Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.
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.
When performing a family assessment, select what the nurse must FIRST determine. ]]>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.
Which of the following is NOT recognized as part of the nurse's role as member of the health team?]]>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.
Which of the following BEST defines a disaster?]]>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.
You want to distinguish between records and reports. As applied to public health, the following are the type of RECORDS, EXCEPT _____.]]>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.
The need for supervision may arise from the following: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.
Nurse Isay collects data and monitors the health status of the population. Which of the following core public health functions is being implemented?]]>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
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?]]>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.
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?]]>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 ).
The key global agency that initiated the Alma Ata conference on Primary Health Care is the _____.]]>Situation: Situation 10. - 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.
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?]]>Situation: Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.
Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing]]>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.
The acronym PDCA stands for]]>Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of wording populations, have been identified as an important component of the public health strategy.
Occupational health services can make a significant contribution to government initiative. These include the following, in reducing: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.
Public health surveillance includes the following activities, EXCEPT _____.]]>Situation: You are a newly-assigned Rural Health Nurse and you have learnt that based on the latest health information of the municipality, food- and water- transmitted parasitic infections are prevalent.
The factors that contribute to the occurrence of food-transmitted diseases are the following, EXCEPT _____.]]>Situation: Public health nurse Criselda wants to increase her knowledge a familiarity with the elements of a research publication.
Nurse Criselda is analyzing a research article. What section in the article can she expect to find the research question and study purpose?]]>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
In conducting a family assessment, which source of data would be MOST helpful?]]>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.
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?]]>Situation: Nurses perform duties that require physical assessments, critic 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.
A nurse must follow laws that protect public health, safety, welfare. Which law is the nurse following?]]>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.
A nurse wants to present information about influenza immunization to the older adults in the community. Which type of communication should the nurse use ?]]>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.
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.
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 _____.]]>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."
Which could be the MAJOR Purpose of the study? To _____.]]>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.
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 _____.]]>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).
What is the FIRST step among the ten steps for successful breastfeeding?]]>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.
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?]]>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.
Which of the following would be the PRIORITY nursing diagnosis for Robbie?]]>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.
What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for?]]>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.
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 _____.]]>Situation: Head nurse Carmen supervises Nurse Donna who is assigned to take care of a newborn baby boy named Henrich with a cleft palate.
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?]]>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.
Which of the following would Nurse Erika anticipate in the patient's maternal history?]]>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."
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 I. Operate and hold diagnosis under strict confidentiality. II. Sign a non-disclosure agreements between nurses and their patients. III. Abide with the institution's privacy and security policies. IV. Disclose only the result of the test' to the patient himself. In terms of legalities., which of the following should Nurse , Patty explain to Cathlyn?]]>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.
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?]]>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.
While assessing a newborn with cleft lip, the nurse should be alerted on which of the following that will MOST likely be compromised?]]>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.
Dosage, when giving medicine to pediatric patients, varies according to which of the following? Select all that apply 1. Size 2. Surface area 3. Age of child 4. Height]]>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).
Nurse Romana makes heir INITIAL assessment on Karen. The patient keeps on crying and constantly pulls her right ear. What is her MOST APPROPRIATE action?]]>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.
Which of the moral problems is Nurse Nenet faced with?]]>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.
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?"]]>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.
Anton is noted to be very conversant. To make her discharge instructions clear, Nurse Mimi should emphasize which of the following? I.Tell Anton that he can clarify or ask questions. II. Tell him that it is alright to interrupt if he had to ask a question to clarify III. Advise'Him to listen well. IV. Ask for the presence of his mother]]>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.
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?]]>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.
In order to make the activity a success, which of the following resources would be MOST important?]]>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.
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).
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?]]>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.
Nurse Jenny was sent by her chief nurse to attend a Forum conducted by the Philippine NursingResearch 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?]]>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.
The physician orders a PRN pain medication to patient Alma. When will Nurse Norma administer a PRN drug?]]>Situation: The following situations are related to ethical practices in the workpiece.
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?]]>Situation: Lydia is a staff-nurse working in medical unit with several patients suffering from cardiovascular and peripheral disorders.
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______.]]>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.
As a Nurse, which of the following assessment data you will MOST likely NOT to find on patient Len?]]>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 5 and from the NOD.
Fatient Norilee upon admission has a breath characteristic of fruity acetone this is brought about by the presence of_____.]]>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.
Which of the following is the best tool for data gathering?]]>Situation: Nathalie is assigned as charge nurse at the Cardiovascular ward in aiMedical 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)
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?]]>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.
Which of the following would Nurse Erika anticipate in the patient's maternal history?]]>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.
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 I. Operate and hold diagnosis under strict confidentiality. II. Sign a non-disclosure agreements between nurses and their patients. III. Abide with the institution's privacy and security policies. IV. Disclose only the result of the test' to the patient himself. In terms of legalities., which of the following should Nurse , Patty explain to Cathlyn?]]>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.
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?]]>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.
While assessing a newborn with cleft lip, the nurse should be alerted on which of the following that will MOST likely be compromised?]]>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.
Dosage, when giving medicine to pediatric patients, varies according to which of the following? Select all that apply 1. Size 2. Surface area 3. Age of child 4. Height]]>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.
Nurse Romana makes heir INITIAL assessment on Karen. The patient keeps on crying and constantly pulls her right ear. What is her MOST APPROPRIATE action?]]>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.
Which of the moral problems is Nurse Nenet faced with?]]>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 patients’ rights and cultural practices. He helps colleagues beyond call of duty.
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?"]]>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.
Anton is noted to be very conversant. To make her discharge instructions clear, Nurse Mimi should emphasize which of the following? I.Tell Anton that he can clarify or ask questions. II. Tell him that it is alright to interrupt if he had to ask a question to clarify III. Advise'Him to listen well. IV. Ask for the presence of his mother]]>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.
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?]]>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.
In order to make the activity a success, which of the following resources would be MOST important?]]>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.
Situation: A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.
The nurse prepares the department to receive the injured. This situation would be BEST classified as a/an:]]>Situation: A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.
The nurse determines the extent of burns using the rule of nines. Which of the following assessment findings should the nurse document?]]>Situation: The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.
Which of the following principles of quality improvement is MOST appropriate for patient care?]]>Situation: Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.
The conference speaker explained the difference between evidence-based practice and evidence-based nursing practice, which of the following is NOT TRUE regarding evidence-based nursing practice? Evidence-based nursing practice _______]]>Situation: The nurse cares for a client with cancer who had lung surgery . The nurse educates the client on breathing exercises and ambulation.
The nurse teaches the client how to deep breath effectively after a lobectomy. The nurse instructs the client to:]]>Situation: Nurse Elma specializes in emergency nursing. She collaborate with the ED physician , triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department
When clients are wheeled into the ED , nurse Elma applies a triage priority rating system , when a client must be treated immediately otherwise the client ' s life , limb or vision are threatened, the category is _______:]]>Situation: Nurse Tina admits a 25 year - old female for severe angioedema involving the face , hands and feet. The patient further complains of burning and stinging of the lesions.
The nurse interviews the client. Which of the factors would be a MOST significant risk factor for allergies?]]>Situation: A 51 - year old male is admitted for complaints of rectal bleeding , abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy
Nurse Lawrence knows that radiation therapy is used to treat colon cancer before surgery , which of the following is the effect of radiation therapy? It]]>Situation: Nurse Elma assists in the care of a 25 year old male who is admitted in the emergency department for burns in the chest , abdomen, right arm and right leg.
The physician orders total parenteral nutrition (TPN) for the burn patient - Which of the following statements is TRUE in this case? TPN is. needed to ________.]]>Situation: Nurse Flora admits a 30-year old female with tentative diagnose of hypercalcemia.
Nurse Flora- recognize the signs and symptoms gf hypercalcemia. Which of the following signs is an indication of the diagnosis hypercalcemia?]]>Situation: Mr. M.E., 37 years old , was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue , malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.
Before admitting the client, you should FIRST make sure that:]]>Situation: Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.
Ms. Jenny implements a change in the nursing delivery system from functional to team nursing. This type of nursing model of practice is;]]>Situation: A 55 year old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis ( RA).
Nurse Ray is aware that RA is a debilitating chronic autoimmune disease. The patient asks the nurse why his joints are becoming increasingly painful. Which of the following statements is TRUE about RA? Rheumatoid Arthritis _______.]]>Situation: The nurse cares for several clients with acid-base imbalances.
The nurse is aware that a client who has experienced cardiac arrest is MOST at risk for which of the following imbalances?]]>Situation: Mila, a 35-year old female was brought in the Emergency Unit complaining of cold , clammy skin , disorientation , restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.
Nurse victor who admitted patient Mila is aware that a decrease in cardiac output results in a decrease in cerebral blood flow. Which of the following symptoms is one of the EARLIEST signs of cardiogenic shock ?]]>Situation: Ms. Dong-a , 35 years old , and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination . On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.
The nurse evaluates Ms. Dong-a for breast cancer. Which of the following is a risk factor for developing breast cancer?]]>Situation: Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.
The independent variables of this study are the following, EXCEPT:]]>Situation: You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.
You approach the person who is apparently choking. What should you do FIRST?]]>Situation: The nurse cares for a 40 year old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.
The nurse recalls that this client is her third admission in the last 8 months. The client is familiar with the nurse. Which of the following remarks by the nurse would be MOST beneficial to the client?]]>Situation: Ms.-. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.
Which principle is explicable in a situation where a sponge was left inside the abdomen of a patient who had an exploratory laparotomy?]]>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.
Situation: A landslide had occurred in x province due to persistent and heavy rainfall. According to Information received by the Emergency Department staff, there were about 150 people injured.
The nurse prepares the department to receive the injured. This situation would be BEST classified as a/an:]]>Situation: A nine-year old male child is hospitalized for burns on the right arm, right leg and abdomen. The nurse documents the treatment performed on the child.
The nurse determines the extent of burns using the rule of nines. Which of the following assessment findings should the nurse document?]]>Situation: The assistant chief nurse of X hospital attends a seminar on quality and performance improvement. The seminar is to increase awareness on how performance improvement affects client care and the health care organization.
Which of the following principles of quality improvement is MOST appropriate for patient care?]]>Situation: Nurse Edna, a charge nurse of an oncology unit attends a seminar on evidence-based nursing practice.
The conference speaker explained the difference between evidence-based practice and evidence-based nursing practice, which of the following is NOT TRUE regarding evidence-based nursing practice? Evidence-based nursing practice _______]]>Situation: The nurse cares for a client with cancer who had lung surgery . The nurse educates the client on breathing exercises and ambulation.
The nurse teaches the client how to deep breath effectively after a lobectomy. The nurse instructs the client to:]]>Situation: Nurse Elma specializes in emergency nursing. She collaborate with the ED physician , triage team and other members of the health team provide care to clients of all age-groups with various illnesses or injuries coming to the emergency department
When clients are wheeled into the ED , nurse Elma applies a triage priority rating system , when a client must be treated immediately otherwise the client ' s life , limb or vision are threatened, the category is _______:]]>Situation: Nurse Tina admits a 25 year - old female for severe angioedema involving the face , hands and feet. The patient further complains of burning and stinging of the lesions.
The nurse interviews the client. Which of the factors would be a MOST significant risk factor for allergies?]]>Situation: A 51 - year old male is admitted for complaints of rectal bleeding , abdominal pain, weight loss and change in bowel habits. Nurse Lawrence is aware that these are manifestations of colon cancer. The physician prescribes radiation therapy and chemotherapy
Nurse Lawrence knows that radiation therapy is used to treat colon cancer before surgery , which of the following is the effect of radiation therapy? It]]>Situation: Nurse Elma assists in the care of a 25 year old male who is admitted in the emergency department for burns in the chest , abdomen, right arm and right leg.
The physician orders total parenteral nutrition (TPN) for the burn patient - Which of the following statements is TRUE in this case? TPN is. needed to ________.]]>Situation: Nurse Flora admits a 30-year old female with tentative diagnose of hypercalcemia.
Nurse Flora- recognize the signs and symptoms gf hypercalcemia. Which of the following signs is an indication of the diagnosis hypercalcemia?]]>Situation: Mr. M.E., 37 years old , was accompanied by his wife and teen-a daughter to the out patient department for complaints of fever, fatigue , malaise and painful swollen joints. The physician ordered that the Mr. M.E be Admitted to the hospital for observation and treatment. You are the admitting nurse in the OPD. You found out during the interview that Mr. M.E. does not have a regular job. His wife works as a laundry woman.
Before admitting the client, you should FIRST make sure that:]]>Situation: Ms. Jenny is a charge nurse of an oncology unit. She prepares unit plan to improve the delivery of patient care and maximizing all human and material resources of the unit.
Ms. Jenny implements a change in the nursing delivery system from functional to team nursing. This type of nursing model of practice is;]]>Situation: A 55 year old male is admitted for complaints of joint pains, weakness, muscle spasm and stiffness when waking up in the morning. He was diagnosed with Rheumatoid Arthritis ( RA).
Nurse Ray is aware that RA is a debilitating chronic autoimmune disease. The patient asks the nurse why his joints are becoming increasingly painful. Which of the following statements is TRUE about RA? Rheumatoid Arthritis _______.]]>Situation: The nurse cares for several clients with acid-base imbalances.
The nurse is aware that a client who has experienced cardiac arrest is MOST at risk for which of the following imbalances?]]>Situation: Mila, a 35-year old female was brought in the Emergency Unit complaining of cold , clammy skin , disorientation , restlessness and confusion. The nurse suspects the patient is developing cardiogenic shock.
Nurse victor who admitted patient Mila is aware that a decrease in cardiac output results in a decrease in cerebral blood flow. Which of the following symptoms is one of the EARLIEST signs of cardiogenic shock ?]]>Situation: Ms. Dong-a , 35 years old , and a mother of two sought consultation at the OPD. She claims that she felt a lump on her breast while doing a self- breast examination . On further examination, Nurse Atilde confirmed that the lump was felt in the upper outer quadrant of the right breast.
The nurse evaluates Ms. Dong-a for breast cancer. Which of the following is a risk factor for developing breast cancer?]]>Situation: Nurse Carol participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.
The independent variables of this study are the following, EXCEPT:]]>Situation: You and your friends are enjoying a quiet meal in a restaurant, Suddenly you noticed that an adult male customer was holding his throat and apparently choking on his food.
You approach the person who is apparently choking. What should you do FIRST?]]>Situation: The nurse cares for a 40 year old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.
The nurse recalls that this client is her third admission in the last 8 months. The client is familiar with the nurse. Which of the following remarks by the nurse would be MOST beneficial to the client?]]>Situation: Ms.-. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.
Which principle is explicable in a situation where a sponge was left inside the abdomen of a patient who had an exploratory laparotomy?]]>