CDATA[Situation: The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined, improvement process, such as the PDCA which is focused on activities that are responsive to community needs and improving population health." Public Health Nurse Casuela learned this management process during her undergraduate studies in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="59" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Casuela knows that the purpose of continuous quality improvement (CQI) is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[provide opportunity for staff members to participate in self-governance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[restructure health care delivery to improve cost savings]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[deliver appropriate nursing care at tertiary level of service]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[monitor processes involved in the provision of safe, effective client care]]></answer> 
						<situation><![CDATA[Situation: The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined, improvement process, such as the PDCA which is focused on activities that are responsive to community needs and improving population health." Public Health Nurse Casuela learned this management process during her undergraduate studies in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="60" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Casuela is implementing quality performance standards in a public health department. Which of the following BEST describes the importance of this action? Quality performance standards _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[can be used as hiring guidelines for nurses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[are used to guide improvement in the public health system]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[guide administrators to monitor public health at the national level]]></answer>
						<answer choiceid="c4" value="0" rationale=""><![CDATA[rigidly control public health]]></answer> 
						<situation><![CDATA[Situation: The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined, improvement process, such as the PDCA which is focused on activities that are responsive to community needs and improving population health." Public Health Nurse Casuela learned this management process during her undergraduate studies in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="61" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Occupational health services can make a significant contribution to government initiative. These include the following, in reducing: <br><br>
					<span style="font-weight:normal">	
					1. Health insurance<br>
					2. Health inequalities<br>
					3. Social exclusion<br>
					4. Sickness absence<br>
					5. Overall burden of ill health<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2, 3, 4, and 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, and 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 4, and 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 3, and 4]]></answer> 
						<situation><![CDATA[Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy.]]></situation> 
				</query>
				<query>
					<question ctrlno="62" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is a key figure involved in delivering quality occupational health services. She/he works independently or as part of a larger interprofessional health team. She performs, along with others a job safety analysis. In doing such, the following methods may be employed, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Review of records, interviews, surveys]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Walk-through, process and output reviews]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Observation, focused group discussion]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Personal choices or preference of the administration]]></answer> 
						<situation><![CDATA[Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy.]]></situation> 
				</query>
				<query>
					<question ctrlno="63" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head of the health team creates a workplace safety report for a new clinic. He makes a strict recommendation to ensure that sharps are properly disposed in a puncture-proof container to decrease the risk of needle-prick injuries. This upholds safety under which of the following categories?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Physical]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Chemical]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Biological infections]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Psychosocial]]></answer> 
						<situation><![CDATA[Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy.]]></situation> 
				</query>
				<query>
					<question ctrlno="64" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The occupational nurse has advocated the use of ramps and assistive equipment for physically challenged workers. This is a good example of which of the following levels of prevention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health promotion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Secondary]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Tertiary]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Primary]]></answer> 
						<situation><![CDATA[Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy.]]></situation> 
				</query>
				<query>
					<question ctrlno="65" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Every employee has a right to privacy and should be protected from unauthorized and inappropriate disclosure of personal information. Which situation does NOT provide exception to employee's right to privacy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Authorization by the employee to release information]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Life-threating emergencies]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Compliance with government laws and regulations.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Request from community leaders.]]></answer> 
						<situation><![CDATA[Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy.]]></situation> 
				</query>
				<query>
					<question ctrlno="66" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Public health surveillance includes the following activities, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[data analysis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[data collection]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[disease control]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[data interpretation]]></answer> 
						<situation><![CDATA[Situation: Public Health Nurse Manaoag is a member of the health team that is tasked by the Rural Health Unit to identify, define and measure major health problems of interest.]]></situation> 
				</query>
				<query>
					<question ctrlno="67" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Public health surveillance can be BEST described PRIMARILY as which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A system for collecting health-related information]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A method to monitor occurrences of public health problems]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A program to control disease outbreaks]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A system for monitoring persons who have been exposed to a communicable disease]]></answer> 
						<situation><![CDATA[Situation: Public Health Nurse Manaoag is a member of the health team that is tasked by the Rural Health Unit to identify, define and measure major health problems of interest.]]></situation> 
				</query>
				<query>
					<question ctrlno="68" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a criterion for prioritizing health problems for surveillance?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Incidence of the problem]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Number of previous studies of the problem]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Social and economic impact of the problem]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Public concern about the problem]]></answer> 
						<situation><![CDATA[Situation: Public Health Nurse Manaoag is a member of the health team that is tasked by the Rural Health Unit to identify, define and measure major health problems of interest.]]></situation> 
				</query>
				<query>
					<question ctrlno="69" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Current public health surveillance targets the following. Which one is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Chronic diseases]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Population migration]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Communicable diseases]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Occupational hazards]]></answer> 
						<situation><![CDATA[Situation: Public Health Nurse Manaoag is a member of the health team that is tasked by the Rural Health Unit to identify, define and measure major health problems of interest.]]></situation> 
				</query>
				<query>
					<question ctrlno="70" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Common uses and applications of public health surveillance include which of the following examples? <br><br>
					<span style="font-weight:normal">
					1. Detecting individual persons with malaria so that they receive prompt and appropriate treatment.<br>
					2. Helping public health officials decide how to allocate their disease control resources.<br>
					3. Identifying changes over time in the proportion of children with elevated blood lead levels in a community.<br>
					4. Documenting changes in varicella (chickenpox) incidence, after a law mandating varicella vaccination in the Expanded Program of Immunization took effect.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2, 3 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, and 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 and 4]]></answer> 
						<situation><![CDATA[Situation: Public Health Nurse Manaoag is a member of the health team that is tasked by the Rural Health Unit to identify, define and measure major health problems of interest.]]></situation> 
				</query>
				<query>
					<question ctrlno="71" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The factors that contribute to the occurrence of food-transmitted diseases are the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[consumption of improperly cooked food]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[eating habits of the population such as eating raw food]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[lack of fuel for cooking food]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[overconsumption of locally available food]]></answer> 
						<situation><![CDATA[Situation: You are a newly-assigned Rural Health Nurse and you have learn that based on the latest health information of the municipality, food and water transmitted parasitic infections are prevalent.]]></situation> 
				</query>
				<query>
					<question ctrlno="72" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Paragonimus westermani or the Oriental lung fluke causes infection in the human population by eating inadequately cooked crabs. Patients with paragonimiasis are usually misdiagnosed to have _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[malaria]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[bacillary dysentery]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[typhoid fever]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[pulmonary tuberculosis]]></answer> 
						<situation><![CDATA[Situation: You are a newly-assigned Rural Health Nurse and you have learn that based on the latest health information of the municipality, food and water transmitted parasitic infections are prevalent.]]></situation> 
				</query>
				<query>
					<question ctrlno="73" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The eggs of Taenia solium or taenia saginata may be ingested by the pigs or cattle who serve as intermediate hosts. Which of the following measures will PREVENT access of animals from ingesting Taenia eggs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Quarantine or isolate the animals]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feeding the pigs and cattle with clean foods]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Proper disposal of human feces]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Protect the animals fay giving them vitamins]]></answer> 
						<situation><![CDATA[Situation: You are a newly-assigned Rural Health Nurse and you have learn that based on the latest health information of the municipality, food and water transmitted parasitic infections are prevalent.]]></situation> 
				</query>
				<query>
					<question ctrlno="74" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Prevention of Infection from entamoeba histolytica is BEST done through which of the following, practices?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eating only organic Vegetables]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Washing food very well]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cooking food properly]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Boiling of water from questionable source]]></answer> 
						<situation><![CDATA[Situation: You are a newly-assigned Rural Health Nurse and you have learn that based on the latest health information of the municipality, food and water transmitted parasitic infections are prevalent.]]></situation> 
				</query>
				<query>
					<question ctrlno="75" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Giardiasis is a disease caused by a flagellated protozoan and its prevalence is associated with which of the following conditions? <br><br>
					<span style="font-weight:normal">
					1. Poor environmental sanitation<br>
					2. Poor hygiene<br>
					3. Improper cooking of food<br>
					4. Overcrowding<br>
					5. Malnutrition<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, .4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3, 5]]></answer> 
						<situation><![CDATA[Situation: You are a newly-assigned Rural Health Nurse and you have learn that based on the latest health information of the municipality, food and water transmitted parasitic infections are prevalent.]]></situation> 
				</query>
				<query>
					<question ctrlno="76" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Criselda is analyzing a research article. What section in the article can she expect to find the research question and study purpose?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Discussion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Results]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Methods]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Introduction]]></answer> 
						<situation><![CDATA[Situation: Public health nurse Criselda wants to increase her knowledge and familiarity with the elements of a research publication.]]></situation> 
				</query>
				<query>
					<question ctrlno="77" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Criselda is looking for a description of the type of measurement used in the study. She will find this in which section of the article?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Conclusions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Introduction]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Results]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Methods]]></answer> 
						<situation><![CDATA[Situation: Public health nurse Criselda wants to increase her knowledge and familiarity with the elements of a research publication.]]></situation> 
				</query>
				<query>
					<question ctrlno="78" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A brief explanation of data collection and analysis procedure is found in which section of the article?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Abstract]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Conclusion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Discussion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Introduction]]></answer> 
						<situation><![CDATA[Situation: Public health nurse Criselda wants to increase her knowledge and familiarity with the elements of a research publication.]]></situation> 
				</query>
				<query>
					<question ctrlno="79" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Criselda wants to go over the list of references used in the study which can be found _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[at the end of the article]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[in the results section]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[as part of the literature review]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[in the introduction]]></answer> 
						<situation><![CDATA[Situation: Public health nurse Criselda wants to increase her knowledge and familiarity with the elements of a research publication.]]></situation> 
				</query>
				<query>
					<question ctrlno="80" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Criselda believes that research is significant to the nursing profession, hence, the study results should be disseminated. This is because research allows _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[a specialized body of knowledge to be generated for use in health care delivery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[the scope of nursing practice to be expanded into areas formerly reserved for other disciplines]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[nursing responsibility to be more specifically defined]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[liability within the practice of nursing to be decreased]]></answer> 
						<situation><![CDATA[Situation: Public health nurse Criselda wants to increase her knowledge and familiarity with the elements of a research publication.]]></situation> 
				</query>
				<query>
					<question ctrlno="81" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In conducting a family assessment, which source of data would be MOST helpful?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Input from other members of the health team]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Information from other cooperating health care agencies]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Review of family members' charts and medical record data]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Observation and interaction with the family members]]></answer> 
						<situation><![CDATA[Situation: The Family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="82" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In completing a family assessment, the public health nurse should BEGIN by _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[gathering the health data from all family members]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[testing the family's ability to cope]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[evaluating communication patterns]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[determining the family's norms and attitudes]]></answer> 
						<situation><![CDATA[Situation: The Family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="83" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would be better understood by the nurse after using a FAMILY MAP?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Roles and relationships within the family]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Recognition of the leader who speaks for the family]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Description of the social and economic status of the family]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Identification of the geographic location of resources for the family]]></answer> 
						<situation><![CDATA[Situation: The Family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.]]></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 discusses with the family some actions that needed to be taken and refers to the wife in the family as an outstanding organizer. Which of the following goals is the nurse trying to achieve by making this statement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Making the husband proud that he had married his wife.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Reinforcing for the family some of the strengths of one of their family members.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Encouraging the wife to volunteer to follow through on all of the needed actions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Making the wife feel very complimented and proud.]]></answer> 
						<situation><![CDATA[Situation: The Family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="85" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In implementing family centered care, the public health nurse _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[works with clients to help them accept limitations for their actions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[assists family members to assume dependent roles]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[offers information about necessary self-care abilities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[provides his or her own beliefs on how to solve problems]]></answer> 
						<situation><![CDATA[Situation: The Family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="86" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Public Health Nurse Gabriela is educating a group of residents in Community X about RABIES. A participant asks, "How can you get the virus?" The Nurse explains, that the virus can be transmitted by which source?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Saliva]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Blood]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Urine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Stool]]></answer> 
						<situation><![CDATA[Situation:  The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through conduct of HEALTH EDUCATION program.]]></situation> 
				</query>
				<query>
					<question ctrlno="87" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She emphasized that the bites, which are responsible for nearly 99 percent of human rabies infections, are those of the infected _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[monkeys]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[dogs]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[bats]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[bats]]></answer> 
						<situation><![CDATA[Situation:  The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through conduct of HEALTH EDUCATION program.]]></situation> 
				</query>
				<query>
					<question ctrlno="88" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gabriela explains that there are situations which increase the risk of rabies. These are _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[stray dog bites]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[All of these]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[unprovoked bites]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[animals display abnormal behavior]]></answer> 
						<situation><![CDATA[Situation:  The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through conduct of HEALTH EDUCATION program.]]></situation> 
				</query>
				<query>
					<question ctrlno="89" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In another health education session, Nurse Gabriela explains about LEPROSY. Which of the following should be included? <br><br>
					<span style="font-weight:normal">
					1. leprosy is curable<br>
					2. not all leprosy patients are infectious<br>
					3. leprosy is hereditary<br>
					4. casual contact with a patient causes leprosy<br>
					5. regular and adequate treatment is essential<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 3, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 4, 5]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2., 3, 4]]></answer> 
						<situation><![CDATA[Situation:  The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through conduct of HEALTH EDUCATION program.]]></situation> 
				</query>
				<query>
					<question ctrlno="90" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gabriela stated that a definitive diagnosis of leprosy is obtained through _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[blood examinations]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[tuberculin testing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[skin smears/biopsies]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nasal smears]]></answer> 
						<situation><![CDATA[Situation:  The Department of Health has vowed to end Neglected Tropical Diseases (NTDs) by 2030. In the Philippines, the NTDs that are prevalent include leprosy and rabies. One of the strategies to address this goal is through conduct of HEALTH EDUCATION program.]]></situation> 
				</query>
				<query>
					<question ctrlno="91" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse must follow laws that protect public health, safety, welfare. Which law is the nurse following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Code of Ethics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Standards of Practice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Continuing Professional Development]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Nursing Practice Act]]></answer> 
						<situation><![CDATA[Situation: Nurses perform duties that require physical assessments, critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice, as well as their legal responsibilities in their professional roles.]]></situation> 
				</query>
				<query>
					<question ctrlno="92" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which situation supports the charge of malpractice against a professional nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A failure on the part of the nurse to establish a therapeutic relationship with the patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A failure on the part of the nurse to ensure that patients only received care for which they could pay.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[A failure on the part of the nurse to exercise reasonable and prudent care in treating a patient.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A failure on the part of the nurse to allay a patient's fears about an upcoming procedure.]]></answer> 
						<situation><![CDATA[Situation: Nurses perform duties that require physical assessments, critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice, as well as their legal responsibilities in their professional roles.]]></situation> 
				</query>
				<query>
					<question ctrlno="93" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What does the court consider in determining the nurse's legal liability for standards of care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Professional education, experience, and specific conduct]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Professional experience, but not education or conduct]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Professional conduct, but not experience or education]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Professional education, but not experience or conduct]]></answer> 
						<situation><![CDATA[Situation: Nurses perform duties that require physical assessments, critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice, as well as their legal responsibilities in their professional roles.]]></situation> 
				</query>
				<query>
					<question ctrlno="94" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Board of Nursing has brought action against a nurse's license based upon violation of a regulation. What is TRUE about this scenario?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rules and regulations are internal to the Board, not the nurse.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rules and regulations are only suggested standards of care and do not have to be followed.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[These rules and regulations have the force of law.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Violation of a rule or regulation is not the same as violation of the Nursing Practice Act.]]></answer> 
						<situation><![CDATA[Situation: Nurses perform duties that require physical assessments, critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice, as well as their legal responsibilities in their professional roles.]]></situation> 
				</query>
				<query>
					<question ctrlno="95" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the City Health Center. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What, is the most likely result of the ensuing trial? The Nurse is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[liable, because there was no follow-up to ensure that the patient received the Injection]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[not liable for damages, because the nurse has a right to expect that instructions will be followed]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[liable, because tetanus is easily treatable after diagnosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[not liable, because tetanus is a reportable disease and the health center should have insisted the treatment]]></answer> 
						<situation><![CDATA[Situation: Nurses perform duties that require physical assessments, critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice, as well as their legal responsibilities in their professional roles.]]></situation> 
				</query>
				<query>
					<question ctrlno="96" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse wants to present information about influenza immunization to the older adults in the community. Which type of communication should the nurse use?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Public]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interpersonal]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Small group]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Intrapersonal]]></answer> 
						<situation><![CDATA[Situation: The ability to communicate is a very important skill for every nurse to have. The nurse must do so in an effective, caring and professional manner, especially when communicating with patients and their families.]]></situation> 
				</query>
				<query>
					<question ctrlno="97" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is standing beside the patient's bed. Nurse: How are you doing? Patient: "I don't feel good." Which of the following communication ELEMENTS is categorized as feedback?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["How are you doing?"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["I don't feel good."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nurse is standing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient in bed]]></answer> 
						<situation><![CDATA[Situation: The ability to communicate is a very important skill for every nurse to have. The nurse must do so in an effective, caring and professional manner, especially when communicating with patients and their families.]]></situation> 
				</query>
				<query>
					<question ctrlno="98" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A smiling patient: angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding? The patient's _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[signified meaning is wrong]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[affect is inappropriate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[personal space was violated]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[vocabulary is poor]]></answer> 
						<situation><![CDATA[Situation: The ability to communicate is a very important skill for every nurse to have. The nurse must do so in an effective, caring and professional manner, especially when communicating with patients and their families.]]></situation> 
				</query>
				<query>
					<question ctrlno="99" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[BEFORE meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Termination]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Preinteraction]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Working]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Orientation.]]></answer> 
						<situation><![CDATA[Situation: The ability to communicate is a very important skill for every nurse to have. The nurse must do so in an effective, caring and professional manner, especially when communicating with patients and their families.]]></situation> 
				</query>
				<query>
					<question ctrlno="100" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the INITIAL home visit, the nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Working]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Preinteraction]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Orientation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Termination]]></answer> 
						<situation><![CDATA[Situation: The ability to communicate is a very important skill for every nurse to have. The nurse must do so in an effective, caring and professional manner, especially when communicating with patients and their families.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="1" testsection="NLE Assessment 1" 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[Eliza asks the nurse why she has to get up and walk the day after surgery. Which of the following is the BEST response of the nurse? Walking hastens _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hastens lactation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[relieves pain]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[heals wounds]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[fast recovery from anesthesia]]></answer> 
						<situation><![CDATA[Situation: This is the first postoperative day for patient Eliza who delivered by cesarean section (CS). Nurse Ivy a newly hired staff was assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="102" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which laboratory finding should the nurse assess on the patient 24 hours after Cesarian Section delivery upon doctor's request?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Trace 1+ proteinuria]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hematocrit 35%]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[White blood cell count 20,000/cu mm]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hemoglobin 7.0 g/dL]]></answer> 
						<situation><![CDATA[Situation: This is the first postoperative day for patient Eliza who delivered by cesarean section (CS). Nurse Ivy a newly hired staff was assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="103" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Eliza complains of "afterpains", What should be the nurses IMMEDIATE action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Advise her to stop breast-feeding for a day]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage her to drink more water]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assess vital signs and pain level]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Administer an analgesic STAT]]></answer> 
						<situation><![CDATA[Situation: This is the first postoperative day for patient Eliza who delivered by cesarean section (CS). Nurse Ivy a newly hired staff was assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="104" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Eliza is to be discharged 3 days after CS delivery. Which of the following observations of the nurse would cause the delay of her discharge and would warrant notification to the physician?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Moderate amount of lochia rubra]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fundus is firm at umbilicus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pulse rate of 61 beats/minute taken in 24 hours]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Five voidings totalling 240 cc in 12 hours]]></answer> 
						<situation><![CDATA[Situation: This is the first postoperative day for patient Eliza who delivered by cesarean section (CS). Nurse Ivy a newly hired staff was assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="105" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the third postpartum day, Eliza reports that she has voided five times that morning. What should the nurse INITIALLY do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Insert a Foley catheter]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Collect the next voiding and measure the urine amount]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Catheterize the client to check for residual urine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Call the physician]]></answer> 
						<situation><![CDATA[Situation: This is the first postoperative day for patient Eliza who delivered by cesarean section (CS). Nurse Ivy a newly hired staff was assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="106" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which could be the MAJOR Purpose of the study? To _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[improve the clarity of documentation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[duplicate the study in other hospitals]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[reduce if not eliminate, errors in documentation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[protect the hospital and staff from being sued]]></answer> 
						<situation><![CDATA[Situation: Nurses Flor and Imelda are doing research on, "The Common Errors Regarding Standard of Nursing Documentation in the Obstetrics Ward of a Medical Center."]]></situation> 
				</query>
				<query>
					<question ctrlno="107" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following could be the BEST Method to gather the research data?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Nursing Audit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Focus Group Discussion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Phenomenological]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Survey]]></answer> 
						<situation><![CDATA[Situation: Nurses Flor and Imelda are doing research on, "The Common Errors Regarding Standard of Nursing Documentation in the Obstetrics Ward of a Medical Center."]]></situation> 
				</query>
				<query>
					<question ctrlno="108" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the term used to describe the arrangement of statistical data that exhibits the number of times the values of a variable occurs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Frequency distribution]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Frequency]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Skewness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mean]]></answer> 
						<situation><![CDATA[Situation: Nurses Flor and Imelda are doing research on, "The Common Errors Regarding Standard of Nursing Documentation in the Obstetrics Ward of a Medical Center."]]></situation> 
				</query>
				<query>
					<question ctrlno="109" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In statistics, what is the definition of percentage? It is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[whole population]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[a value on a scale of 100]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[a share of profits]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[part of a whole expressed in hundredths]]></answer> 
						<situation><![CDATA[Situation: Nurses Flor and Imelda are doing research on, "The Common Errors Regarding Standard of Nursing Documentation in the Obstetrics Ward of a Medical Center."]]></situation> 
				</query>
				<query>
					<question ctrlno="110" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based from the study's findings, to whom are the study's recommendations generally addressed? Using the situation aforecited the recommendations should be addressed to _____.<br><br>
					<span style="font-weight:normal">	
					I. Nursing Educators<br>
					II. Staff Nurses<br>
					III. Nursing Service Administrators<br>
					IV. Hospital Administrators<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, III, IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II, III, IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ II, III, IV]]></answer> 
						<situation><![CDATA[Situation: Nurses Flor and Imelda are doing research on, "The Common Errors Regarding Standard of Nursing Documentation in the Obstetrics Ward of a Medical Center."]]></situation> 
				</query>
				<query>
					<question ctrlno="111" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse asked for the personal data of the patient which to some, Carlita did not like to answer. And so she asked: "Why do you need to know if I am married?" What should be a good response of the nurse? "I asked your marital status because _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[if you do not have a husband, then that can pose a big problem for you."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[if you are married then your husband will also suffer from discomforts like you."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[you need your husband to accompany you every prenatal check-up."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[your husband is your best support system during your pregnancy."]]></answer> 
						<situation><![CDATA[Situation: Patient Carlita, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her.]]></situation> 
				</query>
				<query>
					<question ctrlno="112" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient asked what is the term for signs such as breast changes, urinary frequency, fatigue, morning sickness and amenorrhea?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Probable signs]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Presumptive signs]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Possible signs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Positive signs]]></answer> 
						<situation><![CDATA[Situation: Patient Carlita, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her.]]></situation> 
				</query>
				<query>
					<question ctrlno="113" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient asked what causes newborn babies with total absence of extremities? The nurse answered that the cause for Amelia is intake of which of the following medications during pregnancy _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[anti-emetics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[antibiotics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[analgesics]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[anti-bacterials]]></answer> 
						<situation><![CDATA[Situation: Patient Carlita, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her.]]></situation> 
				</query>
				<query>
					<question ctrlno="114" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient complained that every morning, she becomes nauseated and oftentimes, she would vomit excessively. "What could be the cause of this," she asked? The nurse answer is: "It is due to increase level of _____".]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[heart burn]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[estrogen]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[heart rate]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[progesterone]]></answer> 
						<situation><![CDATA[Situation: Patient Carlita, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her.]]></situation> 
				</query>
				<query>
					<question ctrlno="115" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse advised patient Carlita to report to her physician which of the following MOST important sign, if ever she will suffer from it?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cough]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Vaginal bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Headache]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Strong fetal movement]]></answer> 
						<situation><![CDATA[Situation: Patient Carlita, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her.]]></situation> 
				</query>
				<query>
					<question ctrlno="116" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the FIRST step among the ten steps for successful breastfeeding?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Have a written breastfeeding policy that is routinely communicated to all staff.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inform all pregnant women about the benefits and management of breastfeeding.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Foster the establishment of breastfeeding support groups.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Train all health care staff in skills necessary to implement the policy.]]></answer> 
						<situation><![CDATA[Situation: As a newly-hired staff nurse of the hospital, Erlyn learned that the hospital has an in-service training for its staff. The in-service trainings conducted are based on hospital and staff's needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital Initiative (MBFHI).]]></situation> 
				</query>
				<query>
					<question ctrlno="117" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When practicing rooming-in, how long should the baby stay with the mother? _____ hours.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[8]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[24]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[12]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[10]]></answer> 
						<situation><![CDATA[Situation: As a newly-hired staff nurse of the hospital, Erlyn learned that the hospital has an in-service training for its staff. The in-service trainings conducted are based on hospital and staff's needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital Initiative (MBFHI).]]></situation> 
				</query>
				<query>
					<question ctrlno="118" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the CORRECT time for which the mother should initiate breastfeeding? It should be _____ hours after birth.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[0.5]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2]]></answer> 
						<situation><![CDATA[Situation: As a newly-hired staff nurse of the hospital, Erlyn learned that the hospital has an in-service training for its staff. The in-service trainings conducted are based on hospital and staff's needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital Initiative (MBFHI).]]></situation> 
				</query>
				<query>
					<question ctrlno="119" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Erlyn learned that newborn infants should ONLY be given, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[fruit juice]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[breastmilk]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[water]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[cow's milk]]></answer> 
						<situation><![CDATA[Situation: As a newly-hired staff nurse of the hospital, Erlyn learned that the hospital has an in-service training for its staff. The in-service trainings conducted are based on hospital and staff's needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital Initiative (MBFHI).]]></situation> 
				</query>
				<query>
					<question ctrlno="120" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the LAST part of the initiative, as recommended by WHO and UNICEF, for the MBFHI external team to do before its final designation as MBFHI Hospital?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assess business facilities if they follow the 10 steps for successful breastfeeding.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Develop a research on the benefits of breastfeeding within the institution.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Disseminate the benefits of breastfeeding to communities.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Follow up mothers if they are exclusively breastfeeding.]]></answer> 
						<situation><![CDATA[Situation: As a newly-hired staff nurse of the hospital, Erlyn learned that the hospital has an in-service training for its staff. The in-service trainings conducted are based on hospital and staff's needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital Initiative (MBFHI).]]></situation> 
				</query>
				<query>
					<question ctrlno="121" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Jane asks what she must do in order to be healthy in case she becomes pregnant. Which among the answers of Nurse Nilda should NOT be followed by Jane?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Get support from husband and family.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[May have a massage from a lay midwife.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To readily accept her pregnancy.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Early prenatal check-up.]]></answer> 
						<situation><![CDATA[Situation: Jane is 23 years old. She and her boyfriend, Kevin, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling for their benefit and the proper growth and development of their future children. Nurse Nilda was there to help them.]]></situation> 
				</query>
				<query>
					<question ctrlno="122" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Kevin asks what possible contributions he could give for the normal development of the baby. Nurse Nilda agreed that his BEST contribution would be the following EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[stroke Jane's abdomen and talk to baby]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[provide Jane nutritious food and drinks]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[join wife during prenatal check-up]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[may smoke once in a while]]></answer> 
						<situation><![CDATA[Situation: Jane is 23 years old. She and her boyfriend, Kevin, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling, for their benefit and the proper growth and development of their future children. Nurse Nilda was there to help them.]]></situation> 
				</query>
				<query>
					<question ctrlno="123" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For the normal development of the fetus, Nurse Nilda taught the couple that Jane should prevent Folic Acid Deficiency Anemia by good diet, correct way of cooking vegetables and taking Folic Acid supplements. Which of the following is NOT included among the outcomes of folic acid deficiency to the baby?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cleft lip]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cleft palate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Neural tube defect]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Fractures of all types]]></answer> 
						<situation><![CDATA[Situation: Jane is 23 years old. She and her boyfriend, Kevin, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling, for their benefit and the proper growth and development of their future children. Nurse Nilda was there to help them.]]></situation> 
				</query>
				<query>
					<question ctrlno="124" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Jane asks the nurse what possible diseases should she avoid that would guarantee health for the baby? These are: <br><br>
					<span style="font-weight:normal">
					1. Rubella<br>
					2. Rheumatic fever<br>
					3. Anemia<br>
					4. Chronic hypertension<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<situation><![CDATA[Situation: Jane is 23 years old. She and her boyfriend, Kevin, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling, for their benefit and the proper growth and development of their future children. Nurse Nilda was there to help them.]]></situation> 
				</query>
				<query>
					<question ctrlno="125" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nilda advised the couple that the BEST way to check the condition of the mother and the baby is to have _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[regular well-selected exercise]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[regular prenatal check up]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[music therapy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[good food]]></answer> 
						<situation><![CDATA[Situation: Jane is 23 years old. She and her boyfriend, Kevin, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling, for their benefit and the proper growth and development of their future children. Nurse Nilda was there to help them.]]></situation> 
				</query>
				<query>
					<question ctrlno="126" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would be the PRIORITY nursing diagnosis for Robbie?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fluid volume deficit related to vomiting.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Altered family processes related to chronic illness.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[High risk for infection related to vomiting.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Risk for aspiration related to loss of consciousness.]]></answer> 
						<situation><![CDATA[Situation: A hospitalized adolescent Robbie suddenly has a seizure while his family is visiting. Nurse Karen notes whole body rigidity followed by general jerking movements. Robbie vomits immediately after the seizure.]]></situation> 
				</query>
				<query>
					<question ctrlno="127" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would be the LEAST PRIORITY nursing care for a child with seizure disorder?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Observing and recording all seizures.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ensuring safety and protection from injury.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Teaching the family about anticonvulsant drug therapy: indication, dosage, route and effects.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assessing for signs and symptoms of Increased Intracranial Pressure.]]></answer> 
						<situation><![CDATA[Situation: A hospitalized adolescent Robbie suddenly has a seizure while his family is visiting. Nurse Karen notes whole body rigidity followed by general jerking movements. Robbie vomits immediately after the seizure.]]></situation> 
				</query>
				<query>
					<question ctrlno="128" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Robbie will be taking phenytoin (Dilantin) regularly for seizure control. Which of the following will be the MOST important teaching to Robbie's family?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ Administer acetaminophen to promote sleep.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Serve a diet that is high in iron.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Maintain good oral hygiene and dental care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Omit medication if the child is seizure free.]]></answer> 
						<situation><![CDATA[Situation: A hospitalized adolescent Robbie suddenly has a seizure while his family is visiting. Nurse Karen notes whole body rigidity followed by general jerking movements. Robbie vomits immediately after the seizure.]]></situation> 
				</query>
				<query>
					<question ctrlno="129" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After teaching the parents about their child's unique psychological needs related to a seizures disorder and possible stressors, which of the following concerns voiced by them would indicate the need for additional teaching? The child's _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[feeling different from peers]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[cognitive delays]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[poor self-image]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[dependency]]></answer> 
						<situation><![CDATA[Situation: A hospitalized adolescent Robbie suddenly has a seizure while his family is visiting. Nurse Karen notes whole body rigidity followed by general jerking movements. Robbie vomits immediately after the seizure.]]></situation> 
				</query>
				<query>
					<question ctrlno="130" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a focus for teaching plan for an adolescent with a seizure disorder?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[obtaining a driver's license]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[increase risk for infections]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[peer pressure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[drug and alcohol use]]></answer> 
						<situation><![CDATA[Situation: A hospitalized adolescent Robbie suddenly has a seizure while his family is visiting. Nurse Karen notes whole body rigidity followed by general jerking movements. Robbie vomits immediately after the seizure.]]></situation> 
				</query>
				<query>
					<question ctrlno="131" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Vitamin B12]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Potassium]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vitamin C]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Folic acid]]></answer> 
						<situation><![CDATA[Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="132" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A woman in labor is at risk for abruptio placenta. Which of the following assessments would MOST convince you and the pregnant woman to believe that this has happened?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Painless vaginal bleeding and downward trend of BP.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[An increased blood pressure and scanty urination.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pain at the lower quadrant and increased pulse rate.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Sharp fundal pain and discomfort between contractions.]]></answer> 
						<situation><![CDATA[Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="133" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A woman 2 1/2 months pregnant calls you by telephone because she passed out some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which of the following is the BEST instruction you should give her?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Continue normal activity but take your pulse and respiratory rate every 4 hours."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Come to the health facility if uterine contractions starts."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Come to the health facility with any vaginal material passed out."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Maintain bedrest and count the number of perineal pads used every hour."]]></answer> 
						<situation><![CDATA[Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="134" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A woman, 33 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to  read daily?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Serum creatinine]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Red Blood Cell Count]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sodium and potassium levels]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[White Blood Cell Count]]></answer> 
						<situation><![CDATA[Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="135" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An 18-year-old delivers to an 8 pound baby after 10 hours of labor. In the post-partal period, which of the following would be a PRIORITY concern to assess for by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Endometritis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Thrombophlebitis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Bleeding]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Amniotic embolus]]></answer> 
						<situation><![CDATA[Situation: Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.]]></situation> 
				</query>
				<query>
					<question ctrlno="136" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In any type of charting or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Fe? Nursing _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[assessment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[process]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[actions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[diagnosis]]></answer> 
						<situation><![CDATA[Situation: Patient Fe, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes; Nurse Jocele was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="137" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are the purposes of documentation? To _____. <br><br>
					<span style="font-weight:normal">
					I. ensure the development of organized comprehensive care plan<br>
					II. have a clear and accurate records of what was done to the patient<br>
					III. have an evidence of the health care member's accountability in giving care<br>
					IV. detect patients who are clinically deteriorating<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ I, III, IV]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, II, III, IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, III, IV]]></answer> 
						<situation><![CDATA[Situation: Patient Fe, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes; Nurse Jocele was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="138" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the CORRECT definition of focus charting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It is an electronically form of documentation of nursing care done to a patient by a registered nurse.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[It is a note, written or electronically generated to provide documentation related to a specific focus.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It is a nurse-centered way of documentation that describes the patient status and nursing care rendered.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is a nurse-centered approach to documentation.]]></answer> 
						<situation><![CDATA[Situation: Patient Fe, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes; Nurse Jocele was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="139" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the given situation, which is the FOCUS?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Jocele as the admitting nurse]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Lumbo-sacral pains and strong uterine contractions]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[15 years old, G0P1, AOG of 36 weeks]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Admission at 6:30 in the morning]]></answer> 
						<situation><![CDATA[Situation: Patient Fe, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes; Nurse Jocele was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="140" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the term used to describe the patient's data or assessment, the action done based on the assessment and response based on the action made:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Progress Note]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Flow sheets]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Standards of Care]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Focus format]]></answer> 
						<situation><![CDATA[Situation: Patient Fe, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes; Nurse Jocele was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="141" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother asks the head nurse why the pediatrician recommended that closure of the palate should be done before he is 6 months old. She asked Nurse Donna to answer her. Which of the following is Nurse Donna's APPROPRIATE response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["After age 2, surgery is very frightening and should be avoided if possible."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["The eruption of the 2-year molars often complicates the surgical procedure."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Surgery should be performed before the child starts to faulty speech patterns.&quot;]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["As he gets older the palate gets wider and more difficult to repair".]]></answer> 
						<situation><![CDATA[Situation: Head nurse Carmen supervises Nurse Donna who is assigned to take care of a newborn baby boy named Henrich with a cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="142" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse continued to ask Nurse Donna "A cleft lip predisposes an infant to infections PRIMARILY because of which of the following Reasons?"]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Waste products that accumulate along the defect.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inadequate circulation in the defective area.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Deficient nutrition from ineffective feeding.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mouth breathing that dries the oropharyngeal mucous membranes.]]></answer> 
						<situation><![CDATA[Situation: Head nurse Carmen supervises Nurse Donna who is assigned to take care of a newborn baby boy named Henrich with a cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="143" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which SIGNIFICANT statement of the mother predisposes her son to cleft lip or palate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["On my 6 months of pregnancy, I saw a rabbit with the same case of my son."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["I am asthmatic and I usually take steroids."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["My mother-in-law doesn't like me, that's why she cursed me."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I believe my enemy did some forms of witchcraft on me."]]></answer> 
						<situation><![CDATA[Situation: Head nurse Carmen supervises Nurse Donna who is assigned to take care of a newborn baby boy named Henrich with a cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="144" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For an infant born with a unilateral cleft lip and palate, which of the following type of feeding will be BEST to use?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Rubber-tipped syringe or medicine dropper.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Full breast feeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[IV fluids on limited number of ounces.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cross-cut rubber nipple.]]></answer> 
						<situation><![CDATA[Situation: Head nurse Carmen supervises Nurse Donna who is assigned to take care of a newborn baby boy named Henrich with a cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="145" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the number ONE consideration in the care of infant after the surgical repair of a cleft lip?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Preventing the infant from crying.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feeding the infant with a spoon for 2 days after surgery.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Placing the infant in a semi-sitting position.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Keeping the infant NPO for 1 day after surgery.]]></answer> 
						<situation><![CDATA[Situation: Head nurse Carmen supervises Nurse Donna who is assigned to take care of a newborn baby boy named Henrich with a cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="146" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would Nurse Erika anticipate in the patient's maternal history?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[On and off vaginal spotting]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Esophageal discomfort is experienced after a heavy meal.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Weight gain of 20 lbs in the 1st and 2nd Trimester]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fetus moves very frequently]]></answer> 
						<situation><![CDATA[Situation: Miel, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders, MgSO4. Erika is the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="147" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is on an imposed bedrest, which of the following can help the patient cope? These are the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Let the patient lie on her side to allow more blood to the uterus.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increase fluid intake to 8 glasses a day to prevent constipation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Discourage participation of family in patient care to prevent further anxiety.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use relaxation techniques to help cope with stress such as music and books.]]></answer> 
						<situation><![CDATA[Situation: Miel, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders, MgSO4. Erika is the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="148" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[MgSO4 injections are painful to the patient. Which of the following is the BEST route for injection to prevent such negative experience for patient Miel?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intravenous injection at the main IV line.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Intravenous injection given through "piggy back".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Intramuscular on each of the deltoid muscle.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Deep intramuscular using Z-track technique on buttocks.]]></answer> 
						<situation><![CDATA[Situation: Miel, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders, MgSO4. Erika is the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="149" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse must be alert to MgSO4 toxicity. Which of the following is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fetal bradycardia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ Urine output of <30 ml per hour]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Respiration of < 12 per min]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increase in maternal pulse rate]]></answer> 
						<situation><![CDATA[Situation: Miel, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders, MgSO4. Erika is the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="150" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following hospital environment will be MOST conducive to Miel's condition? A room that is/with _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[bright and well-ventilated]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 or three other patients]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[quiet and non-stimulating]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a call button for watcher's use]]></answer> 
						<situation><![CDATA[Situation: Miel, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders, MgSO4. Erika is the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="151" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Cathlyn wants to know his BF's real diagnosis even through a private message in Facebook. The following information that all employees are enjoined to observe strictly. <br><br>  
					<span style="font-weight:normal">      
					I. Operate and hold diagnosis under strict confidentiality.<br>
					II. Sign a non-disclosure agreements between nurses and their patients.<br>
					III. Abide with the institution's privacy and security policies.<br>
					IV. Disclose only the result of the test to the patient himself.<br><br>
					In terms of legalities, which of the following should Nurse Patty explain to Cathlyn?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II, III, IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, III, IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, II, IV]]></answer> 
						<situation><![CDATA[Situation: Cathlyn is 19 years old, a Grade 12 student. She recently confessed to Nurse Patty that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BP has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."]]></situation> 
				</query>
				<query>
					<question ctrlno="152" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Patty can also explain the purpose of security measures for data protection which is to maintain the availability, integrity and confidentiality of personal data of all patients.<br><br>
					<span style="font-weight:normal">	
					I. Unlawful destruction<br>
					II. Alteration<br>
					III. Disclosure<br>
					IV. Unlawful processing<br><br>
					Which of the following actions of anybody is against personal data protection?</span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II, III, IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II, III, IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, III, IV]]></answer> 
						<situation><![CDATA[Situation: Cathlyn is 19 years old, a Grade 12 student. She recently confessed to Nurse Patty that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BP has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."]]></situation> 
				</query>
				<query>
					<question ctrlno="153" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To erase the doubt of Cathlyn as to whether she has been infected with HIV by her BF, what is the BEST advice of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wait until you have access to the diagnosis of your BF.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Submit herself for Elisa Test considering window period.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Wait until the baby is born.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Go for Elisa Test immediately.]]></answer> 
						<situation><![CDATA[Situation: Cathlyn is 19 years old, a Grade 12 student. She recently confessed to Nurse Patty that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BP has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."]]></situation> 
				</query>
				<query>
					<question ctrlno="154" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In case the personal data of Cathlyn's BF has been accessed accidentally by "somebody", who has the right to file a complaint?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cathlyn's BF]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The other guy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The parents]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cathlyn]]></answer> 
						<situation><![CDATA[Situation: Cathlyn is 19 years old, a Grade 12 student. She recently confessed to Nurse Patty that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BP has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."]]></situation> 
				</query>
				<query>
					<question ctrlno="155" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[How long should personal data of an HIV patient be stored on laptops or other portable devices which permits his identification? For as long as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[the patient likes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[his doctor likes]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[it is needed as part of an international or national research]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[it is necessary for the purpose for which it was collected and processed]]></answer> 
						<situation><![CDATA[Situation: Cathlyn is 19 years old, a Grade 12 student. She recently confessed to Nurse Patty that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BP has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."]]></situation> 
				</query>
				<query>
					<question ctrlno="156" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based from the assessment of the nurse, what would be the estimated age of gestation, in WEEKS, if the fundus is at the level of the umbilicus?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[12]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[20]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[16]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[28]]></answer> 
						<situation><![CDATA[Situation: Mrs. Geminy, 20 years old, visited the prenatal clinic with her husband George. Nurse Connie noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing.]]></situation> 
				</query>
				<query>
					<question ctrlno="157" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When is the placenta, which is the source of estrogen and progesterone, fully developed? It is on the _____ weeks of pregnancy.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[8]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[10]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[6]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[12]]></answer> 
						<situation><![CDATA[Situation: Mrs. Geminy, 20 years old, visited the prenatal clinic with her husband George. Nurse Connie noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing.]]></situation> 
				</query>
				<query>
					<question ctrlno="158" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Geminy related that she oftentimes feels nauseated in the afternoon. Which of the following should Nurse Connie advise her to do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eat skyflakes and follow it up with water.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Drink iced carbonated drinks.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Drink hot chocolate or coffee.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Eat frequent but small amount of foods.]]></answer> 
						<situation><![CDATA[Situation: Mrs. Geminy, 20 years old, visited the prenatal clinic with her husband George. Nurse Connie noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing.]]></situation> 
				</query>
				<query>
					<question ctrlno="159" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following periods of pregnancy does organogenesis occur?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Third]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[First]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Second]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fourth]]></answer> 
						<situation><![CDATA[Situation: Mrs. Geminy, 20 years old, visited the prenatal clinic with her husband George. Nurse Connie noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing.]]></situation> 
				</query>
				<query>
					<question ctrlno="160" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What sign of pregnancy is morning sickness characterized by nausea?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Probable, subjective]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Presumptive, subjective]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Probable, objective]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Presumptive, objective]]></answer> 
						<situation><![CDATA[Situation: Mrs. Geminy, 20 years old, visited the prenatal clinic with her husband George. Nurse Connie noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing.]]></situation> 
				</query>
				<query>
					<question ctrlno="161" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While assessing a newborn with cleft lip, the nurse should be alerted on which of the following that will MOST likely be compromised?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Locomotion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Respiratory status]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[GI function]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Sucking ability]]></answer> 
						<situation><![CDATA[Situation: A mother in her first trimester of pregnancy is asthmatic and has taken steroids. This resulted to her baby with cleft lip and cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="162" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the MOST APPROPRIATE response of the nurse to the mother's question as to when the child will be ready for a cleft palate repair? Cleft palate repair is usually done _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[when a large-holed feeding bottle is ineffective for his feeding]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[when the child is completely weaned from bottle feeding]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[prior to the development of speech]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[after the child has been toilet trained]]></answer> 
						<situation><![CDATA[Situation: A mother in her first trimester of pregnancy is asthmatic and has taken steroids. This resulted to her baby with cleft lip and cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="163" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Elbow restraints are the choice during the patient's operation. When is the right time to introduce the use of these restraints? It should be during the _____ phase.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[pre-operative]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Rehabilitative]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[intra-operative]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[post-operative]]></answer> 
						<situation><![CDATA[Situation: A mother in her first trimester of pregnancy is asthmatic and has taken steroids. This resulted to her baby with cleft lip and cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="164" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before bringing the child to the operating room, what condition of the patient needs immediate notification of the surgeon by the nurse that will warrant suspension of surgery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[colic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[atopic dermatitis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[nasopharyngitis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[eye deviation]]></answer> 
						<situation><![CDATA[Situation: A mother in her first trimester of pregnancy is asthmatic and has taken steroids. This resulted to her baby with cleft lip and cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="165" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Included in the post-operative plan of care is collaboration and referral of the patient with cleft palate to which of the following APPROPRIATE health care provider?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[speech therapist]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[dentist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dietitian]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[gynecologist]]></answer> 
						<situation><![CDATA[Situation: A mother in her first trimester of pregnancy is asthmatic and has taken steroids. This resulted to her baby with cleft lip and cleft palate.]]></situation> 
				</query>
				<query>
					<question ctrlno="166" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Dosage, when giving medicine to pediatric patients, varies according to which of the following? Select all that apply.<br><br>
					<span style="font-weight:normal">
					1. Size<br>
					2. Surface area<br>
					3. Age of child<br>
					4. Height<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3 only]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, & 4]]></answer> 
						<situation><![CDATA[Situation: The giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Mimi has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="167" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mimi is being reviewed by her Head nurse on administering oral medications on pediatric patients. Which of the following statements below is CORRECT?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The child should be told to place the tablet in the middle of his tongue and to drink the water, fruit juice, milk in order to wash down the tablet.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A child's reaction to a dose ordered by a physician is not less predictable than adult's reaction.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[When giving oral medication, the child as young as two years of age CANNOT be taught to swallow drugs.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The possibility of error is greater in the giving of medication to children than to adults.]]></answer> 
						<situation><![CDATA[Situation: The giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Mimi has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="168" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In children and infants, which part is often used for intramuscular injection to reduce the risk of vascular and peripheral nerve (sciatic) injuries?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Deltoid muscle]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gluteus maximus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dorsogluteal]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Vastus lateralis]]></answer> 
						<situation><![CDATA[Situation: The giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Mimi has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="169" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Comprehensive surveys of research reports and case study literature about intramuscular injections revealed that administering medication intramuscularly can produce a variety of serious adverse effects. When asked by the Head nurse what possible complications can arise, Nurse Mimi should include, which of the following?<br><br>
					<span style="font-weight:normal">
					1. Skin and tissue trauma<br>
					2. Muscle fibrosis and contracture<br>
					3. Nerve palsies and paralysis<br>
					4. Infectious processes such as abscesses or gangrene<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1,3 & 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<situation><![CDATA[Situation: The giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Mimi has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="170" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Prior to administering the drugs ordered by the Pediatrician, Nurse Mimi needs to know if she is giving the ordered medication to the right patient. The FIRST step is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Check patient's identification bracelet]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Compare medication order to identification bracelet and patient's stated name and birth date]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Verify patient's allergies with chart and with patient.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask patient to state their name and birth date.]]></answer> 
						<situation><![CDATA[Situation: The giving of medication to a pediatric patient is a serious responsibility of a nurse. The need for accuracy in giving medication is greater than with adult patients. Nurse Mimi has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="171" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Romana makes her INITIAL assessment on Karen. The patient keeps on crying and constantly pulls her right ear. What is her MOST APPROPRIATE action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assess the description and frequency of pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take Karen's vital signs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request parent to carry the child]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Refer to the attending physician.]]></answer> 
						<situation><![CDATA[Situation: Karen 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Ramona, who is assigned to Karen, that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="172" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Romana is preparing to administer Ofloxacin eardrop on Karen per Doctor's orders. She needs to hold the bottle with her hands to warm up the solution to prevent "dizziness for _____."]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[10 minutes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[5 minutes]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3-5 minutes]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1 to 2 minutes]]></answer> 
						<situation><![CDATA[Situation: Karen 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Ramona, who is assigned to Karen, that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="173" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After washing her hands and gently cleaning any discharge that can be removed easily from the outer ear, Nurse Romana positions the child. Which of the following steps follows?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Gently press the tragus of the ear four times in a pumping motion.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Drop the medicine into the ear canal.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gently pull the outer ear]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Keep the ear up for five minutes.]]></answer> 
						<situation><![CDATA[Situation: Karen 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Ramona, who is assigned to Karen, that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="174" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on her knowledge on otitis media, Nurse Romana recalls that children are predisposed to AOM due to their eustachian tubes being, which of the following? Select all that apply.<br><br>
					<span style="font-weight:normal">
					1. Shorter<br>
					2. More horizontal<br>
					3. More prone to obstruction by enlarged adenoids<br>
					4. Longer<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1,2 & 4]]></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]]></answer> 
						<situation><![CDATA[Situation: Karen 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Ramona, who is assigned to Karen, that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="175" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To promote drainage and reduce pressure from fluid, Nurse Romana's nursing intervention is to have the child assume any of the following positions, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Have the child sit up]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Put the pillows behind the head]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lie on the non-affected area]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lie on the affected ear]]></answer> 
						<situation><![CDATA[Situation: Karen 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Ramona, who is assigned to Karen, that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="176" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the moral problems is Nurse Nenet faced with?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ethical sensitivity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ethical responsiveness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ethical valuing]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ethical reasoning]]></answer> 
						<situation><![CDATA[Situation: Paraluman, 16 years of age, has been ordered to be discharged. Nurse Nenet is faced with a dilemma as Paraluman refuses to be discharged.]]></situation> 
				</query>
				<query>
					<question ctrlno="177" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are the rights and responsibilities of Nurse Nenet's client while confined in the hospital?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Code of Ethics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bioethical Ethics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hospital Client Advocacy]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Patient's Bill of Rights]]></answer> 
						<situation><![CDATA[Situation: Paraluman, 16 years of age, has been ordered to be discharged. Nurse Nenet is faced with a dilemma as Paraluman refuses to be discharged.]]></situation> 
				</query>
				<query>
					<question ctrlno="178" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following principles of bioethics is referred to where Nurse Nenet provides information and supports her client and family in making a decision?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nonmaleficense]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Autonomy]]></answer> 
						<situation><![CDATA[Situation: Paraluman, 16 years of age, has been ordered to be discharged. Nurse Nenet is faced with a dilemma as Paraluman refuses to be discharged.]]></situation> 
				</query>
				<query>
					<question ctrlno="179" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Nurse Nenet values client advocacy, she follows which of the following guidelines?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[She is more loyal to the hospital than to her client.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[She choose the client's well-being over client's autonomy.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[She gives priority to the good of the individual client rather than to the good of society in general.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[She makes decision for her clients who are not aware of their rights and privileges.]]></answer> 
						<situation><![CDATA[Situation: Paraluman, 16 years of age, has been ordered to be discharged. Nurse Nenet is faced with a dilemma as Paraluman refuses to be discharged.]]></situation> 
				</query>
				<query>
					<question ctrlno="180" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following actions best describe the use of the professional value of altruism?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Protects the privacy of client regarding the client's health condition.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Demonstrates an understanding of the culture of her client.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Lobbies for universal access to healthcare.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Becomes a mentor to her novice nurses.]]></answer> 
						<situation><![CDATA[Situation: Paraluman, 16 years of age, has been ordered to be discharged. Nurse Nenet is faced with a dilemma as Paraluman refuses to be discharged.]]></situation> 
				</query>
				<query>
					<question ctrlno="181" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Miss Kat's first topic was on HIV transmission. After explaining the different transmission modes, she asked the group: "Which among the following is the MAJOR mode of transmission of the disease?"]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Blood Transfusion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Needle pricks]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Sexual intercourse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Kissing]]></answer> 
						<situation><![CDATA[Situation: Miss. Kat, an OB Nurse Specialist, was invited in a forum. The topic was about HIV-AIDS and the group was composed of ten pregnant women, and five newly married women whose husbands are seafarers.]]></situation> 
				</query>
				<query>
					<question ctrlno="182" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the pregnant women asked the BEST way to prevent HIV transmission from a pregnant HIV (+) mother to child?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Deliver the child via normal delivery with cervical support]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Stop pregnancy by abortion]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Drink antiviral medicines as prescribed by physician]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prenatal check-up more than the standards]]></answer> 
						<situation><![CDATA[Situation: Miss. Kat, an OB Nurse Specialist, was invited in a forum. The topic was about HIV-AIDS and the group was composed of ten pregnant women, and five newly married women whose husbands are seafarers.]]></situation> 
				</query>
				<query>
					<question ctrlno="183" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A 20-year-old newly-wed woman, whose husband has recently been diagnosed with HIV, asked: "Will my baby have HIV too?" What is the BEST answer that Miss Kat should give the client?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["No, definitely not because your child has not been exposed to any type of HIV transmission."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Yes, because HIV is definitely transmitted to the child from the mother through the placenta."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["One way of transmitting HIV from the mother to the baby is through the placenta. However, your child may or may not have been transmitted with HIV virus."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["It depends on the viral load of the mother and many other factors. Let us just see after you give birth."]]></answer> 
						<situation><![CDATA[Situation: Miss. Kat, an OB Nurse Specialist, was invited in a forum. The topic was about HIV-AIDS and the group was composed of ten pregnant women, and five newly married women whose husbands are seafarers.]]></situation> 
				</query>
				<query>
					<question ctrlno="184" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Miss Kat continued with her health teaching. This time she described four main routes of HIV transmission. Which one is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Childbirth and breastfeeding]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Unprotected vaginal and anal or oral sex]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Breathing the same air as someone living with HIV does]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sharing unsterilized injecting drug equipment]]></answer> 
						<situation><![CDATA[Situation: Miss. Kat, an OB Nurse Specialist, was invited in a forum. The topic was about HIV-AIDS and the group was composed of ten pregnant women, and five newly married women whose husbands are seafarers.]]></situation> 
				</query>
				<query>
					<question ctrlno="185" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Miss Kat gave a few questions to her audience about HIV transmission to find out if they were able to learn about it. "Which of the following is the LEAST among HIV transmission that can directly enter the body via the blood stream or mucous membranes?" This can be through the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[urethra or inside the foreskin of the penis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[lining of the vagina, cervix or womb]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dermis of the skin]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[lining of the anus]]></answer> 
						<situation><![CDATA[Situation: Miss. Kat, an OB Nurse Specialist, was invited in a forum. The topic was about HIV-AIDS and the group was composed of ten pregnant women, and five newly married women whose husbands are seafarers.]]></situation> 
				</query>
				<query>
					<question ctrlno="186" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Anton is noted to be very conversant. To make her discharge instructions clear, Nurse Mimi should emphasize which of the following?<br><br>
					<span style="font-weight:normal">	
					I. Tell Anton that he can clarify or ask questions.<br>
					II. Tell him that it is alright to interrupt if he had to ask a question to clarify.<br>
					III. Advise him to listen well.<br>
					IV. Ask for the presence of his mother.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[4 only]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<situation><![CDATA[Situation: Anton, 15 years old, has been informed that he is due for discharge. He had an emergency appendectomy. Nurse Mimi gives him some discharge instructions.]]></situation> 
				</query>
				<query>
					<question ctrlno="187" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mimi's discharge instruction should contain, which of the following?<br><br>
					<span style="font-weight:normal">
					I. Take home medications, if any.<br>
					II. Date of follow up<br>
					III. Activity and Exercise<br>
					IV. Diet<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[All the options]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<situation><![CDATA[Situation: Anton, 15 years old, has been informed that he is due for discharge. He had an emergency appendectomy. Nurse Mimi gives him some discharge instructions.]]></situation> 
				</query>
				<query>
					<question ctrlno="188" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To make Nurse Mimi's discharge instructions to be more effective the following strategies should be used, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[treat him as a child]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[use simple understandable words]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[eye to eye contact to show interest on what is being said]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ask for feedback]]></answer> 
						<situation><![CDATA[Situation: Anton, 15 years old, has been informed that he is due for discharge. He had an emergency appendectomy. Nurse Mimi gives him some discharge instructions.]]></situation> 
				</query>
				<query>
					<question ctrlno="189" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To get feedback on the discharge instructions, which question should Nurse Mimi ask?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Can you repeat to me what my instructions were?]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[If you understood my instructions then you surely will be well.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Did you understand my instructions?]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Are my instructions clear?]]></answer> 
						<situation><![CDATA[Situation: Anton, 15 years old, has been informed that he is due for discharge. He had an emergency appendectomy. Nurse Mimi gives him some discharge instructions.]]></situation> 
				</query>
				<query>
					<question ctrlno="190" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST statement of goodbye that Nurse Mimi is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Bye Anton."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Bye Anton. See you again in the hospital."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Bye Anton. I don't want to see you again in the hospital."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Bye Anton. Remember all my instructions, Keep well."]]></answer> 
						<situation><![CDATA[Situation: Anton, 15 years old, has been informed that he is due for discharge. He had an emergency appendectomy. Nurse Mimi gives him some discharge instructions.]]></situation> 
				</query>
				<query>
					<question ctrlno="191" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Catalina thought that one of her activities would be health teaching and counseling. Which of the following statements by a client regarding premenstrual syndrome would need a further explanation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I will limit my intake of sodas, coffee and tea."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I will make sure that I will eat small frequent balanced meals."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I will stop any physical exercise one week prior to menstruation to conserve my energy."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I will decrease my intake of high sodium containing foods such as canned goods."]]></answer> 
						<situation><![CDATA[Situation: Catalina is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to review about the female reproductive cycle, menstrual disorders and appropriate management.]]></situation> 
				</query>
				<query>
					<question ctrlno="192" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse read on how to make a nursing diagnosis for premenstrual syndrome. Which of the following is NOT TRUE about Premenstrual Syndrome?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Signs and symptoms of premenstrual period do not recur in the luteal phase of the menstrual cycle.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Signs and symptoms of premenstrual period recur in the luteal phase of the menstrual cycle.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Symptom free period occurs in the follicular phase, and must include 7 symptom free days.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Symptoms are severe enough to have an impact on work, lifestyle and relationship.]]></answer> 
						<situation><![CDATA[Situation: Catalina is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to review about the female reproductive cycle, menstrual disorders and appropriate management.]]></situation> 
				</query>
				<query>
					<question ctrlno="193" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Catalina read about the nursing management of primary dysmenorrhea. Which of these should Catalina render?<br><br>
					<span style="font-weight:normal">
					I. Use of cold compress<br>
					II. Soft rhythmic rubbing of the abdomen<br>
					III. Analgesics as ordered<br>
					IV. Antispasmodics as ordered<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[II, III, IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, III, IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, IV]]></answer> 
						<situation><![CDATA[Situation: Catalina is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to review about the female reproductive cycle, menstrual disorders and appropriate management.]]></situation> 
				</query>
				<query>
					<question ctrlno="194" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the condition wherein menstrual interval is 45-50 days?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Metrorrhagia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Menorrhagia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dysmenorrhea]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Oligomenorrhea]]></answer> 
						<situation><![CDATA[Situation: Catalina is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to review about the female reproductive cycle, menstrual disorders and appropriate management.]]></situation> 
				</query>
				<query>
					<question ctrlno="195" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the condition whereby during menstruation, the patient feels a lower abdominal pain that radiates to her back down to her thighs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hypergonadotropic amenorrhea]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Secondary dysmenorrhea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hypogonadotropic amenorrhea]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Primary dysmenorrhea]]></answer> 
						<situation><![CDATA[Situation: Catalina is the new nurse assigned at Fertility Clinic of an OB Specialty Center. She had to review about the female reproductive cycle, menstrual disorders and appropriate management.]]></situation> 
				</query>
				<query>
					<question ctrlno="196" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to make the activity a success, which of the following resources would be MOST important?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Number of speakers]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Location of venue]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Number of participants]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Budget allocation]]></answer> 
						<situation><![CDATA[Situation: Riza, head nurse at the OB-DR Ward, is planning to have an in-service training for 25 staff nurses. Based from needs assessment, the training will be on Lactation for 3 days.]]></situation> 
				</query>
				<query>
					<question ctrlno="197" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following resources should be requisitioned as TRAINING MATERIAL/SUPPLY?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Bond paper]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sound system]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Food and drinks]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tables and chairs]]></answer> 
						<situation><![CDATA[Situation: Riza, head nurse at the OB-DR Ward, is planning to have an in-service training for 25 staff nurses. Based from needs assessment, the training will be on Lactation for 3 days.]]></situation> 
				</query>
				<query>
					<question ctrlno="198" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based from studies, which among the following is the MOST needed resource of nurses in order to attend in-service training programs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Clothes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Time]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Drinks]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Notebooks]]></answer> 
						<situation><![CDATA[Situation: Riza, head nurse at the OB-DR Ward, is planning to have an in-service training for 25 staff nurses. Based from needs assessment, the training will be on Lactation for 3 days.]]></situation> 
				</query>
				<query>
					<question ctrlno="199" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Evaluation of the training is an important form of feedback in order to improve future offerings. Which of the following should be given MOST emphasis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Taste and amount of food served]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Discipline of participants]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Convenience of the venue]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Knowledge and skills gained]]></answer> 
						<situation><![CDATA[Situation: Riza, head nurse at the OB-DR Ward, is planning to have an in-service training for 25 staff nurses. Based from needs assessment, the training will be on Lactation for 3 days.]]></situation> 
				</query>
				<query>
					<question ctrlno="200" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When asking mothers to become real models for demonstrating breastfeeding the nurse's MOST important responsibility is, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[word of thanks]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[stipend/honorarium]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[priority care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[free hospitalization]]></answer> 
						<situation><![CDATA[Situation: Riza, head nurse at the OB-DR Ward, is planning to have an in-service training for 25 staff nurses. Based from needs assessment, the training will be on Lactation for 3 days.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="1" testsection="NLE Assessment 1" 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[When doing an assessment, which ONE of the following conditions is NOT present based on the Jones Criteria?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Erythema marginatum]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Subcutaneous nodules]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chorea]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Bronchopneumonia]]></answer> 
						<situation><![CDATA[Situation: Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12-year-old female patient suffering from Rheumatic Fever (RF).]]></situation> 
				</query>
				<query>
					<question ctrlno="202" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In Rheumatic fever, the factor contributory to the development of this disease process is brought about by:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[auto-immune reaction to streptococcal infection]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[auto—immune reaction to collagen diseases]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[parents had rheumatic heart disease]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[exposure to colds and droplet infection]]></answer> 
						<situation><![CDATA[Situation: Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12-year-old female patient suffering from Rheumatic Fever (RF).]]></situation> 
				</query>
				<query>
					<question ctrlno="203" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Leny, 6 years old, is receiving digitalis for having Patent Ductus Arteriosus with heart failure. Prior to the administration of the medicines, which of the following nursing actions should be done by nurse Rica?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Take the carotid pulse rate for one full minute.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Take the heart rate for one full minute.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Take the respiratory rate.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Take the blood pressure.]]></answer> 
						<situation><![CDATA[Situation: Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12-year-old female patient suffering from Rheumatic Fever (RF).]]></situation> 
				</query>
				<query>
					<question ctrlno="204" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While nurse Rica was doing her regular rounds, one of the mothers approached her saying that her child who has a Tetralogy of Fallot preferred to squat on bed rather than assuming a supine position. The BEST action of the nurse is:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[let the mother continue this position of her child if she feels comfortable with it]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[divert the child's attention by letting her join the nurses rounds]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[put her on bed and start to administer oxygen inhalation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[discourage the child and let her lie on bed with 2 pillows instead]]></answer> 
						<situation><![CDATA[Situation: Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12-year-old female patient suffering from Rheumatic Fever (RF).]]></situation> 
				</query>
				<query>
					<question ctrlno="205" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Another patient in the Unit is Letty, 8 years old, waiting to be scheduled for surgery because of a Coarctation of the Aorta. With this disorder, Letty will manifest which one of the following symptoms?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Murmur and bruit of the lungs.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Central and peripheral edema.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Hypertension and diminished pulses in the extremities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hepatomegaly and Shortness of breadth.]]></answer> 
						<situation><![CDATA[Situation: Rica, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12-year-old female patient suffering from Rheumatic Fever (RF).]]></situation> 
				</query>
				<query>
					<question ctrlno="206" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are the nurse on duty when Mr. Joe was admitted in the pay floor. In your observational data what additional EARLY SIGN of liver cirrhosis do you expect patient to manifest?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gonadal atrophy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hypotension]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Splenomegaly]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ankle edema]]></answer> 
						<situation><![CDATA[Situation: Mr. Joe is 55 years old, married, a car dealer has consulted the ER because of on and fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.]]></situation></query>
				<query>
					<question ctrlno="207" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is TRUE of liver cirrhosis? <br><br>
					<span style="font-weight:normal">
					1. Nutritional deficiency with decreased protein intake contributes to liver damage.<br>
					2. Cirrhosis can happen to people with alcohol intake.<br>
					3. Women are at greater risk for the development of alcohol-induced liver disease.<br>
					4. Most patients affected by liver cirrhosis are between 40 to 60 years of age.<br>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<situation><![CDATA[Situation: Mr. Joe is 55 years old, married, a car dealer has consulted the ER because of on and fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.]]></situation></query>
				<query>
					<question ctrlno="208" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During Mr. Joe's confinement he developed further itchiness of the skin and jaundice. Which of the following nursing actions is NOT recommended, as this will induce skin breakdown?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Add baking soda when bathing the patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Massage the skin with emollients every 2 hours.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Use of commercial soaps and alcohol-based lotions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Rub the itchy skin with knuckles instead of using the nails.]]></answer> 
						<situation><![CDATA[Situation: Mr. Joe is 55 years old, married, a car dealer has consulted the ER because of on and fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="209" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At early stage of Mr. Joe's disease process, the physician ordered this SPECIFIC diet for Mr. Joe. You emphasized to the dietitian that he should be served foods that is______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[high carbohydrate and low sodium]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[high calorie and high carbohydrate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[low protein and high fat]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[high protein and high fat]]></answer> 
						<situation><![CDATA[Situation: Mr. Joe is 55 years old, married, a car dealer has consulted the ER because of on and fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="210" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Joe started to develop ascites and complained of heaviness of the lower extremities to the physician. An order of Spironolactone (Aldactone) 25 mg/day. What adverse effect of the drug should you monitor?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Palpitation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Irregular pulse rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypokalemia]]></answer> 
						<situation><![CDATA[Situation: Mr. Joe is 55 years old, married, a car dealer has consulted the ER because of on and fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness of the skin. Based on the health history the patient has been a chain smoker and drinks alcoholic beverages almost every day especially when he has clients to entertain. His physical examination showed he has a suspected liver cirrhosis. He was advised for admission for further work-up and treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="211" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When is the BEST time for the operative consent be signed by his patients?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[As soon as the surgical procedure is explained to the patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[On admission when the relatives are around.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A day before the surgery.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Before any pre-op medications are administered.]]></answer> 
						<situation><![CDATA[Situation: Mr. Perez is a surgical nurse in a medical center and he had been practicing for almost five years in this unit. The staff go on shift rotation. For that shift, he had two patients for operation. One is for Lobectomy and another is for Nephrectomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="212" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing goals are achieved when early ambulation is done by post-surgery patients? <br><br>
					<span style="font-weight:normal">
					1. improved circulation<br>
					2. improved respiratory functions<br>
					3. prevent venous stasis<br>
					4. prevent emboli formation<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c2" value="1" 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[1 and 2]]></answer> 
						<situation><![CDATA[Situation: Mr. Perez is a surgical nurse in a medical center and he had been practicing for almost five years in this unit. The staff go on shift rotation. For that shift, he had two patients for operation. One is for Lobectomy and another is for Nephrectomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="213" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following patients is MOST at risk during the induction of anesthesia?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[6-year-old with history of allergy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[65-year-old diabetic woman]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[35-year-old TB case]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[25-year-old Polio Case]]></answer> 
						<situation><![CDATA[Situation: Mr. Perez is a surgical nurse in a medical center and he had been practicing for almost five years in this unit. The staff go on shift rotation. For that shift, he had two patients for operation. One is for Lobectomy and another is for Nephrectomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="214" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a circulating nurse, which of the following is your PRIORITY nursing action to promote safety of your patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Prevent peri-operative position injury]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide adequate lighting during the procedure.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Optimize surgeon's access to surgical site.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintain surgical aseptic technique during the procedure.]]></answer> 
						<situation><![CDATA[Situation: Mr. Perez is a surgical nurse in a medical center and he had been practicing for almost five years in this unit. The staff go on shift rotation. For that shift, he had two patients for operation. One is for Lobectomy and another is for Nephrectomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="215" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Being the nurse in the Post-Anesthesia Care Unit, which of the following is your PRIORITY concern after surgery?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[monitor vital signs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[observe surgical site for bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[validate doctor's orders]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[check level of consciousness]]></answer> 
						<situation><![CDATA[Situation: Mr. Perez is a surgical nurse in a medical center and he had been practicing for almost five years in this unit. The staff go on shift rotation. For that shift, he had two patients for operation. One is for Lobectomy and another is for Nephrectomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="216" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Len a registered nurse, has signed a contract for two years in a medical center. A recruitment agency has offered her a "fat" salary for foreign employment. If you are in the position of Len, what should you do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Discuss your plans with your parents.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Accept the recruitment offer and go on absence without official leave.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Write a letter of resignation to your employer 30 days before leaving.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Accept recruiter's offer and give an excuse to employer on behalf of her "sick" mother.]]></answer> 
						<situation><![CDATA[Situation: The following situations are related to ethical practices in the workplace.]]></situation> 
				</query>
				<query>
					<question ctrlno="217" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Riza is a BSN graduate but did not take the National Licensure exams. She is in dire need of money so she applied and was accepted in health facility. As a nurse, she submitted a fake PRC license in order to be given the job. Riza is liable to be charged of_____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[false statement]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[misrepresentation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[fraud and deceit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[malpractice]]></answer> 
						<situation><![CDATA[Situation: The following situations are related to ethical practices in the workplace.]]></situation> 
				</query>
				<query>
					<question ctrlno="218" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Paras an R.N. was invited as a resource person to a nursing conference. The curriculum vitae, she submitted to the PRC Continuing Professional Development Council reflects the word Masters of Art in Nursing (MAN) after her name. She only completed academic requirements but NOT her thesis writing. Which of the following did Ms. Paras violate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[RA 9173 or Nursing Law]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Code of Professional Ethics for Teachers]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Magna Carta for Health Workers]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Code of Ethics for Registered Nurse]]></answer> 
						<situation><![CDATA[Situation: The following situations are related to ethical practices in the workplace.]]></situation> 
				</query>
				<query>
					<question ctrlno="219" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[It is a hospital, policy for nurses in a health facility that reporting time is 15 minutes before the official designated time. Nurse Claire reported 30 minutes late and requested her co-staff to sign in for her. This is an example of______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[dishonesty]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[falsification of document]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[unprofessional conduct]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[all of the options]]></answer> 
						<situation><![CDATA[Situation: The following situations are related to ethical practices in the workplace.]]></situation> 
				</query>
				<query>
					<question ctrlno="220" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What ethical justification is observed when administering Opioids despite the possibility of hastening death?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[rule of double effect]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[rule of single effect]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[maleficence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[justice]]></answer> 
						<situation><![CDATA[Situation: The following situations are related to ethical practices in the workplace.]]></situation> 
				</query>
				<query>
					<question ctrlno="221" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are several factors contributory to the development of these conditions. Which of the following are the PRIORITY causative factors; that should be emphasized by Nurse Lydia in her health teaching?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cigarette smoking and hyperlipidemia.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Aging process and alcohol intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stress and overacidity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sedentary life and obesity]]></answer> 
						<situation><![CDATA[Situation: Lydia is a staff-nurse working in medical unit with several patients suffering from cardiovascular and peripheral disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="222" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Jacob is admitted due to congestive heart failure. Nurse Lydia would expect that if the failure is on the right side of the heart, the patient will manifest which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Jugular vein distention.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Crackles on asultation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dry productive cough]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Orthopnea.]]></answer> 
						<situation><![CDATA[Situation: Lydia is a staff-nurse working in medical unit with several patients suffering from cardiovascular and peripheral disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="223" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient has been receiving Digoxin 0.25 mg per day to regulate his heart rate. Which of the following outcomes would indicate that this medication is achieving its desired effect? ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Improved appetite.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased pedal edema.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Increased urine elimination.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[improved bowel elimination.]]></answer> 
						<situation><![CDATA[Situation: Lydia is a staff-nurse working in medical unit with several patients suffering from cardiovascular and peripheral disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="224" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The other patient of Ms. Lydia is suffering from Buerger's disease. He has been complaining of intermittent claudication of the lower extremities which has been giving him so much discomfort. What is the BEST nursing action she should perform to address the patient's complaint?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Allow the patient to lie flat on bed.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Teach him foot care and leg exercises.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Place affected extremities in a dependent position.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Apply hot water bag to the affected extremities.]]></answer> 
						<situation><![CDATA[Situation: Lydia is a staff-nurse working in medical unit with several patients suffering from cardiovascular and peripheral disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="225" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following information is NOT True of Buerger's disease?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Small and medium, arteries and veins are mostly affected.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Smoking is a major cause of Buerger's disease]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Incidence of Buerger's disease is high in men than women.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A strong relationship exists between diabetes and Buerger disease.]]></answer> 
						<situation><![CDATA[Situation: Lydia is a staff-nurse working in medical unit with several patients suffering from cardiovascular and peripheral disorders.]]></situation> 
				</query>
				<query>
					<question ctrlno="226" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following manifestations would indicate the development of wound infection?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Presence of elevated red blood cells count.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Profuse and increasing perspiration.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increased blood pressure, respiratory rate and pulse rate. ]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increasing pain on the surgical incision.]]></answer> 
						<situation><![CDATA[Situation: Melanie, 58-year-old, beautician has undergone bowel obstruction surgery. During her first day post-op. she vomited clear liquids about three times during your shift. Her vital signs include: temp - 37.9 degree C. 138/84 PR - 78/min and RR - 26/min. Her surgical incision is intact, slight bleeding, swelling and tenderness with slight pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="227" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the wound drainage is serosanguineous, it means the secretion is colored________ .]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[yellow-tinged]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[pinkish-red]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[green-tinged]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[bright red]]></answer> 
						<situation><![CDATA[Situation: Melanie, 58-year-old, beautician has undergone bowel obstruction surgery. During her first day post-op. she vomited clear liquids about three times during your shift. Her vital signs include: temp - 37.9 degree C. 138/84 PR - 78/min and RR - 26/min. Her surgical incision is intact, slight bleeding, swelling and tenderness with slight pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="228" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Later during the day, Melanie became confused, started to pull out her IV fluids as well as her wound dressings. Complained of severe pain over the wound area. The PRIORITY, action of the Nurse is to_____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[apply sterile dressings over the surgical wound]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[call the surgeon at once for the health status of the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[administer the pain medication at once]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[restrain the hands of the patient]]></answer> 
						<situation><![CDATA[Situation: Melanie, 58-year-old, beautician has undergone bowel obstruction surgery. During her first day post-op. she vomited clear liquids about three times during your shift. Her vital signs include: temp - 37.9 degree C. 138/84 PR - 78/min and RR - 26/min. Her surgical incision is intact, slight bleeding, swelling and tenderness with slight pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="229" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The drug of choice of pain relief to patient Melanie considering the score of 8 which was assessed; by the nurse based on the rating scale of 0-10 (0-lowest, 10 is the highest) is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[morphine S04]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ibuprofen]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[demerol]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[paracetamol]]></answer> 
						<situation><![CDATA[Situation: Melanie, 58-year-old, beautician has undergone bowel obstruction surgery. During her first day post-op. she vomited clear liquids about three times during your shift. Her vital signs include: temp - 37.9 degree C. 138/84 PR - 78/min and RR - 26/min. Her surgical incision is intact, slight bleeding, swelling and tenderness with slight pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="230" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is receiving opioid medication, the nurse should observe complications from the side effects by_____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[checking for the presence of loose bowel movement]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[observing signs and symptoms of addiction]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[assessing changes of circulatory status]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[assessing wakefulness of the patient at least every 2 hours]]></answer> 
						<situation><![CDATA[Situation: Melanie, 58-year-old, beautician has undergone bowel obstruction surgery. During her first day post-op. she vomited clear liquids about three times during your shift. Her vital signs include: temp - 37.9 degree C. 138/84 PR - 78/min and RR - 26/min. Her surgical incision is intact, slight bleeding, swelling and tenderness with slight pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="231" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the physician clarifies the process of drug administration, this Quality Improvement Process is known as______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[System analysis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Root cause analysis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Problem identification]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pareto chart]]></answer> 
						<situation><![CDATA[Situation: Mr. Santos, a post-operative patient, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patients answered NO. The physician clarified the claim from the chart and from the NOD.]]></situation> 
				</query>
				<query>
					<question ctrlno="232" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the primary reason why the physician wanted to clarify the process?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Measures the turn around time of medication]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Better communication with patient and results]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Identify gap in the medication administration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[improve care management in drug administration]]></answer> 
						<situation><![CDATA[Situation: Mr. Santos, a post-operative patient, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patients answered NO. The physician clarified the claim from the chart and from the NOD.]]></situation> 
				</query>
				<query>
					<question ctrlno="233" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While the medical director is conducting his rounds he observed the presence of scattered supplies and equipment along the corridor as well as 02 tank not properly secured. The Quality Circle (QC) team . was informed about this observation. Which of the following is the BEST strategy to be adopted by the team with this concern? ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Adopt the 5 S audit]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Identify, and Prioritize the Problem.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Select Alternative Solution]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Enhance Continous quality improvement.]]></answer> 
						<situation><![CDATA[Situation: Mr. Santos, a post-operative patient, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patients answered NO. The physician clarified the claim from the chart and from the NOD.]]></situation> 
				</query>
				<query>
					<question ctrlno="234" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The approach adopted by Quality circle team was presented to top management. Which of the following tools is APPRROPRIATE to be utilized as a guide for the time management?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pre chart]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Radar chart]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Process flow chart]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Gantt chart]]></answer> 
						<situation><![CDATA[Situation: Mr. Santos, a post-operative patient, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patients answered NO. The physician clarified the claim from the chart and from the NOD.]]></situation> 
				</query>
				<query>
					<question ctrlno="235" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to determine if the implementation of the activity is successful, the first step to be done by the team is_____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prioritize the problem]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[coordinate with the different units.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[have a random report to the supervisor]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[develop a monitoring plan]]></answer> 
						<situation><![CDATA[Situation: Mr. Santos, a post-operative patient, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patients answered NO. The physician clarified the claim from the chart and from the NOD.]]></situation> 
				</query>
				<query>
					<question ctrlno="236" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Rustom, 38 years old, is scheduled for Laparoscopic Cholecystectomy in the morning the next day. He verbalizes to you and says, "Dr. Alex will open me up tp remove my gallstone?" Which of the following is your BEST response?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Let us discuss with the surgeon your operation before you go to the OR."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I know the surgeon will remove your stones with a new technique."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Let me call the OR supervisor to discuss the procedure with you."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I will call the anesthesiologist to explain more the procedure.]]></answer> 
						<situation><![CDATA[Situation: Nurse Aida is assigned in the Surgical Ward of a Tertiary Medic Center with several patients who are for diagnostic tests and for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="237" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A critical component before Mr. Rustom goes for surgery is the nurse preoperative teaching.Which of the following is NOT advisable prior to surgery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Teach him deep breathing exercises.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Fast at midnight, but can drink water if he becomes thirsty.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Instruct him to void before going to the operating room.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Teach him leg and coughing exercises.]]></answer> 
						<situation><![CDATA[Situation: Nurse Aida is assigned in the Surgical Ward of a Tertiary Medic Center with several patients who are for diagnostic tests and for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="238" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While giving health instructions to Rustom. He looks very anxious and said to you, "I might not be able to wake up from anesthesia after my operation." Your BEST response is]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Do not worry, everything will be alright."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Let me tell to your family your fear.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I will not let you go to the OR until I have talked, to your surgeon.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Don't say that I will discuss your concerns with your anesthesiologist.]]></answer> 
						<situation><![CDATA[Situation: Nurse Aida is assigned in the Surgical Ward of a Tertiary Medic Center with several patients who are for diagnostic tests and for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="239" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Rustom, returned back to the ward, after recovering from anesthesia. He Complained of pain over the scapular region. Which of the following nursing, actions should you do?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Apply heating pad over the painful area.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Turn client from side to side.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Give demerol as ordered.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Apply cold pack over the affected area.]]></answer> 
						<situation><![CDATA[Situation: Nurse Aida is assigned in the Surgical Ward of a Tertiary Medic Center with several patients who are for diagnostic tests and for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="240" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After 5 days, Mr. Rostum is ready to go home. His discharge instructions include observations of the following complications, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Palpitation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Loss of appetite]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increased body temperature]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Bleeding]]></answer> 
						<situation><![CDATA[Situation: Nurse Aida is assigned in the Surgical Ward of a Tertiary Medic Center with several patients who are for diagnostic tests and for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="241" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[How will you distribute the patients to the 3 Registered Nurses and 2 Nursing Assistants?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 Registered Nurse for Total Care patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Nursing Assistant for Ambulatory Care patients]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 Registered Nurse and 1 Nursing Assitant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse for Ambulatory Care patients]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2 Registered Nurse for Total Care patients, 2 Nursing Assistant for Primary Care patients, 1 Registered Nurse for Ambulatory Care patients]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 Registered Nurse for Total Care patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse and 1 Nursing Assistant for Ambulatory Care patients]]></answer> 
						<situation><![CDATA[Situation: Nathalie is assigned as charge nurse at the Cardiovascular ward in a Medical Center. There are 20 patients, classified as follows: 2 Total care (TC), Partial Care (PC) and 9 Ambulatory (AC). The ward's morning duty are 3 staff nurses and 2 Care nursing attendants (NA)]]></situation> 
				</query>
				<query>
					<question ctrlno="242" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In as much as this is a cardio ward what basic equipment materials should be available at all times?<br><br>
					<span style="font-weight:normal">
					1. 02<br>
					2. Ambu bag<br>
					3. Suction Apparatus<br>
					4. Endotracheal<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 5, 4]]></answer> 
						<situation><![CDATA[Situation: Nathalie is assigned as charge nurse at the Cardiovascular ward in a Medical Center. There are 20 patients, classified as follows: 2 Total care (TC), Partial Care (PC) and 9 Ambulatory (AC). The ward's morning duty are 3 staff nurses and 2 Care nursing attendants (NA)]]></situation> 
				</query>
				<query>
					<question ctrlno="243" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following emergency medicines should be available at the emergency cart at the Cardio Ward?<br><br>
					<span style="font-weight:normal">
					1. Epinephrine<br>
					2. Demerol<br>
					3. Valium<br> 
					4. Coumadin<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3, 4]]></answer> 
						<situation><![CDATA[Situation: Nathalie is assigned as charge nurse at the Cardiovascular ward in a Medical Center. There are 20 patients, classified as follows: 2 Total care (TC), Partial Care (PC) and 9 Ambulatory (AC). The ward's morning duty are 3 staff nurses and 2 Care nursing attendants (NA)]]></situation> 
				</query>
				<query>
					<question ctrlno="244" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When stocking fluids in the emergency cart, what should nurse Nathalie instruct the nurses?<br><br>
					<span style="font-weight:normal">
					1. Put the recently delivered at the back of the old stock.<br>
					2. Put the old stock in front of the newly-delivered ones.<br>
					3. Check the fluids for sediments and discoloration.<br>
					4. Keep the fluids inside a cooler.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3]]></answer> 
						<situation><![CDATA[Situation: Nathalie is assigned as charge nurse at the Cardiovascular ward in a Medical Center. There are 20 patients, classified as follows: 2 Total care (TC), Partial Care (PC) and 9 Ambulatory (AC). The ward's morning duty are 3 staff nurses and 2 Care nursing attendants (NA)]]></situation> 
				</query>
				<query>
					<question ctrlno="245" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[How will Nurse Nathalie arrange the patients in the ward? Put the______. ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Primary Care in between the Ambulatory Care patients.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Primary Care and Ambulatory Care patients together and Total Care at the corner of the room.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Total Care patients near the nurses station and the Ambulatory Care farthest]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ambulatory Care patients near the Total Care ones.]]></answer> 
						<situation><![CDATA[Situation: Nathalie is assigned as charge nurse at the Cardiovascular ward in a Medical Center. There are 20 patients, classified as follows: 2 Total care (TC), Partial Care (PC) and 9 Ambulatory (AC). The ward's morning duty are 3 staff nurses and 2 Care nursing attendants (NA)]]></situation> 
				</query>
				<query>
					<question ctrlno="246" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on your assessment and history taking for Mr. Bang which PRIORITY findings should you document and report to the physician?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Use of anti-inflammatory drugs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vital signs BP-140/90,PR- 88/min.RR- 24 / min]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[abdominal pain (3 in a scale of 10)]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Tense rigid abdomen]]></answer> 
						<situation><![CDATA[Situation: Mr. Bang, 62-year-old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse on duty when he was admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="247" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have formulated your Nursing Diagnosis for the patient and wrote in the nursing care plan. Which ONE of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Deficient Fluid Volume R/T vomiting of blood and gastric secretion.]]></answer>
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Non-compliance R/T alcohol and medication intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fear of death R/T unknown cause of bleeding.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Risk for Aspiration R/T active bleeding.]]></answer> 
						<situation><![CDATA[Situation: Mr. Bang, 62-year-old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse on duty when he was admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="248" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders insertion of nasogastric tube with lavage to Mr. Bang. What kind of solution will you expect to be written in the doctor's order when a patient will undergo a lavage?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Normal Saline solution]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Distilled water]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tap warm water]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dextrose 5% in water]]></answer> 
						<situation><![CDATA[Situation: Mr. Bang, 62-year-old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse on duty when he was admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="249" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient has a gastro-intestinal bleeding and there is the presence of hematemesis, how should you describe this in your documentation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Bloody vomitus appearing as fresh bright red blood or "coffee-ground" in appearance.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Brownish vomitus appearing as "chocolate" in appearance from a previous food intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Black, tarry stool in appearance often foul smelling, from a previous food intake.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Small amounts of fresh blood observed either through gastric secretions or stools.]]></answer> 
						<situation><![CDATA[Situation: Mr. Bang, 62-year-old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse on duty when he was admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="250" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are the practice guidelines in documentation. Which ONE of these is NOT recommended to be written in your charting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Had urine output of 600 cc during the whole shift]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Appears to be comfortable with good night rest and sleep]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Refused to eat her dinner as she feels nauseated at meal time.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Slept from 11 PM to 6 AM after valium 5 mg was given]]></answer> 
						<situation><![CDATA[Situation: Mr. Bang, 62-year-old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse on duty when he was admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="251" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is suffering from abdominal aortic aneurysm the clinical manifestations likely to be present are the following EXCEPT]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[severe mid-abdominal and lumbar back pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[pulsating abdominal mass]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ischemic pain not relieved by rest]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[cool cyanotic extremities in the iliac arteries]]></answer> 
						<situation><![CDATA[Situation: Mr. Alba, 62 yr. old, an executive of a construction firm was admitted in a nearby tertiary hospital because of sudden severe abdominal pain. After completing the physical examination he was advised to be admitted for a suspected abdominal aneurysm.]]></situation> 
				</query>
				<query>
					<question ctrlno="252" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to confirm the diagnosis, an abdominal ultrasonography was ordered which revealed rupture of the blood vessels. To decrease the amount of gas in the bowel the patient has to fast for how long PRIOR to the procedure?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[5-7 hours]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[13-24 hours]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[4-6 hours]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[8-12 hours]]></answer> 
						<situation><![CDATA[Situation: Mr. Alba, 62 yr. old, an executive of a construction firm was admitted in a nearby tertiary hospital because of sudden severe abdominal pain. After completing the physical examination he was advised to be admitted for a suspected abdominal aneurysm.]]></situation> 
				</query>
				<query>
					<question ctrlno="253" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The anesthesiologist visited the patient and informed him that moderate sedation will be used during surgery. Which of the following are the responsibilities of the health team with this type of anesthesia? Continual assessment of_____.<br><br>
					<span style="font-weight:normal">
					1. vital signs<br>
					2. level of consciousness<br>
					3. cardiac function<br>
					4. respiratory function<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1& 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 & 3]]></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[Situation: Mr. Alba, 62 yr. old, an executive of a construction firm was admitted in a nearby tertiary hospital because of sudden severe abdominal pain. After completing the physical examination he was advised to be admitted for a suspected abdominal aneurysm.]]></situation> 
				</query>
				<query>
					<question ctrlno="254" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During surgery, what is the ideal position to be assumed by Mr. Alba?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sims]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Trendelenburg]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Dorsal recumbent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lithotomy]]></answer> 
						<situation><![CDATA[Situation: Mr. Alba, 62 yr. old, an executive of a construction firm was admitted in a nearby tertiary hospital because of sudden severe abdominal pain. After completing the physical examination he was advised to be admitted for a suspected abdominal aneurysm.]]></situation> 
				</query>
				<query>
					<question ctrlno="255" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Immediately after surgery, the PRIORITY complication that has to be watched by the nurse is_____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[renal failure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[impotence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[infection]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[hemorrhage]]></answer> 
						<situation><![CDATA[Situation: Mr. Alba, 62 yr. old, an executive of a construction firm was admitted in a nearby tertiary hospital because of sudden severe abdominal pain. After completing the physical examination he was advised to be admitted for a suspected abdominal aneurysm.]]></situation> 
				</query>
				<query>
					<question ctrlno="256" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST approach to be enjoyed by Mr. Castro upon the advise of his senior nurse is______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[send the family members home]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[confront with the family regarding their behavior]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ignore family's behavior]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[use active-listening technique]]></answer> 
						<situation><![CDATA[Situation: Mr. Castro, who has just finished his one (1) year period as a registered nurse in a medical center, is assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the patient's family so he consulted his senior nurse regarding this matter.]]></situation> 
				</query>
				<query>
					<question ctrlno="257" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The senior resident in the medical unit was making, his regular rounds with the medical interns and Nurse Castro was called to receive his orders for Mr. Rex who had been confined in the unit for almost a week. Nurse Castro could not understand some of the written orders of the physician in the chart. Which of the following is the APPROPRIATE action of the Nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refer to the nurse supervisor to validate physician's orders.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Approach the physician and clarify his orders.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Call his junior resident to rewrite his orders.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Complete the orders by rewriting what is in the chart.]]></answer> 
						<situation><![CDATA[Situation: Mr. Castro, who has just finished his one (1) year period as a registered nurse in a medical center, is assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the patient's family so he consulted his senior nurse regarding this matter.]]></situation> 
				</query>
				<query>
					<question ctrlno="258" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the patients of Mr. Castro told him that according to the his attending, physician he would be transferred to the surgical unit because of a suspected stone in the gall bladder causing his on and off pain later in the evening. The wife however, told Mr. Castro "No, the physician told me, my husband will still be in this unit for 2 more days". The BEST action of the Nurse should______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Call the physician to clarify management of care for the patient ]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Instruct the couple and family members to wait for the decision of the health team]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ inform the patient that sometimes the physician need to have more data available]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[inform the couple that the decision of the physician is sometimes not fixed]]></answer> 
						<situation><![CDATA[Situation: Mr. Castro, who has just finished his one (1) year period as a registered nurse in a medical center, is assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the patient's family so he consulted his senior nurse regarding this matter.]]></situation> 
				</query>
				<query>
					<question ctrlno="259" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The members of the health team in the medical unit has been reacting negatively to a patient who has been branded as "Very demanding". He has a diagnosis of Emphysema and had been confined for almost 2 weeks in the ward. Family members come and go to visit him. The BEST approach of the health team should be____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[request a chaplain to regularly visit the patient]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[hold a team conference on how to approach the issue]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[request for a psychological counselling]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ talk with the family members and discuss the demanding behavior of the father]]></answer> 
						<situation><![CDATA[Situation: Mr. Castro, who has just finished his one (1) year period as a registered nurse in a medical center, is assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the patient's family so he consulted his senior nurse regarding this matter.]]></situation> 
				</query>
				<query>
					<question ctrlno="260" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Castro is taking care of Ms. Gonzaga with a multi-organ disorder. The health care team believes that patient's survival rate is only 50%. Which of the following nursing actions is the MOST APPROPRIATE to be done by Nurse Castro?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Avoid discussion of death when family members are present.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Arrange with the family the available funeral parlors incase of death of the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request the wife to prepare a living will]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Inform the family members that there is a palliative care available]]></answer> 
						<situation><![CDATA[Situation: Mr. Castro, who has just finished his one (1) year period as a registered nurse in a medical center, is assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the patient's family so he consulted his senior nurse regarding this matter.]]></situation> 
				</query>
				<query>
					<question ctrlno="261" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following examples is a well stated objectives for this proposal?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Utilize the Universal Health Precaution in dealing with self and the environment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Understand the health precaution in dealing with self and environment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Know the value of Universal Health Precaution in dealing with self and environment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ Acquire knowledge on health precaution in dealing with self and environment.]]></answer> 
						<situation><![CDATA[Situation: The Coordinator of the In-Service nursing department prepared an enhancement program for the newly board passers on Universal Health Precaution as part of their personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="262" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The group came up with an effective strategy in the teaching of the Universal Health Precaution to the attendees. Which of the following is the BEST strategy for this program?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Film showing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Case Analysis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lecture with interactive discussion]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Demonstration and return demonstration]]></answer> 
						<situation><![CDATA[Situation: The Coordinator of the In-Service nursing department prepared an enhancement program for the newly board passers on Universal Health Precaution as part of their personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="263" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before the implementation of the program, it is important to know pertinent information about the participants. Which of the following INITIAL steps should be undertaken by the organizing committee?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prepare a budget plan for the program.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Organize the learners into groups per gender.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Present the detailed program to management]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Come up with the learning needs of the participant.]]></answer> 
						<situation><![CDATA[Situation: The Coordinator of the In-Service nursing department prepared an enhancement program for the newly board passers on Universal Health Precaution as part of their personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="264" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A Gantt chart has been devised by the Organizing Committee as the program will be conducted for 4 weeks time. What does this chart represents?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Determining possible budgetary implications.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Schedule for meeting the objectives for the program.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Coordination needed between and among the participants.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Time frame for the completion of the program with set goals.]]></answer> 
						<situation><![CDATA[Situation: The Coordinator of the In-Service nursing department prepared an enhancement program for the newly board passers on Universal Health Precaution as part of their personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="265" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements of the participants indicate that the program is effective?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Its good we have earned our CPD units required.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[We gain weight after the completion of the program]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[There should be more time allotted to the session.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I am happy that we have met all the objectives set.]]></answer> 
						<situation><![CDATA[Situation: The Coordinator of the In-Service nursing department prepared an enhancement program for the newly board passers on Universal Health Precaution as part of their personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="266" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ethical codes in research have greatly influenced the conduct of scientific studies especially among human beings. The declaration of Helsinki includes which of the following ethical standards?<br><br>
					<span style="font-weight:normal">
					1. Investigator should, protect life, privacy and dignity of human subjects<br>
					2. Investigator should protect from harm in therapeutic studies<br> 
					3. Informed consent is not essential when doing research among human subject<br> 
					4. Investigator should conduct research when objectives outweigh risks and burdens to the subjects<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<situation><![CDATA[Situation: Nurse Jenny, a research coordinator is aware of the concept of research as a competency expected as a graduate nurse, especially in this era of evidence based nursing practice. The following questions relate to research in nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="267" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Jenny was sent by her chief nurse to attend a Forum conducted by the Philippine Nursing Research Society on the topic "Effectiveness and Efficacy of the wound dressing to patients with bed injury". She would like to adopt intervention in their unit. What is the MOST appropriate action to be done by nurse Jenny when she returns to their hospital?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Pilot the study to determine if results will be the same]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Incorporate the intervention into their hospital manual]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Convince the chief nurse to change their wound management practices]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Request investigator if she can adopt the research protocol in their unit]]></answer> 
						<situation><![CDATA[Situation: Nurse Jenny, a research coordinator is aware of the concept of research as a competency expected as a graduate nurse, especially in this era of evidence based nursing practice. The following questions relate to research in nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="268" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The quality assurance nurse who works closely with nurse Jenny requested her to conduct a study by comparing the average length of hospitalization of cardiac patient in a regular ward with that of patients with same disorders in an intensive care unit. What statistical test is MOST appropriate to use in this study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Analysis of variance]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[T-test]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chi-square]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Coefficient of correlation]]></answer> 
						<situation><![CDATA[Situation: Nurse Jenny, a research coordinator is aware of the concept of research as a competency expected as a graduate nurse, especially in this era of evidence based nursing practice. The following questions relate to research in nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="269" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The research team together with the gastro-intestinal department also conducted a study on the alcohol consumption of patients as heavy drinkers and developed liver cirrhosis over a 20-year period. What type of study is this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Follow-up]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cross-sectional]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Trend]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Panel]]></answer> 
						<situation><![CDATA[Situation: Nurse Jenny, a research coordinator is aware of the concept of research as a competency expected as a graduate nurse, especially in this era of evidence based nursing practice. The following questions relate to research in nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="270" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Jenny with her team would like to conduct a research on "Perceptions of professional Health practitioners on the competence and level of acceptance on Nurse-Led Clinic". What type of research design should nurse Jenny and her team adopt?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Experimental]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Correlational]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Descriptive]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Quasi-experimental]]></answer> 
						<situation><![CDATA[Situation: Nurse Jenny, a research coordinator is aware of the concept of research as a competency expected as a graduate nurse, especially in this era of evidence based nursing practice. The following questions relate to research in nursing practice.]]></situation> 
				</query>
				<query>
					<question ctrlno="271" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In addition to the identification bracelet worn by the patient, how can the nurse on duty (NOD) verify the identity of her patient when administering the drugs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask the question, "Are you Ms. Alma?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Read the patient's name at the foot of the bed.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ask the patient's name from the watcher.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ask the patient's husband's name]]></answer> 
						<situation><![CDATA[Situation: Nurse Norma is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="272" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders a PRN pain medication to patient Alma. When will Nurse Norma administer a PRN drug?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A standing order is carried out as specified until discontinued for another order.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[When the physician writes the drug as needed in the order sheet.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A single dose of the drug, carried out by the nurse at a time specified by the physician.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[An order written by the physician that has to be carried out immediately.]]></answer> 
						<situation><![CDATA[Situation: Nurse Norma is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="273" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is in pain, what PRIORITY consideration should Nurse Norma observe?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Goal of treatment of the health professionals.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Perception of pain of the individual. ]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Harmful effects of the drugs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cost of the pain medication.]]></answer> 
						<situation><![CDATA[Situation: Nurse Norma is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="274" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Prior to the administration of pain medication, Nurse Alma assesses the degree of the pain of patient before and after the drug administration. Using the numeric scale of 0-10 (0 is the lowest and 10 is the highest) on pain, when the patient has rated her pain as 7 it means it is_____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[severe]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[tolerated]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[slight]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[moderate]]></answer> 
						<situation><![CDATA[Situation: Nurse Norma is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="275" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In educating effectively the patient and family on how to use a pain rating scale, the following are the STEPS to be followed by the nurse_____.<br><br>
					<span style="font-weight:normal">
					1. discuss pain as a broad concept<br>
					2. set goals for comfort and function<br>
					3. explain parts of the rating scale<br>
					4. show pain rating scale and purpose<br>
					5. verify if the patient understands the broad concept of pain<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3, 4, 6, & 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[4, 3, 1, 5, 6, & 2]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[2, 4, 3, 1, 6, & 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3, 1, 2, 5, 4, & 6]]></answer> 
						<situation><![CDATA[Situation: Nurse Norma is assigned on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Alma has been complaining of excruciating abdominal pain and was asking for pain medication. She was referred to the physician on duty (POD) for an immediate relief of pain.]]></situation> 
				</query>
				<query>
					<question ctrlno="276" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Helen is taking care of an older person and has been waiting for almost two hours for her son to arrive. She is ready for discharge. Which of the following statements is an example of a therapeutic communication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I can call your son by cellphone to remind him that you are waiting."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Your son must be in a traffic jam right now."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I'll stay with you until; your son arrives."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Would you want to watch the television while waiting.]]></answer> 
						<situation><![CDATA[Situation: Communication is a basic component of person-to-person relationship. In the clinical setting nurses are evaluated by patients to be efficient in carrying out activities of daily, living but sometimes limited in employing routine bedside care.]]></situation> 
				</query>
				<query>
					<question ctrlno="277" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are teaching a 66-year-old male diabetic client about the effects of insulin. He is ready for discharge the next week. Which of the following is a statement of a helping relationship with the patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[In a few days I'll review what you have learned about actions and effects of your insulin."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You keep on forgetting what I said but I will try to repeat some of them."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I already mentioned those actions and effects of insulin, I think you forgot some of them."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Would you like me to discuss the information to your wife? She can assist you?]]></answer> 
						<situation><![CDATA[Situation: Communication is a basic component of person-to-person relationship. In the clinical setting nurses are evaluated by patients to be efficient in carrying out activities of daily, living but sometimes limited in employing routine bedside care.]]></situation> 
				</query>
				<query>
					<question ctrlno="278" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is scheduled for cholecystectomy. She verbalizes to the nurse in an anxious manner. "Will my surgery be too long?". The BEST response of the nurse is_____:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I have undergone the same surgery, it's a very quick operation."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[your doctor is an expert, don't worry about how long.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[your surgery is at 9 A.M. tomorrow. And you'll stay in the recovery for an hour. You will be back in the room before 12noon]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[the operation will not last long. By the time you are awake you will be already in your room."]]></answer> 
						<situation><![CDATA[Situation: Communication is a basic component of person-to-person relationship. In the clinical setting nurses are evaluated by patients to be efficient in carrying out activities of daily, living but sometimes limited in employing routine bedside care.]]></situation> 
				</query>
				<query>
					<question ctrlno="279" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse explores thoughts and feelings about the patient's surgery, this phase in the helping-relationship is in_______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[introductory phase]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[termination phase]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[resolution phase]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[working phase]]></answer> 
						<situation><![CDATA[Situation: Communication is a basic component of person-to-person relationship. In the clinical setting nurses are evaluated by patients to be efficient in carrying out activities of daily, living but sometimes limited in employing routine bedside care.]]></situation> 
				</query>
				<query>
					<question ctrlno="280" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following major types of learning strategies can you offer for a Geriartric patient who has difficulty in hearing?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Practice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Demonstration]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Printed learning materials]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Role playing]]></answer> 
						<situation><![CDATA[Situation: Communication is a basic component of person-to-person relationship. In the clinical setting nurses are evaluated by patients to be efficient in carrying out activities of daily, living but sometimes limited in employing routine bedside care.]]></situation> 
				</query>
				<query>
					<question ctrlno="281" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient who had craniotomy was referred by Nurse Greg to Department of Social Welfare (DSWD) because he has problem on paying his unsettled hospital bill amounting to 80 thousand pesos. The relatives are afraid the patient will not be discharged soon. Which of the following function BEST describe the action of Nurse Greg?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Advocate]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Caregiver]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Educator]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Clinician]]></answer> 
						<situation><![CDATA[Situation: Nurse Greg is assigned in the medical ward for 7 years. He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability, and respect the patient's rights and cultural practices. He helps colleagues beyond call of duty.]]></situation> 
				</query>
				<query>
					<question ctrlno="282" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Greg noticed a colleague taking frequent breaks, working over-time, inaccurate drug accounts and displaying inappropriate behavior during meetings and conferences. Nurse Greg suspects her colleague is______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a victim of domestic violence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[with personality disorder]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[on substance abuse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[not mindful of work output]]></answer> 
						<situation><![CDATA[Situation: Nurse Greg is assigned in the medical ward for 7 years. He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability, and respect the patient's rights and cultural practices. He helps colleagues beyond call of duty.]]></situation> 
				</query>
				<query>
					<question ctrlno="283" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Greg is assigned on night shift and noted a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle attached to a syringe containing a clear liquid into the antecubital area. Greg's initial action is to call the_____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[nurse supervisor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[physician]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[security guard]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[watcher]]></answer> 
						<situation><![CDATA[Situation: Nurse Greg is assigned in the medical ward for 7 years. He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability, and respect the patient's rights and cultural practices. He helps colleagues beyond call of duty.]]></situation> 
				</query>
				<query>
					<question ctrlno="284" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Greg made a conference with a preoperative patient on important data related to her illness. To practice confidentiality of information, Nurse Greg MUST consider which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Documents the process of conversation to serve as proof for future reference.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Apply technology for easier and faster communication and documentation.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Conducts the conference in a private place where conversation is not heard.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Invites others to interpret the discussion if patient is deaf to unfamiliar with the language.]]></answer> 
						<situation><![CDATA[Situation: Nurse Greg is assigned in the medical ward for 7 years. He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability, and respect the patient's rights and cultural practices. He helps colleagues beyond call of duty.]]></situation> 
				</query>
				<query>
					<question ctrlno="285" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient refuses to undergo surgery after a conference with her doctor. Which of the following ethical principle applies when Nurse Greg and doctor respect the decision of the patient in spite encouragement and pieces of advise given?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Autonomy. ]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[self-determination]]></answer> 
						<situation><![CDATA[Situation: Nurse Greg is assigned in the medical ward for 7 years. He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability, and respect the patient's rights and cultural practices. He helps colleagues beyond call of duty.]]></situation> 
				</query>
				<query>
					<question ctrlno="286" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gladys started her admission care to Ms. Len. Which of the following laboratory examinations do you expect the physician to order for the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Serum lipase and Amylase]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Creatinine & Phospatase]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Serum Transaminase]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Urea Nitrogen Substance]]></answer> 
						<situation><![CDATA[Situation: Len, a 35-year-old dressmaker has been experiencing recurrent episodes of abdominal pain, nausea and vomiting and feels her stomach is bloated. She has been taking contraceptive pills in the past. She is married with three children. She consulted the OPD and was advised by the physician to be admitted for suspected Pancreatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="287" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a Nurse, which of the following assessment data you will MOST likely NOT to find on patient Len?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Abdominal and back pain with tenderness. ]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Cramping & pains before intake of heavy meals.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pain unrelieved by intake of antacids]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mid-epigastric pain acute in onset after heavy meals]]></answer> 
						<situation><![CDATA[Situation: Len, a 35-year-old dressmaker has been experiencing recurrent episodes of abdominal pain, nausea and vomiting and feels her stomach is bloated. She has been taking contraceptive pills in the past. She is married with three children. She consulted the OPD and was advised by the physician to be admitted for suspected Pancreatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="288" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The MOST useful diagnostic test to validate whether Ms. Len is suffering from Pancreatitis is for her to undergo]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Endoscopic Retrograde Cholangio Pancreatography]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Endoscopic Ultra sound]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Percutaneous Transhepatic Cholangiography]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Cholesterol Serum level]]></answer> 
						<situation><![CDATA[Situation: Len, a 35-year-old dressmaker has been experiencing recurrent episodes of abdominal pain, nausea and vomiting and feels her stomach is bloated. She has been taking contraceptive pills in the past. She is married with three children. She consulted the OPD and was advised by the physician to be admitted for suspected Pancreatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="289" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When managing a patient with Acute Pancreatitis the first PRIORITY is to: ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[insert urinary catheter for adequate elimination]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[encourage oral fluids to improve elimination]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[insert nasogastric tube to decompress stomach]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[administer IV fluids to replace electrolytes lost]]></answer> 
						<situation><![CDATA[Situation: Len, a 35-year-old dressmaker has been experiencing recurrent episodes of abdominal pain, nausea and vomiting and feels her stomach is bloated. She has been taking contraceptive pills in the past. She is married with three children. She consulted the OPD and was advised by the physician to be admitted for suspected Pancreatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="290" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the SAFETY alerts that the Nurse-on-duty (NOD) will have to watch for patient with Acute Pancreatitis is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Diabetes Insipidus]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Respiratory distress]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hypercalcemia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pericarditis]]></answer> 
						<situation><![CDATA[Situation: Len, a 35-year-old dressmaker has been experiencing recurrent episodes of abdominal pain, nausea and vomiting and feels her stomach is bloated. She has been taking contraceptive pills in the past. She is married with three children. She consulted the OPD and was advised by the physician to be admitted for suspected Pancreatitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="291" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are the clinical characteristics of Type I diabetes mellitus EXCEPT.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Often have islet cell antibodies ]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ketosis prone when insulin is absent]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Onset any age above 30 year old usually obese]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Onset any age below 30 year old usually thin]]></answer> 
						<situation><![CDATA[Situation: Norilee, an accountant 29 years old was rushed by her husband in the ER because of body weakness, palpitation, confusion and diaphoresis. Her blood glucose is 450 mg./dl with fruity acetone smell on her breath. She was diagnosed to be suffering from type - I diabetes mellitus 6 months ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="292" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Norilee upon admission has a breath characteristic of fruity acetone this is brought about by the presence of_____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[lactic acid]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[uric acid]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[nitric acid]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[ketoacids]]></answer> 
						<situation><![CDATA[Situation: Norilee, an accountant 29 years old was rushed by her husband in the ER because of body weakness, palpitation, confusion and diaphoresis. Her blood glucose is 450 mg./dl with fruity acetone smell on her breath. She was diagnosed to be suffering from type - I diabetes mellitus 6 months ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="293" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the presenting manifestations of patient Norilee, you expect that the physician will likely order which of the following treatment?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[50% dextrose]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[5% Lactated ringer]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dextrose 10% in water]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Normal Saline solution]]></answer> 
						<situation><![CDATA[Situation: Norilee, an accountant 29 years old was rushed by her husband in the ER because of body weakness, palpitation, confusion and diaphoresis. Her blood glucose is 450 mg./dl with fruity acetone smell on her breath. She was diagnosed to be suffering from type - I diabetes mellitus 6 months ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="294" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When caring for patient Norilee, which of the following should be included in your teaching plan?<br><br>
					<span style="font-weight:normal">
					1. Signs and symptoms of hypoglycemia<br>
					2. Self-glucose monitoring<br>
					3. Administration of insulin<br>
					A. Meal planning and exercise<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3 & 4]]></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[Situation: Norilee, an accountant 29 years old was rushed by her husband in the ER because of body weakness, palpitation, confusion and diaphoresis. Her blood glucose is 450 mg./dl with fruity acetone smell on her breath. She was diagnosed to be suffering from type - I diabetes mellitus 6 months ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="295" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When formulating a Nursing diagnosis for Ms Norilee who is suffering from type I diabetes mellitus with ketoacidosis, which of the following will be the top PRIORITY?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impaired tissue integrity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Deficient fluid volume]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Imbalanced nutrition]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Risk for infection]]></answer> 
						<situation><![CDATA[Situation: Norilee, an accountant 29 years old was rushed by her husband in the ER because of body weakness, palpitation, confusion and diaphoresis. Her blood glucose is 450 mg./dl with fruity acetone smell on her breath. She was diagnosed to be suffering from type - I diabetes mellitus 6 months ago.]]></situation> 
				</query>
				<query>
					<question ctrlno="296" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What type of research is appropriate for this study?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Quasi - experimental]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Experimental]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Historical]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Descriptive - correlational]]></answer> 
						<situation><![CDATA[Situation: Ms. Arce is the Research Coordinator of medical center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="297" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the best tool for data gathering?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Use of laboratory data]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Questionnaire]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Interview schedule]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Observation]]></answer> 
						<situation><![CDATA[Situation: Ms. Arce is the Research Coordinator of medical center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="298" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During data collection, Ms. Rita encountered a patient who does not want to talk to him. Which of the following is a limitation of the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Contacts of patients with history of fever and cough.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Patient's refusal to fully divulge information.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient's with history of fever and cough. ]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patients admitted or who seek consultation at the ER and doctors offices.]]></answer> 
						<situation><![CDATA[Situation: Ms. Arce is the Research Coordinator of medical center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="299" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the statement, "Frequent hand washing of health workers decreases the incidence of nosocomial infections among post- surgery patients," the dependent variable is_____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[frequent hand washing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[incidence of nosocomial infections]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[health workers]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[post-surgery patients]]></answer> 
						<situation><![CDATA[Situation: Ms. Arce is the Research Coordinator of medical center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem.]]></situation> 
				</query>
				<query>
					<question ctrlno="300" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Her colleague asks about the EXTERNAL validity of the research findings. Which of the following is the APPROPRIATE response of Ms. Rita?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It is reflected as a result of extraneous variables.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The findings are free of selection biases.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The result is shown only from the effect of the independent variable.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[It is generalized to other settings or samples.]]></answer> 
						<situation><![CDATA[Situation: Ms. Arce is the Research Coordinator of medical center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="1" testsection="NLE Assessment 1" 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[Nurse Yolan assesses the client for depression. Which of the following is a key indicator for clinical depression?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Anger due to pain experience.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feeling of excessive guilt.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Anorexia and weight loss.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Inability to care for one's physical self.]]></answer> 
						<situation><![CDATA[Situation: Nurse Yolan cares for a terminally ill client with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="302" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client has difficulty sleeping. Which of the following interventions is LEAST helpful for Nurse Yolan to incorporate in her care plan?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Instruct the client to drink herbal tea.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Give warm milk at bedtime.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Perform relaxation routine such as massage, imagery or music.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Instruct the client to drink black tea.]]></answer> 
						<situation><![CDATA[Situation: Nurse Yolan cares for a terminally ill client with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="303" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The care plan for the client includes family support. Which of the following is MOST appropriate for the family to establish a relationship with the health care team? Nurse Yolan should _____?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give permission to the family to take time to maintain friendship with the health care team.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Discuss the roles of the family members to the health care team.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explain the roles of all members of the interdisciplinary team.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Provide a brief explanation to the family member about the care being delivered to the client.]]></answer> 
						<situation><![CDATA[Situation: Nurse Yolan cares for a terminally ill client with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="304" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client appears to be dehydrated. The family members are discussing whether their loved one should be given intravenous fluid. Which of the following concepts about dehydration in terminally ill clients should guide Nurse Yolan?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Peripheral edema occurs because of fluid overload.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Thirst is an indication of dehydration.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Terminally ill clients are hydrated through oral and intravenous routes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[All interventions for terminally ill client should be directed towards comfort and reduction of symptoms.]]></answer> 
						<situation><![CDATA[Situation: Nurse Yolan cares for a terminally ill client with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="305" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client shows signs of imminent death. Nurse Yolan recognizes cardiovascular indicators of imminent death which are the following EXCEPT _____:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[bradycardia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[irregular heart rate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[tachycardia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[lowered blood pressure]]></answer> 
						<situation><![CDATA[Situation: Nurse Yolan cares for a terminally ill client with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="306" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on information gathered, the nurse writes a nursing diagnosis, which of the following diagnoses is MOST appropriate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Deficient knowledge related to self-care and risk prevention]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fear secondary to the diagnosis of cancer]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Risk of urinary infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Risk for impaired urinary elimination]]></answer> 
						<situation><![CDATA[Situation: A 65-year-old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="307" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To help manage incontinence, the nurse instructs the patient to do which of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Eat foods rich in fiber]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increase fluid intake]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Take in medications to manage pain]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Perform perineal muscle exercises]]></answer> 
						<situation><![CDATA[Situation: A 65-year-old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="308" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient asks for treatment options for his condition. The nurse explains that treatment options are based on which of the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[gender]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ability of the patient to manage physical and emotional implications of incontinence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[socio-economic status]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[grade and stage of the disease]]></answer> 
						<situation><![CDATA[Situation: A 65-year-old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="309" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient asks the nurse what the physician meant about his prostate cancer as Stage C or T3. The nurse explains that the tumor is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[palpable and has spread to other organs and often to distant sites such as bones or lymph nodes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[palpable and has spread beyond the prostate but not to other organs]]></answer>
						<answer choiceid="c3" value="0" rationale=""><![CDATA[confined to the prostate and was palpable during digital rectal examination]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[confined to the prostate and was not palpable during digital rectal examination]]></answer> 
						<situation><![CDATA[Situation: A 65-year-old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer.]]></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 recalls the staging and classification of prostate cancer. Which of the following statements is TRUE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The Gleason grading system is usually used for hematological cancers but not prostate cancer.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The normal Prostate Specific Antigen (PSA) range for under 40 years of age is less than 4 to 6 ng/mL]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[At least two separate biopsy specimens are graded based on their differentiation from normal prostate cells.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A score of D is less invasive than a score of B in the cancer staging system.]]></answer> 
						<situation><![CDATA[Situation: A 65-year-old male is admitted for prostate cancer. On assessment, the nurse determines that the patient has experienced incontinence. The nurse knows that incontinence is the first most common symptom of prostate cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="311" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are oriented on health care economics. The study of economics focuses on how choices are made to overcome a scarcity of resources. Which of the following statements BEST illustrates health care economics _____.<br><br>
					<span style="font-weight:normal">
					1. Providing less health care services that is optimal in order to contain costs.<br>
					2. Using individuals with less knowledge and skill to perform health care services usually performed by people with advanced knowledge and
					training.<br>
					3. Taking economic risks as a health care provider.<br>
					4. Providing adequate or appropriate care minimize risk of expensive
					utilization.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 and 3]]></answer> 
						<situation><![CDATA[Situation: You are a newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources.]]></situation> 
				</query>
				<query>
					<question ctrlno="312" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is TRUE regarding health care economics?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Contemporary health care is characterized as a business struggling to balance cost and quality.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Profit in health care is synonymous with billing privileges.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Health care economics is a new concept in nursing.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Health care is becoming affordable and clients are demanding quality care.]]></answer> 
						<situation><![CDATA[Situation: You are a newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources.]]></situation> 
				</query>
				<query>
					<question ctrlno="313" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You understand that a key factor that influence client care is the cost involved in the delivery of health services. Which of the following resources is NOT required to support the services delivered by nurses?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Time]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Client's environment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[People]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Equipment]]></answer> 
						<situation><![CDATA[Situation: You are a newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources.]]></situation> 
				</query>
				<query>
					<question ctrlno="314" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are aware that there is a need for you to understand how to manage the cost of client care as it relates to clinical practice. Which of the following are nurses accountable for?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decision regarding cost effective practices.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The client's hospital charges.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Distribution and consumption of resources such as time supplies, drugs, staff and personnel.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Financial viability of nursing department.]]></answer> 
						<situation><![CDATA[Situation: You are a newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources.]]></situation> 
				</query>
				<query>
					<question ctrlno="315" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While touring the department where you are assigned, you noticed that the supply room is stacked with medical supplies and equipment, which of the following is the BEST action you will take?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Create a task force to assess the situation and report the findings.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take an inventory of the supplies and equipment.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request maintenance to sort out the supplies and Check the medical equipment to determine if they are still functional.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Call for a staff meeting and discuss how best to utilized the available resources.]]></answer> 
						<situation><![CDATA[Situation: You are a newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources.]]></situation> 
				</query>
				<query>
					<question ctrlno="316" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client claims to have a diagnostic work up in the out patient unit before she was admitted. The admitting nurse prepares the client for which of the procedure that will MOST likely confirm the presence of brain tumor?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Myelogram]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[CT scan]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lumbar puncture]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Skull x-ray]]></answer> 
						<situation><![CDATA[Situation: A 34-year-old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="317" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While the client is being interviewed, she had a seizure. The initial intervention of the nurse must be directed towards:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Protecting the client.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Controlling the seizure.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reducing circulation to the brain.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Restraining the client.]]></answer> 
						<situation><![CDATA[Situation: A 34-year-old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="318" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After surgery, it is important for the nurse to position the head of the client properly to:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Facilitate venous drainage.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prevent hemorrhage on the suture line]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provide for client comfort.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintain patent airway.]]></answer> 
						<situation><![CDATA[Situation: A 34-year-old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="319" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that one of the measures listed below is contraindicated in post-operative pulmonary toilet.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Suctioning]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Deep breathing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Turning]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Coughing]]></answer> 
						<situation><![CDATA[Situation: A 34-year-old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="320" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The surgeon orders glucocorticoid Dexamethasone (Decadron) to be given following craniotomy. The nurse recognizes that this drug:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Creates a feeling of euphoria, which is beneficial in the early post-operative period.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Promotes excretion of water which aids in reducing ICP.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Enchances venous return and thus reduce ICP.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Reduces cerebral edema thus reducing ICP.]]></answer> 
						<situation><![CDATA[Situation: A 34-year-old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="321" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The family decides to wean the patient from the ventilator support. The family talks to the nurse about their decision to get the nurses support. Which of the following actions is NOT appropriate? The nurse _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[checks the physician's orders for sedation and analgesia and make sure that the anticipated death is comfortable and dignified]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[explains to the family what will happen at each phase of the weaning and offer support]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[tells the family that death will occur almost immediately after the patient is removed from the ventilator support]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[participates in the decision making process by offering the family information about the advantages and disadvantages of continued ventilator support]]></answer> 
						<situation><![CDATA[Situation: A nurse in the intensive care unit attends to a 20-year-old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken.]]></situation> 
				</query>
				<query>
					<question ctrlno="322" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Two hours after the ventilator support was discontinued, the patient dies. The nurse discusses with the family the possibility of donating the deceased person's organs. The following are guidelines in organ or tissue donation. <br><br>
					<span style="font-weight:normal">
					1. Religious beliefs in organ donation and transplantation must be respected.<br>
					2. Donors must be free of infectious disease and cancer.<br>
					3. Consent or written ordersi by the physician are necessary for referral to an organ procurement organization.<br> 
					4. The family of the deceased should be offered an opportunity to speak with a knowledgeable organ procurement coordinator.<br>
					5. The person requesting for organ donation does not have to believe in the benefits of organ donation but should support the process with a positive attitude.<br><br>
					Which of the guidelines should the nurse observe?</span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3, 4, 5]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1,3,5]]></answer> 
						<situation><![CDATA[Situation: A nurse in the intensive care unit attends to a 20-year-old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken.]]></situation> 
				</query>
				<query>
					<question ctrlno="323" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The legal definition of death that facilitates organ donation is the cessation of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Function of the entire brain]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pulse]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Circulatory and respiratory functions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respiration]]></answer> 
						<situation><![CDATA[Situation: A nurse in the intensive care unit attends to a 20-year-old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken.]]></situation> 
				</query>
				<query>
					<question ctrlno="324" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient is pronounced dead by the physician. Which of the following nursing actions VIOLATES the standards of care for a dead person?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Removing soiled dressing and tubes.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Keeping the dead person in a sitting position until the family has arrived, and said their goodbyes.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Placing identification tags on both the shroud and the ankle.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Preparing to transfer the body to the morgue.]]></answer> 
						<situation><![CDATA[Situation: A nurse in the intensive care unit attends to a 20-year-old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken.]]></situation> 
				</query>
				<query>
					<question ctrlno="325" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The family goes through the stages of grieving. What are the stages in the grieving process?<br><br>
					<span style="font-weight:normal">
					1. Acceptance<br>
					2. Depression<br>
					3. Denial<br>
					4. Bargaining<br>
					5. Anger<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3, 5, 1, 4, 2]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[3, 5, 4, 2, 1]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 5, 3, 4, 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 5, 4, 3]]></answer> 
						<situation><![CDATA[Situation: A nurse in the intensive care unit attends to a 20-year-old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken.]]></situation> 
				</query>
				<query>
					<question ctrlno="326" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses the patient for complications. Which are the MOST COMMON complications?<br><br>
					<span style="font-weight:normal">
					1. Urinary leakage<br>
					2. Delayed bleeding from the damage<br>
					3. Abscess formation<br>
					4. Paralytic ileus<br>
					5. Renal failure<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[4 & 5]]></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[2 & 3]]></answer> 
						<situation><![CDATA[Situation: A male teenager was wheeled in the Emergency Department (ED) for stab wound. The ED nurse suspects the kidneys may have been injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="327" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse knows that with renal trauma further complications may occur such as:<br><br>
					<span style="font-weight:normal">
					1. Secondary haemorrhage usually due to infection<br>
					2. Renal artery stenosis<br>
					3. Renal atrophy<br>
					4. Hypotension<br>
					5. Hydronephrosis<br><br>
					Which are the POSSIBLE complications?</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="1" rationale=""><![CDATA[1, 2, 3, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3, 4, 5]]></answer> 
						<situation><![CDATA[Situation: A male teenager was wheeled in the Emergency Department (ED) for stab wound. The ED nurse suspects the kidneys may have been injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="328" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses the patient to determine the extent of injury. Which of the following signs is a CARDINAL sign of renal trauma?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Shock]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lumbar pain]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Abdominal pain]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Hematuria]]></answer> 
						<situation><![CDATA[Situation: A male teenager was wheeled in the Emergency Department (ED) for stab wound. The ED nurse suspects the kidneys may have been injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="329" 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 patient with stab wound. The MOST appropriate nursing diagnosis is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[nutrition imbalance, less than body requirements, related to nausea from renal trauma]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[deficient fluid volume related to blood in the urine]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[acute pain in the abdominal area related to renal trauma]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[pain in the lumbar area related to renal trauma]]></answer> 
						<situation><![CDATA[Situation: A male teenager was wheeled in the Emergency Department (ED) for stab wound. The ED nurse suspects the kidneys may have been injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="330" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician prescribes Magnetic Resonance Imaging (MRI) of both kidneys to confirm clinical suspicion and determine the severity of the injury. Which of the following activities is a PRIMARY nursing consideration in preparing the patient for MRI?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Administer all medications scheduled before the test.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Report findings of metal screening; sedate the patient before sending him for MRI.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Coordinate the MRI with other patient care activities and inform the patient about the test.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ensure the patient is on NPO and hold all medications until test is completed.]]></answer> 
						<situation><![CDATA[Situation: A male teenager was wheeled in the Emergency Department (ED) for stab wound. The ED nurse suspects the kidneys may have been injured.]]></situation> 
				</query>
				<query>
					<question ctrlno="331" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ashley understands the importance of continuing professional development. Which of the following is the MAIN purpose of continuing professional development? To _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[update one's professional knowledge and competence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[acquire a certificate of attendance to add to one's curriculum vitae]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[establish networking within the nursing profession]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[fulfill requirements for an advanced degree in nursing]]></answer> 
						<situation><![CDATA[Situation: Nurse Ashley is a staff nurse in the oncology unit of a tertiary hospital. She reads literature on antineoplastic medications.]]></situation> 
				</query>
				<query>
					<question ctrlno="332" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ashley reads that the drug Cyclophosphamide (Cytoxan) is given to patients with breast cancer. Nurse Ashley understands that this drug is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[cell cycle phase-non-specific]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[a hormonal medication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[an antimetabolite]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[cell cycle phase-specific]]></answer> 
						<situation><![CDATA[Situation: Nurse Ashley is a staff nurse in the oncology unit of a tertiary hospital. She reads literature on antineoplastic medications.]]></situation> 
				</query>
				<query>
					<question ctrlno="333" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ashley reads in the literature that a patient with breast cancer taking Cytoxan should observe the following. Given a case, what should nurse Ashley instruct a patient to do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decrease sodium intake while on medication.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take the medication with food.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increase potassium intake while on medication.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increase fluid intake 2000 to 3000 ml daily.]]></answer> 
						<situation><![CDATA[Situation: Nurse Ashley is a staff nurse in the oncology unit of a tertiary hospital. She reads literature on antineoplastic medications.]]></situation> 
				</query>
				<query>
					<question ctrlno="334" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ashley understands that patients receiving antineoplastic medications should do which of the following?<br><br>
					<span style="font-weight:normal">
					1. Drink beverages containing alcohol in moderate amounts.<br>
					2. Consult with the physician before receiving immunizations.<br>
					3. Be sure to receive flu and pneumonia immunizations.<br>
					4. Take aspirin (Acetylsalicylic Acid, ASA) as for headache.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2 only]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[all of the options]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<situation><![CDATA[Situation: Nurse Ashley is a staff nurse in the oncology unit of a tertiary hospital. She reads literature on antineoplastic medications.]]></situation> 
				</query>
				<query>
					<question ctrlno="335" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An incident was described in the literature where a patient developed stomatitis after receiving a course of antineoplastic medications. Which of the following actions would be BEST for a nurse to do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Swab the mouth daily with lemon and glycerine.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Avoid foods and fluids for the next 24 hours.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Brush the teeth and use waxed dental floss 3x a day.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Rinse the mouth with diluted baking soda or saline.]]></answer> 
						<situation><![CDATA[Situation: Nurse Ashley is a staff nurse in the oncology unit of a tertiary hospital. She reads literature on antineoplastic medications.]]></situation> 
				</query>
				<query>
					<question ctrlno="336" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse presented a set of goals to the staff nurses. Which of the following goals is NOT relevant to improving quality of care? No _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[legal suits.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[needless deaths.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[waste of resources.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[needless pain or suffering.]]></answer> 
						<situation><![CDATA[Situation: The head nurse of a trauma unit introduces changes to improve the quality of care of trauma patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="337" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse reviews reports on nurse staffing. The following findings result to better patient outcomes EXCEPT: A higher _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[nurse to patient ratio shortens lengths of patient stay in the hospital.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[nurse to patient ratio results to reduced patient mortality.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[number of nurses, infection rates fall.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[nurse to patient ratio increases costs.]]></answer> 
						<situation><![CDATA[Situation: The head nurse of a trauma unit introduces changes to improve the quality of care of trauma patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="338" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse determines to reduce medication errors in the trauma unit. She recognizes that medication errors often, occur in relation to the following EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Preparing the wrong concentration and administering the medication via the correct route.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Failure to question unclear medication errors.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lack of knowledge about a medication.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Failure to identify non-therapeutic client responses.]]></answer> 
						<situation><![CDATA[Situation: The head nurse of a trauma unit introduces changes to improve the quality of care of trauma patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="339" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse suggests that to reduce medication errors, several measures will be instituted. Which of the following is MOST appropriate?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Use point-of-care technology to access drug reference information.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use of drug index]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nurses must help educate patients and their families regarding proper medication administration.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patients must become more involved in managing their care.]]></answer> 
						<situation><![CDATA[Situation: The head nurse of a trauma unit introduces changes to improve the quality of care of trauma patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="340" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse is aware that managing and improving quality care in the trauma unit requires which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Personalized attention to patient's needs and their families.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A blame - free environment.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[All of the choices.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A clean and orderly trauma unit.]]></answer> 
						<situation><![CDATA[Situation: The head nurse of a trauma unit introduces changes to improve the quality of care of trauma patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="341" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient complains of pain in her fingertips and pallor followed by blanching of the extremities and redness. Nurse Mirasol knows that these symptoms are characteristic of which of the following disorders?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Swan-neck deformity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Raynaud's phenomenon]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Joint swelling and effusion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Symmetric Polyarthritis]]></answer> 
						<situation><![CDATA[Situation: Nurse Mirasol is the attending nurse of a 40-year-old female is admitted in the medical unit with a probable diagnosis of Scleroderma.]]></situation> 
				</query>
				<query>
					<question ctrlno="342" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mirasol assesses the skin of the patient. Which phase of skin changes occur FIRST and are usually painless and symmetrical?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Indurative]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Primary]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Curative]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Edematous]]></answer> 
						<situation><![CDATA[Situation: Nurse Mirasol is the attending nurse of a 40-year-old female is admitted in the medical unit with a probable diagnosis of Scleroderma.]]></situation> 
				</query>
				<query>
					<question ctrlno="343" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mirasol writes a nursing diagnosis for the patient. Which of the following is a PRIORITY nursing diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Social Isolation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Impaired Skin Integrity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Disturbed Body Image]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Low Self-esteem]]></answer> 
						<situation><![CDATA[Situation: Nurse Mirasol is the attending nurse of a 40-year-old female is admitted in the medical unit with a probable diagnosis of Scleroderma.]]></situation> 
				</query>
				<query>
					<question ctrlno="344" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mirasol assists the patient in coping with the disorder during the early stages of a chronic disease, patients tend to focus on which of the following behaviors]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Understanding the disease process]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impact on lifestyle changes]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Interpretation of symptoms]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Schedule of medications]]></answer> 
						<situation><![CDATA[Situation: Nurse Mirasol is the attending nurse of a 40-year-old female is admitted in the medical unit with a probable diagnosis of Scleroderma.]]></situation> 
				</query>
				<query>
					<question ctrlno="345" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mirasol prepares a discharge plan of care for the patient. Which of the following objectives are MOST appropriate? The patient should _____.<br><br>
					<span style="font-weight:normal">
					1. try to prevent breakdown of skin and ulceration<br>
					2. avoid activities that trigger pain<br>
					3. modify diet to include legumes<br>
					4. avoid exposure to extreme cold temperature<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,  4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<situation><![CDATA[Situation: Nurse Mirasol is the attending nurse of a 40-year-old female is admitted in the medical unit with a probable diagnosis of Scleroderma.]]></situation> 
				</query>
				<query>
					<question ctrlno="346" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An interdependent function of nurse is when the nurse _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Irrigates a feeding tube that appears obstructed.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gives ice chips to a client who has an order of NPO.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Applies a dry sterile dressing to an abdominal incision.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Helps a client chooses foods rich in protein from an ordered diet.]]></answer> 
						<situation><![CDATA[Situation: Nurse Bessie is a nurse manager of a trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, independent and collaborative functions.]]></situation> 
				</query>
				<query>
					<question ctrlno="347" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse decides to give a partial bath to a client instead of a complete bath. The nurse is working _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Independently]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interdependently]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dependently]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collaboratively]]></answer> 
						<situation><![CDATA[Situation: Nurse Bessie is a nurse manager of a trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, independent and collaborative functions.]]></situation> 
				</query>
				<query>
					<question ctrlno="348" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse works with a skin care team. The nurse is functioning _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dependently]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interdependently]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Collaboratively]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Independently]]></answer> 
						<situation><![CDATA[Situation: Nurse Bessie is a nurse manager of a trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, independent and collaborative functions.]]></situation> 
				</query>
				<query>
					<question ctrlno="349" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse initiates a visit from member of the clergy for a terminally ill client. The nurse is functioning _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Interdependently]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Collegially]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Independently]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dependently]]></answer> 
						<situation><![CDATA[Situation: Nurse Bessie is a nurse manager of a trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, independent and collaborative functions.]]></situation> 
				</query>
				<query>
					<question ctrlno="350" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a nurse uses a straight catheter to obtain a urine specimen for laboratory test, the nurse is functioning _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Dependently]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interdependently]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Independently]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collegially]]></answer> 
						<situation><![CDATA[Situation: Nurse Bessie is a nurse manager of a trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, independent and collaborative functions.]]></situation> 
				</query>
				<query>
					<question ctrlno="351" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of her patients is a 50-year-old female named Marcela is in the terminal stage of breast cancer. She tells Nurse Marie, "I have given up. I have no hope left. I am ready to die." Which of the following responses of Nurse Marie is MOST therapeutic?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["You have given up hope?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You should talk to your physician about your fears of dying."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["You should talk about dying with your spiritual adviser."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["You should not give up hope. There are research studies being done to cure cancer."]]></answer> 
						<situation><![CDATA[Situation: Marie, an oncology nurse assists in the care of patients with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="352" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Marcela says to Nurse Marie, "I don't like to spend my final days on earth in a hospital." The BEST response of Nurse Marie would be:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Can you please tell me more how you are feeling right how?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I know how you feel. It must be hard to know that you are dying."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["If I were in your place, I should have refused being admitted to the hospital knowing that I will die soon."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What is it that you don't like being in the hospital?"]]></answer> 
						<situation><![CDATA[Situation: Marie, an oncology nurse assists in the care of patients with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="353" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Marcela tells Nurse Marie that her younger sister was recently diagnosed with cancer. She is concerned because she is aware that breast cancer "runs in the family" but she could not recall any family member diagnosed with bone or lung cancer. Nurse Marie's BEST response would be:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I am sorry to hear about your sister. I think you should meet with all of your family members and share with them their increased risk for developing lung and bone cancer."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Apparently your sister is so unfortunate. It is rare to have three such unrelated cancers at one time."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I think it is important for you to be tested for lung cancer as soon as possible, because it has a strong hereditary link."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["I am sorry to hear about your sister's recent diagnosis. Most probably your sister; has breast cancer that has metastasized or spread to the bone and lungs."]]></answer> 
						<situation><![CDATA[Situation: Marie, an oncology nurse assists in the care of patients with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="354" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Marie has another patient, Cena who was recently diagnosed with ductal cell carcinoma of the breast. Her oncologist described Cena's cancer as T2, N1, Mx. Cena asked Nurse Marie to repeat to her what "all those letters and numbers mean." Nurse Marie replies that it means the following:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Two tumours present, one lymph node involved, and many sites of metastasis.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[One large tumour present, nodal involvement in one region, and metastasis was present.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Two tumours present, one lymph node involved, and metastasis was present.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[One tumour present, which is larger than 2.5 centimeters, nodal involvement in one region, and metastasis was unable to be determined..]]></answer> 
						<situation><![CDATA[Situation: Marie, an oncology nurse assists in the care of patients with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="355" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Cena tells Nurse Marie "how did I acquire breast cancer?" Nurse Marie explains that there are risk factors that may have contributed to her condition. Which of the following statements is TRUE concerning the risk factors for breast cancer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hormones are not a risk factor for breast cancer.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Other types of cancer history have no correlation with breast cancer.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ethnicity is a risk factor.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Environment is not a risk factor for breast cancer.]]></answer> 
						<situation><![CDATA[Situation: Marie, an oncology nurse assists in the care of patients with cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="356" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse writes a cafe plan for the client. The nurse is aware that this disorder is a/an ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[disease caused by over exposure to sunlight]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[local rash that occurs as a result of allergy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[inflammatory disease of collagen contained in connective tissues]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[disease caused by the continuous release of histamine in the body]]></answer> 
						<situation><![CDATA[Situation: A 35-year-old female client presents herself in the Out Patient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systemic lupus erythematous (SLE). She is admitted to the female medical unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="357" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse includes in the care plan dietary instructions. Which of the food items should the nurse instruct the client to AVOID?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[steak]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[broccoli]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[legumes]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[fish]]></answer> 
						<situation><![CDATA[Situation: A 35-year-old female client presents herself in the Out Patient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systemic lupus erythematous (SLE). She is admitted to the female medical unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="358" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that fatigue is experienced by patients with SLE. Which of the following activities should be a component in the care plan for the client to manage fatigue? To ______.<br><br>
					<span style="font-weight:normal">
					1. sit whenever possible<br>
					2. take a hot shower in the morning<br>
					3. avoid long periods of rest<br>
					4. engage in moderate low impact exercises when not fatigued<br>
					5. maintain a balance diet<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3, 4, 5]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 4, 5]]></answer> 
						<situation><![CDATA[Situation: A 35-year-old female client presents herself in the Out Patient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systemic lupus erythematous (SLE). She is admitted to the female medical unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="359" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician schedules the client for plasmapheresis. The client asks the nurse what is plasmapheresis. The nurse explains that it is a method that will ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[prevent foreign antibodies from damaging various body tissues]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[decrease the damage to organs caused by attacking T-lymphocytes]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[eliminate eosinophils and basophils from the blood]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[remove antibody-antigen complexes from circulation]]></answer> 
						<situation><![CDATA[Situation: A 35-year-old female client presents herself in the Out Patient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systemic lupus erythematous (SLE). She is admitted to the female medical unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="360" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse monitors the client undergoing plasmapheresis: Which of the following reactions should the nurse observe?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[shortness of breath]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[numbness and tingling]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[transfusion reactions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[high blood pressure]]></answer> 
						<situation><![CDATA[Situation: A 35-year-old female client presents herself in the Out Patient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systemic lupus erythematous (SLE). She is admitted to the female medical unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="361" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that clients with COPD are at risk for ineffective respirations EXCEPT which of the following ______:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Clients undergoing thoracic or abdominal surgery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Clients with rib fractures and kyphosis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Clients with neuromuscular disorders such as Guillain-Barre syndrome]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Clients with fluid volume deficit]]></answer> 
						<situation><![CDATA[Situation: The nurse assists in the care of clients with chronic obstructive pulmonary disease (COPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="362" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nursing interventions for clients with respiratory acidosis include the following EXCEPT to :]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitor arterial blood gases (ABGs), pH, PC02, and HC03]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer oxygen and medication as ordered]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Monitor hourly vital signs and respiratory status]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Administer sedation as ordered by the physician to relax the client]]></answer>
						<situation><![CDATA[Situation: The nurse assists in the care of clients with chronic obstructive pulmonary disease (COPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="363" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that excess acid in the body acts as CNS depressant. Clients with acidosis may exhibit which of the following symptoms:<br><br>
					<span style="font-weight:normal">
					1. reduced level of consciousness<br>
					2. confusion<br>
					3. lethargy<br>
					4. coma<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[All of the options]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 3, & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, & 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & 3]]></answer> 
						<situation><![CDATA[Situation: The nurse assists in the care of clients with chronic obstructive pulmonary disease (COPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="364" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The goal for treatment for respiratory acidosis is to improve ventilation. Which of the following measures is appropriate for clients with COPD experiencing respiratory acidosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Bronchodilators]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer medications as ordered]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ambulation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[spirometers]]></answer> 
						<situation><![CDATA[Situation: The nurse assists in the care of clients with chronic obstructive pulmonary disease (COPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="365" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that respiratory acidosis occurs when _______:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The body retains too much carbon dioxide]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The client is unable to exhale carbon dioxide]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The client hyperventilates]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[There is loss of acid or retention of base in the body]]></answer> 
						<situation><![CDATA[Situation: The nurse assists in the care of clients with chronic obstructive pulmonary disease (COPD).]]></situation> 
				</query>
				<query>
					<question ctrlno="366" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mark formulates a possible title for the study. Which of the following is the MOST appropriate title?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Incidence of Colorectal Cancer in the Philippines"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Perceptions of Filipinos on Colorectal Cancer "]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Colorectal Cancer in the Philippines: It's Risk Factors and Interventions "]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["A Comparative Study of Gastrointestinal Cancer Cases Among Filipinos"]]></answer> 
						<situation><![CDATA[Situation: Nurse Mark is assigned in the Oncology unit of a tertiary hospital. He is aware of the increase in the number of colorectal cancer patients in his unit. He and a colleague plans to conduct a study on the incidence of colorectal cancer in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="367" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What research design is the MOST suitable to gather data for the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Quasi experimental]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Correlational study]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Descriptive survey]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Developmental study]]></answer> 
						<situation><![CDATA[Situation: Nurse Mark is assigned in the Oncology unit of a tertiary hospital. He is aware of the increase in the number of colorectal cancer patients in his unit. He and a colleague plans to conduct a study on the incidence of colorectal cancer in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="368" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In gathering data for the study, ethical guidelines on basic human rights will be observed. Which of the ethical principles is applicable?<br><br>
					<span style="font-weight:normal">
					1. Justice<br>
					2. Privacy and dignity<br>
					3. Respect<br>
					4. Confidentiality<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2, 3]]></answer> 
						<situation><![CDATA[Situation: Nurse Mark is assigned in the Oncology unit of a tertiary hospital. He is aware of the increase in the number of colorectal cancer patients in his unit. He and a colleague plans to conduct a study on the incidence of colorectal cancer in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="369" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mark formulates an assumption for the study. Which of the following is MOST acceptable?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Liver cancer cases have decreased in 2017 due to intensive public awareness.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[More Filipinos regardless of gender are diagnosed with colorectal cancer.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Male Filipinos are prone to colorectal cancer than liver cancer.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The leading cause of colorectal cancer among Filipinos is high consumption alcohol.]]></answer> 
						<situation><![CDATA[Situation: Nurse Mark is assigned in the Oncology unit of a tertiary hospital. He is aware of the increase in the number of colorectal cancer patients in his unit. He and a colleague plans to conduct a study on the incidence of colorectal cancer in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="370" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST appropriate recommendation Nurse Mark should propose?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Warning signs of the effects of alcohol should be printed on bottles and cans of alcoholic beverages.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Health professionals should educate the public on the risk factors of CRC.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[DOH only should intensify its campaign on colorectal cancer awareness.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Congress should pass a bill banning all cancer-producing foods and beverages.]]></answer> 
						<situation><![CDATA[Situation: Nurse Mark is assigned in the Oncology unit of a tertiary hospital. He is aware of the increase in the number of colorectal cancer patients in his unit. He and a colleague plans to conduct a study on the incidence of colorectal cancer in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="371" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse reads the laboratory results. Which of the following values indicate that the patient is experiencing hypernatremia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Potassium level of 5.5mEq/L]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Urine specific gravity below 1.0008]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Serum osmolality below 280 mOsm/kg]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Serum osmolality above 295 mOsm/ kg]]></answer> 
						<situation><![CDATA[Situation: The nurse cares for a 30-year-old female patient who is admitted for severe vomiting. The diagnosis of the patient is hypernatremia.]]></situation> 
				</query>
				<query>
					<question ctrlno="372" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse monitors the patient for signs and symptoms of complications. The nurse knows that one of the PRIMARY risks when treating hypernatremia is ______:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[renal shutdown]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[cerebral edema]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[cellular dehydration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[RBC destruction]]></answer> 
						<situation><![CDATA[Situation: The nurse cares for a 30-year-old female patient who is admitted for severe vomiting. The diagnosis of the patient is hypernatremia.]]></situation> 
				</query>
				<query>
					<question ctrlno="373" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning the care for this patient the nurse includes the following interventions. Which of the following actions should the nurse NOT include in the plan of care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Observe for possible increase in temperature.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Observe and prepare for possible seizure attack.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Monitor intake and output.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Restrict fluids to 1,200 mL per day.]]></answer> 
						<situation><![CDATA[Situation: The nurse cares for a 30-year-old female patient who is admitted for severe vomiting. The diagnosis of the patient is hypernatremia.]]></situation> 
				</query>
				<query>
					<question ctrlno="374" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that a patient with hypernatremia is at high risk for seizures. Which of the following safety measures is MOST appropriate? Use of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[pillows placed at the head]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[padded tongue blades]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[padded restraints]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[padded side rails]]></answer> 
						<situation><![CDATA[Situation: The nurse cares for a 30-year-old female patient who is admitted for severe vomiting. The diagnosis of the patient is hypernatremia.]]></situation> 
				</query>
				<query>
					<question ctrlno="375" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse formulates a nursing diagnosis for the patient. Which of the following nursing diagnoses is NOT appropriate for this patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Impaired Electrolyte, Sodium related to vomiting]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Imbalanced Nutrition, more than body requirements, related to excess intake of foods rich in sodium]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Risk for Injury, bleeding, related to the interference with blood coagulation secondary to sodium excess]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impaired Skin Integrity, related to peripheral edema secondary to sodium and water excess.]]></answer> 
						<situation><![CDATA[Situation: The nurse cares for a 30-year-old female patient who is admitted for severe vomiting. The diagnosis of the patient is hypernatremia.]]></situation> 
				</query>
				<query>
					<question ctrlno="376" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are aware of the importance of keeping hospital records. Which of the following statements is NOT true about hospital records? Hospital records ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[provide data on health information system]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[are a key source of data for medical research or statistical reports]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[provide personal information about the physicians and nurses assigned to care for the patients]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[provide evidence of a hospital's accountability]]></answer> 
						<situation><![CDATA[Situation: You are a nurse manager of a tertiary hospital. One of your responsibilities is to keep a record of all patients admitted in the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="377" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are oriented on the hospital policy that when a patient is readmitted, the patient's file may be retrieved from the hospital records department. From which file may a readmitted patient's record be retrieved?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[physician's ledger]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[master patient index file]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[civil service file]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[hospital library records]]></answer> 
						<situation><![CDATA[Situation: You are a nurse manager of a tertiary hospital. One of your responsibilities is to keep a record of all patients admitted in the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="378" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You orient your staff on the common system used in recording nursing interventions. The system used is a nursing card index or Kardex. What information is NOT Included in the Kardex?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Drug regimen of the patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allergies if any of the patient.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Progress notes of the physician.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dietary requirements of the patient.]]></answer> 
						<situation><![CDATA[Situation: You are a nurse manager of a tertiary hospital. One of your responsibilities is to keep a record of all patients admitted in the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="379" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient's record contains information of the medications and treatments administered, and observations of the patient's condition. Which of the following data MUST be filled up in the patient's chart when he/she is discharged from the hospital?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Religion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nursing diagnosis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Final medical diagnosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Educational attainment]]></answer> 
						<situation><![CDATA[Situation: You are a nurse manager of a tertiary hospital. One of your responsibilities is to keep a record of all patients admitted in the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="380" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are familiar with the ethical aspects of patients and hospitals records. Which of the following statements is NOT true?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Health records are the property of the locality where the patient is treated.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hospital records maybe released without the patient's consent when required in investigation for serious criminal offense.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Confidential records must be protected against loss, damage, unauthorized access, modification and disclosure.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patients have the right to confidential treatment of information they provide to health professionals.]]></answer> 
						<situation><![CDATA[Situation: You are a nurse manager of a tertiary hospital. One of your responsibilities is to keep a record of all patients admitted in the hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="381" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements BEST explains the role of the in collaborating with others to plan for the patient's Care? The nurse _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[collaborates with colleagues and the patient's family to provide combined expertise in planning care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[works independently to plan and deliver care and does not depend on other staff for assistance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[consults the physician for direction in establishing goals for clients]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[depends on the latest literature to complete an excellent plan of care]]></answer> 
						<situation><![CDATA[Situation: Ms. Gina is a staff nurse in a medical unit of x hospital. She collaborates with other members of the health team to provide safe and quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="382" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gina is aware that collaborative interventions are therapies that require the following: Which of the collaborative interventions is the MOST therapeutic?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nurse and patient intervention]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Multiple health care professionals]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Physician and nurse intervention]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient and physician intervention]]></answer> 
						<situation><![CDATA[Situation: Ms. Gina is a staff nurse in a medical unit of x hospital. She collaborates with other members of the health team to provide safe and quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="383" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To initiate an intervention in collaboration with the health team, Nurse Gina must be competent in which of the following areas?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Leadership, autonomy, and skills]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Experience, advanced education, and skills]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Knowledge, function, and specific skills]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Leadership, finances, and skills]]></answer> 
						<situation><![CDATA[Situation: Ms. Gina is a staff nurse in a medical unit of x hospital. She collaborates with other members of the health team to provide safe and quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="384" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gina is aware that there are nursing activities that maybe delegated to other health care team members. Which principle should guide the nurse in delegating tasks?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Delegation occurs only upon a physician's order.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The delegated personnel is accountable for the care.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Delegation may reduce the patient's cost of care.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The nurse has the primary responsibility for the quality of patient care.]]></answer> 
						<situation><![CDATA[Situation: Ms. Gina is a staff nurse in a medical unit of x hospital. She collaborates with other members of the health team to provide safe and quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="385" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gina is a potential team leader of the health team. Which of the following skills should she develop?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Collaborative skilLs]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Management]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Supervisory skills]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient advocacy]]></answer> 
						<situation><![CDATA[Situation: Ms. Gina is a staff nurse in a medical unit of x hospital. She collaborates with other members of the health team to provide safe and quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="386" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Four victims are brought to the ED after a motor vehicle crash. Who among the following victims require the HIGHEST priority for treatment?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[21-year-old male with fracture of the face jaw]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[20-year-old female with a misaligned right leg]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[35-year-old male complaining of abdominal pain]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[62-year-old female with palpation and chest pain]]></answer> 
						<situation><![CDATA[Situation: Nurse Roily, a triage nurse admits clients in the Emergency Department (ED) of X hospital. The following are situations in the ED Nurse Roily encounters.]]></situation> 
				</query>
				<query>
					<question ctrlno="387" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Four victims of a car crash are brought to the ED. Nurse Roily assesses the victims. Select who among the following has the HIGHEST priority for treatment.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Absense of peripheral pulses]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[A suckling chest wound]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Severe bleeding of facial and head lacerations]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[An open femur fracture with profuse bleeding]]></answer> 
						<situation><![CDATA[Situation: Nurse Roily, a triage nurse admits clients in the Emergency Department (ED) of X hospital. The following are situations in the ED Nurse Roily encounters.]]></situation> 
				</query>
				<query>
					<question ctrlno="388" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Roily performs primary assessment on one of the trauma victims, and determines that the client has a patent airway. The NEXT assessment by Nurse Roily should be to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[palpate for the presence of peripheral pulses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[check the level of consciousness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[examine the client for any external bleeding]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[observe/assess client's breathing or respiratory effort]]></answer> 
						<situation><![CDATA[Situation: Nurse Roily, a triage nurse admits clients in the Emergency Department (ED) of X hospital. The following are situations in the ED Nurse Roily encounters.]]></situation> 
				</query>
				<query>
					<question ctrlno="389" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A 45 year-old male client was brought in the ED with head and neck trauma sustained in a motorcycle accident. The FIRST action of Nurse Roily is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[suction of the mouth and oropharynx]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[obtain venous access]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[immobilize the cervical spine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[administer supplemental oxygen]]></answer> 
						<situation><![CDATA[Situation: Nurse Roily, a triage nurse admits clients in the Emergency Department (ED) of X hospital. The following are situations in the ED Nurse Roily encounters.]]></situation> 
				</query>
				<query>
					<question ctrlno="390" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Jerome 65 years old who works as a carpenter fell off from a ladder while fixing the roof of a neighbor. He was brought to the ED by family members. He is unconscious. Nurse Roily does a primary assessment on client Jerome which is to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask the family about Jerome's medical conditions.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Assess the vital signs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Attach a cardiac ECQ monitor.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Obtain a Glasgow Coma Scale Score.]]></answer> 
						<situation><![CDATA[Situation: Nurse Roily, a triage nurse admits clients in the Emergency Department (ED) of X hospital. The following are situations in the ED Nurse Roily encounters.]]></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 assesses the client. What question should she ask to determine the client's possible exposure to HIV?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Do you use public toilet seats?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Did you shake hands with a person infected with HIV?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Did you receive blood transfusion recently?"]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Do you practice safe sex?"]]></answer> 
						<situation><![CDATA[Situation: A 30 year-old female is admitted for fever, fatigue, lymphadenopathy, thrush, diarrhea and muscle and joint pains. She also has a rash in her torso and arms.]]></situation> 
				</query>
				<query>
					<question ctrlno="392" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse, writes a care plan for the client. Included in the care plan is to provide health teachings. Before the nurse performs any teaching, what should the nurse do FIRST?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Evaluate the client's existing level of knowledge about HIV infection.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assess the client's immediate clinical status.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assess the emotional status of the client.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Focus on potential problems the client may encounter during the illness.]]></answer> 
						<situation><![CDATA[Situation: A 30 year-old female is admitted for fever, fatigue, lymphadenopathy, thrush, diarrhea and muscle and joint pains. She also has a rash in her torso and arms.]]></situation> 
				</query>
				<query>
					<question ctrlno="393" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To determine whether the client is infected with HIV, the physician writes an order for HIV antibody testing. What test would confirm a positive ELISA test?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[CD4 cell count]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Eastern Blot test]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[HIV antigen test]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Western Blot test]]></answer> 
						<situation><![CDATA[Situation: A 30 year-old female is admitted for fever, fatigue, lymphadenopathy, thrush, diarrhea and muscle and joint pains. She also has a rash in her torso and arms.]]></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 is being treated for thrush. The patient asks if there are any side effects of the medication she is receiving for thrush. Which of the following should the nurse include in her teaching?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["There are few side effects associated with the medications to treat thrust."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Hepatitis can develop as a side effect."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Nausea, vomiting, and diarrhea are common side effects.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Skin discoloration is a common side effect."]]></answer> 
						<situation><![CDATA[Situation: A 30 year-old female is admitted for fever, fatigue, lymphadenopathy, thrush, diarrhea and muscle and joint pains. She also has a rash in her torso and arms.]]></situation> 
				</query>
				<query>
					<question ctrlno="395" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client complains of increasing pain in her feet and legs. The nurse realizes that the client is demonstrating a/an ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[nervous system manifestation of the disease]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[reaction to a medication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[opportunistic infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[secondary cancer]]></answer> 
						<situation><![CDATA[Situation: A 30 year-old female is admitted for fever, fatigue, lymphadenopathy, thrush, diarrhea and muscle and joint pains. She also has a rash in her torso and arms.]]></situation> 
				</query>
				<query>
					<question ctrlno="396" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses the patient with AAA. Which of the following assessment findings is related to the aneurysm?<br><br>
					<span style="font-weight:normal">
					1. Pulsatile abdominal mass <br>
					2. Hyperactive bowel sounds<br>
					3. Systolic bruit over the area of the mass<br>
					4. Subjective sensation of "heart beating" in the abdomen<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 3, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<situation><![CDATA[Situation: An adult male is wheeled in the Emergency Department with complaints of nausea and vomiting, abdominal pain and lower back pain. The physician writes a medical diagnosis of abdominal aortic aneurysm (AAA).]]></situation> 
				</query>
				<query>
					<question ctrlno="397" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse auscultates the abdominal area of the patient with AAA. Which of the following sounds can be DISTINCTLY heard over the area?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dullness]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bruit]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Friction rubs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Crackles]]></answer> 
						<situation><![CDATA[Situation: An adult male is wheeled in the Emergency Department with complaints of nausea and vomiting, abdominal pain and lower back pain. The physician writes a medical diagnosis of abdominal aortic aneurysm (AAA).]]></situation> 
				</query>
				<query>
					<question ctrlno="398" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse recalls specific anatomic sites for aneurysm. The most common sites are the aortic arch, thoracic aorta and abdominal aorta. Which of the following, areas is an AAA most commonly located?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Proximal to the renal arteries]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Distal to the iliac arteries]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Distal to the renal arteries]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Adjacent to the aortic arch]]></answer> 
						<situation><![CDATA[Situation: An adult male is wheeled in the Emergency Department with complaints of nausea and vomiting, abdominal pain and lower back pain. The physician writes a medical diagnosis of abdominal aortic aneurysm (AAA).]]></situation> 
				</query>
				<query>
					<question ctrlno="399" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient complains of severe lower back pain. Which of the following is the PRIORITY action by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Take the vital signs and document results]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer pain medication as prescribed]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Notify the physician]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Observe for signs of abdominal distention]]></answer> 
						<situation><![CDATA[Situation: An adult male is wheeled in the Emergency Department with complaints of nausea and vomiting, abdominal pain and lower back pain. The physician writes a medical diagnosis of abdominal aortic aneurysm (AAA).]]></situation> 
				</query>
				<query>
					<question ctrlno="400" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that rupture of the aneurysm is a life-threatening emergency. Which of the following groups of symptoms indicates a ruptured AAA?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intermittent lower back pain, decreased blood pressure, decreased RBC Count, increased WBC count]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Severe lower back pain; decreased blood pressure, decreased RBC count, decreased WBC count]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Lower back pain, increased blood pressure, decreased RBC count, increased WBC count]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Severe lower back pain, decreased blood pressure, decreased RBC count, increased WBC count]]></answer> 
						<situation><![CDATA[Situation: An adult male is wheeled in the Emergency Department with complaints of nausea and vomiting, abdominal pain and lower back pain. The physician writes a medical diagnosis of abdominal aortic aneurysm (AAA).]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="1" testsection="NLE Assessment 1" 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[Mariel, a 25-year-old radio announcer came in for consult with the chief complaints of not being able to hear well and inability to discriminate sounds he is hearing. An otoapopic examination was done to her, which revealed that there is sensorineural loss. This condition is due to damage to what part of the ear?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cochlea and auditory nerve]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vestibular nerve and cochlea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Middle ear and auditory nerve]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Outer ear and cochlea]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Ear Unit of a government hospital. As such, you are taking care of patients with different ear conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="402" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a predisposing factor for sensory hearing loss?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Serous otitis media]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ototoxic agents]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Otosclerosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Perforation of the eardrum]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Ear Unit of a government hospital. As such, you are taking care of patients with different ear conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="403" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is useful in correcting a sensorineural hearing loss?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Nothing, the damage is irreversible]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Myringotomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stapedectomy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tympanolasty]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Ear Unit of a government hospital. As such, you are taking care of patients with different ear conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="404" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of your patients underwent tympanoplasty. Which of the following interventions is the MOST APPROPRIATE after a tympanoplasty?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Applying ear drops as ordered by the physician]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Teaching the patient to avoid heavy physical activity for at least three weeks]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Rinse the ear three times a day using hydrogen peroxide as ordered]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Avoiding the use of cotton in cleaning the ears]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Ear Unit of a government hospital. As such, you are taking care of patients with different ear conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="405" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient came in with the chief complaints of ringing in the ears and a feeling of whirling around. The attending physician suspects Meneire's Syndrome. To arrive at a correct diagnosis, the patient must be manifesting these three symptoms: paroxysmal whirling vertigo; tinnitus; and _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[conductive hearing loss]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[bilateral symptoms]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[vomiting]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[sensorineural hearing loss]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Ear Unit of a government hospital. As such, you are taking care of patients with different ear conditions.]]></situation> 
				</query>
				<query>
					<question ctrlno="406" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What would be your MOST therapeutic response to a manic patient demanding that you call the attending physician to make an order for a pass to go out at the middle of the night?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You go to the recreation hall now while I call your attending physician"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You must really be upset to want a pass immediately. I will give you a medication to make you calm"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I can't call your physician now but you can talk to me about your request to pass "]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Don't be unreasonable. I can't call your attending physician in the middle of the night"]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit of the hospital taking care of patients with manic disorder. The following questions relate to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="407" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of your patients lacks food and fluid intake due to poor appetite. What foods would BEST meet the patient's nutritional needs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Steak and spaghetti]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Peanut butter, sandwich and milk]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Carrots, celery; raisins, apple]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beef and non-diet soda]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit of the hospital taking care of patients with manic disorder. The following questions relate to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="408" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During lunchtime you have observed that a patient with mania taking food from other patient. What principle would guide you in determining the appropriate intervention in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The patient needs food and fluids any way possible]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The patient will calm down as soon as lunchtime is over]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The intrusive behavior of a manic patient is not a threat to other patients]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Other patients need to be protected from the intrusive behavior of other patients]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit of the hospital taking care of patients with manic disorder. The following questions relate to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="409" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is manifesting some manic depression. Which of the following activities would you provide to distract such patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[You let the patient go for a walk]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Give him a book to read]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Let him watch the final game of the UAAP]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Let him play checkers with another patient]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit of the hospital taking care of patients with manic disorder. The following questions relate to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="410" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What therapeutic activity would you provide patient with mania?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Doing ceramics and whittling]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Playing cards and checkers]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Playing Bingo and knitting]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Drawing and folding towels]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit of the hospital taking care of patients with manic disorder. The following questions relate to this statement.]]></situation> 
				</query>
				<query>
					<question ctrlno="411" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You admitted an intoxicated patient for alcohol withdrawal. Which of the following interventions should you implement to help the client become sober?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Have the patient take a cold shower]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Walk the patient around the unit]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Provide the patient a quiet room to sleep in]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Give patient a black coffee to drink]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a Rehabilitation Center for Substance Abuse.]]></situation> 
				</query>
				<query>
					<question ctrlno="412" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While obtaining the history of a patient with several cases of driving under the influence of alcohol, you asked about the amount of alcohol the patient consumes daily. He answered "I just have a few drinks with the guys after work". Which of the following would be your MOST therapeutic response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["That's all the patients here say at first".]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["You say you have a few drinks, but you have multiple arrests".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I think you cannot handle a few drinks".]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Then you should have somebody driving for you".]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a Rehabilitation Center for Substance Abuse.]]></situation> 
				</query>
				<query>
					<question ctrlno="413" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following assessment data provides the best information on the patient's physiologic response and the effectiveness of the medication prescribed for alcohol withdrawal?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sleep pattern]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Evidence of tremors]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vital signs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nutritional status]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a Rehabilitation Center for Substance Abuse.]]></situation> 
				</query>
				<query>
					<question ctrlno="414" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of your patients is manifesting signs and symptoms of alcohol withdrawal such as: tremors, diaphoresis, and hyperactivity. Blood pressure is 190/92 mmHg and pulse rate of 92 beats/min. Which of the following medications should you expect to be ordered for this patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Lorazepam (Ativan)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Naloxone (Narcan)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Haloperidol (Haldol)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Benztropin (Cogentin)]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a Rehabilitation Center for Substance Abuse.]]></situation> 
				</query>
				<query>
					<question ctrlno="415" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient discharged from an alcohol rehabilitation program was on Clonazepam (Klonopin) 0.5 mg. three times a day. Several months later he reported having insomnia, shakiness, sweating, and one seizure. Which of the following questions should you ask FIRST? Ask if he _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[has stopped taking the Klonopin suddenly]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[has been drinking alcohol with the Klonopin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[has developed tolerance to the Klonopin and needs to increase the dose]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[is having a panic attack and needs to take extra Klonopin]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a Rehabilitation Center for Substance Abuse.]]></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 rationale for instilling eye drops to patients who had eye surgery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To help control the intra-ocular pressure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To dilate the patient's pupils]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[To treat an eye infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To constrict the patient's pupils]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Eye Unit of the hospital. In the regular Quality Circle meeting one of the matters discussed was the increasing complaints of patients who underwent eye surgery in relation to instillation of eye drops. The case of Claudia who had cataract surgery was presented as a frame of reference in reviewing the procedure on eye drops instillation.]]></situation> 
				</query>
				<query>
					<question ctrlno="417" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have observed presence of drainage in Claudia's eyes. Which of the following eye solutions would you use in cleaning her eyes?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hydrochloric acid]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Normal saline solution]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mineral water]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Soapsuds solutions]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Eye Unit of the hospital. In the regular Quality Circle meeting one of the matters discussed was the increasing complaints of patients who underwent eye surgery in relation to instillation of eye drops. The case of Claudia who had cataract surgery was presented as a frame of reference in reviewing the procedure on eye drops instillation.]]></situation> 
				</query>
				<query>
					<question ctrlno="418" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In instilling the eye drops you have to tilt the back slightly Claudia's head. Which of the following is the rationale for this nursing action?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[To prevent any spill from the eye during the procedure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To keep any debris away from the lacrimal duct]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To facilitate the procedure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To reach the conjunctival sac easily]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Eye Unit of the hospital. In the regular Quality Circle meeting one of the matters discussed was the increasing complaints of patients who underwent eye surgery in relation to instillation of eye drops. The case of Claudia who had cataract surgery was presented as a frame of reference in reviewing the procedure on eye drops instillation.]]></situation> 
				</query>
				<query>
					<question ctrlno="419" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You accidentally touch Claudia's eyelid during eye drop instillation causing her to blink. What should have you done to prevent this from occurring?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Touch the inner side of the medicine cap]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tilt back Claudia's head slightly]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hold the dropper close to the eye but do not allow the medication to fall into the cornea]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Have Claudia look up and focus on something]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Eye Unit of the hospital. In the regular Quality Circle meeting one of the matters discussed was the increasing complaints of patients who underwent eye surgery in relation to instillation of eye drops. The case of Claudia who had cataract surgery was presented as a frame of reference in reviewing the procedure on eye drops instillation.]]></situation> 
				</query>
				<query>
					<question ctrlno="420" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You cannot open Claudia's eyes due to dried Crust. Which of the following actions would you do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Apply the eye drops the next day]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Apply eye ointment to soften the crust]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Instill eye drops]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Place a warm wet wash cloth over her eyes for at least three minutes]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Eye Unit of the hospital. In the regular Quality Circle meeting one of the matters discussed was the increasing complaints of patients who underwent eye surgery in relation to instillation of eye drops. The case of Claudia who had cataract surgery was presented as a frame of reference in reviewing the procedure on eye drops instillation.]]></situation> 
				</query>
				<query>
					<question ctrlno="421" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Fatima should pursue assessment of suicide risk for individuals who display tendencies to be _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[compulsive, obsessive, or weak]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[risk-taking, aggressive, or controlling]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[hostile, impulsive, or depressed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[blaming, abusive, or confused]]></answer> 
						<situation><![CDATA[Situation: Nurse Fatima who is on-duty in a psychiatric unit is assigned to care for patients at-risk for suicide.]]></situation> 
				</query>
				<query>
					<question ctrlno="422" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On admission, the nursing diagnosis for Gringo, who is depressed and suicidal is, "Risk for suicide." An appropriate outcome for this diagnosis at discharge from the hospital is, "The patient will _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[not harm self while hospitalized]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[be able to problem-solve-effectively]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[increase feelings of self-worth]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[develop a trusting relationship with the nursing staff]]></answer> 
						<situation><![CDATA[Situation: Nurse Fatima who is on-duty in a psychiatric unit is assigned to care for patients at-risk for suicide.]]></situation> 
				</query>
				<query>
					<question ctrlno="423" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements would BEST represent Nurse Fatima's attempt to assess a patient's current ability to organize, and enact a suicide wish?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["What is your educational background?"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["What plan do you have for committing suicide?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Have you ever thought about hurting yourself?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Are your self-destructive thoughts frequent?"]]></answer> 
						<situation><![CDATA[Situation: Nurse Fatima who is on-duty in a psychiatric unit is assigned to care for patients at-risk for suicide.]]></situation> 
				</query>
				<query>
					<question ctrlno="424" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A male suicidal patient is found by Nurse Fatima as he tries to hang himself in the bathroom. What nursing intervention would address the patient's need for safety while maintaining his self-esteem?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Advise him to use the bathroom only with staff supervision.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tell him that the police is coming to rescue him.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Place him in the seclusion room with 15-minute checks.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assign a nursing staff to remain with him at all times.]]></answer> 
						<situation><![CDATA[Situation: Nurse Fatima who is on-duty in a psychiatric unit is assigned to care for patients at-risk for suicide.]]></situation> 
				</query>
				<query>
					<question ctrlno="425" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In evaluating the effectiveness of the care provided for a self-destructive patient, the BEST approach is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[modify the plan as little as possible to avoid confusing the patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[make sure the staff has followed the original care plan]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[involve the patient in the process of evaluation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[identify maladaptive coping behaviors]]></answer> 
						<situation><![CDATA[Situation: Nurse Fatima who is on-duty in a psychiatric unit is assigned to care for patients at-risk for suicide.]]></situation> 
				</query>
				<query>
					<question ctrlno="426" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Burnout is a phenomenon that is BEST characterized by ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[emotional exhaustion; depersonalization; and reduced personal accomplishment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[growing dissatisfaction among nurses due to changing career expectations]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[increased absenteeism and fast turnover of nurses due to toxic work environment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[conflict between demands of work and family]]></answer> 
						<situation><![CDATA[Situation: The nurse's work environment plays a vital role in her ability to provide quality patient care. Inadequate resources in health care and unhealthy conditions in the workplace result to nurse's work stress.]]></situation> 
				</query>
				<query>
					<question ctrlno="427" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A common response to unhealthy work environment is physical tension. This can be overcome by progressive muscle relaxation which basically involves _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[focusing on an image to relax]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[active physical exercise like aerobics]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[releasing muscles from tension]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[listening to a relaxation audio program]]></answer> 
						<situation><![CDATA[Situation: The nurse's work environment plays a vital role in her ability to provide quality patient care. Inadequate resources in health care and unhealthy conditions in the workplace result to nurse's work stress.]]></situation> 
				</query>
				<query>
					<question ctrlno="428" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Bio-behavioral interventions, are being used increasingly by both nurses and patients in stress management. The following are examples of such intervention EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[progressive muscle relaxation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[pharmacotherapy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[guided imagery]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[mindful meditation]]></answer> 
						<situation><![CDATA[Situation: The nurse's work environment plays a vital role in her ability to provide quality patient care. Inadequate resources in health care and unhealthy conditions in the workplace result to nurse's work stress.]]></situation> 
				</query>
				<query>
					<question ctrlno="429" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ace, a young overweight nurse, is smoking five to ten sticks of cigarettes a day. He claimed that he learned to smoke to relieve his stress caused by toxic assignments in the ward. Along with smoking he became a stress-eater. He decided to undergo a lifestyle modification which begins with _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[eating the right kind of foods]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[a recognition of the impact of unhealthy, habits]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[doing a regular daily exercise]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a constructive and positive attitude in life]]></answer> 
						<situation><![CDATA[Situation: The nurse's work environment plays a vital role in her ability to provide quality patient care. Inadequate resources in health care and unhealthy conditions in the workplace result to nurse's work stress.]]></situation> 
				</query>
				<query>
					<question ctrlno="430" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ace is a well-informed nurse on the Smoking Cessation Program of the Department of Health. As a next step to his decision to stop smoking, Ace needs _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[commitment]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[motivation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[information]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[skills to implement change]]></answer> 
						<situation><![CDATA[Situation: The nurse's work environment plays a vital role in her ability to provide quality patient care. Inadequate resources in health care and unhealthy conditions in the workplace result to nurse's work stress.]]></situation> 
				</query>
				<query>
					<question ctrlno="431" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing Mrs. Santos, what demographic data is/are RELEVANT to ocular assessment?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gender]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Age at menarche]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Age and gender]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Race]]></answer> 
						<situation><![CDATA[Situation: Mrs. Andrea Santos, a 43-year-old female came in for consult with the chief complaint of severe pain of both eyes. She claimed she sometimes sees rainbow halos around lights. She also experiences nausea and vomiting. The attending physician gave an impression of Acute Angle-Closure Glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="432" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An ophthalmoscopic examination was done to Mrs. Santos. The following results are expected EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[nonreactive pupil]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[corneal cloudiness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[erythematous conjunctiva]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[decreased intraocular pressure]]></answer> 
						<situation><![CDATA[Situation: Mrs. Andrea Santos, a 43-year-old female came in for consult with the chief complaint of severe pain of both eyes. She claimed she sometimes sees rainbow halos around lights. She also experiences nausea and vomiting. The attending physician gave an impression of Acute Angle-Closure Glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="433" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Vision loss for Mrs. Santos may progress as days go by and this is irreparable. An appropriate nursing diagnosis would be _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[disturbed sensory perception related to severe pain]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[risk for ineffective therapeutic regimen]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[disturbed sensory perception related to recent loss of vision]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[grieving related to loss of vision]]></answer> 
						<situation><![CDATA[Situation: Mrs. Andrea Santos, a 43-year-old female came in for consult with the chief complaint of severe pain of both eyes. She claimed she sometimes sees rainbow halos around lights. She also experiences nausea and vomiting. The attending physician gave an impression of Acute Angle-Closure Glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="434" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select the medication that should be discussed by the nurse with the attending physician before administering it to Mrs. Santos.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Isoptocarpine eyedrops]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Corticosporin ophthalmic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mannitol]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Atropine]]></answer> 
						<situation><![CDATA[Situation: Mrs. Andrea Santos, a 43-year-old female came in for consult with the chief complaint of severe pain of both eyes. She claimed she sometimes sees rainbow halos around lights. She also experiences nausea and vomiting. The attending physician gave an impression of Acute Angle-Closure Glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="435" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In a medically-managed patient with glaucoma, independent self-care is the area for evaluation. Which of the following is a short-term outcome for Mrs. Santos?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ability to recognize clinical manifestations of complications]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Mrs. Santos self-care ability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Compliance with the medical management]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Mrs. Santos ability to instill eye drops]]></answer> 
						<situation><![CDATA[Situation: Mrs. Andrea Santos, a 43-year-old female came in for consult with the chief complaint of severe pain of both eyes. She claimed she sometimes sees rainbow halos around lights. She also experiences nausea and vomiting. The attending physician gave an impression of Acute Angle-Closure Glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="436" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Marites should know that in narrative charting, documentation of patient care should be _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[extensive]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[formatted]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[chronologic]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[descriptive]]></answer> 
						<situation><![CDATA[Situation: Marites is a beginning nurse in a government hospital. She still needs enhancement of her competencies in charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="437" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which statement is NOT true about medical record that Marites must understand. Charts _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[contents must be kept confidential]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[can be borrowed by any nursing student]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[can be accessed by a researcher]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[can be given out only with patient's consent]]></answer> 
						<situation><![CDATA[Situation: Marites is a beginning nurse in a government hospital. She still needs enhancement of her competencies in charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="438" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are the methods of charting, EXCEPT _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[sequential]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[narrative]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[POMR]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[focus]]></answer> 
						<situation><![CDATA[Situation: Marites is a beginning nurse in a government hospital. She still needs enhancement of her competencies in charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="439" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the PIE method of charting, P is for needs, EXCEPT _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[admission]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[problem]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[teaching]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[discharge]]></answer> 
						<situation><![CDATA[Situation: Marites is a beginning nurse in a government hospital. She still needs enhancement of her competencies in charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="440" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In charting neurologic assessment, Marites must understand that the following should be indicated. SELECT all that apply. <br><br>
					<span style="font-weight:normal">
					1. orientation<br>
					2. pupils movement<br>
					3. sensation<br>
					4. quality of speech<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3 and 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3, and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3, and 4]]></answer> 
						<situation><![CDATA[Situation: Marites is a beginning nurse in a government hospital. She still needs enhancement of her competencies in charting.]]></situation> 
				</query>
				<query>
					<question ctrlno="441" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To motivate and spark the interest of prospective participants in the proposed program, which of the following activities will you introduce as an initial activity of the group?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Lecture-forum on alarming dangers of drug and alcohol use]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A summer sports fest involving all age group]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Values-formation program]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lecture-forum to increase awareness of unhealthy lifestyle]]></answer> 
						<situation><![CDATA[Situation: One of your programs as a community health nurse is related to substance abuse addiction. You spearheaded an educational collaborative activity to address the increasing drug and alcohol problems in the community. A multi-sectoral committee was formed and an initial organizational committee meeting was held. The following questions apply 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[ To assess the prevalence and incidence of substance abuse, a community survey was done by the barangay health workers. Using purposive sampling, what age group is at MOST risk to be considered as the survey respondents?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pre-schoolers]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Older adults]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Older children]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Adolescents]]></answer> 
						<situation><![CDATA[Situation: One of your programs as a community health nurse is related to substance abuse addiction. You spearheaded an educational collaborative activity to address the increasing drug and alcohol problems in the community. A multi-sectoral committee was formed and an initial organizational committee meeting was held. The following questions apply 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[A self-help support group for educational and caring approach for alcoholics is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Halfway homes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Psychiatric treatment and rehabilitation centers]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Alcoholic Anonymous]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Detoxification treatment programs]]></answer> 
						<situation><![CDATA[Situation: One of your programs as a community health nurse is related to substance abuse addiction. You spearheaded an educational collaborative activity to address the increasing drug and alcohol problems in the community. A multi-sectoral committee was formed and an initial organizational committee meeting was held. The following questions apply 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 LEAST effective education and preventive measure for drug abuse is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[activity workshops for out of school youth]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[family, enrichment programs]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[regular advocacy meetings to include families, store, restaurant, bar owners]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[leaflets and brochures for mass distribution]]></answer> 
						<situation><![CDATA[Situation: One of your programs as a community health nurse is related to substance abuse addiction. You spearheaded an educational collaborative activity to address the increasing drug and alcohol problems in the community. A multi-sectoral committee was formed and an initial organizational committee meeting was held. The following questions apply 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[The committee organized parent education classess. A representative from the local police department was invited to discuss:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[stress management]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[parent effectiveness training]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[the legal implications of illicit drug use]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[recognition of deviant child and adolescent behavior]]></answer> 
						<situation><![CDATA[Situation: One of your programs as a community health nurse is related to substance abuse addiction. You spearheaded an educational collaborative activity to address the increasing drug and alcohol problems in the community. A multi-sectoral committee was formed and an initial organizational committee meeting was held. The following questions apply 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[What element distinguishes a true experimental research from a quasi-experimental research?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The use of non-probability sampling]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Lack of random assignment of subject to group]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Size of the sample]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The introduction of experimental treatment]]></answer> 
						<situation><![CDATA[Situation: As a beginning professional nurse one of the competencies expected of you is to engage in research. Basic knowledge in research, therefore, is very important. The following questions relate to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="447" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You want to determine the effect of a planned exercise on low-back pain. Which of the following research designs would be MOST APPROPRIATE to use in this study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Posttest only control group design]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[One-shot case study]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Pretest-posttest control group design]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[One group pretest-posttest . design]]></answer> 
						<situation><![CDATA[Situation: As a beginning professional nurse one of the competencies expected of you is to engage in research. Basic knowledge in research, therefore, is very important. The following questions relate to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="448" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a type of probability sampling?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cluster]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Purposive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Quota]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Convenience]]></answer> 
						<situation><![CDATA[Situation: As a beginning professional nurse one of the competencies expected of you is to engage in research. Basic knowledge in research, therefore, is very important. The following questions relate to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="449" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You want all people who are currently institutionalized for psychiatric problems to participate in your study. This is an example of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[universal population]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[target population]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[element]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[sample]]></answer> 
						<situation><![CDATA[Situation: As a beginning professional nurse one of the competencies expected of you is to engage in research. Basic knowledge in research, therefore, is very important. The following questions relate to these statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="450" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You want to determine the difference of the anxiety level between male and female patients, scheduled for abdominal surgery. The first 30 males and the first 30 females who are admitted to the hospital at the time of the study would be asked as study participants. This is an example of what sampling technique?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fish ball technique]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Simple random]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Quota sampling]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Purposive sampling]]></answer> 
						<situation><![CDATA[Situation: As a beginning professional nurse one of the competencies expected of you is to engage in research. Basic knowledge in research, therefore, is very important. The following questions relate to these statements.]]></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 Rebecca to be repeatedly washing her hands for a long period of time. This is a manifestation of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ritualistic behavior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[aggressive behavior]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[compulsive behavior]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[truancy]]></answer> 
						<situation><![CDATA[Situation: Rebecca, a 35-year-old nurse has two children aged 2 and 5 respectively. She is separated from her husband. She has been in the hospital for one month now with a diagnosis of Obssessive-Compulsive Disorder. You are the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="452" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The MOST basic function of Rebecca's repeated handwashing is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[manipulate her environment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[occupy her mind with purposeful activity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[relieve her anxiety]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[reduce the possibility of nosocomial infection]]></answer> 
						<situation><![CDATA[Situation: Rebecca, a 35-year-old nurse has two children aged 2 and 5 respectively. She is separated from her husband. She has been in the hospital for one month now with a diagnosis of Obssessive-Compulsive Disorder. You are the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="453" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is TRUE of Rebecca exhibiting such behavior?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rebecca is likely to be aware of her repeated handwashing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The frequency of her repeated handwashing is unrelated to the degree of her anxiety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Rebecca can be made to understand that her behavior is unreasonable but acceptable]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Rebecca may have an awareness that her behavior is illogical but she is helpless to stop it]]></answer> 
						<situation><![CDATA[Situation: Rebecca, a 35-year-old nurse has two children aged 2 and 5 respectively. She is separated from her husband. She has been in the hospital for one month now with a diagnosis of Obssessive-Compulsive Disorder. You are the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="454" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One night you interrupted Rebecca from her handwashing ritual and attempted to escort her to her room. She slapped you. The MOST probable reason for Rebecca's behavior is her _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hate of hospital regulations such as bedtime]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ritual of handwashing is usually followed by aggressive behavior]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[experience of severe anxiety because you stopped her from what she is doing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[dislike of you as her nurse]]></answer> 
						<situation><![CDATA[Situation: Rebecca, a 35-year-old nurse has two children aged 2 and 5 respectively. She is separated from her husband. She has been in the hospital for one month now with a diagnosis of Obssessive-Compulsive Disorder. You are the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="455" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Rebecca approached you later and said "I'm sorry I slapped you. I cannot understand what made me do it. Your MOST APPROPRIATE response would be_______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I am glad you realize that slapping me was unacceptable"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Not to worry. It is forgotten"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["It's not pleasant to be slapped. Let's talk about how you felt"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I was really surprised you did it to me. I thought we were friends"]]></answer> 
						<situation><![CDATA[Situation: Rebecca, a 35-year-old nurse has two children aged 2 and 5 respectively. She is separated from her husband. She has been in the hospital for one month now with a diagnosis of Obssessive-Compulsive Disorder. You are the nurse assigned to her.]]></situation> 
				</query>
				<query>
					<question ctrlno="456" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Renato was started on Mannitol therapy. What is the rationale for this treatment?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[To prevent seizures]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To prevent dehydration]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To prevent serious fluid and electrolyte imbalance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To increase the osmolality of the blood]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse at the Emergency Room. Renato, a 32-year-old employee in a Business Processing Outsourcing company, was brought-in, in a company car with the chief complaints of severe headache, inability to move his eyes upward, and restlessness. Vital signs upon admission: BP= 160/100; Cheyne-Stokes respiration was noted. Water manometer test revealed Increased Intracranial Pressure (IICP).]]></situation> 
				</query>
				<query>
					<question ctrlno="457" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select the PRIORITY nursing responsibility for taking care of patient on Mannitol therapy like Renato. Monitoring of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[respiratory rate]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[urine output]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[renal function]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[muscle function]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse at the Emergency Room. Renato, a 32-year-old employee in a Business Processing Outsourcing company, was brought-in, in a company car with the chief complaints of severe headache, inability to move his eyes upward, and restlessness. Vital signs upon admission: BP= 160/100; Cheyne-Stokes respiration was noted. Water manometer test revealed Increased Intracranial Pressure (IICP).]]></situation> 
				</query>
				<query>
					<question ctrlno="458" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Decreased level of consciousness (LOC) is one of the results of IICP. Which of the following is NOT an early manifestation of decreased LOC?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lethargy]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Comatose with no response to painful stimuli]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Restlessness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Disorientation]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse at the Emergency Room. Renato, a 32-year-old employee in a Business Processing Outsourcing company, was brought-in, in a company car with the chief complaints of severe headache, inability to move his eyes upward, and restlessness. Vital signs upon admission: BP= 160/100; Cheyne-Stokes respiration was noted. Water manometer test revealed Increased Intracranial Pressure (IICP).]]></situation> 
				</query>
				<query>
					<question ctrlno="459" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Renato has been observed to manifest signs of disorientation. Which of the following occurs FIRST in the state of disorientation. Disorientation to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[place]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[environment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[people]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[time]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse at the Emergency Room. Renato, a 32-year-old employee in a Business Processing Outsourcing company, was brought-in, in a company car with the chief complaints of severe headache, inability to move his eyes upward, and restlessness. Vital signs upon admission: BP= 160/100; Cheyne-Stokes respiration was noted. Water manometer test revealed Increased Intracranial Pressure (IICP).]]></situation> 
				</query>
				<query>
					<question ctrlno="460" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On admission to the ER, a variety of laboratory tests, for diagnostic purposes, were done to Renato who has been assessed to have decreased LOC. What test was NOT done at this point?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Urinalysis for WBC]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Blood and urine toxicology]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Blood glucose]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Serum electrolytes]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse at the Emergency Room. Renato, a 32-year-old employee in a Business Processing Outsourcing company, was brought-in, in a company car with the chief complaints of severe headache, inability to move his eyes upward, and restlessness. Vital signs upon admission: BP= 160/100; Cheyne-Stokes respiration was noted. Water manometer test revealed Increased Intracranial Pressure (IICP).]]></situation> 
				</query>
				<query>
					<question ctrlno="461" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. S., an older adult with Dementia fell from her bed because the nurse on duty did not install the side rails. Which of the following criteria can establish a malpractice lawsuit against the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The nurse owed a duty to the client]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The nurse on duty did not follow the protocol on the standards of care on the use of side rails]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The nurse on duty followed the protocol on the use of side rails]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The patient was not injured]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a government hospital. In the tour of your duty you encounter situations that have legal implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="462" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are a staff nurse at the Emergency Room. You have an uncooperative patient that made you yelled at him, saying "If you do not take off those dirty, smelly clothes, I will do it myself", moving towards the client. You may be sued for _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[assault]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[physical injury]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[libel]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[character defamation]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a government hospital. In the tour of your duty you encounter situations that have legal implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="463" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You tell Mr. Castro "I will give your injection now, Mr. Castro". He holds but his arms to you which means Mr. Castro is giving/not giving you his ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[permission]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[written consent]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[consent]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[implied consent]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a government hospital. In the tour of your duty you encounter situations that have legal implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="464" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You touch a patient having EEG without her consent. The patient may file against you a complaint of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[sexual harassment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[physical abuse]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[battery]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[assault]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a government hospital. In the tour of your duty you encounter situations that have legal implications.]]></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 is not a FACTOR to be verified for be valid? The person giving the consent must _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[be legally an adult]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[be mentally and physically competent]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[have a diagnosis of a communicable disease]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[be giving it voluntarily]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in a government hospital. In the tour of your duty you encounter situations that have legal implications.]]></situation> 
				</query>
				<query>
					<question ctrlno="466" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which if the following is the MOST important attribute of a true professional?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Personal graces]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Critical thinking]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assertiveness]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Self-regulation]]></answer> 
						<situation><![CDATA[Situation: As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.]]></situation> 
				</query>
				<query>
					<question ctrlno="467" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are committed to improve your competence in order to provide safe and quality care to your patients. Which of the following RUN COUNTER with this personal desire?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Participating in the activities of the professional nursing organization.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Taking the foreign examination for nurses as preparation to working abroad.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Joining the health workers' union in your hospital and attending their safety education classes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Attending relevant continuing education development programs.]]></answer> 
						<situation><![CDATA[Situation: As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.]]></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 situations do you consider your PRIMARY responsibility while performing your nursing duty?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Attend to the call for help of a patient who needs total nursing care.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assist the doctor in making rounds.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Delegate to the nursing assistant vital signs-taking.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Answer the telephone call of the attending doctor.]]></answer> 
						<situation><![CDATA[Situation: As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.]]></situation> 
				</query>
				<query>
					<question ctrlno="469" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have a professional duty to be a member of the accredited organization of nurses. This organization has the mission to undertake the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Advocate for favorable policy positions to relevant government agencies.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Initiate public discussion on health issues and the nursing profession.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Explore foreign labor market for employment of Filipino nurses.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Adopt measures for the improvement of nursing practice.]]></answer> 
						<situation><![CDATA[Situation: As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.]]></situation> 
				</query>
				<query>
					<question ctrlno="470" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You dream of pursuing a career of becoming a clinical faculty. Which of the following qualifications is NOT mandatory?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Member of good standing in the accredited professional organization.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Must have one year clinical practice in a field of specialization.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Must have five years of clinical practice in the field of nursing.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Be a registered nurse in the Philippines.]]></answer> 
						<situation><![CDATA[Situation: As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.]]></situation> 
				</query>
				<query>
					<question ctrlno="471" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The focus of psycho-reducation program is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[assessing for the parent's belief systems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[determining the long-term effects of the medication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[helping Rona maintain regular school attendance]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[teaching the parent's how to support Rona without reinforcing her maladaptive behavior]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit. You are taking care of Rona, an 8-year-old child diagnosed with separation anxiety. You scheduled a psycho-education program for her parents.]]></situation> 
				</query>
				<query>
					<question ctrlno="472" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which would be your PRIORITY nursing intervention in helping the parents understand their role in reducing Rona's symptoms?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Administer anti-depressants to the parents]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage the parents to express their feelings about Rona's symptoms]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Make referrals to different support groups]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Assess the parents' understanding of separation anxiety]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit. You are taking care of Rona, an 8-year-old child diagnosed with separation anxiety. You scheduled a psycho-education program for her parents.]]></situation> 
				</query>
				<query>
					<question ctrlno="473" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of these psycho-education activities is NOT an anxiety producing situation for the parents or care-givers?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The child riding the school bus]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Child getting off the school bus at home]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Going to the mall]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Parents dropping off the child in school]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit. You are taking care of Rona, an 8-year-old child diagnosed with separation anxiety. You scheduled a psycho-education program for her parents.]]></situation> 
				</query>
				<query>
					<question ctrlno="474" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a cognitive-behavioral approach in giving family psycho-education?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Psycho-therapy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Progressive relaxation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Desensitization approach]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Exposure-based approach]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit. You are taking care of Rona, an 8-year-old child diagnosed with separation anxiety. You scheduled a psycho-education program for her parents.]]></situation> 
				</query>
				<query>
					<question ctrlno="475" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Information on primary environmental reinforcers that result to symptoms of anxiety is part of psycho-education. Which of the following is NOT considered an anxiety- producing reinforcer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Riding the bus]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Letting the child to stay at home when complaining of headache]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Allowing the child to miss school]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Promising her McDonald twisters when she cries]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Psychiatric Unit. You are taking care of Rona, an 8-year-old child diagnosed with separation anxiety. You scheduled a psycho-education program for her parents.]]></situation> 
				</query>
				<query>
					<question ctrlno="476" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the lifetime risk of developing Schizophrenia in the general population?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1%]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[15%]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[5%]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[10%]]></answer> 
						<situation><![CDATA[Situation: Ms. Marga, an 16-year-old female student in a private universiy came in for consultation at the University Health Services with the chief complaints of poor attention span, poor concentration, hearing some voices calling her, and sometimes seeing people following her. She claimed she started to experience all these since three months ago. The attending physician's impression is Schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="477" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following marks the INITIAL PHASE of Schizophrenia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increased energy and motivation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Heightened work performance]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Impaired role functioning and neglect of personal hygiene]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increased social interaction]]></answer> 
						<situation><![CDATA[Situation: Ms. Marga, an 16-year-old female student in a private universiy came in for consultation at the University Health Services with the chief complaints of poor attention span, poor concentration, hearing some voices calling her, and sometimes seeing people following her. She claimed she started to experience all these since three months ago. The attending physician's impression is Schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="478" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following CLUSTERS of symptoms indicate the presence of Schizophrenia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Feelings of hopelessness and helplessness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Obsessive thoughts and ritualistic behavior]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Hallucinations and delusions and decreased ability to function in society]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Unstable mood and delusions of grandeur]]></answer> 
						<situation><![CDATA[Situation: Ms. Marga, an 16-year-old female student in a private universiy came in for consultation at the University Health Services with the chief complaints of poor attention span, poor concentration, hearing some voices calling her, and sometimes seeing people following her. She claimed she started to experience all these since three months ago. The attending physician's impression is Schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="479" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following symptoms of Schizophrenia are likely to be RESPONSIVE to medications?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Anhedonia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Social withdrawal]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Hallucinations]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Apathy]]></answer> 
						<situation><![CDATA[Situation: Ms. Marga, an 16-year-old female student in a private universiy came in for consultation at the University Health Services with the chief complaints of poor attention span, poor concentration, hearing some voices calling her, and sometimes seeing people following her. She claimed she started to experience all these since three months ago. The attending physician's impression is Schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="480" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following methods can REDUCE the intensity of auditory hallucinations?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Talking to the patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Giving the patient amitryptyline]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Advising the patient not to pay attention to the voices]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Encouraging the patient to read]]></answer> 
						<situation><![CDATA[Situation: Ms. Marga, an 16-year-old female student in a private universiy came in for consultation at the University Health Services with the chief complaints of poor attention span, poor concentration, hearing some voices calling her, and sometimes seeing people following her. She claimed she started to experience all these since three months ago. The attending physician's impression is Schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="481" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is being admitted with a spinal cord transection at C7. Upon the patient's arrival, what assessment data take priority? Select all that apply.<br><br>
					<span style="font-weight:normal">
					1. Temperature<br>
					2. Respiration<br>
					3. Blood pressure<br>
					4. Bladder function<br>
					5. Reflexes<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[4; 1; 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1; 4; 5]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[3; 1; 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2; 4; 1]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the hospital. As such you are taking care of patients with varied musculoskeletal conditions. The following questions apply to this statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="482" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You plan to move a person with a possible spinal cord injury. What principle should guide you in moving him?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Put pillows at the patient's back to ensure comfort]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Move the patient gently to reduce pain]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Wrap the arms next to the body to limit its movement]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Immobilized the head and neck to prevent further injury]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the hospital. As such you are taking care of patients with varied musculoskeletal conditions. The following questions apply to this statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="483" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Your patient with a spinal cord injury is experiencing blurring of vision and has a blood pressure of 206/104 mmHg. What would be your PRIORITY nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decrease stimulation for the patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Position the patient on his left side]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Administer pain medications]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Check the patient's bladder for distention]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the hospital. As such you are taking care of patients with varied musculoskeletal conditions. The following questions apply to this statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="484" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have a patient with cord transection at T4. Which of the following is the focus of your nursing assessment?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Vascular status]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Biliary functions]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gastrointestinal functions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Renal status]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the hospital. As such you are taking care of patients with varied musculoskeletal conditions. The following questions apply to this statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="485" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are planning to teach the patient with spinal cord injury and intermittent nasogastric suctioning about interventions to maintain the patient's integumentary system. You should instruct the patient to ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[stay in a warm environment, to prevent chilling]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[stay in a cool environment to prevent sweating]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[eat low-sodium food to prevent edema]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[eat enough calories to maintain desired weight]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the hospital. As such you are taking care of patients with varied musculoskeletal conditions. The following questions apply to this statements.]]></situation> 
				</query>
				<query>
					<question ctrlno="486" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You suspect that your co-worker, Mr. B. is manifesting some signs and symptoms of chemical abuse. You have a duty to report him to your superior in a confidential manner with the PRIORITY issue as ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[investigation of the case]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[conduct unbecoming of a professional nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[the goal of treatment for Mr. B.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Mr. B. is an occupational hazard to his patients]]></answer> 
						<situation><![CDATA[Situation: Below are situations which have some ethico-moral and legal implications to you as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="487" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You have a neurologic, elderly patient who needs to sign an informed consent for a lumbar puncture. You have doubts about the patient's level of comprehension. Which of the following nursing actions is the MOST APPROPRIATE for this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Let the nearest relative sign the document]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Do not let the patient sign the informed consent and notify the attending physician]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Let the patient sign it as it is his right to be informed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Let the head nurse sign the informed consent]]></answer> 
						<situation><![CDATA[Situation: Below are situations which have some ethico-moral and legal implications to you as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="488" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing actions is a VIOLATION of patient's right to privacy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Knocking before entering the patient's room]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Draping the patient appropriately during procedures and treatment]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Accessing patient's electronic data]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Keeping the door of the patient's room closed]]></answer> 
						<situation><![CDATA[Situation: Below are situations which have some ethico-moral and legal implications to you as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="489" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are a staff nurse in a regional military hospital in Western Mindanao. You overheard an involuntary committed patient talking over the phone about the plot to assassinate the President. You reported this to the Commanding Officer of the Regional Command of the Philippine Army. The nurse was reprimanded for ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[conduct unbecoming of a professional nurse]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[breach of confidentiality]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[violation of patient's human rights]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[reporting an unverified information]]></answer> 
						<situation><![CDATA[Situation: Below are situations which have some ethico-moral and legal implications to you as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="490" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The colloquial statement "The nurse was given her day in court "means that the nurse was given a/an .]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[opportunity to present her side]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[opportunity to present evidences]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[chance to be heard]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[due process]]></answer> 
						<situation><![CDATA[Situation: Below are situations which have some ethico-moral and legal implications to you as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="491" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are conversing with a patient who is scheduled for open reduction of a fractured femur and who appears to be worried. Which of the following nurse's responses indicates "active listening"?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nodding her head]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Telling the patient to take a rest and relax]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Talking to her patient but looking at the other patient in the ward]]></answer>
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Asking the patient why he seems worried]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the Surgical ward of the hospital. You are assigned to a group of newly admitted surgical patients. The following questions apply to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="492" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Giving false reassurance is one of the barriers in a therapeutic communication. Which of the following statements is an example of this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You have a surgeon who has done this procedure a lot of times"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Your family will be able to see you once you are awake"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Your surgeon can do this procedure even with his eyes closed"]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["You'll go through this procedure without any problem"]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the Surgical ward of the hospital. You are assigned to a group of newly admitted surgical patients. The following questions apply to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="493" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Trust is an important element of a therapeutic communication. You promote trust in your patient when you ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[act upon what you have committed to do]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[allow family members to visit anytime they want]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[assure, the patient that he has an excellent surgeon]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[talk to the patient about his personal life]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the Surgical ward of the hospital. You are assigned to a group of newly admitted surgical patients. The following questions apply to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="494" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You heard another staff nurse telling a worried patient "cheer up! Just keep the faith". This communication technique is an example of ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[using a cliché]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[a judgmental response]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[changing the subject]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[giving advice]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the Surgical ward of the hospital. You are assigned to a group of newly admitted surgical patients. The following questions apply to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="495" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following forms of communication techniques are considered effective:<br><br>
					<span style="font-weight:normal">
					1. giving advice<br>
					2. using silence<br>
					3. clarifying<br>
					4. gentle touch<br>
					5. asking probing questions<br><br>
					SELECT all that apply.</span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 and 2]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 and 5]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3, 5]]></answer> 
						<situation><![CDATA[Situation: You are a staff nurse in the Musculoskeletal Unit of the Surgical ward of the hospital. You are assigned to a group of newly admitted surgical patients. The following questions apply to this situation.]]></situation> 
				</query>
				<query>
					<question ctrlno="496" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Veronica yells at you, saying: "They're all trying to destroy me. You're all part of it, aren't you?" Which of the following shall be your best response to Veronica?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Thinking people are out to destroy you must be very frightening"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["No, that's not true, People here are trying to help you if you'll let them"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Every one here is trying to help you. We don't want to destroy you"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["That is absurd. The staff, is well trained. No one is trying to destroy you"]]></answer> 
						<situation><![CDATA[Situation: Veronica, a 30-year-old female, married with two (2) children was admitted to the Psychiatric Unit with a diagnosis of Schizophrenia, Paranoid type. You are the staff of nurse assigned to Veronica.]]></situation> 
				</query>
				<query>
					<question ctrlno="497" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When planning care for a delusional and paranoid client, it is important for the nurse to consider which of the following client characteristics?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Suspiciousness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Euphoric feelings]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Psychomotor retardation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Silly, inappropriate affect]]></answer> 
						<situation><![CDATA[Situation: Veronica, a 30-year-old female, married with two (2) children was admitted to the Psychiatric Unit with a diagnosis of Schizophrenia, Paranoid type. You are the staff of nurse assigned to Veronica.]]></situation> 
				</query>
				<query>
					<question ctrlno="498" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Veronica has been placed in a room with a roommate. The night nurse reported that Veronica has been awake for the past three (3) nights. Which of the following is the MOST LIKELY explanation for her wakefulness? Veronica is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[worrying about his family problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[watching for an opportunity to escape]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[fearful of what her roommate might do to him while she sleeps]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a light sleeper and unaccustomed to a roommate]]></answer> 
						<situation><![CDATA[Situation: Veronica, a 30-year-old female, married with two (2) children was admitted to the Psychiatric Unit with a diagnosis of Schizophrenia, Paranoid type. You are the staff of nurse assigned to Veronica.]]></situation> 
				</query>
				<query>
					<question ctrlno="499" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Veronica tells you about that she tasted poison in her oatmeal this morning at breakfast. She is experiencing what type of hallucination?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Olfactory]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tactile]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Kinesthetic]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Gustatory]]></answer> 
						<situation><![CDATA[Situation: Veronica, a 30-year-old female, married with two (2) children was admitted to the Psychiatric Unit with a diagnosis of Schizophrenia, Paranoid type. You are the staff of nurse assigned to Veronica.]]></situation> 
				</query>
				<query>
					<question ctrlno="500" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Veronica tells you that the hospital staff has poisoned the food, so she isn't going to eat. Your BEST nursing intervention is to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Focus on Veronica's fear and insecurity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Focus on the client's delusion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Challenge the client's delusion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Agree with Veronica's decision]]></answer> 
						<situation><![CDATA[Situation: Veronica, a 30-year-old female, married with two (2) children was admitted to the Psychiatric Unit with a diagnosis of Schizophrenia, Paranoid type. You are the staff of nurse assigned to Veronica.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
</catalog>