<?xml version="1.0"?>
<catalog testname="NURSING LECENSURE EXAM">
	<group type="questions" testno="2" testsection="NLE Assessment 2" 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[In order for Nurse Nona to become effective in her caregiving role to the different types of clientele in the community, she should be equipped with the BASIC knowledge about.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[statistics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[research]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[nursing process]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nursing theories]]></answer> 
						<situation><![CDATA[Nurse Nona is a newly hired Community Health Nurse. At the start of her duty, she takes into consideration that she should assume numerous roles and functions that are primarily focused on promoting a healthy community.]]></situation> 
				</query>
				<query>
					<question ctrlno="2" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As planner and programmer in the community setting, Nurse Nona should understand that the PRIMARY objective of Community Health Nursing is focused on the importance of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Curative aspect of care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[restoration of full function]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[rehabilitative part of care]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[optimum health and wellness.]]></answer> 
						<situation><![CDATA[Nurse Nona is a newly hired Community Health Nurse. At the start of her duty, she takes into consideration that she should assume numerous roles and functions that are primarily focused on promoting a healthy community.]]></situation> 
				</query>
				<query>
					<question ctrlno="3" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST Community Health Nursing principle that will guide Nurse Nona in the effective performance of her various roles and function is focused on the community that _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[has different health needs and problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[is considered as a primary client]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[has various structures and resources]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[is composed of individuals and families]]></answer> 
						<situation><![CDATA[Nurse Nona is a newly hired Community Health Nurse. At the start of her duty, she takes into consideration that she should assume numerous roles and functions that are primarily focused on promoting a healthy community.]]></situation> 
				</query>
				<query>
					<question ctrlno="4" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As health monitor, which of the following should be considered by the nurse as health threats in the community?<br><br>
					<span style="font-weight:normal">
					1. Ineffective breastfeeding<br>
					2. Fire hazards<br>
					3. Inadequate immunization<br>
					4. Polluted water supply<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2]]></answer> 
						<situation><![CDATA[Nurse Nona is a newly hired Community Health Nurse. At the start of her duty, she takes into consideration that she should assume numerous roles and functions that are primarily focused on promoting a healthy community.]]></situation> 
				</query>
				<query>
					<question ctrlno="5" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the INITIAL task of Nurse Nona as a community organizer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Formulates individuals, family groups and community-care plan]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Motivates and enhances community participation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prepares and submits required reports on time]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Coordinates with individuals, families, groups for health services]]></answer> 
						<situation><![CDATA[Nurse Nona is a newly hired Community Health Nurse. At the start of her duty, she takes into consideration that she should assume numerous roles and functions that are primarily focused on promoting a healthy community.]]></situation> 
				</query>
				<query>
					<question ctrlno="6" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Teaching the families on promoting mental health at home in this pandemic time should focus on the following EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[seeking community support]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[observing open communication]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[engaging in social media the whole day]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[reaching out to friends]]></answer> 
						<situation><![CDATA[Nurse Bella takes charge of handling the Mental Health Promotion program in the midst of the ongoing health crisis due to the COVID 19 pandemic.]]></situation> 
				</query>
				<query>
					<question ctrlno="7" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During this pandemic time, which of the following roles of Nurse Bella should she significantly intensify to prevent more cases of mental problems in the community?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Case Finder]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Case Manager]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Researcher]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Surveyed]]></answer> 
						<situation><![CDATA[Nurse Bella takes charge of handling the Mental Health Promotion program in the midst of the ongoing health crisis due to the COVID 19 pandemic.]]></situation> 
				</query>
				<query>
					<question ctrlno="8" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are individuals who are suffering from mental health challenges due to pandemic. The BEST nursing action is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[refer for admission at the mental health unit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[help in setting up debriefing stations]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[recommend hiring of a community psychiatrist]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[set up a mental health program]]></answer> 
						<situation><![CDATA[Nurse Bella takes charge of handling the Mental Health Promotion program in the midst of the ongoing health crisis due to the COVID 19 pandemic.]]></situation> 
				</query>
				<query>
					<question ctrlno="9" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following information about severity of mental illness would be important to the mental health program in the community setting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mentally-ill patients are always dangerous.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Mental illness is hereditary.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mental illness is not curable]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Psychosocial services should be available.]]></answer> 
						<situation><![CDATA[Nurse Bella takes charge of handling the Mental Health Promotion program in the midst of the ongoing health crisis due to the COVID 19 pandemic.]]></situation> 
				</query>
				<query>
					<question ctrlno="10" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a webinar on the Mental Health Act, Nurse Bella realized that the community has to change which of the following perceptions?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Mental illness is not hereditary.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[community resilience is important.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Mental illness is incurable.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[psychosocial services should be available.]]></answer> 
						<situation><![CDATA[Nurse Bella takes charge of handling the Mental Health Promotion program in the midst of the ongoing health crisis due to the COVID 19 pandemic.]]></situation> 
				</query>
				<query>
					<question ctrlno="11" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Her priority in managing community health needs is through knowing in-depth the PREVALENCE of diseases because it indicates the _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[risk to health problems]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[presence of health problems]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[priority foods of the people]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[magnitude of health problems]]></answer> 
						<situation><![CDATA[Nurse Rona recognizes the importance of the application of Epidemiology in community health setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="12" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rona and her team has been utilizing the "EPIDEMIOLOGIC TRIAD" model of identifying causative factors of diseases. Which of the following is not relevant to this model?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[External Agent]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Susceptible host]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Treatment regimen]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Environment]]></answer> 
						<situation><![CDATA[Nurse Rona recognizes the importance of the application of Epidemiology in community health setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="13" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There is an outbreak of measles in some areas of the community where Nurse Rona is assigned. Which of the following steps of an outbreak investigation should Nurse Rona and her team begin?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Identify and count cases.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Verify Diagnosis.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Define and identify cases.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prepare for field work.]]></answer> 
						<situation><![CDATA[Nurse Rona recognizes the importance of the application of Epidemiology in community health setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="14" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rona is able to know the patterns of occurrence and distribution of diseases in the community. Per record she found out there had been cases of rabies at irregular intervals scattered in particular places. This occurrence refers to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Endemic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Epidemic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pandemic]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Sporadic]]></answer> 
						<situation><![CDATA[Nurse Rona recognizes the importance of the application of Epidemiology in community health setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="15" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As an epidemiology nurse, Nurse Rona's PRIMARY function and responsibility is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[assist the epidemiologist in making reports]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Implement public health surveillance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[render nursing care to sick residents]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[follow up cases and sdhfsuiohd]]></answer> 
						<situation><![CDATA[Nurse Rona recognizes the importance of the application of Epidemiology in community health setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="16" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Danica would like to put more emphasis on healthy lifestyle in her health education classes. Which step of the teaching-learning process should she FIRST start?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Assessing health needs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Evaluation of learning takes place]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Preparing learning materials]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Developing health education plan]]></answer> 
						<situation><![CDATA[Nurse Danica is assigned to the Health Education initiative of the health center.]]></situation> 
				</query>
				<query>
					<question ctrlno="17" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning for the health education program about healthy lifestyle Nurse Danica targets to work with parents in the community. Noting different ethnics backgrounds among them, which important consideration should be part of the plan?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Economic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Social]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Cultural]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Educational]]></answer> 
						<situation><![CDATA[Nurse Danica is assigned to the Health Education initiative of the health center.]]></situation> 
				</query>
				<query>
					<question ctrlno="18" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the Theory of Adult Learning by Knowles, which of the following principles will guide the nurse to  be an effective educator?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Educational attainment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[School where the participants graduated]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Age and gender of learners]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Environment and learners' participation]]></answer> 
						<situation><![CDATA[Nurse Danica is assigned to the Health Education initiative of the health center.]]></situation> 
				</query>
				<query>
					<question ctrlno="19" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Danica plans to have the residents of the community conduct brainstorming about their community problems. Which of the following is the rationale of this teaching format?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourages problem solving and critical thinking skills.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Links audience participation to the presenter's speaking style and content.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Allows the participants to generate ideas and discuss them in group setting. ]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Offers shared experiences in a familiar setting.]]></answer> 
						<situation><![CDATA[Nurse Danica is assigned to the Health Education initiative of the health center.]]></situation> 
				</query>
				<query>
					<question ctrlno="20" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Successful teaching and learning activities in any health care setting is primarily fostered through _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[identifying motivating factors]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[using clear and concise language]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[establishing trust and rapport]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[setting realistic goals and objectives]]></answer> 
						<situation><![CDATA[Nurse Danica is assigned to the Health Education initiative of the health center.]]></situation> 
				</query>
				<query>
					<question ctrlno="21" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Case finding for PTB in the community requires that the nurse should identify persons having sputum characterized as _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[frusty, frothy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[yellowish]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[blood stained]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[greenish]]></answer> 
						<situation><![CDATA[Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis (PTB) in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="22" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the care of patients with communicable diseases, Nurse Keena should know that feces, urine, blood and other body fluids are considered as _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Portal of entry]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vehicles of transmission]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reservoir of agent]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Portal of exit]]></answer> 
						<situation><![CDATA[Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis (PTB) in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="23" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[With the onset of the rainy season, the nurses are closely monitoring the increase of dengue cases. They should focus their health teachings on ways to prevent dengue by _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[destroying breeding places of the vector]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Using repellent lotion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[burning dried leaves]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[wearing of protective clothing]]></answer> 
						<situation><![CDATA[Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis (PTB) in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="24" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Outbreak of cases of typhoid fever occurs in the community. Nurse Keena should inform the residents that the transmission of the disease is through _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[vector]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[food and water]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[blood and body fluids]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[air]]></answer> 
						<situation><![CDATA[Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis (PTB) in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="25" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are several cases of Rabies in the community. Which of the following preventive measure should Nurse Keena teach the families?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impound all dogs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impose "No pets allowed&quot; rule]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Have the dogs vaccinated]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Report to the authorities households with dog/s]]></answer> 
						<situation><![CDATA[Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis (PTB) in the Philippines.]]></situation> 
				</query>
				<query>
					<question ctrlno="26" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ana is aware that the domain of record management entails which of the following except:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Write in the index what has to be endorsed]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Keep human resources update at all times]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Report to MD orally wrong use of drug]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ensure entries in patient record is signed]]></answer> 
						<situation><![CDATA[As community health nurse it is expected that she is competent in performing core competency standards on Record Management.]]></situation> 
				</query>
				<query>
					<question ctrlno="27" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Improvement of Nursing service as well as patient satisfaction is also a concern of the nurse manager. Which of the following strategies can be adaptive to achieve this goal]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hold regular meeting with staff]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Make chart audit ]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Plan suggestion box]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Conduct regular rounds of patients]]></answer> 
						<situation><![CDATA[As community health nurse it is expected that she is competent in performing core competency standards on Record Management.]]></situation> 
				</query>
				<query>
					<question ctrlno="28" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A physician in the health facility has forgotten to change antibiotics of the patient and make phone call order to Nurse ANA. What should be the APPROPRIATE action of the nurse in this situation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ensure that the order will be signed by the physician as soon as he is back to the facility.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Have any physician in the facility sign the order]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Carry all phone orders and bring chart to the doctor for signing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Call back and give feedback]]></answer> 
						<situation><![CDATA[As community health nurse it is expected that she is competent in performing core competency standards on Record Management.]]></situation> 
				</query>
				<query>
					<question ctrlno="29" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the CHN has written in the treatment record: BP 160/96, Ace inhibitor with Diazide administered, BP decrease at 140/80 and urine output 1200 cc for whole shift. What type of charting is this?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[PIE]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[AIRA]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[SOAP]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[DAR]]></answer> 
						<situation><![CDATA[As community health nurse it is expected that she is competent in performing core competency standards on Record Management.]]></situation> 
				</query>
				<query>
					<question ctrlno="30" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is PRIMARY purpose of accurate, updated and reliable document?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Use from the shift report of nurse and doctor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Protect nurse from doctors' reprimand]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Serve as evidence of legal matters]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Audit frequency of medication utilization]]></answer> 
						<situation><![CDATA[As community health nurse it is expected that she is competent in performing core competency standards on Record Management.]]></situation> 
				</query>
				<query>
					<question ctrlno="31" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the rationale why team work is ESSENTIAL in health care?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Helping one another]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Makes work lighter]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient safety]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Promotes camaraderie]]></answer> 
						<situation><![CDATA[Nurse Roy assumes various roles and functions of community health nurse. He considers collaboration and teamwork as essential in public health.]]></situation> 
				</query>
				<query>
					<question ctrlno="32" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the MAIN components of collaboration?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Shared vision]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Achievement of goals]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Working together]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Partnership]]></answer> 
						<situation><![CDATA[Nurse Roy assumes various roles and functions of community health nurse. He considers collaboration and teamwork as essential in public health.]]></situation> 
				</query>
				<query>
					<question ctrlno="33" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Roy as member of the health team describes himself as good team player. Which of the following is the BEST characteristic of good team player?<br><br>
					<span style="font-weight:normal">
					1. Sense of humor<br>
					2. Good listener<br>
					3. Inspires others<br>
					4. Proactive thinking<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></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="0" rationale=""><![CDATA[3, 4]]></answer> 
						<situation><![CDATA[Nurse Roy assumes various roles and functions of community health nurse. He considers collaboration and teamwork as essential in public health.]]></situation> 
				</query>
				<query>
					<question ctrlno="34" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is an ESSENTIAL element of effective collaboration?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Communication]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Belongs to one team]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Networking]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Delegation]]></answer> 
						<situation><![CDATA[Nurse Roy assumes various roles and functions of community health nurse. He considers collaboration and teamwork as essential in public health.]]></situation> 
				</query>
				<query>
					<question ctrlno="35" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Roy in his dealings with his co-workers instills collaborative partnership in doing their task. Which is the aim of this type of partnership?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Make work faster and easier]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Shared goals]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Change and influence group behavior]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Staff's satisfaction]]></answer> 
						<situation><![CDATA[Nurse Roy assumes various roles and functions of community health nurse. He considers collaboration and teamwork as essential in public health.]]></situation> 
				</query>
				<query>
					<question ctrlno="36" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To plan out for activities intended for the elderly population the nurse should begin to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[do survey of the number of the elderly population]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[get informed consent]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[ask permission from barangay officials]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[tap the help of experts]]></answer> 
						<situation><![CDATA[Nurse Nancy is in charge of the Geriatric Care program of the  barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="37" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing the health condition of the older persons, which is the BEST measure in determining their functional status?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Financial capability of the family]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Age of the patient]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Activities of daily living]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Educational attainment]]></answer> 
						<situation><![CDATA[Nurse Nancy is in charge of the Geriatric Care program of the  barangay.]]></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 should the nurse provide to the elderly and their families regarding drug regimen prescribed to patients?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Liquid medication is more convenient and safer]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allow them to refuse to take medicines]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gave independence to take medicine]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[They are more vulnerable to adverse drug reactions]]></answer> 
						<situation><![CDATA[Nurse Nancy is in charge of the Geriatric Care program of the  barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="39" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Care giving to older persons can be burdensome to other members of family who are the caregivers. During home visit to the family, the nurse should look for symptoms of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[agitation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[burnout]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[withdrawal]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[suicidal tendency]]></answer> 
						<situation><![CDATA[Nurse Nancy is in charge of the Geriatric Care program of the barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="40" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For an effective program for the elderly population, which should be the appropriate approach?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assign to the family]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Supervise by physicians]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Multidisciplinary]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Under the care of barangay health workers]]></answer> 
						<situation><![CDATA[Nurse Nancy is in charge of the Geriatric Care program of the  barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="41" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is an important tool of assessing quality in the delivery of health services?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Research]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Standards]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing process]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Legislation]]></answer> 
						<situation><![CDATA[Nurse Zoe as a public health nurse together with other members of the health team ensure there is quality in health and nursing care in their work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="42" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose the key words that BEST describes quality improvement in public health.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Status quo]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Improvement process]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Very conventional]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Perfect health activity]]></answer> 
						<situation><![CDATA[Nurse Zoe as a public health nurse together with other members of the health team ensure there is quality in health and nursing care in their work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="43" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose the description that quality exists at the health center.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Patient satisfaction]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Selected delivery of services]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Controlled by local officials]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Rapid turnover]]></answer> 
						<situation><![CDATA[Nurse Zoe as a public health nurse together with other members of the health team ensure there is quality in health and nursing care in their work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="44" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Elisa would like to enhance the process standard at the health center. Which should be her PRIORITY nursing initiative?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Revise manual for operation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hire more new graduates]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Upgrade the health equipment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reduce operational expenses]]></answer> 
						<situation><![CDATA[Nurse Zoe as a public health nurse together with other members of the health team ensure there is quality in health and nursing care in their work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="45" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identify to whom Nurse Elisa would see help to improve health resources like medicine in order to provide quality nursing care at the health center.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Head of the church]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Secretary of Health]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Mayor]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Governor]]></answer> 
						<situation><![CDATA[Nurse Zoe as a public health nurse together with other members of the health team ensure there is quality in health and nursing care in their work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="46" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As nurse manager, which should she consider IMPORTANT when preparing the budget needed for the operation of the unit.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[All things and equipment need to be new yearly.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Budget is implemented with or without money at hand.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Cost effectiveness and efficiency are important.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Budget is not essential for quality assurance.]]></answer> 
						<situation><![CDATA[Nurse Elisa has been promoted as Nurse Manager in the health unit. Her functions include management of resources and environment and budgeting.]]></situation> 
				</query>
				<query>
					<question ctrlno="47" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the process of planning, which of the following Nurse Elisa should use the plan that would review the strengths and weakness of the organization?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Operational]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nursing care]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Strategic]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Program]]></answer> 
						<situation><![CDATA[Nurse Elisa has been promoted as Nurse Manager in the health unit. Her functions include management of resources and environment and budgeting.]]></situation> 
				</query>
				<query>
					<question ctrlno="48" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For cost effectiveness measure, which of the following is the BEST nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[All things should be kept at the supervisors office]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Identify resources needed to accomplish task]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assign the utility worker to keep track]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allow everyone to take responsibility]]></answer> 
						<situation><![CDATA[Nurse Elisa has been promoted as Nurse Manager in the health unit. Her functions include management of resources and environment and budgeting.]]></situation> 
				</query>
				<query>
					<question ctrlno="49" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Elisa advocates for safe staffing pattern at the health center. Which BEST practice she should instill from the staff?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Delegates task]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Give all freedom to be honest in their attendance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Staffing pattern not important in community setting]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Requires staff to report on time.]]></answer> 
						<situation><![CDATA[Nurse Elisa has been promoted as Nurse Manager in the health unit. Her functions include management of resources and environment and budgeting.]]></situation> 
				</query>
				<query>
					<question ctrlno="50" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a measure of safe work environment?<br><br>
					<span style="font-weight:normal">
					1. Complies with standards<br>
					2. Observe protocols<br>
					3. Adheres to policies<br>
					4. Observe quality<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3, 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3, 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<situation><![CDATA[Nurse Elisa has been promoted as Nurse Manager in the health unit. Her functions include management of resources and environment and budgeting.]]></situation> 
				</query>
				<query>
					<question ctrlno="51" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Maris is correct in identifying which of the following is a health resource problem?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Feud between the Midwife and Head of the Barangay Sanitation Committee]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[High Maternal Mortality Rate]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Absence of Midwife in the community to render health services]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase in number of deaths from Pneumonia]]></answer> 
						<situation><![CDATA[When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.]]></situation> 
				</query>
				<query>
					<question ctrlno="52" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are five criteria in prioritizing community health problems. If Nurse Maris is estimating the proportion of the population affected by the problem, she is using what criterion in prioritization?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Magnitude of the Problem]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Social Concern]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nature of the Problem]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Modifiability of the Problem]]></answer> 
						<situation><![CDATA[When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.]]></situation> 
				</query>
				<query>
					<question ctrlno="53" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select a barrier to goal setting between the nurse and the family. ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Educational attainment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Socio economic status]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nature of employment]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Failure of family to perceive existence of problem]]></answer> 
						<situation><![CDATA[When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.]]></situation> 
				</query>
				<query>
					<question ctrlno="54" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refer family to barangay officials for guidance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Help the family recognize the problem]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Allow family to decide to use health resources]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Leave the family what action take on their problem]]></answer> 
						<situation><![CDATA[When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.]]></situation> 
				</query>
				<query>
					<question ctrlno="55" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose the step of nursing process that identifies the family health seeking behavior.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Implementation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<situation><![CDATA[When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.]]></situation> 
				</query>
				<query>
					<question ctrlno="56" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Oscar informs the other members of the team about osteoporosis. Which of the following is TRUE of the disease in the Philippines?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[There are only few cases in the country]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The disease is not alarming]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Filipinos are aware of the incidence of osteoporosis]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Filipinos have low awareness about the disease]]></answer> 
						<situation><![CDATA[Nurse Oscar is in charge of the Osteoporosis Control Program of the Health Center.]]></situation> 
				</query>
				<query>
					<question ctrlno="57" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the MOST important risk factor to osteoporosis?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Menopause]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Being male]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[With history of previous fracture]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Short in height]]></answer> 
						<situation><![CDATA[Nurse Oscar is in charge of the Osteoporosis Control Program of the Health Center.]]></situation> 
				</query>
				<query>
					<question ctrlno="58" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the preventive measure to osteoporosis development?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Iron rich food]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Calcium rich food and supplement]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Daily jogging]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vigorous exercise]]></answer> 
						<situation><![CDATA[Nurse Oscar is in charge of the Osteoporosis Control Program of the Health Center.]]></situation> 
				</query>
				<query>
					<question ctrlno="59" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is TRUE about osteoporosis?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[It is a silent disease]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It is more common in men]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It is not that alarming]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is only discovered after a fracture]]></answer> 
						<situation><![CDATA[Nurse Oscar is in charge of the Osteoporosis Control Program of the Health Center.]]></situation> 
				</query>
				<query>
					<question ctrlno="60" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The diagnostic examination for osteoporosis is geared towards measuring]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Bone density]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Blood volume]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Weight ]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Height]]></answer> 
						<situation><![CDATA[Nurse Oscar is in charge of the Osteoporosis Control Program of the Health Center.]]></situation> 
				</query>
				<query>
					<question ctrlno="61" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which APPROPRIATE research design Nurse Telly should use in her planned study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Grounded theory]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Phenomenology ]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Case Study]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Etnography]]></answer> 
						<situation><![CDATA[Nurse Telly is planning to conduct a qualitative research about the Life experiences of teenage mothers in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="62" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After she had decided to conduct the study, which of the following nursing action she should do next?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Create conceptual framework]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Make a research proposal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decide for the data analysis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Plan fo rdata collection]]></answer> 
						<situation><![CDATA[Nurse Telly is planning to conduct a qualitative research about the Life experiences of teenage mothers in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="63" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the APPROPRIATE means to present qualitative data?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Themes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[BAR graph]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pie graph]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Linear graph]]></answer> 
						<situation><![CDATA[Nurse Telly is planning to conduct a qualitative research about the Life experiences of teenage mothers in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="64" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing actions Nurse Telly must do in doing data?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Do survey]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use case study]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Do interview more than once]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[See advice of expert]]></answer> 
						<situation><![CDATA[Nurse Telly is planning to conduct a qualitative research about the Life experiences of teenage mothers in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="65" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the study questions in the proposed study is about needs of teenage mothers. In choosing framework to make the topic more stable, which theory Nurse Telly should adopt in her study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Roy]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Maslows]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Orem]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Kings]]></answer> 
						<situation><![CDATA[Nurse Telly is planning to conduct a qualitative research about the Life experiences of teenage mothers in the community.]]></situation> 
				</query>
				<query>
					<question ctrlno="66" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rica is in charge of the Animal bite program of the health center. Which of the following is the causative agent of rabies?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Parasite]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Virus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bacteria]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fungi]]></answer> 
						<situation><![CDATA[Nurse Rina had been working as public health nurse. In working with families she values the importance of family care plan, and other concepts about community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="67" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the BEST strategy to control Incidence of Rabies in the community?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impound dogs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[kill stray dogs]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Responsible pet owner]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fine the owners]]></answer> 
						<situation><![CDATA[Nurse Rina had been working as public health nurse. In working with families she values the importance of family care plan, and other concepts about community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="68" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which BEST advice the nurse should give in case of dogbite?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wash wound with garlic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do not feed the dog]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bleed the bitten area]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Wash thoroughly with running water]]></answer> 
						<situation><![CDATA[Nurse Rina had been working as public health nurse. In working with families she values the importance of family care plan, and other concepts about community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="69" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What advice should be given to the owner of the dog in case of dogbite?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give away the animal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impound the dog]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Kill the dog]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Feed well and observe ]]></answer> 
						<situation><![CDATA[Nurse Rina had been working as public health nurse. In working with families she values the importance of family care plan, and other concepts about community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="70" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which IMPORTANT information the nurse should inform the public about rabies? ]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[lt could be prevented]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It is an ordinary disease]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Rabies is not dealy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It kills]]></answer> 
						<situation><![CDATA[Nurse Rina had been working as public health nurse. In working with families she values the importance of family care plan, and other concepts about community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="71" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the MAIN goal of ethical practice of the nursing profession including the community setting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To protect the nurse and co-workers]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To prevent repriband from physicians]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[For the patients family satisfaction]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Centered on the welfare of clients and protect their rights]]></answer> 
						<situation><![CDATA[Nurse Erica is fully aware that being a public health nurse her work is guided by ethico-moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="72" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As public health nurse Nurse Erica makes sure all the the supplies and medicines needed for the care of community are available. This is an example of the principle of _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Respect]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fair treatment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<situation><![CDATA[Nurse Erica is fully aware that being a public health nurse her work is guided by ethico-moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="73" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select nurses action in keeping with principle of confidentiality ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hides identity of patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Shares information from patients chart in public ]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Keeps all matters about the patient as a secret]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Discusses the case of patient with others]]></answer> 
						<situation><![CDATA[Nurse Erica is fully aware that being a public health nurse her work is guided by ethico-moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="74" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Erica is always guided by the principle of beneficence in all that she does to all her patients. Which of the following nursing action is aligned with principle of beneficence.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Equal and fair allocation of resources to all]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Getting informed consent]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Keep records of patients from public viewing]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Promoting patients safety at all times.]]></answer> 
						<situation><![CDATA[Nurse Erica is fully aware that being a public health nurse her work is guided by ethico-moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="75" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Erica tap all the newly hired nurses to be members of her new project. She is observing the ethical principle of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Respect]]></answer> 
						<situation><![CDATA[Nurse Erica is fully aware that being a public health nurse her work is guided by ethico-moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="76" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is an evidence of the a poor family coping index related to healthcare attitudes?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A parents who washes the wound of the child with running water.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The family who observes the habit of cleaning sorroundings.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[A young mother who introduced solid food to her three-month-old baby.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A mother who brings her child to be vaccinated for measles.]]></answer> 
						<situation><![CDATA[Nurse Henie uses the Family coping index in assessing family health needs and problems of particularly of families who are vulnerable to illness.]]></situation> 
				</query>
				<query>
					<question ctrlno="77" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the BEST evidence of a family whose family coping index on therapeutic competence is rated as coping well?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Shows positive interpersonal relationship]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pariticipates in the weekly clean and green program of the community.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Maintain clean and organized household ambiance.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Visits the clinic frequently well or sick.]]></answer> 
						<situation><![CDATA[Nurse Henie uses the Family coping index in assessing family health needs and problems of particularly of families who are vulnerable to illness.]]></situation> 
				</query>
				<query>
					<question ctrlno="78" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following tools used by nurses in the community setting for assessing health needs and problem of families that is similar to family coping index]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nursing theories]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Vital statistics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Case Study]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nursing diagnosis]]></answer> 
						<situation><![CDATA[Nurse Henie uses the Family coping index in assessing family health needs and problems of particularly of families who are vulnerable to illness.]]></situation> 
				</query>
				<query>
					<question ctrlno="79" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In utilizing family coping index nurses should be knowledgeable that the focus of this tool is identifying the family's _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[strategies to deal with stressful situations]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[manner of information]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[ways of managing health needs and challenges]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[patterns of health habits]]></answer> 
						<situation><![CDATA[Nurse Henie uses the Family coping index in assessing family health needs and problems of particularly of families who are vulnerable to illness.]]></situation> 
				</query>
				<query>
					<question ctrlno="80" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Myrna is taking care of a family whose there young children are sick with malnutrion particularly protein deficiency? Which of the following behaviors is indicative of the family's positive coping index ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Observing erratic mealtime due to work schedule of parents.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bringing children to health center for consultation whom needed.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Serving foods that children like but high in carbohydrates.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Cooking foods in variety that include meat, dairy products and beans.]]></answer> 
						<situation><![CDATA[Nurse Henie uses the Family coping index in assessing family health needs and problems of particularly of families who are vulnerable to illness.]]></situation> 
				</query>
				<query>
					<question ctrlno="81" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing the health condition of school children, which of the following would be the findings common to this group?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cancer and other malignancies]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Anemia and other blood disorders]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Lice and parasites]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fractures and injuries]]></answer> 
						<situation><![CDATA[Ms. Sandra is a newly assigned school nurse in the elementary school of the barangay. She planned to do physical examination of every school child.]]></situation> 
				</query>
				<query>
					<question ctrlno="82" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the performance of her roles and functions as a school nurse, which guiding principle should she consider very important?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Health is an integral part of the education process.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The nurse is in full authority over the children.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The local health authority supervises the school health.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[School nursing is more focused on socialization.]]></answer> 
						<situation><![CDATA[Ms. Sandra is a newly assigned school nurse in the elementary school of the barangay. She planned to do physical examination of every school child.]]></situation> 
				</query>
				<query>
					<question ctrlno="83" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose how many times at least the nurse conducts physical assessment to school children.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Thrice a year]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Every semester ]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Every quarter]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Once a year]]></answer> 
						<situation><![CDATA[Ms. Sandra is a newly assigned school nurse in the elementary school of the barangay. She planned to do physical examination of every school child.]]></situation> 
				</query>
				<query>
					<question ctrlno="84" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Who should Nurse Sandra consider as a priority for home visitation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pedro 9 years old whose parents are both working.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Melissa 10 years old with stunted growth for her age]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cindy 7 years old who has been absent due to skin lesions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mike 8 years old who often sleeps during class hour.]]></answer> 
						<situation><![CDATA[Ms. Sandra is a newly assigned school nurse in the elementary school of the barangay. She planned to do physical examination of every school child.]]></situation> 
				</query>
				<query>
					<question ctrlno="85" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the indicators BEST describes an effective outcome of school nursing programs and initiatives.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Zero absenteeism and tardiness of pupils.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Teachers are observers of school health program.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Limited information in school of Health initiatives.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Constant visits nad phone calls of parents.]]></answer> 
						<situation><![CDATA[Ms. Sandra is a newly assigned school nurse in the elementary school of the barangay. She planned to do physical examination of every school child.]]></situation> 
				</query>
				<query>
					<question ctrlno="86" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Cris would like to communicate to the people the health problems they had identified. In reaching out every household in the community, which is the BEST strategy the nurse should employ?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Call for general assembly.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use social media.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Send memorandum.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Write a letter to residents.]]></answer> 
						<situation><![CDATA[Nurse Cris is about to start her community organizing activities. Together with her core group, their goal is to be successful in community organization through effective communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="87" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which communication technique should Nurse Cris employ in order to successfully capture the details of the meeting?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Summarizing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Restating]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reassuring]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Validating]]></answer> 
						<situation><![CDATA[Nurse Cris is about to start her community organizing activities. Together with her core group, their goal is to be successful in community organization through effective communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="88" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Cris received information from some community residents who suspect that a neighbor is abusing his young child. Which should be the PRIORITY nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Report to police authority.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Notify the social worker.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ignore the information.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Validate the information.]]></answer> 
						<situation><![CDATA[Nurse Cris is about to start her community organizing activities. Together with her core group, their goal is to be successful in community organization through effective communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="89" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In organizing the community in the midst of a major health crisis, which STRATEGY should the Nurse Cris employ to effectively communicate the importance of health and safety protocol?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Send letter compelling everyone to follow.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use social media to spread the information.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request an elder residents to inform everyone.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Place posters and flyers in dialect in strategic places.]]></answer> 
						<situation><![CDATA[Nurse Cris is about to start her community organizing activities. Together with her core group, their goal is to be successful in community organization through effective communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="90" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order for Nurse Cris to facilitate the recognition of the community of the existence of their health problems, which nursing action would yield BETTER results?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask the barangay head to make the report.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Set the ground rule that presence of problem is valid.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Allows people's participation to confirm the health problems.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Acts as an expert to communicate to residents.]]></answer> 
						<situation><![CDATA[Nurse Cris is about to start her community organizing activities. Together with her core group, their goal is to be successful in community organization through effective communication.]]></situation> 
				</query>
				<query>
					<question ctrlno="91" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Bea recall the theory of Nursing as caring by _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Orem]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Watson]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Kings]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Benner]]></answer> 
						<situation><![CDATA[Nurse Bea engages in both formal and informal learning activities to enhance her knowledge about Nursing theories and other concepts in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="92" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the central theme of Sr. Callista Roys theory?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Self care deficit]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Adaptation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nursing as caring]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Transcultural]]></answer> 
						<situation><![CDATA[Nurse Bea engages in both formal and informal learning activities to enhance her knowledge about Nursing theories and other concepts in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="93" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This theory categorizes professionals as Novice to Expert is by _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Benner]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Abdellah]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pender]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Kings]]></answer> 
						<situation><![CDATA[Nurse Bea engages in both formal and informal learning activities to enhance her knowledge about Nursing theories and other concepts in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="94" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Bea reviewed the elements of nursing as a profession. Which of the following is an IMPORTANT element that characterizes Nursing as a profession?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Has Members]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Possess body of knowledge]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Service oriented]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A calling]]></answer> 
						<situation><![CDATA[Nurse Bea engages in both formal and informal learning activities to enhance her knowledge about Nursing theories and other concepts in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="95" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Bea wants to pursue higher education in Nursing for her career advancement. Aside from enrolling In graduate school, which of the following she could enhance her career?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Participates in professional oraganization]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Attends seminars]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Conduct research]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Attends symposium]]></answer> 
						<situation><![CDATA[Nurse Bea engages in both formal and informal learning activities to enhance her knowledge about Nursing theories and other concepts in Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="96" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[RA 9173 is otherwise known as the Philippine Nursing Act of 2002. Which is the primary aim of this law?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To enhance the competence of professional nurses]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[To regulate practice of professional nursing in the country]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To facilitate mobility of nurses to other countries]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To promote well-being of health workers]]></answer> 
						<situation><![CDATA[Nurse Levy reviews all pertinent laws that affect public health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="97" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by this principle.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Respondent Superior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The good samaritan]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Res ipsa loquitur]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Jurisprudence]]></answer> 
						<situation><![CDATA[Nurse Levy reviews all pertinent laws that affect public health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="98" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This law promotes the well being and living conditions of health workers especially those from the government managed facilities _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Continuing professional development]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Magna Carta for health workers]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Philippine qualifications framework]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Local government code]]></answer> 
						<situation><![CDATA[Nurse Levy reviews all pertinent laws that affect public health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="99" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[It mandates the compulsory immunization of children below 8 years]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[PD 996]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[RA 11223]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[RA 9173]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[RA 10912]]></answer> 
						<situation><![CDATA[Nurse Levy reviews all pertinent laws that affect public health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="100" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This law allows every Filipino to avail of affordable medicines.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Local Government Code]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Primary health care]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Universal Health Care]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Generic Drug Act]]></answer> 
						<situation><![CDATA[Nurse Levy reviews all pertinent laws that affect public health nursing.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="2" testsection="NLE Assessment 2" 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[Which assessment finding would lead the nurse to suspect a postpartum hemorrhage? Blood loss of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[less than 300 ml/24 hours]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[more than 400 ml/24 hours]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[less than 200 ml/2 hours]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[more than 500 ml/24 hours]]></answer> 
						<situation><![CDATA[Nurse Kathy is caring for a postpartum patient. Routine postpartum care is rendered to the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="102" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is caused by the markedly distended uterus and intermittent uterine contractions within 2 to 3 days after birth?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Retained placenta]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Uterine atony]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Afterpains]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Boggy uterus]]></answer> 
						<situation><![CDATA[Nurse Kathy is caring for a postpartum patient. Routine postpartum care is rendered to the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="103" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse prepares a care plan for the patient. Based on Ramona Mercer's becoming a mother (BAM) theory, which of the following statements fosters the process of becoming a mother?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The woman becomes comfortable with her identity as a married individual.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[lt encompasses the dynamic transformation and evolution of a woman's persona.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A woman learns mothering behavior prior as early as a teenager.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It accurately reflects the transitional process from being single to a married relationship.]]></answer> 
						<situation><![CDATA[Nurse Kathy is caring for a postpartum patient. Routine postpartum care is rendered to the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="104" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother asks why she has a gush of blood coming out from the vagina that occurs when she first arises from bed. The nurse's CORRECT response should be _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Blood pools at the top of the vagina and forms clots that arc passed upon rising or sitting on the toilet."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Positioning causes blood to flow out when she stands."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Because of the normal pooling of blood in the vagina when the woman lies down to rest or sleep."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Normal physiologic occurrence that results as the body attempts to eliminate excess fluids."]]></answer> 
						<situation><![CDATA[Nurse Kathy is caring for a postpartum patient. Routine postpartum care is rendered to the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="105" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Some postpartum mothers will experience difficulty voiding because of the edema and trauma of the perineum. Which PRIORITY nursing measures stimulate the sensation of voiding?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encouraging her to void.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Running water in the sink or shower.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Helping the mother into the shower.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Providing cold tea or fluids of choice.]]></answer> 
						<situation><![CDATA[Nurse Kathy is caring for a postpartum patient. Routine postpartum care is rendered to the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="106" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse explains to the mother that the uterus will return to its prepregnancy state in ________ weeks.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[six]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[three]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[four]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[five]]></answer> 
						<situation><![CDATA[A postpartum mother newly delivered her baby per vagina. She keeps on asking the nurse when the basic physiologic changes occur as her body returns to a prepregnant state.]]></situation> 
				</query>
				<query>
					<question ctrlno="107" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In her capacity to teach, the nurse describes the changes of the uterus after childbirth to return to a nonpregnant state as ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[catabolism]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[subinvolution]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[contraction of muscle fibers]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Involution]]></answer> 
						<situation><![CDATA[A postpartum mother newly delivered her baby per vagina. She keeps on asking the nurse when the basic physiologic changes occur as her body returns to a prepregnant state.]]></situation> 
				</query>
				<query>
					<question ctrlno="108" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following conditions does the nurse explain to the patient the contributory factor that slows uterine involution?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Full bladder during labor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Difficult birth]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Prolonged labor]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Infection during pregnancy]]></answer> 
						<situation><![CDATA[A postpartum mother newly delivered her baby per vagina. She keeps on asking the nurse when the basic physiologic changes occur as her body returns to a prepregnant state.]]></situation> 
				</query>
				<query>
					<question ctrlno="109" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse assesses the uterine fundus of the mother. Which part of the abdomen will the nurse begin?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Symphysis pubis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Midline]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Umbilicus]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sides of the abdomen]]></answer> 
						<situation><![CDATA[A postpartum mother newly delivered her baby per vagina. She keeps on asking the nurse when the basic physiologic changes occur as her body returns to a prepregnant state.]]></situation> 
				</query>
				<query>
					<question ctrlno="110" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The FIRST PRIORITY nursing intervention during the immediate postpartum period is focused on ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitoring urinary output]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Taking the vital signs every 4 hours]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Observing postpartum hemorrhage]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Checking level of responsiveness]]></answer> 
						<situation><![CDATA[A postpartum mother newly delivered her baby per vagina. She keeps on asking the nurse when the basic physiologic changes occur as her body returns to a prepregnant state.]]></situation> 
				</query>
				<query>
					<question ctrlno="111" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Iron supplementation was prescribed because of her low hemoglobin level. Which statement, if made by Evelyn, would indicate an understanding of health instructions?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["My body has all the iron it needs and I don't need to take supplements."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Meat does not provide iron and should be avoided."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["The iron is best absorbed if taken on an empty stomach."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Iron supplements will give green color to my stool."]]></answer> 
						<situation><![CDATA[Evelyn a multigravida, in her 20th weeks of gestation visited the community clinic with complaints of dizziness, vertigo, and heartburns. After the physical assessment, Nurse Harper finds the patient as malnourished.]]></situation> 
				</query>
				<query>
					<question ctrlno="112" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Evelyn was given iron as supplemental vitamin to prevent maternal anemia. She asks if it will not be affected because she is regularly taking Vitamin C. Which of the following would be the BEST response of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Take two other vitamins separately."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Take the iron after a full meal."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Absorption of iron is enhanced with Vit C."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Drink milk when taking the iron supplement."]]></answer> 
						<situation><![CDATA[Evelyn a multigravida, in her 20th weeks of gestation visited the community clinic with complaints of dizziness, vertigo, and heartburns. After the physical assessment, Nurse Harper finds the patient as malnourished.]]></situation> 
				</query>
				<query>
					<question ctrlno="113" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Evelyn was also advised to take calcium supplements on the 2nd and 3rd trimester of pregnancy. Which of the following would ENHANCE her intestinal absorption of calcium?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Fat-soluble vitamins]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proteins]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Minerals]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Water soluble vitamins]]></answer> 
						<situation><![CDATA[Evelyn a multigravida, in her 20th weeks of gestation visited the community clinic with complaints of dizziness, vertigo, and heartburns. After the physical assessment, Nurse Harper finds the patient as malnourished.]]></situation> 
				</query>
				<query>
					<question ctrlno="114" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Harper observes Evelyn has knowledge deficit regarding fetal nutrition. Nurse Harper has to explain that the MAIN SOURCE of nutrition for the baby is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Amniotic fluid]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Uterus]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Placenta]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Chorionic Villi]]></answer> 
						<situation><![CDATA[Evelyn a multigravida, in her 20th weeks of gestation visited the community clinic with complaints of dizziness, vertigo, and heartburns. After the physical assessment, Nurse Harper finds the patient as malnourished.]]></situation> 
				</query>
				<query>
					<question ctrlno="115" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Harper provides health instruction to the patient experiencing heartburn. Which statement by the patient indicates a NEED for further instructions? I have to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[drink milk between meals]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[eat small, frequent meals]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[avoid fatty or spicy foods]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[lie down after eating]]></answer> 
						<situation><![CDATA[Evelyn a multigravida, in her 20th weeks of gestation visited the community clinic with complaints of dizziness, vertigo, and heartburns. After the physical assessment, Nurse Harper finds the patient as malnourished.]]></situation> 
				</query>
				<query>
					<question ctrlno="116" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When giving medicine to pediatric patients, dosage varies. Which of the  following should Nurse Imelda consider?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Height and surface area]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Size, surface area & age]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Size, surface area, age & height]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Size & surface area]]></answer> 
						<situation><![CDATA[The giving of medication to a pediatric patient is a serious responsibility of a nurse. Nurse Imelda has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="117" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse checks Nurse Imelda's knowledge on administering oral medications to pediatric patients. Which of the following statements below should she choose as CORRECT?]]></question>
						<answer choiceid="c1" 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="c2" 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="c3" value="0" rationale=""><![CDATA[The child should be told to place the tablet in the middle of his tongue and drink water to wash down the tablet.]]></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[The giving of medication to a pediatric patient is a serious responsibility of a nurse. Nurse Imelda has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="118" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In infants and toddlers, which part should Nurse Imelda often use for intramuscular injection to reduce the risk of vascular and peripheral nerve injuries?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gluteus maximum]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dorso-gluteal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Deltoid muscle]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Vastus lateralis]]></answer> 
						<situation><![CDATA[The giving of medication to a pediatric patient is a serious responsibility of a nurse. Nurse Imelda has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="119" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Administering medication intramuscularly can produce a variety of serious adverse effects has been revealed in comprehensive surveys of research reports. When asked by the head nurse what is the MOST common complication that may arise, Nurse Imelda should mention _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[abscess]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[nerve palsies and paralysis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[hematoma]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[muscle contracture]]></answer> 
						<situation><![CDATA[The giving of medication to a pediatric patient is a serious responsibility of a nurse. Nurse Imelda has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="120" 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 Imelda 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 the patient's hospital bracelet.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ask the patent/significant other to state name of patient and birth date of patient.]]></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[Compare medication order to identification bracelet.]]></answer> 
						<situation><![CDATA[The giving of medication to a pediatric patient is a serious responsibility of a nurse. Nurse Imelda has just been assigned to the Pediatric Wards.]]></situation> 
				</query>
				<query>
					<question ctrlno="121" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Isabelle is concerned about the patient's welfare and her ability to comply with the doctor's instructions. What should be the APPROPRIATE action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Include a significant other in helping the patient understand the need for rest.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Instruct the patient that the baby's health is more important than her studies at this time.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Develop a routine with the patient to balance her studies and her rest needs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask her why she is not complying with the prescription for bed rest.]]></answer> 
						<situation><![CDATA[Alaia, a patient with severe preeclampsia, is admitted to the hospital. She is a student from one of the local universities, she insists on continuing her studies while in the hospital despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous visits from fellow students, family, and friends.]]></situation> 
				</query>
				<query>
					<question ctrlno="122" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Alaia, who seems to be irritated with the nurse, said, "I don't want to talk to you because you're only a nurse. I will wait for my doctor." Which of the following is an APPROPRIATE response by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I'm angry with the way you dismiss me."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["So then you would prefer to speak with your doctor?"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I understand. I should call your doctor."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Your doctor prescribed this for us to do nursing care."]]></answer> 
						<situation><![CDATA[Alaia, a patient with severe preeclampsia, is admitted to the hospital. She is a student from one of the local universities, she insists on continuing her studies while in the hospital despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous visits from fellow students, family, and friends.]]></situation> 
				</query>
				<query>
					<question ctrlno="123" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Alaia is now in a dilemma. This occurs when ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[there is a conflict between the nurse's decision and that of his/her superior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[choices are unclear]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[there is a conflict of two or more ethical principles]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a decision had to be made quickly.under a stressful situation]]></answer> 
						<situation><![CDATA[Alaia, a patient with severe preeclampsia, is admitted to the hospital. She is a student from one of the local universities, she insists on continuing her studies while in the hospital despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous visits from fellow students, family, and friends.]]></situation> 
				</query>
				<query>
					<question ctrlno="124" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the ethical principles stipulates that the nurse is responsible for providing all patients with care, attention and information?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Advocacy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<situation><![CDATA[Alaia, a patient with severe preeclampsia, is admitted to the hospital. She is a student from one of the local universities, she insists on continuing her studies while in the hospital despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous visits from fellow students, family, and friends.]]></situation> 
				</query>
				<query>
					<question ctrlno="125" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which action by the nurse provides a safe environment for a preeclamptic patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Maintain fluid and sodium restrictions.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Take off the room lights and draw the window shades.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Encourage visits from family and friends for psychosocial support.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Take the patient's vital signs every 4 hours.]]></answer> 
						<situation><![CDATA[Alaia, a patient with severe preeclampsia, is admitted to the hospital. She is a student from one of the local universities, she insists on continuing her studies while in the hospital despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous visits from fellow students, family, and friends.]]></situation> 
				</query>
				<query>
					<question ctrlno="126" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The scenario states that the nurse is discussing the nursing process with a newly hired nurse. Which of the following describes the planning phase of the nursing process?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Identify the nursing diagnoses.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gather information if the patient's problem has been resolved in the evaluation phase.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Review the patient's history during the assessment.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Prioritize patient problems.]]></answer> 
						<situation><![CDATA[Part II of the training is the giving of the hypothetical situation for application of what was taken during the didactic. A group was given a scenario of a pregnant woman in the OB ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="127" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Jezyl one of the group leaders reviewed the steps of the nursing process with the group. Which of the following data should the nurse identify as objective data? (Select all that apply)<br><br>
					<span style="font-weight:normal">
					I. Respiratory rate is 22/min.<br>
					II. Feels pain after a 10-minute walk.<br>
					III. Pain is rated as 3 on a scale of 10.<br>
					IV. Skin is pinkish in color, warm, and dry.<br></span>
					]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ill and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<situation><![CDATA[Part II of the training is the giving of the hypothetical situation for application of what was taken during the didactic. A group was given a scenario of a pregnant woman in the OB ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="128" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the second day, the patient delivered an alive baby girl. She complains of leg pain. The nurse took hold of the patient's chart. Ponstan 500 mg every 4 hours PRN for pain was ordered and was given. After 40 minutes, the patient was relieved. What step of the nursing process should the nurse have conducted?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Evaluation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Intervention]]></answer> 
						<situation><![CDATA[Part II of the training is the giving of the hypothetical situation for application of what was taken during the didactic. A group was given a scenario of a pregnant woman in the OB ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="129" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[According to the nursing process, which of the following actions the nurse takes if the pain does not satisfactorily relieve?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wait for more time for the pain reliever to take effect.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Collect additional data as to why the patient has not been relieve of pain.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Teach the patient relaxation breathing techniques.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Refer to attending physician.]]></answer> 
						<situation><![CDATA[Part II of the training is the giving of the hypothetical situation for application of what was taken during the didactic. A group was given a scenario of a pregnant woman in the OB ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="130" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse Trainor discusses the elements of documentation. Which of the following refers no being comprehensive and timely?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Complete and current]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Accurate and concise]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Organized]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Factual]]></answer> 
						<situation><![CDATA[Part II of the training is the giving of the hypothetical situation for application of what was taken during the didactic. A group was given a scenario of a pregnant woman in the OB ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="131" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nora observes that the Ellie's uterine contractions are irregular in frequency and short in duration. Ellie screams in pain during contractions. Which of the following actions is considered BEST for the nurse to perform?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Try to divert attention from pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer pain reliever as ordered.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Stay with the patient and offer her a back rub.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Document and report frequency and duration of contractions.]]></answer> 
						<situation><![CDATA[Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora. She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for gestation and in occipito-posterior position.]]></situation> 
				</query>
				<query>
					<question ctrlno="132" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician is considering augmenting her labor with oxytocin. What would make Nurse Nora question the use of oxytocin for Patient Ellie?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[She had an amniocentesis performed during pregnancy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Her fetus is large for gestational age by a sonogram]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Her membrane ruptured after only 1 hour of labor]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Her blood pressure is slightly elevated above normal]]></answer> 
						<situation><![CDATA[Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora. She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for gestation and in occipito-posterior position.]]></situation> 
				</query>
				<query>
					<question ctrlno="133" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nora notices patient's uterine contractions are 70 seconds long and occur every 90 seconds when assessing the frequency of her contractions after she receives oxytocin. What would be the nurse's FIRST action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give an emergency bolus of oxytocin to relaxed the uterus]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Discontinue the administration of the oxytocin infusion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increase the rate of client's IV infusion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask client to turn to her left side and breathe deeply]]></answer> 
						<situation><![CDATA[Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora. She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for gestation and in occipito-posterior position.]]></situation> 
				</query>
				<query>
					<question ctrlno="134" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nora monitors the patient, knowing that which finding indicates an adequate contraction pattern?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Three to 5 contractions in a 10-minute period, with resultant cervical dilatation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Four contractions every 5 minutes, without resultant cervical dilatation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[One contraction every 10 minutes, without resultant cervical dilatation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[One contraction per minute, with resultant cervical dilatation]]></answer> 
						<situation><![CDATA[Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora. She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for gestation and in occipito-posterior position.]]></situation> 
				</query>
				<query>
					<question ctrlno="135" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following nursing measures would the nurse LEAST CONSIDERS to Patient Ellie with oxytocin drip?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Know how to recognize potential adverse reactions.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer oxytocin drug with caution.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Monitor patient closely when infusing oxytocin.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Inform patient about potential complications.]]></answer> 
						<situation><![CDATA[Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora. She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for gestation and in occipito-posterior position.]]></situation> 
				</query>
				<query>
					<question ctrlno="136" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Messy has been worried about Miriam's refusal to take her oral drugs. How will she handle the situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Leave the child alone]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Seek the help of the mother in giving the oral drug.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Mix the drug with milk to cover up the unfavorable taste.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Get angry with the mother and the child.]]></answer> 
						<situation><![CDATA[Miriam on one year of age, is admitted due to pneumonia. She has IV antibiotics, antipyretic, decongestant and vitamins as medications. She also is under oxygen therapy.]]></situation> 
				</query>
				<query>
					<question ctrlno="137" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a one-year-old child, Nurse Messy understands the reason (s) why Miriam continuously refuse to take her drugs. It is because it is normal for her age to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[have separation anxiety.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[internalize the attitudes of others.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[utilize magical thinking.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[be negativistic in all matters.]]></answer> 
						<situation><![CDATA[Miriam on one year of age, is admitted due to pneumonia. She has IV antibiotics, antipyretic, decongestant and vitamins as medications. She also is under oxygen therapy.]]></situation> 
				</query>
				<query>
					<question ctrlno="138" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST way to administer oxygen on Miriam is by _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[hood]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[face mask]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Incentive Spirometer]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nasal catheter]]></answer> 
						<situation><![CDATA[Miriam on one year of age, is admitted due to pneumonia. She has IV antibiotics, antipyretic, decongestant and vitamins as medications. She also is under oxygen therapy.]]></situation> 
				</query>
				<query>
					<question ctrlno="139" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For the IV antibiotic therapy of Miriam, the MOST common gauge used for IV cannula is gauge ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[20]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[24]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[22]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[18]]></answer> 
						<situation><![CDATA[Miriam on one year of age, is admitted due to pneumonia. She has IV antibiotics, antipyretic, decongestant and vitamins as medications. She also is under oxygen therapy.]]></situation> 
				</query>
				<query>
					<question ctrlno="140" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What IMPORTANT evaluation parameter should Nurse Messy observe that would show improvement In Miriam's condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Absence of fever.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Absence of chest indrawing.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Respiratory rate of 45 beats per minute.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Respiratory rate of 55 beats/minute.]]></answer> 
						<situation><![CDATA[Miriam on one year of age, is admitted due to pneumonia. She has IV antibiotics, antipyretic, decongestant and vitamins as medications. She also is under oxygen therapy.]]></situation> 
				</query>
				<query>
					<question ctrlno="141" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To avoid liability, which of the following is an APPROPRIATE action by nurse Valerie?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Notify nursing supervisor of the patient's plans to leave.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Arrange medication prescriptions at the patient's preferred pharmacy.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Notify directly the attending obstetrician.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask the patient about transportation plans from the hospital.]]></answer> 
						<situation><![CDATA[Ashley a postpartum patient, who has delivered a stillborn wants to leave the hospital without a physician's order. The patient is still hooked to an intravenous fluid (IVF) and is on closed postpartum monitoring.]]></situation> 
				</query>
				<query>
					<question ctrlno="142" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Valerie informs patient Ashley on the need for early ambulation. Which of the nurse's instructions on ambulation is INCORRECT? ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assist the patient from sitting to standing position.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Raise the head of the bed slowly to achieve sitting position of the patient.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Allow the patient to rise from the bed to a standing position unassisted.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assist patient to rise from lying to sitting position.]]></answer> 
						<situation><![CDATA[Ashley a postpartum patient, who has delivered a stillborn wants to leave the hospital without a physician's order. The patient is still hooked to an intravenous fluid (IVF) and is on closed postpartum monitoring.]]></situation> 
				</query>
				<query>
					<question ctrlno="143" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While waiting for a feedback from the nurse supervisor regarding the patient's desire to go home, Nurse Valerie opted to check on the patient. Upon entering the room, she discovers that the waste basket is on fire. Sequence the nurse's actions in the options below.<br><br>
					<span style="font-weight:normal">
					I. Rescue the patient.<br>
					II. Activate the fire alarm.<br>
					III. Close the door to confine the fire.<br>
					IV. Put off the fire with fire extinguisher.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[IV, II and I]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, II, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II, IV and I]]></answer> 
						<situation><![CDATA[Ashley a postpartum patient, who has delivered a stillborn wants to leave the hospital without a physician's order. The patient is still hooked to an intravenous fluid (IVF) and is on closed postpartum monitoring.]]></situation> 
				</query>
				<query>
					<question ctrlno="144" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After the fire was put off, the patient was found to have absconded. What is the ethico-legal responsibility of the attending nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<situation><![CDATA[Ashley a postpartum patient, who has delivered a stillborn wants to leave the hospital without a physician's order. The patient is still hooked to an intravenous fluid ( IVF ) and is on closed postpartum monitoring.]]></situation> 
				</query>
				<query>
					<question ctrlno="145" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Absconding is inevitable in any health care facility. Who will be informed IMMEDIATELY if the patient found out absconded?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Attending physician]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Security guard on duty]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Resident on duty]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nursing staff]]></answer> 
						<situation><![CDATA[Ashley a postpartum patient, who has delivered a stillborn wants to leave the hospital without a physician's order. The patient is still hooked to an intravenous fluid (IVF) and is on closed postpartum monitoring.]]></situation> 
				</query>
				<query>
					<question ctrlno="146" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Selma conducts her INITIAL assessment on Catherine. The patient keeps on crying and constantly pulls her right ear. What is her MOST APPROPRIATE action?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Request parent to carry the child.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take Catherine's vital signs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Refer to the attending physician.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assess the description and frequency of pain.]]></answer> 
						<situation><![CDATA[Catherine, 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Selma that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="147" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Selma is preparing to administer Ofloxacin eardrop on Catherine per Doctor's order. 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[5-6 minutes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 to 2 minutes]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3-4 minutes]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[6-7 minutes]]></answer> 
						<situation><![CDATA[Catherine, 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Selma that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="148" 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 Selma positions the child. Which of the following steps follows?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gently press the tragus of the ear four times in a pumping motion.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gently pull the outer ear.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Drop the medicine into the ear canal.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Keep the ear up for five minutes.]]></answer> 
						<situation><![CDATA[Catherine, 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Selma that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="149" 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 Selma recalls that children are predisposed to AOM due to the following risk factors, EXCEPT.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[absence of breastfeeding]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[swimming]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[exposure to cigarette smoke]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[poor hygiene]]></answer> 
						<situation><![CDATA[Catherine, 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Selma that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="150" 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 Selma's nursing intervention is to have the child assume any of the following positions, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[tilt head to side if sitting up.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[lie on the affected area]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[put the pillows behind the head]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[lie on the non-affected ear]]></answer> 
						<situation><![CDATA[Catherine, 5 years of age, is admitted to the Pediatric Ward due to severe otalgia, fever and irritability. The mother informed Nurse Selma that patient had upper respiratory infection three weeks prior to admission. The admission diagnosis is acute otitis media (AOM).]]></situation> 
				</query>
				<query>
					<question ctrlno="151" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Being assigned to care for pediatric patients, Nurse Ester should remember which of the following statements?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Toddler period ranges from 12 to 36 months.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[An infant's tongue is smaller than the adult.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Early childhood period ranges from 3 to 7 years.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Breast milk provides complete infant nutrition.]]></answer> 
						<situation><![CDATA[Nurse Ester is rotated to the Pediatrics Ward. As such, she needs to review the principles and concepts of human growth and development to better appreciate her role as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="152" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While Nurse Ester was taking the temperature of Baby Chooka, the mother asked Nurse Ester when growth and development become more rapid. Her answer should be, during at ______ months of life.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ten]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[nine]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[twelve]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[eleven]]></answer> 
						<situation><![CDATA[Nurse Ester is rotated to the Pediatrics Ward. As such, she needs to review the principles and concepts of human growth and development to better appreciate her role as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="153" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[It is vital for Nurse Ester to give concrete examples of activities to stimulate gross and fine motor development. Examples are which of the following?<br><br>
					<span style="font-weight:normal">
					1. Push/pull<br>
					2. Use of scissors and pencil appropriately<br>
					3. Poking straws into holes<br>
					4. Stand on tiptoes if shown first<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="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Ester is rotated to the Pediatrics Ward. As such, she needs to review the principles and concepts of human growth and development to better appreciate her role as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="154" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[According to the World Health Organization (WHO), suicide has become a global phenomenon. When taking care of emotionally disturbed adolescent patients, Nurse Ester should be alerted with warning signs which often occur for at least one month before a suicide attempt, EXCEPT:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[increase in initiative]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[verbalization of suicidal thoughts]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[crying]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[sleep disturbances]]></answer> 
						<situation><![CDATA[Nurse Ester is rotated to the Pediatrics Ward. As such, she needs to review the principles and concepts of human growth and development to better appreciate her role as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="155" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During one of the nursing rounds, the Pediatric Ward head nurse asked Nurse Ester the inclusive ages considered as the transition from childhood to adulthood but sometimes extending until college graduation. Her CORRECT answer should be _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[15 to 18]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[12 to 16]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[11 to 18]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[13 to 18]]></answer> 
						<situation><![CDATA[Nurse Ester is rotated to the Pediatrics Ward. As such, she needs to review the principles and concepts of human growth and development to better appreciate her role as a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="156" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Adalynn explains to the mothers that early indication for hypovolemia caused by postpartum hemorrhage is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[increasing pulse and decreasing blood pressure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[altered mental status and level of consciousness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dizziness and increasing respiratory rate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[cool, clammy skin, and pale mucous membranes]]></answer> 
						<situation><![CDATA[In a birthing station, five postpartum mothers delivered 2 hours, 4 hours and 6 hours ago, respectively. All of them are multigravida patients. Adalynn, the nurse educator opted to conduct health education on a postpartum hemorrhage.]]></situation> 
				</query>
				<query>
					<question ctrlno="157" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse educator Adalynn reviewed the risk factors for postpartum hemorrhage for the mothers. Which of the following factors is NOT included _______?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ruptured uterus]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[uterine atony]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[overdistended uterus]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[retroversion of the uterus]]></answer> 
						<situation><![CDATA[In a birthing station, five postpartum mothers delivered 2 hours, 4 hours and 6 hours ago, respectively. All of them are multigravida patients. Adalynn, the nurse educator opted to conduct health education on a postpartum hemorrhage.]]></situation> 
				</query>
				<query>
					<question ctrlno="158" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the normal postpartum course, when would the nurse expect to note the fundal assessment that will be in line with the umbilicus?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Immediately after the delivery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[4 days after the delivery]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[When the client's bladder is full]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The day after the delivery]]></answer> 
						<situation><![CDATA[In a birthing station, five postpartum mothers delivered 2 hours, 4 hours and 6 hours ago, respectively. All of them are multigravida patients. Adalynn, the nurse educator opted to conduct health education on a postpartum hemorrhage.]]></situation> 
				</query>
				<query>
					<question ctrlno="159" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A postpartum patient asks nurse Adalynn when she may safely resume sexual activity. Which of the following information should the nurse tell the patient on resumption of sexual activity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[In 2 to 4 weeks]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[At any time]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[After the 6-week physician check-up]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[When her normal menstrual period has resumed]]></answer> 
						<situation><![CDATA[In a birthing station, five postpartum mothers delivered 2 hours, 4 hours and 6 hours ago, respectively. All of them are multigravida patients. Adalynn, the nurse educator opted to conduct health education on a postpartum hemorrhage.]]></situation> 
				</query>
				<query>
					<question ctrlno="160" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Adalynn discusses the possibilities of future postpartum hemorrhage with the patients. Which of the following increases the absorption of vitamin K?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Proteins]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Carbohydrates]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Minerals]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Fats]]></answer> 
						<situation><![CDATA[In a birthing station, five postpartum mothers delivered 2 hours, 4 hours and 6 hours ago, respectively. All of them are multigravida patients. Adalynn, the nurse educator opted to conduct health education on a postpartum hemorrhage.]]></situation> 
				</query>
				<query>
					<question ctrlno="161" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the findings, what should the head nurse do?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ask the staff nurses the reasons for the failure to properly fill up the Intake & Output flow sheet.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Give the staff nurses first warning.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Conduct a needs assessment.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Review the Orientation Program.]]></answer> 
						<situation><![CDATA[During the Nurse's rounds, the head nurse noticed that the Intake & Output sheets have not been filled up.]]></situation> 
				</query>
				<query>
					<question ctrlno="162" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse decided to coach her staff nurses. One of the questions she raised was what fluids should be excluded in the I & O flow sheet. The CORRECT response should be, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intravenous fluids]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gelatin]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Solid Foods]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beverages]]></answer> 
						<situation><![CDATA[During the Nurse's rounds, the head nurse noticed that the Intake & Output sheets have not been filled up.]]></situation> 
				</query>
				<query>
					<question ctrlno="163" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The head nurse emphasized to the staff nurses what NOT to be included under the output list. The answer should be, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Drainage from tubes]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Solid/hard feces]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Urine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vomitus]]></answer> 
						<situation><![CDATA[During the Nurse's rounds, the head nurse noticed that the Intake & Output sheets have not been filled up.]]></situation> 
				</query>
				<query>
					<question ctrlno="164" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST time to record the Intake & Output is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[during endorsement]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[after endorsement]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[right before endorsement]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[anytime before duty]]></answer> 
						<situation><![CDATA[During the Nurse's rounds, the head nurse noticed that the Intake & Output sheets have not been filled up.]]></situation> 
				</query>
				<query>
					<question ctrlno="165" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient's I & O is vital for patients with Chronic Heart Failure, the MAIN purpose of recording accurately the I & O of such patient is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[determine if client is improving or not]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[find out if there is still water retention in the interstitial cells]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[detect cardiac overload]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[determine weight gain/loss]]></answer> 
						<situation><![CDATA[During the Nurse's rounds, the head nurse noticed that the Intake & Output sheets have not been filled up.]]></situation> 
				</query>
				<query>
					<question ctrlno="166" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the presentation of results of qualitative research, the nurse researcher uses as a reference in the write-up the _______ person.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[first]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[second]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[fourth]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[third]]></answer> 
						<situation><![CDATA[The group of nurses assigned in the delivery room is Interested in conducting a study on the experiences of pregnant women in labor. They are thinking of qualitative research.]]></situation> 
				</query>
				<query>
					<question ctrlno="167" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nursing, as a human science, deals with the critical and fundamental differences in attitude toward their respective phenomena. Which of the following is an aim of human sciences?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Construct prediction.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Seeks causal explanation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sets control.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Makes meaningful interpretation.]]></answer> 
						<situation><![CDATA[The group of nurses assigned in the delivery room is Interested in conducting a study on the experiences of pregnant women in labor. They are thinking of qualitative research.]]></situation> 
				</query>
				<query>
					<question ctrlno="168" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The group was observant as to the activities taking place in the delivery room. One of the activities involved social processes, which can be better explored. Which of.the following qualitative research method should be used?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Grounded theory]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Historical Research]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Descriptive Phenomenology]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Case study]]></answer> 
						<situation><![CDATA[The group of nurses assigned in the delivery room is Interested in conducting a study on the experiences of pregnant women in labor. They are thinking of qualitative research.]]></situation> 
				</query>
				<query>
					<question ctrlno="169" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After the data analysis of their study, experiences of pregnant: women in labor, they returned to the participants to determine the accuracy of the emerged themes. Which criteria of trustworthiness is the group doing?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Confirmability]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Credibility]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Transferability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dependability]]></answer> 
						<situation><![CDATA[The group of nurses assigned in the delivery room is Interested in conducting a study on the experiences of pregnant women in labor. They are thinking of qualitative research.]]></situation> 
				</query>
				<query>
					<question ctrlno="170" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The group used an audio recorder to capture what transpired during the interview. After the transcription, which of the following action APPROPRIATE for the group to do with the audiotape?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Keep the audiotape in a vault and dispose of it a year after.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Submit the audiotape to their research adviser.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Throw it in the trash bin immediately after it was used.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Post the recording on their university research website for others to listen.]]></answer> 
						<situation><![CDATA[The group of nurses assigned in the delivery room is Interested in conducting a study on the experiences of pregnant women in labor. They are thinking of qualitative research.]]></situation> 
				</query>
				<query>
					<question ctrlno="171" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Head nurse Marie, discussed that the MOST frequently neglected area in management is _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Managerial kcnowledge]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Professional development]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Clinical skills]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Successful communication]]></answer> 
						<situation><![CDATA[Marie, OB-GYN head nurse, conducted an in-service program on staff development.]]></situation> 
				</query>
				<query>
					<question ctrlno="172" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A critical component of the supervisory process is delegation, which of the following is the MOST empowering to staff?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Effective delegation does not require nurses to know the abilities and weaknesses of their staff.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Delegation frees the manager to do other tasks while empowering staff.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Delegation fosters the responsibility of staff while increasing professional growth.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Delegation starts at top management down to subordinates.]]></answer> 
						<situation><![CDATA[Marie, OB-GYN head nurse, conducted an in-service program on staff development.]]></situation> 
				</query>
				<query>
					<question ctrlno="173" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Head nurse Marie discussed negotiation. The focus of negotiation is to create a _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[soothing situation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[third-party consultation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[trade-off]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[win-win situation]]></answer> 
						<situation><![CDATA[Marie, OB-GYN head nurse, conducted an in-service program on staff development.]]></situation> 
				</query>
				<query>
					<question ctrlno="174" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Supervision occurs after delegation. What is the PRIMARY purpose of supervision?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Influences the organization's approach in recruitment, promotion, and personnel evaluation.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Improves staff compliance with policy and procedures.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assigns appropriate work tasks to the best-qualified individual.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Enhances the delivery of quality nursing care.]]></answer> 
						<situation><![CDATA[Marie, OB-GYN head nurse, conducted an in-service program on staff development.]]></situation> 
				</query>
				<query>
					<question ctrlno="175" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Delegation involves the transfer of care to an individual. What is the BEST criterion when delegating staff?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Responsibility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Adaptability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Flexibility]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Competence]]></answer> 
						<situation><![CDATA[Marie, OB-GYN head nurse, conducted an in-service program on staff development.]]></situation> 
				</query>
				<query>
					<question ctrlno="176" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient says, "I am not sure if I should undergo colonoscopy or not as I am scared." Which of the following is the MOST appropriate communication technique that Nurse Gary should use?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Touch]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Clariying]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Restating]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Silence]]></answer> 
						<situation><![CDATA[Therapeutic communication promotes understanding between the sender and receiver. Nurse Gary should be abreast with the common therapeutic techniques if he wants his nursing care to be effective and achievable.]]></situation> 
				</query>
				<query>
					<question ctrlno="177" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient says, "Whenever I see my husband visit me, I feel depressed." Nurse Gary says, "Your husband depresses you?" The therapeutic communication is which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Restatement]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Focusing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Clarifying]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Seeking clarification]]></answer> 
						<situation><![CDATA[Therapeutic communication promotes understanding between the sender and receiver. Nurse Gary should be abreast with the common therapeutic techniques if he wants his nursing care to be effective and achievable.]]></situation> 
				</query>
				<query>
					<question ctrlno="178" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a Nurse Gary says to the patient, "Tell me more about your experience when you had the colonoscopy.", which of the following therapeutic techniques is Nurse Gary using?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Focusing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Clarifying]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Encouraging elaboration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Restating]]></answer> 
						<situation><![CDATA[Therapeutic communication promotes understanding between the sender and receiver. Nurse Gary should be abreast with the common therapeutic techniques if he wants his nursing care to be effective and achievable.]]></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 Gary says, "Tell me more the experience. I wish to hear about ..", which of the following therapeutic communication techniques is Nurse Gary using?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Restating]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Seeking clarification]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Open-ended questions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Summarizing]]></answer> 
						<situation><![CDATA[Therapeutic communication promotes understanding between the sender and receiver. Nurse Gary should be abreast with the common therapeutic techniques if he wants his nursing care to be effective and achievable.]]></situation> 
				</query>
				<query>
					<question ctrlno="180" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Nurse Gary tells the patient, "You will be wheeled in to the OR and will be hooked to an IVF where the anesthesia will be given intravenously." Which of the following therapeutic communication techniques is Nurse Gary using?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Clarification]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Summarizing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Giving information]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reflection]]></answer> 
						<situation><![CDATA[Therapeutic communication promotes understanding between the sender and receiver. Nurse Gary should be abreast with the common therapeutic techniques if he wants his nursing care to be effective and achievable.]]></situation> 
				</query>
				<query>
					<question ctrlno="181" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Since the Staff Nurse assigned to the patient does not have any experience in caring for a patient with tracheostomy tube, who among the following should NOT do the care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Medical resident]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Medical Intern]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Charge Nurse]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Mother of child with care of tracheostomy tube experience]]></answer> 
						<situation><![CDATA[A pediatric patient, 12 years old, is admitted to the Private Room with a tracheostomy tube.]]></situation> 
				</query>
				<query>
					<question ctrlno="182" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Otolaryngologist arrives to change the tracheostomy tube. Which of the following should the Nurse collaborate with for the appropriate equipment/supplies needed in changing the tracheostomy tube.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Emergency Department]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Central Supply unit]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Anesthesia Department]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Operating Room Department]]></answer> 
						<situation><![CDATA[A pediatric patient, 12 years old, is admitted to the Private Room with a tracheostomy tube.]]></situation> 
				</query>
				<query>
					<question ctrlno="183" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To assure that Nurse Mica will learn the proper way of caring for patients with tracheostomy tube, the head nurse should collaborate with, who among the following personnel for the training?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Asst. Chief Nurse for Clinical]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Chief of Unit]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Asst. Chief Nurse fof Education & Training]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Chief of Clinics]]></answer> 
						<situation><![CDATA[A pediatric patient, 12 years old, is admitted to the Private Room with a tracheostomy tube.]]></situation> 
				</query>
				<query>
					<question ctrlno="184" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Otolaryngologist ordered a change of the tracheostomy tube ties? Who among the following should the doctor collaborate with?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Medical Intern]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Medical Resident]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Nursing Aide]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Staff Nurse]]></answer> 
						<situation><![CDATA[A pediatric patient, 12 years old, is admitted to the Private Room with a tracheostomy tube.]]></situation> 
				</query>
				<query>
					<question ctrlno="185" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The skill of suctioning using a single-use catheter for tracheostomy is more safely performed with which of the number(s) of assistant?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Four]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Two]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Three]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[One]]></answer> 
						<situation><![CDATA[A pediatric patient, 12 years old, is admitted to the Private Room with a tracheostomy tube.]]></situation> 
				</query>
				<query>
					<question ctrlno="186" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following problems with labor and delivery is completed in less than 3 hours?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Precipitous]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Preterm]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Induced]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prolonged]]></answer> 
						<situation><![CDATA[Josephine, a multiparous patient is admitted due to labor pains which started an hour ago. During the vaginal examination, the nurse noted the complete dilatation of the cervix and effacement is 100 percent. The patient is in true labor pains.]]></situation> 
				</query>
				<query>
					<question ctrlno="187" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Josephine was referred to the physician, routine blood examinations were taken. After reviewing the serum electrolyte levels an order of isotonic intravenous (IV) infusion was prescribed. Which IV solution should the nurse prepare?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[5 percent dextrose in water]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[0.45 percent sodium chloride solution]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[10 percent dextrose in water]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3 percent sodium chloride solution]]></answer> 
						<situation><![CDATA[Josephine, a multiparous patient is admitted due to labor pains which started an hour ago. During the vaginal examination, the nurse noted the complete dilatation of the cervix and effacement is 100 percent. The patient is in true labor pains.]]></situation> 
				</query>
				<query>
					<question ctrlno="188" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient during labor would anticipate some emotional support. Which of the following nursing interventions should Nurse Sarah provide to keep the patient calm?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Giving praise for her the sense of satisfaction regarding quick labor.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Support in maintaining a sense of control.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explanation of the effect of labor on the newborn.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allowing the patient to express pain and anxiety.]]></answer> 
						<situation><![CDATA[Josephine, a multiparous patient is admitted due to labor pains which started an hour ago. During the vaginal examination, the nurse noted the complete dilatation of the cervix and effacement is 100 percent. The patient is in true labor pains.]]></situation> 
				</query>
				<query>
					<question ctrlno="189" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Josephine asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Onset of contraction was gradual.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Multigravida patient has shorter labor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cervical lengthening was longer.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Induction of labor was done.]]></answer> 
						<situation><![CDATA[Josephine, a multiparous patient is admitted due to labor pains which started an hour ago. During the vaginal examination, the nurse noted the complete dilatation of the cervix and effacement is 100 percent. The patient is in true labor pains.]]></situation> 
				</query>
				<query>
					<question ctrlno="190" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sarah reads the physician's prescription to administer methylergonovine maleate (Methergin) intramuscularly after delivery. The rationale for giving this medication is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reduces the amount of lochia drainage.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Prevents postpartum hemorrhage.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decreases uterine contractions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintains normal blood pressure.]]></answer> 
						<situation><![CDATA[Josephine, a multiparous patient is admitted due to labor pains which started an hour ago. During the vaginal examination, the nurse noted the complete dilatation of the cervix and effacement is 100 percent. The patient is in true labor pains.]]></situation> 
				</query>
				<query>
					<question ctrlno="191" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The first standard step in oxygen therapy that the nurse should do is, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prepare the patient for the oxygen treatment.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Check the chart for ordered flow rate and oxygen delivery method.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gather all the equipment and supplies.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assess patient's condition.]]></answer> 
						<situation><![CDATA[Jose, 10 years old, has bronchitis. He needs oxygenation 4L/min per doctor's order.]]></situation> 
				</query>
				<query>
					<question ctrlno="192" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning for Jose's oxygen therapy, the nurse shall consider which of the following, EXCEPT _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[need for a humidifier.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[length of tubing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[determine the age of Jose.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[manner of administering oxygen, continuous or intermittent.]]></answer> 
						<situation><![CDATA[Jose, 10 years old, has bronchitis. He needs oxygenation 4L/min per doctor's order.]]></situation> 
				</query>
				<query>
					<question ctrlno="193" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRIORITY nursing action of the nurse for Jose due for oxygen therapy is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[attach the humidifier and connecting tubing to the oxygen delivery device.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[connect the flow meter to the pipe in oxygen outlet.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[turn on the oxygen]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[check the flow.]]></answer> 
						<situation><![CDATA[Jose, 10 years old, has bronchitis. He needs oxygenation 4L/min per doctor's order.]]></situation> 
				</query>
				<query>
					<question ctrlno="194" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What PRIORITY precautionary measure should be done by the nurse during the oxygen therapy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Limit visitors.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Attach "No Smoking" signage.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Check humidifier's water regularly.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Connect belt to oxygen tank.]]></answer> 
						<situation><![CDATA[Jose, 10 years old, has bronchitis. He needs oxygenation 4L/min per doctor's order.]]></situation> 
				</query>
				<query>
					<question ctrlno="195" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One evening, Jose complained of dyspnea despite continuous oxygen therapy, what should be the nurse's INITIAL intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give PRN medication.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Refer patient to the physician.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assess the patency of the tubing.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Re-assess the patient.]]></answer> 
						<situation><![CDATA[Jose, 10 years old, has bronchitis. He needs oxygenation 4L/min per doctor's order.]]></situation> 
				</query>
				<query>
					<question ctrlno="196" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At the start of her lecture; head nurse Wilma asked the purpose of the nursing process. Which of the following purposes is the CORRECT answer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reduce the number of forms of the charts.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[List the patients' health problems.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Record the patient's progress.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Provide confidentiality of the chart.]]></answer> 
						<situation><![CDATA[Headnurse Wilma has been encountering errors in documentation and records management based on her review of the nurses' notes in the patients' charts. To solve the issue, she decided to conduct a lecture on proper nursing documentation and management of records.]]></situation> 
				</query>
				<query>
					<question ctrlno="197" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the staff nurses was asked about the principles to be observed when charting patient's progress accurately. Which of the following principles would be the CORRECT answer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Statements are qualified by the use of "seems" and "appears".]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assumptions and conclusions are reported.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Specific and definite words or phrases are used.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[General statements and measurements are used.]]></answer> 
						<situation><![CDATA[Headnurse Wilma has been encountering errors in documentation and records management based on her review of the nurses' notes in the patients' charts. To solve the issue, she decided to conduct a lecture on proper nursing documentation and management of records.]]></situation> 
				</query>
				<query>
					<question ctrlno="198" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a characteristic of charting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Complete]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Subjective]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Objective]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Accurate]]></answer> 
						<situation><![CDATA[Headnurse Wilma has been encountering errors in documentation and records management based on her review of the nurses' notes in the patients' charts. To solve the issue, she decided to conduct a lecture on proper nursing documentation and management of records.]]></situation> 
				</query>
				<query>
					<question ctrlno="199" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During nursing endorsements, the Kardex is used. Which of the following statements is NOT correct? It is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[kept up to date]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[a quick reference for current information about the client.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[consists of folded card for eachpatient.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[part of the medical record]]></answer> 
						<situation><![CDATA[Headnurse Wilma has been encountering errors in documentation and records management based on her review of the nurses' notes in the patients' charts. To solve the issue, she decided to conduct a lecture on proper nursing documentation and management of records.]]></situation> 
				</query>
				<query>
					<question ctrlno="200" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A sample of an error in charting was shown by head nurse Wilma. Which of the following is the CORRECT solution to remedy the error?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Recopy the sheet and destroy the original sheet]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Use a single line to cross out the error, then write the date, time and sign the correction made.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use correction fluid to erase the error]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use eraser to remove the wrong entry]]></answer> 
						<situation><![CDATA[Headnurse Wilma has been encountering errors in documentation and records management based on her review of the nurses' notes in the patients' charts. To solve the issue, she decided to conduct a lecture on proper nursing documentation and management of records.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="2" testsection="NLE Assessment 2" testpart="NURSING PRACTICE III - CARE OF CLIENTS (PART A)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE III - CARE OF CLIENTS (PART A)</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="201" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The INITIAL priority assessment performed by the nurse, when admitting a patient in the unit after abdominal surgery is to check for _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[surgical site for drainage and hemorrhage]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[skin color and temperature]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[responsiveness to painful stimuli and noise]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[respiratory function and airway]]></answer> 
						<situation><![CDATA[Nurse G is assigned in the morning shift of the Post-Anesthesia Care Unit (PACU) and has a patient for admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="202" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[How should the nurse position the patient who is in a somnolent status and still under the effect of anesthesia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Supine position with head bed slightly elevate.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prone position with a pillow under the abdomen.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Semi-Fowler's position with the head turned to the right.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Left lateral position with a pillow supporting the head.]]></answer> 
						<situation><![CDATA[Nurse G is assigned in the morning shift of the Post-Anesthesia Care Unit (PACU) and has a patient for admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="203" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient has bleeding after surgery the PACU nurse, expects which color if coming from the arterial source?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Darkly-colored, blood flows fast.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bright red and spurts with the heartbeat.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Slow, dark-colored, generally ooze.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pinkish colored, slowly flowing.]]></answer> 
						<situation><![CDATA[Nurse G is assigned in the morning shift of the Post-Anesthesia Care Unit (PACU) and has a patient for admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="204" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the immediate post-operative phase, the PRIMARY goal of the health care team is to maintain ventilation. Which of the following situations should be observed as a result of hypoxemia?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Excess carbon dioxide in the blood.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increasing ammonia in the blood.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Decreased oxygen saturation.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reduction of blood PH.]]></answer> 
						<situation><![CDATA[Nurse G is assigned in the morning shift of the Post-Anesthesia Care Unit (PACU) and has a patient for admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="205" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient develops a temperature of 39.8 degree centigrade after an abdominal surgery with an ongoing blood transfusion, the PACU nurse should notify the surgeon as this may indicate _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[abdominal tissue injury]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[ongoing potential infection]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[post-anesthesia drug reaction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[allergic reaction from blood transfusion]]></answer> 
						<situation><![CDATA[Nurse G is assigned in the morning shift of the Post-Anesthesia Care Unit (PACU) and has a patient for admission.]]></situation> 
				</query>
				<query>
					<question ctrlno="206" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sandy selected a framework which focuses "that human are in constant relationship with stressors in the environment and that nursing is keeping the patient's system adjust to wellness which is BEST reflected in _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Parse's Human becoming theory]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Neuman's adaptation model]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Peplau's psychodynamic theory]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Swanson's theory of caring]]></answer> 
						<situation><![CDATA[Nurse Sandy is a member of the research team in a cardiovascular health facility. One of the research priority problems in her unit is on the "Effects of Personalized Care management Strategies on Stress after an acute myocardial infarction (MI)".]]></situation> 
				</query>
				<query>
					<question ctrlno="207" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What type of sampling wills Nurse Sandy adopts if when every third (3rd) patients with MI are selected after a random start?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Simple random]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Systematic]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stratified]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cluster]]></answer> 
						<situation><![CDATA[Nurse Sandy is a member of the research team in a cardiovascular health facility. One of the research priority problems in her unit is on the "Effects of Personalized Care management Strategies on Stress after an acute myocardial infarction (MI)".]]></situation> 
				</query>
				<query>
					<question ctrlno="208" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sandy distributed the coded questionnaires to the respondents of the study without their names on in. What ethical safeguard is being employed in this practice?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Confidentiality]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Truthfulness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Trustworthiness]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Anonymity]]></answer> 
						<situation><![CDATA[Nurse Sandy is a member of the research team in a cardiovascular health facility. One of the research priority problems in her unit is on the "Effects of Personalized Care management Strategies on Stress after an acute myocardial infarction (MI)".]]></situation> 
				</query>
				<query>
					<question ctrlno="209" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the findings of the study can be applied to all patients with MT under stress patients in the whole Philippines, it satisfies which of the following criteria in research?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reliability]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Validity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Generalizability]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Transferability]]></answer> 
						<situation><![CDATA[Nurse Sandy is a member of the research team in a cardiovascular health facility. One of the research priority problems in her unit is on the "Effects of Personalized Care management Strategies on Stress after an acute myocardial infarction (MI)".]]></situation> 
				</query>
				<query>
					<question ctrlno="210" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sandy has completed the study and started to make a report to the Research department. A written brief summary is submitted which is known as a _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[narrative]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[abstract]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[critical appraisal]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[monograph]]></answer> 
						<situation><![CDATA[Nurse Sandy is a member of the research team in a cardiovascular health facility. One of the research priority problems in her unit is on the "Effects of Personalized Care management Strategies on Stress after an acute myocardial infarction (MI)".]]></situation> 
				</query>
				<query>
					<question ctrlno="211" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Lim, 52 years old has been in the hospital for almost a week. She approached Nurse Alma who was doing her rounds and said "I wish that my children will visit me today". Your BEST response to the patient is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Do you have their cell phones; If you want I can call them".]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Just relax, I am sure they will come and visit you today "]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["You sound to be lonely, do you want me to be with you for a while".]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[There is so much traffic; anyway it is not yet time for visiting hours".]]></answer> 
						<situation><![CDATA[Communication is a basic competency needed by the nurses in the health care delivery system as a means of building relationships with patients and significant others.]]></situation> 
				</query>
				<query>
					<question ctrlno="212" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Linda observed that her patient, who was just admitted for abdominal pain, looks tense and quite restless. The patient tells the nurse "I am afraid to undergo the physical examination". The BEST response of Nurse Linda is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I will inform the physician that you are afraid to undergo the physical examination"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["There are several patients waiting for me, the examination has to be done now"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I will call your relative to be with you, while you are being examined"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["The examination will not hurt, would you like to sit down first and rest"]]></answer> 
						<situation><![CDATA[Communication is a basic competency needed by the nurses in the health care delivery system as a means of building relationships with patients and significant others.]]></situation> 
				</query>
				<query>
					<question ctrlno="213" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Cynthia, a college student is being admitted on and off in the hospital for Bronchial asthma verbalizes to the nurse "do you think I should stop attending my classes?" What is the BEST response of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Well to me, that is a good decision for now especially with your asthma.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["You said, You are thinking of stopping from attending your classes?]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Let us consult your physician, which one is better for you"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Do you feel that is a good decision for you and your parents"]]></answer> 
						<situation><![CDATA[Communication is a basic competency needed by the nurses in the health care delivery system as a means of building relationships with patients and significant others.]]></situation> 
				</query>
				<query>
					<question ctrlno="214" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An elderly patient looks depressed, tells the nurse while her blood pressure is being taken, "Go away, leave me alone, I don't want to talk to you anymore". The Nurse BEST response is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["don't say that, otherwise I will not come and see you anymore"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["I will be back in an hour, by that time, you might want to talk to me"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["If you need me, just inform your watcher for some help."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["don't say that, I will just attend to the other patients in the ward"]]></answer> 
						<situation><![CDATA[Communication is a basic competency needed by the nurses in the health care delivery system as a means of building relationships with patients and significant others.]]></situation> 
				</query>
				<query>
					<question ctrlno="215" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Alma is receiving insulin injection for her diabetes. She tells the nurse "I don't want to have that insulin injection anymore." The MOST therapeutic response of the nurse is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[You need the insulin injection, otherwise your diabetes will not be controlled."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Just have your insulin injection now, I will refer you later to your attending physician."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Your physician will get mad, if you will not have your insulin injection."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Let us sit down, I will explain to you, why you have to receive the insulin injection."]]></answer> 
						<situation><![CDATA[Communication is a basic competency needed by the nurses in the health care delivery system as a means of building relationships with patients and significant others.]]></situation> 
				</query>
				<query>
					<question ctrlno="216" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lina should assess the patient for the presence of ____.<br><br>
						<span style="font-weight:normal">
						I. left lower quadrant abdominal pain.<br>
						II. diarrhea, unrelieved by defecation.<br>
						III. abdominal tenderness and spasm.<br>
						IV. increase in weight.<br>
						V. excessive fat in the feces<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II & III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II, III IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[II, III & V]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 & II]]></answer> 
						<situation><![CDATA[Nurse Lina is assigned in the Medical ward and has admitted patient Sonia, a 52-year-old accountant, who was suspected to have Crohn's disease by her Family physician.]]></situation> 
				</query>
				<query>
					<question ctrlno="217" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician in-charge of the patient ordered laboratory and diagnostic studies in order to confirm its diagnosis. Which of the following examinations is conclusive of the presence of Crohn's disease?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Upper GI series]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Proctosigmoidoscopy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Barium enema]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Abdominal radiography]]></answer> 
						<situation><![CDATA[Nurse Lina is assigned in the Medical ward and has admitted patient Sonia, a 52-year-old accountant, who was suspected to have Crohn's disease by her Family physician.]]></situation> 
				</query>
				<query>
					<question ctrlno="218" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During Ms. Sonia's hospitalization, she had fever, loose bowel movement with foul smelling odor with abdominal pain. Considering these manifestations, Nurse Lina should monitor the patient on what specific condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hypercalcemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Thrombocytopenia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hyperbulemia]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Hypokalemia]]></answer> 
						<situation><![CDATA[Nurse Lina is assigned in the Medical ward and has admitted patient Sonia, a 52-year-old accountant, who was suspected to have Crohn's disease by her Family physician.]]></situation> 
				</query>
				<query>
					<question ctrlno="219" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Sonia was ordered by her physician to have total parenteral nutrition (TPN) to improve her hydration, skin turgor and improve the overall well-being of the patient. Which of the following nursing measures should Nurse Lina implement to facilitate positive patients outcome?<br><br>
						<span style="font-weight:normal">
						I. Weighing the patient daily.<br>
						II. Measure intake and output.<br>
						III. Provide relief of pain & discomforts.<br>
						IV. Monitor IV infusion rate daily.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, & III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II, III, & IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<situation><![CDATA[Nurse Lina is assigned in the Medical ward and has admitted patient Sonia, a 52-year-old accountant, who was suspected to have Crohn's disease by her Family physician.]]></situation> 
				</query>
				<query>
					<question ctrlno="220" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient is preparing to go home in few days time. What specific health teaching on HOME PARENTERAL NUTRITION (PN) should be given considering the level of education of the patient. These include the following EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[use of aseptic technique in changing the dressing.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[how to store & preparing the solution properly.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[setting up of the infusion pump safely.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[flushing the parenteral nutrition line with antibiotics.]]></answer> 
						<situation><![CDATA[Nurse Lina is assigned in the Medical ward and has admitted patient Sonia, a 52-year-old accountant, who was suspected to have Crohn's disease by her Family physician.]]></situation> 
				</query>
				<query>
					<question ctrlno="221" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lina is on duty at the ER and has been very busy that morning resulting to the administration of a penicillin injection which is ordered to another patient. With this error, the nurse can be charged of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[malpractice]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[negligence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[assault]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[battery]]></answer> 
						<situation><![CDATA[In today's nursing practice, roles have been expanded to include legal responsibilities and accountability in the work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="222" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Transcription of doctor's order is a nurse's responsibility to put the order into action. Which of the following principles of medication safety is NOT considered to belong to transcription error?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Illegible handwriting of the physician.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Misinterpretation of the directions ordered.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use of unapproved abbreviation in the chart.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Wrong route of medication administration.]]></answer> 
						<situation><![CDATA[In today's nursing practice, roles have been expanded to include legal responsibilities and accountability in the work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="223" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order for nurses not to encounter legal problems in drug administration which of the following 7 Rights of Drug Administration, should be implemented under the category of "Right Drug"? Read the label of the drug _____.<br><br>
					<span style="font-weight:normal">
					I. three (3) times.<br>
					II. before removing from the shelf.<br>
					III. before measuring actual dose.<br>
					IV. before opening a unit dose-container.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II & III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II & III]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, II, III, & IV]]></answer> 
						<situation><![CDATA[In today's nursing practice, roles have been expanded to include legal responsibilities and accountability in the work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="224" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Edna admits a patient from the ER to the medical unit. The patient is very restless with IV lines and a urinary catheter. She was put to bed and the nurse applied a body restraint without the doctor's order. Nurse Edna's action can be liable for _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[invasion of privacy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[assault]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[battery]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[neglect]]></answer> 
						<situation><![CDATA[In today's nursing practice, roles have been expanded to include legal responsibilities and accountability in the work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="225" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Cruz is the supervisor of a hospital on night shift. Several nurses did not report due to Jeepney strike. When the supervisor is executing proper allocation of nurses to the PRIORITY wards to address this concern, she is observing what type of principle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Non-maleficence]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<situation><![CDATA[In today's nursing practice, roles have been expanded to include legal responsibilities and accountability in the work place.]]></situation> 
				</query>
				<query>
					<question ctrlno="226" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Tita admitted the patient and was observed to be dyspneic. Breadth sounds are diminished upon auscultation. Which INITIAL nursing action should she implement first?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Position him on bed in semi-fowler's position.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer oxygen therapy as ordered.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Instruct patient to nebulize self if available. ]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administer bronchodilator as ordered.]]></answer> 
						<situation><![CDATA[Mr. JC, 50-year-old is having episode of Bronchial asthma and was examined in the ER by the physician and ordered to be admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="227" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the health history, the patient is working in a cement factory. This occupational hazard can bring about asthmatic trigger as a/an _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[contactant]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[inhalant]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[infiltrant]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ingestant]]></answer> 
						<situation><![CDATA[Mr. JC, 50-year-old is having episode of Bronchial asthma and was examined in the ER by the physician and ordered to be admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="228" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician ordered Theophylline 300 mg. per day to relieve patient's asthmatic attack. Which of the following is NOT a mechanism of action of this drug?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[regulating the immune system of the body]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[relaxing the smooth tissue of the bronchial airways]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[reducing inflammation of the airways of the lungs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[relaxing the skeletal muscle of the bronchial airways.]]></answer> 
						<situation><![CDATA[Mr. JC, 50-year-old is having episode of Bronchial asthma and was examined in the ER by the physician and ordered to be admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="229" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select from the following potential ADVERSE effects of theophylline, the nurse should observe when the drug is taken orally _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[dry mucosal membrane]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[inability to sleep]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[irregular heart beat]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[increased blood pressure]]></answer> 
						<situation><![CDATA[Mr. JC, 50-year-old is having episode of Bronchial asthma and was examined in the ER by the physician and ordered to be admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="230" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient is preparing to go home with his bronchodilator drugs. He asked the nurse, how will I know if the drug is effective? Her APPROPRIATE response is, "there will be an initial decreased in _____".]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[allergic reaction]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[breadth sounds]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[body temperature]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[wheezing]]></answer> 
						<situation><![CDATA[Mr. JC, 50-year-old is having episode of Bronchial asthma and was examined in the ER by the physician and ordered to be admitted.]]></situation> 
				</query>
				<query>
					<question ctrlno="231" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[It is important that Nurse Chona records accurately the restlessness caused by pain and that of hypoxia. Which of the following should be recorded as the restlessness caused by pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Difficulty of breathing.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased respiratory rate and blood pressure.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increased heart rate.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[increased perspiration and change of position.]]></answer> 
						<situation><![CDATA[Noel, a 67-year-old, male, anxious and restless with his condition, was admitted by Nurse Chona in the medical ward due to chronic back pain, general weakness and difficulty of breathing. He was attended by the physician and was tentatively diagnosed with impending respiratory insufficiency secondary to hypoxia.]]></situation> 
				</query>
				<query>
					<question ctrlno="232" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Chona read in one nurse's notes chart this documentation: "Refused to eat and fell from bed ". Which of the following is lacking in this documentation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Time of complaint, foods missed and reaction on fall incurred.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Referrals made on fall, medications given and reasons of falling.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Contents of complaints, reasons of refusing meal and nature of fall]]></answer>
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Time of eating, medications for back pain and intense of pain.]]></answer> 
						<situation><![CDATA[Noel, a 67-year-old, male, anxious and restless with his condition, was admitted by Nurse Chona in the medical ward due to chronic back pain, general weakness and difficulty of breathing. He was attended by the physician and was tentatively diagnosed with impending respiratory insufficiency secondary to hypoxia.]]></situation> 
				</query>
				<query>
					<question ctrlno="233" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Charting are important documents that are used in court proceedings. Nurse Chona should take note that the following entry recorded would be MOST defensible in court?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Large bruises on thigh upon assessment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient fell out of bed when reaching out for medication.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Burn on the back area observed upon auscultation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient drunk when seen in the Emergency Room.]]></answer> 
						<situation><![CDATA[Noel, a 67-year-old, male, anxious and restless with his condition, was admitted by Nurse Chona in the medical ward due to chronic back pain, general weakness and difficulty of breathing. He was attended by the physician and was tentatively diagnosed with impending respiratory insufficiency secondary to hypoxia.]]></situation> 
				</query>
				<query>
					<question ctrlno="234" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following charting rules will keep the nurse legally safe?<br><br>
						<span style="font-weight:normal">
						I. Documenting worries and all concerns as verbalized by the patient.<br>
						II. Charting at the end of the shift only.<br>
						III. Discussing of recorded cases and diagnosis of the patient.<br>
						IV. Recording all information verbalized by patient and family.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[III, IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I,III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II]]></answer> 
						<situation><![CDATA[Noel, a 67-year-old, male, anxious and restless with his condition, was admitted by Nurse Chona in the medical ward due to chronic back pain, general weakness and difficulty of breathing. He was attended by the physician and was tentatively diagnosed with impending respiratory insufficiency secondary to hypoxia.]]></situation> 
				</query>
				<query>
					<question ctrlno="235" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Chona saw Patient Noel reading his own chart and question the nurse why (-) smoking and (-) liquor was recorded when he does not smoke and drink alcohol? What is the INITIAL explanation of Nurse Chona on the record?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Get the chart from him and reprimand him from reading the chart.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The sign of negative before the word means he is not drinking alcohol or smoking cigarette.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ask patient Noel to apologize for reading the chart]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tell Noel that alcohol and liquor are important factors in diagnosing his ailment.]]></answer> 
						<situation><![CDATA[Noel, a 67-year-old, male, anxious and restless with his condition, was admitted by Nurse Chona in the medical ward due to chronic back pain, general weakness and difficulty of breathing. He was attended by the physician and was tentatively diagnosed with impending respiratory insufficiency secondary to hypoxia.]]></situation> 
				</query>
				<query>
					<question ctrlno="236" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is an example of an ethical dilemma?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A nurse providing demonstration of the possible risk if a chest tube drainage of a patient is pulled out.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Family members having ambivalent feelings whether their father will undergo amputation of a diabetic leg.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A nurse is overheard by the daughter that if her mother will not take her insulin injection she will not serve her food tray.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The physician signs the medical directives of a terminally-ill-patient admitted in the hospital with his spouse.]]></answer> 
						<situation><![CDATA[Ethical dilemma is becoming a common scenario in the health care delivery system brought about by the advanced technological changes on health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="237" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A 70-year-old has been rushed to the hospital due to bradycardia and palpitation. The physician suggested that a pacemaker be inserted to correct the symptoms. The patient voluntarily decides not to have pacemaker inserted. This is respected by the family. This is an example of what ethical principle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<situation><![CDATA[Ethical dilemma is becoming a common scenario in the health care delivery system brought about by the advanced technological changes on health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="238" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ER nurse clarifies the doctor's prescription on the dose of the pain medication based on the pain scale assessment and patient's age. Which ethical principle is applied?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Truthfulness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Non-maleficence]]></answer> 
						<situation><![CDATA[Ethical dilemma is becoming a common scenario in the health care delivery system brought about by the advanced technological changes on health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="239" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Pat promised to a post-surgical patient, that she would come back to assist in his ambulation after carrying out the physician's order. This follows the principle of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[beneficence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[justice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[autonomy]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[fidelity]]></answer> 
						<situation><![CDATA[Ethical dilemma is becoming a common scenario in the health care delivery system brought about by the advanced technological changes on health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="240" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a nurse supports the welfare of the patient in relation to health, safety and personal rights, the ethical principle followed is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[responsibility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[accountability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[confidentiality]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[advocacy]]></answer> 
						<situation><![CDATA[Ethical dilemma is becoming a common scenario in the health care delivery system brought about by the advanced technological changes on health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="241" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A classic finding that Nurse Dina would expect to find in addition to the above complaints which is SPECIFIC to her condition is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[decreased libido]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[exophthalmos]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[infertility]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hoarseness of the voice]]></answer> 
						<situation><![CDATA[Nurse Dina is caring for several patients in the medical unit mostly suffering from Endocrine disorders. Evelyn is a 45-year-old, government employee who has been diagnosed by their doctor to be suffering from Graves' disease. Based on her health history she has been having insomnia, palpitation and heat intolerance.]]></situation> 
				</query>
				<query>
					<question ctrlno="242" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Select the two (2) primary laboratory tests findings ordered by his physician that will confirm that patient Evelyn has Graves' disease.<br><br>
						<span style="font-weight:normal">
						I. Decreased TSH levels<br>
						II. Elevated free thyroxin levels<br>
						III. Increased TSH levels<br>
						IV. Decreased free thyroxin levels<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II & IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[III & IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I & II]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II & III]]></answer> 
						<situation><![CDATA[Nurse Dina is caring for several patients in the medical unit mostly suffering from Endocrine disorders. Evelyn is a 45-year-old, government employee who has been diagnosed by their doctor to be suffering from Graves' disease. Based on her health history she has been having insomnia, palpitation and heat intolerance.]]></situation> 
				</query>
				<query>
					<question ctrlno="243" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose from the listed drug therapy that should be administered to Ms. Evelyn in order to inhibit the synthesis of thyroid hormones and block the conversion of T3 and T4.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[adrenergic blockers (Inderal)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[radioactive iodine (RAI)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[sevothyroxine (Synthroid)]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[propyl thiouracil (Propyl Thyracil)]]></answer> 
						<situation><![CDATA[Nurse Dina is caring for several patients in the medical unit mostly suffering from Endocrine disorders. Evelyn is a 45-year-old, government employee who has been diagnosed by their doctor to be suffering from Graves' disease. Based on her health history she has been having insomnia, palpitation and heat intolerance.]]></situation> 
				</query>
				<query>
					<question ctrlno="244" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While Ms. Evelyn is being prepared physically and psychologically for possible thyroid surgery, her nutritional needs were also being met with a diet that is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[high fibrous, low protein, high CHO]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[high caloric, high CHO, low protein]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[high caloric, high CHO, and protein]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[high protein, low Vitamin A & C]]></answer> 
						<situation><![CDATA[Nurse Dina is caring for several patients in the medical unit mostly suffering from Endocrine disorders. Evelyn is a 45-year-old, government employee who has been diagnosed by their doctor to be suffering from Graves' disease. Based on her health history she has been having insomnia, palpitation and heat intolerance.]]></situation> 
				</query>
				<query>
					<question ctrlno="245" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Evelyn underwent thyroidectomy, six hours after surgery, she complained of numbness of the fingers, toes, and twitching of the mouth, this is MOST likely caused by _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[thyrotoxic crisis]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[hypo parathyroidism]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[hypo thyroidism]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[infection]]></answer> 
						<situation><![CDATA[Nurse Dina is caring for several patients in the medical unit mostly suffering from Endocrine disorders. Evelyn is a 45-year-old, government employee who has been diagnosed by their doctor to be suffering from Graves' disease. Based on her health history she has been having insomnia, palpitation and heat intolerance.]]></situation> 
				</query>
				<query>
					<question ctrlno="246" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following clinical manifestations is not included in client with hepatic disorder?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Indigestion]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Diarrhea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nausea and vomiting]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Abdominal bloating]]></answer> 
						<situation><![CDATA[Mr. Santi, a salesman was admitted because of severe abdominal pain. Based on the data gathered, he smokes and drinks 3-4 bottles of beer every day. He appeared jaundice, dyspneic with enlarged abdomen. The physician suspected that he has a liver disorder and beginning esophageal varices.]]></situation> 
				</query>
				<query>
					<question ctrlno="247" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Liver function test was ordered. In a damaged liver the following tests will reveal ______.<br><br>
					<span style="font-weight:normal">
					I. Prothrombin time is prolonged.<br>
					II. Albumin level is increased.<br>
					III. Globulin level is decreased.<br>
					IV. Ammonia level is decreased.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II and III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I only]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, III and IV]]></answer> 
						<situation><![CDATA[Mr. Santi, a salesman was admitted because of severe abdominal pain. Based on the data gathered, he smokes and drinks 3-4 bottles of beer every day. He appeared jaundice, dyspneic with enlarged abdomen. The physician suspected that he has a liver disorder and beginning esophageal varices.]]></situation> 
				</query>
				<query>
					<question ctrlno="248" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Santos esophageal varices bleed. His doctor ordered Sengstaken-Blakemore tube to stop bleeding. Two hours after, the client developed difficulty of breathing. What PRIORITY should the nurse undertake?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitor vital signs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Asked client to take a deep breath]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Deflate the esophageal baloon]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Call the physician at once]]></answer> 
						<situation><![CDATA[Mr. Santi, a salesman was admitted because of severe abdominal pain. Based on the data gathered, he smokes and drinks 3-4 bottles of beer every day. He appeared jaundice, dyspneic with enlarged abdomen. The physician suspected that he has a liver disorder and beginning esophageal varices.]]></situation> 
				</query>
				<query>
					<question ctrlno="249" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In client with esophageal varices, which of the following doctors order do you anticipate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Monitoring progression of anxiety]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Observing signs of epistaxis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Monitoring urine output]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Preparing client for blood transfusion]]></answer> 
						<situation><![CDATA[Mr. Santi, a salesman was admitted because of severe abdominal pain. Based on the data gathered, he smokes and drinks 3-4 bottles of beer every day. He appeared jaundice, dyspneic with enlarged abdomen. The physician suspected that he has a liver disorder and beginning esophageal varices.]]></situation> 
				</query>
				<query>
					<question ctrlno="250" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following medications is likely to be given to quickly stop bleeding from esophageal varices _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Meperidine]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Furosemido]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Aldactone]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Vasopressin]]></answer> 
						<situation><![CDATA[Mr. Santi, a salesman was admitted because of severe abdominal pain. Based on the data gathered, he smokes and drinks 3-4 bottles of beer every day. He appeared jaundice, dyspneic with enlarged abdomen. The physician suspected that he has a liver disorder and beginning esophageal varices.]]></situation> 
				</query>
				<query>
					<question ctrlno="251" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, you are aware that cardiac surgery is a source of stress to the patient and family. Which of the following strategies should the nurse implement FIRST to overcome this stress?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Identify coping mechanism helpful to the patient and family members]]></answer>
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Recognize fears and concerns regarding surgery and future health status.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explore support system available during the entire hospitalization period.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reinforce understanding of the surgical procedure, hospitalization and recovery]]></answer> 
						<situation><![CDATA[Mr. Leo, an insurance agent was ordered by his physician to be admitted to the hospital for Coronary Artery Bypass Graft (CABG) due to three vessels blockage.]]></situation> 
				</query>
				<query>
					<question ctrlno="252" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Leo, underwent an invasive diagnostic test to determine the location of the blockage which is needed for his CABG. This procedure is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cardiac CT scan]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[carotid Doppler]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[magnetic resonance imaging]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[cardiac catherization]]></answer> 
						<situation><![CDATA[Mr. Leo, an insurance agent was ordered by his physician to be admitted to the hospital for Coronary Artery Bypass Graft (CABG) due to three vessels blockage.]]></situation> 
				</query>
				<query>
					<question ctrlno="253" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is teaching breathing exercises to Mr. Leo. At what phase of the peri-operative care is this BEST performed]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[After surgery when he is inside the recovery room]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[immediately after he has signed the informed consent]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[During the briefing period prior to the surgical procedure.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[When he is back to his room from the recovery unit.]]></answer> 
						<situation><![CDATA[Mr. Leo, an insurance agent was ordered by his physician to be admitted to the hospital for Coronary Artery Bypass Graft (CABG) due to three vessels blockage.]]></situation> 
				</query>
				<query>
					<question ctrlno="254" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a blood thinning drug and temporarily stopped by the physician prior to CABG due to possible bleeding?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pradaxal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ibuprofen]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Aspirin]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Toradol]]></answer> 
						<situation><![CDATA[Mr. Leo, an insurance agent was ordered by his physician to be admitted to the hospital for Coronary Artery Bypass Graft (CABG) due to three vessels blockage.]]></situation> 
				</query>
				<query>
					<question ctrlno="255" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse formulates a nursing diagnosis "Decreased cardiac output R/T blood loss" Which of the following is the HIGHEST priority nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Auscultate for heart sounds and rhythm.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assess peripheral pulses, pedal, tibial and radial.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Monitor EKG pattern for cardiac dysrhythmia]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Assess arterial blood pressure very 15 min. until stable.]]></answer> 
						<situation><![CDATA[Mr. Leo, an insurance agent was ordered by his physician to be admitted to the hospital for Coronary Artery Bypass Graft (CABG) due to three vessels blockage.]]></situation> 
				</query>
				<query>
					<question ctrlno="256" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are the admitting Nurse when Ms. Venus arrived in the hospital. When doing a comprehensive pain assessment, you should conduct the procedure during the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[evaluation of nursing pain management]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[initial contact with the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[course of pain management]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[the time the physician instructed you to do]]></answer> 
						<situation><![CDATA[Venus, 32-year-old, a government employee has been having abdominal pain which was on and off for almost 6 months. She has been having flatulence, and recently lost weight because of vomiting. She consulted their office physician and she was suspected to be suffering from Chronic pancreatitis. She was advised to be hospitalized for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="257" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is having pain due to Pancreatitis, you expect that the pain is located in the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hypogastrium, right upper quadrant of the abdomen radiating to the left lumbar area]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[epigastrium, right upper quadrant of the abdomen radiating to the left lumbar area]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[hypogastrium, left upper quadrant of the abdomen radiating to the left lumbar area]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[epigastrium, left upper quadrant of the abdomen radiating in the left lumbar area]]></answer> 
						<situation><![CDATA[Venus, 32-year-old, a government employee has been having abdominal pain which was on and off for almost 6 months. She has been having flatulence, and recently lost weight because of vomiting. She consulted their office physician and she was suspected to be suffering from Chronic pancreatitis. She was advised to be hospitalized for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="258" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are aware of several manifestations when a patient is in pain. Which of the following is a behavioral response to pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Changes in skin color]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increase in blood pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Depth in respiration.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Moaning and grimacing.]]></answer> 
						<situation><![CDATA[Venus, 32-year-old, a government employee has been having abdominal pain which was on and off for almost 6 months. She has been having flatulence, and recently lost weight because of vomiting. She consulted their office physician and she was suspected to be suffering from Chronic pancreatitis. She was advised to be hospitalized for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="259" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is ordered corticosteroids, which of the following drugs will produce therapeutic effects of reducing pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Spironolactone]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Diazepam]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Atropine S04]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Prednisone]]></answer> 
						<situation><![CDATA[Venus, 32-year-old, a government employee has been having abdominal pain which was on and off for almost 6 months. She has been having flatulence, and recently lost weight because of vomiting. She consulted their office physician and she was suspected to be suffering from Chronic pancreatitis. She was advised to be hospitalized for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="260" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When severe vomiting occurs in this patient, it results to what particular condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hypocalcemia]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Alkalosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Acidosis]]></answer> 
						<situation><![CDATA[Venus, 32-year-old, a government employee has been having abdominal pain which was on and off for almost 6 months. She has been having flatulence, and recently lost weight because of vomiting. She consulted their office physician and she was suspected to be suffering from Chronic pancreatitis. She was advised to be hospitalized for further work-up.]]></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 statements is INCORRECT of collaboration in a health care setting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Trust and respect are core values of a collaborative organization.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A shared vision is essential for collaboration in any health care operations.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Successful conflict resolution can help collaborative teams overcome differences.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Inter professional collaboration and multidisciplinary collaboration can be used interchangeably.]]></answer> 
						<situation><![CDATA[Collaboration and teamwork are critical to the success of health care operations.]]></situation> 
				</query>
				<query>
					<question ctrlno="262" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lyn received an order from attending physician of patient Pilar who was having a severe abdominal pain of almost a double dose of morphine S04. The nurse consulted her unit manager and the pharmacist regarding the order which was also questioned. The nurse called the attention of the physician regarding the dose of the drug and changed the order to an acceptable level, What relevant principle of collaboration is applied in this case?<br><br>
						<span style="font-weight:normal">
						I. Shared vision<br>
						III. Respect and trust<br>
						III. Communication<br>
						IV. Interpersonal relationship<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ill and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I II, and III]]></answer> 
						<situation><![CDATA[Collaboration and teamwork are critical to the success of health care operations.]]></situation> 
				</query>
				<query>
					<question ctrlno="263" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In a tertiary hospital where Gie works as unit manager, an interdisciplinary team model is adapted on collaboration of care. With this type of model, how is DECISION making made?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Shared responsibility of the group for the problem solving final decision.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[One person makes the final decision for the treatment.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Partnership with the patient & team for the final decision.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[All members work together for both alternative & final decision.]]></answer> 
						<situation><![CDATA[Collaboration and teamwork are critical to the success of health care operations.]]></situation> 
				</query>
				<query>
					<question ctrlno="264" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ime, is a member of the Quality Assurance team of the hospital and has been always rated as very assertive. Which of the following is NOT a characteristic of an assertive person?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intervene with the situation calmly and confidently.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[She stands up with what she believes & push control on others.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Articulate clearly the importance of nursing perspective.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use "I" when stating thought and feelings & "YOU" when persuading others.]]></answer> 
						<situation><![CDATA[Collaboration and teamwork are critical to the success of health care operations.]]></situation> 
				</query>
				<query>
					<question ctrlno="265" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is going for a coronary arterial by-pass graft (CABG) due to a blocked arterial blood vessels. A surgical team has been formed with the cardiac surgeon as the head. Who is the member of the health team that prepares the pre-operative orders for the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cardiologist]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Anesthesiologist]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Surgeon]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Medical Internist]]></answer> 
						<situation><![CDATA[Collaboration and teamwork are critical to the success of health care operations.]]></situation> 
				</query>
				<query>
					<question ctrlno="266" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In collecting sputum specimen, the nurse should instruct Roy to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Breathe slowly, cough and expectorate into the specimen container.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Breathe deeply and cough, expectorate into the sputum container.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cough and expectorate saliva into the specimen container.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cough and expectorate into the specimen container.]]></answer> 
						<situation><![CDATA[Roy, 65 years old, came to the Outpatient Clinic due to dyspnea, fever and on and off productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered sputum examination, chest x-ray and blood culture.]]></situation> 
				</query>
				<query>
					<question ctrlno="267" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST likely causative organism of this type of pneumonia is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[legionella pneumoniae]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[mycoplasma pneumoniae]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[streptococcus pneumoniae]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hemophilus pneumoniae]]></answer> 
						<situation><![CDATA[Roy, 65 years old, came to the Outpatient Clinic due to dyspnea, fever and on and off productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered sputum examination, chest x-ray and blood culture.]]></situation> 
				</query>
				<query>
					<question ctrlno="268" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse did an admission procedure. The BEST position to be assumed by Roy is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Left lateral position with the affected side inferior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Semi-fowler position at least 30 degrees.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dorsal position with pillows under the chest.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lying on his side, the affected side of the lungs should be superior.]]></answer> 
						<situation><![CDATA[Roy, 65 years old, came to the Outpatient Clinic due to dyspnea, fever and on and off productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered sputum examination, chest x-ray and blood culture.]]></situation> 
				</query>
				<query>
					<question ctrlno="269" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is diagnosed to have pneumonia, the breath sounds detected by the nurse on auscultation of the affected area would be _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[wheezing sounds]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[stridor]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[fine crackles]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[deep and low-pitched breath sounds]]></answer> 
						<situation><![CDATA[Roy, 65 years old, came to the Outpatient Clinic due to dyspnea, fever and on and off productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered sputum examination, chest x-ray and blood culture.]]></situation> 
				</query>
				<query>
					<question ctrlno="270" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When there is respiratory depression resulting from drug overdose, the nurse have to watch for which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Hyperventilation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tachypnea]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Biot's respiration]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Bradypnea]]></answer> 
						<situation><![CDATA[Roy, 65 years old, came to the Outpatient Clinic due to dyspnea, fever and on and off productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered sputum examination, chest x-ray and blood culture.]]></situation> 
				</query>
				<query>
					<question ctrlno="271" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is with hypothyroidism, the assessment findings of the nurse that is NOT present is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[brittle nails]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[hair loss]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dry skin]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[fine tremor of hands]]></answer> 
						<situation><![CDATA[Ms. Bel, 66-year-old consulted the OPD due changes in energy level, fatigue and not able to tolerate performance of activities of daily living. The physician suspected that she has hypothyroid disorder and advised admission for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="272" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing the thyroid gland for size, shape, symmetry, consistency and presence of tenderness, the MOST appropriate examination modality is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[auscultation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[percussion]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[palpation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[inspection]]></answer> 
						<situation><![CDATA[Ms. Bel, 66-year-old consulted the OPD due changes in energy level, fatigue and not able to tolerate performance of activities of daily living. The physician suspected that she has hypothyroid disorder and advised admission for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="273" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After several thyroid diagnostic tests, Ms. Bel was ordered to take thyroid hormone (Levothyroxine). Which of the following nursing actions is NOT ADVISABLE in administering this drug? The nurse should give _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a single dose daily before breakfast]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[a single dose daily after breakfast]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[it with a full glass of water]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[it without mixing with fruit juices]]></answer> 
						<situation><![CDATA[Ms. Bel, 66-year-old consulted the OPD due changes in energy level, fatigue and not able to tolerate performance of activities of daily living. The physician suspected that she has hypothyroid disorder and advised admission for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="274" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In monitoring the effectiveness of the drug therapy, which of the following is NOT expected as a POSITIVE patient's outcome?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[regular bowel function]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[excessive sweating at night time]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[participates in self-care activities.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[metabolism returns to normal]]></answer> 
						<situation><![CDATA[Ms. Bel, 66-year-old consulted the OPD due changes in energy level, fatigue and not able to tolerate performance of activities of daily living. The physician suspected that she has hypothyroid disorder and advised admission for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="275" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is developing a nursing care plan for Ms Bel. If the Nursing diagnosis is "Activity intolerance R/T fatigue and depressed cognitive process", which of the following is an APPROPRIATE intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increase mobility through early ambulation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allow self-care activities with active exercises.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Space nursing activities to promote rest and sleep]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Avoid a stimulating interesting conversation. ]]></answer> 
						<situation><![CDATA[Ms. Bel, 66-year-old consulted the OPD due changes in energy level, fatigue and not able to tolerate performance of activities of daily living. The physician suspected that she has hypothyroid disorder and advised admission for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="276" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements indicate an effective communication technique used by the unit manager to her staff?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["We need to improve our nursing services, otherwise top management will take over,"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Let's limit requesting supplies and equipment, our budget for our promotion might be affected."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["There are a lot of redundant positions in our unit, there is a need to retrench some staff."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[We need to discuss strategic approaches to facilitate delivery of nursing services with less expense on our consumers."]]></answer> 
						<situation><![CDATA[Resources in health care delivery system are one of the challenging concerns of nursing leadership in the country today. Nurse Gayle is a unit manager in a tertiary hospital and conducts meeting regularly every two weeks to her staff to address PRIORITY affecting their services.]]></situation> 
				</query>
				<query>
					<question ctrlno="277" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For the past 6 months, several nurses are resigning. Some have verbalized in the exit interview that, they are not happy anymore. Which of the following descriptions manifest BEST, a nurse who has job satisfaction?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Competitive, self-centered, euphoric.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Empowered, enthusiastic, ethical.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Loner, egoistic, reactive]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Outgoing, sensitive, competitive.]]></answer> 
						<situation><![CDATA[Resources in health care delivery system are one of the challenging concerns of nursing leadership in the country today. Nurse Gayle is a unit manager in a tertiary hospital and conducts meeting regularly every two weeks to her staff to address PRIORITY affecting their services.]]></situation> 
				</query>
				<query>
					<question ctrlno="278" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Delegation is a critical component of leadership and governance. Which of the following empowering activities should the unit manager applies in delegation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[In delegation, facilitating professional growth and development of a staff is necessary.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[When delegating a responsibility to a nursing staff, modification of standards of care is permitted.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Delegation of responsibility in patient care has to start: from top management to the staff-nurse level.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Delegation requires responsibility with corresponding accountability of a staff-nurse.]]></answer> 
						<situation><![CDATA[Resources in health care delivery system are one of the challenging concerns of nursing leadership in the country today. Nurse Gayle is a unit manager in a tertiary hospital and conducts meeting regularly every two weeks to her staff to address PRIORITY affecting their services.]]></situation> 
				</query>
				<query>
					<question ctrlno="279" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gayle is guided that the initial step of delegation is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[demonstrate the task and let the staff continue the next activities.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[assess the capability of the staff, change him if not performing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[determine the competency level of staff for the task being given]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[explain the task to be done with the accompanying job description]]></answer> 
						<situation><![CDATA[Resources in health care delivery system are one of the challenging concerns of nursing leadership in the country today. Nurse Gayle is a unit manager in a tertiary hospital and conducts meeting regularly every two weeks to her staff to address PRIORITY affecting their services.]]></situation> 
				</query>
				<query>
					<question ctrlno="280" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The unit manager is planning to take her regular official business leave for the year. She has written a letter of recommendation to her immediate supervisor for her assistant unit manager to assume her position while she is on leave. This is an example of delegation by _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[rank]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[authority]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[succession]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[authority]]></answer> 
						<situation><![CDATA[Resources in health care delivery system are one of the challenging concerns of nursing leadership in the country today. Nurse Gayle is a unit manager in a tertiary hospital and conducts meeting regularly every two weeks to her staff to address PRIORITY affecting their services.]]></situation> 
				</query>
				<query>
					<question ctrlno="281" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When preparing a teaching plan for patient Eliza, the following are the instructions provided to patients with Diabetes Mellitus. Which ONE of the teaching plans is considered NOT a PRIORITY concern when discussing the list with the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Diet and genetic counseling.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Exercise in extreme heat and cold.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Regular exercise, diet and medications.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Monitoring of blood sugar and urine ketones.]]></answer> 
						<situation><![CDATA[Nurse Adela is on duty in the medical unit and has two patients for discharge. Eliza, 38 year old diagnosed with Diabetes Mellitus and on insulin therapy for the first time and Eileen, 42 years old who had myocardial infarction (MT).]]></situation> 
				</query>
				<query>
					<question ctrlno="282" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Eliza was taught by Nurse Adela on how to administer self-injection insulin and rotation sites with the use of the chart every day till her discharge. The following is the procedure for the self-injection of Insulin. Which of the following is the CORRECT sequence in self-administration of the drug?<br><br>
						<span style="font-weight:normal">
						I. Inject the insulin; push the plunger all the way in<br>
						II. With one hand stabilize the skin by spreading a large area.<br>
						III. Pull the needle straight out of the skin. & press cotton ball over injection site.<br>
						IV. Pick-up syringe with the other hand; hold and insert needle to the skin.<br>
						V. Dispose syringe in a hard plastic container.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A. I, IV, III, II & V]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[II, IV, I, III & V]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ill, II, I, V & IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[IV, III, I, V & II]]></answer> 
						<situation><![CDATA[Nurse Adela is on duty in the medical unit and has two patients for discharge. Eliza, 38-year-old, diagnosed with Diabetes Mellitus and on insulin therapy for the first time and Eileen, 42 years old who had myocardial infarction (MT).]]></situation> 
				</query>
				<query>
					<question ctrlno="283" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The doctor ordered a low-saturated fat, low-cholesterol diet to patient Eileen who was also going home. From the following list of foods, which meals have to be included in the instructional plan of Nurse Adela to her patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pork steak, mixed vegetables with butter and cheese.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hamburger, macaroni salad and milk shake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fried chicken, green beans and skim milk.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Baked fish, green beans, coffee]]></answer> 
						<situation><![CDATA[Nurse Adela is on duty in the medical unit and has two patients for discharge. Eliza, 38-year-old, diagnosed with Diabetes Mellitus and on insulin therapy for the first time and Eileen, 42 years old who had myocardial infarction (MT).]]></situation> 
				</query>
				<query>
					<question ctrlno="284" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considering that patient Eileen is a post MI patient, she was taught, by the nurse on home exercises on leg movements while resting on bed. The expected goal of this intervention is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[facilitate better digestion of food]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[prevent stasis of urine and stone formation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[facilitate circulation for skin integrity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[prevent venous stasis in the lower extremities]]></answer> 
						<situation><![CDATA[Nurse Adela is on duty in the medical unit and has two patients for discharge. Eliza, 38-year-old, diagnosed with Diabetes Mellitus and on insulin therapy for the first time and Eileen, 42 years old who had myocardial infarction (MT).]]></situation> 
				</query>
				<query>
					<question ctrlno="285" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The resumption of sexual activity is an important activity that has to be included in the home instructions to be given to patient Eileen together with her husband. Which of the following is the SAFE period for an uncomplicated MI to resume sexual activity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[One month after MI.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[12 to 14 days after MT.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Two months after MI.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[7 to 10 days after MT.]]></answer> 
						<situation><![CDATA[Nurse Adela is on duty in the medical unit and has two patients for discharge. Eliza, 38-year-old, diagnosed with Diabetes Mellitus and on insulin therapy for the first time and Eileen, 42 years old who had myocardial infarction (MT).]]></situation> 
				</query>
				<query>
					<question ctrlno="286" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To obtain her license to practice, she must do the following, EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Must take the oath to any government official]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Must register in the registration division of the PRC]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Must take the oath of professionals before any member of the PRBON]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Must be issued a certificate of Registration (COR) and profession identification card (PIN)]]></answer> 
						<situation><![CDATA[MO, a 22-year-old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which is November 16. The scheduled oath-taking ceremony was set on January 6, 2019.]]></situation> 
				</query>
				<query>
					<question ctrlno="287" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Merle has to renew her license on or before]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[January 6, 2021]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[November 16, 2022]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[November 16, 2021]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[January 6, 2022]]></answer> 
						<situation><![CDATA[MO, a 22-year-old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which is November 16. The scheduled oath-taking ceremony was set on January 6, 2019.]]></situation> 
				</query>
				<query>
					<question ctrlno="288" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For Nurse Merle to continually practice nursing, she must satisfy the requirements set by the PRC and comply how many units of CPE upon renewal?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[45 units]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[10 units]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[25 units]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[15 units]]></answer> 
						<situation><![CDATA[MO, a 22-year-old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which is November 16. The scheduled oath-taking ceremony was set on January 6, 2019.]]></situation> 
				</query>
				<query>
					<question ctrlno="289" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After 3 years being assigned in the Operating Room, Merle is interested to actively join which appropriate professional organization?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[ORNAP]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[NLGN]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ADPCN]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[APO]]></answer> 
						<situation><![CDATA[MO, a 22-year-old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which is November 16. The scheduled oath-taking ceremony was set on January 6, 2019.]]></situation> 
				</query>
				<query>
					<question ctrlno="290" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What would Merle do to keep abreast with the latest trends in peri-operative nursing?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Attend training and seminars]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Perform researches]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[All of these]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pursue graduate studies]]></answer> 
						<situation><![CDATA[MO, a 22-year-old nurse graduate, passed the November 2018 Philippine Nurse Licensure Examination before her birthday which is November 16. The scheduled oath-taking ceremony was set on January 6, 2019.]]></situation> 
				</query>
				<query>
					<question ctrlno="291" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing a patient suffering from peritonitis, which of the following manifestations is NOT likely to be present?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rebound tenderness]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Abdominal gas]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Abdominal guarding]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Abdominal rigidity]]></answer> 
						<situation><![CDATA[A computer analyst of a company was rushed to the Emergency room due to abdominal pain, nausea and vomiting, ascites and shallow breathing due to enlarged abdomen.The physician suspected that the patient is suffering from peritonitis and was advised to be admitted for further workout.]]></situation> 
				</query>
				<query>
					<question ctrlno="292" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The overall goals set by the members of the health team once the patient is admitted include which of the following?<br><br>
					<span style="font-weight:normal">
					I. Relief of the abdominal pain.<br>
					II. Resolution of inflammation.<br>
					III. Provision of normal nutritional status.<br>
					IV. Prevention from complications.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, II, II, & IV]]></answer> 
						<situation><![CDATA[A computer analyst of a company was rushed to the Emergency room due to abdominal pain, nausea and vomiting, ascites and shallow breathing due to enlarged abdomen.The physician suspected that the patient is suffering from peritonitis and was advised to be admitted for further workout.]]></situation> 
				</query>
				<query>
					<question ctrlno="293" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Diagnostic tests were ordered to the patient which included: complete blood count (CBC) and abdominal CT scan. The primary purpose for ordering CT scan is to determine PRESENCE of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[amylase content]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[bacteria]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[fluid shifts]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[abscess]]></answer> 
						<situation><![CDATA[A computer analyst of a company was rushed to the Emergency room due to abdominal pain, nausea and vomiting, ascites and shallow breathing due to enlarged abdomen.The physician suspected that the patient is suffering from peritonitis and was advised to be admitted for further workout.]]></situation> 
				</query>
				<query>
					<question ctrlno="294" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following drugs do you expect be ordered by the physician for severe acute pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Acetaminophen (Tylenol)]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Levorphanol (Levo-Dromoran)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Percodan (Aspirin)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Codeine (Ambenyl)]]></answer> 
						<situation><![CDATA[A computer analyst of a company was rushed to the Emergency room due to abdominal pain, nausea and vomiting, ascites and shallow breathing due to enlarged abdomen.The physician suspected that the patient is suffering from peritonitis and was advised to be admitted for further workout.]]></situation> 
				</query>
				<query>
					<question ctrlno="295" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician ordered the patient for paracentesis. Which of the following pre-procedure nursing actions should the nurse perform EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[place him in upright position on the edge of the bed]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[place him in low-lying position with knees straight]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Check for the signed consent form]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[instruct patient to urinate to empty bladder]]></answer> 
						<situation><![CDATA[A computer analyst of a company was rushed to the Emergency room due to abdominal pain, nausea and vomiting, ascites and shallow breathing due to enlarged abdomen.The physician suspected that the patient is suffering from peritonitis and was advised to be admitted for further workout.]]></situation> 
				</query>
				<query>
					<question ctrlno="296" 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 Quality Improvement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Focuses on the organizational structure than patient care.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Continually improve every process in the organization.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Centered on people rather than processes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[An approach that is externally driven by the stakeholders.]]></answer> 
						<situation><![CDATA[Jen is an active member of the Quality Assurance (QA) team in a  health facility where the major role is setting Quality Standards.]]></situation> 
				</query>
				<query>
					<question ctrlno="297" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a QA nurse, which of the following can Nurse Jen adopts as a concurrent evaluation of patient's outcomes in the unit?<br><br>
					<span style="font-weight:normal">
					I. Direct observation of patient's condition.<br>
					II. Patient's interview in the unit.<br>
					III. Face to Face interview with nursing staff.<br>
					IV. Nursing audit from the patient's chart.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ill & IV]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, II, & III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, III, & IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<situation><![CDATA[Jen is an active member of the Quality Assurance (QA) team in a  health facility where the major role is setting Quality Standards.]]></situation> 
				</query>
				<query>
					<question ctrlno="298" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Jen, distributed the patient satisfaction form to the admitted patients in the hospital, this tool is in compliance to the _____ quality standard.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[human resource]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[organizational structure]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[patient care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[legal - ethical]]></answer> 
						<situation><![CDATA[Jen is an active member of the Quality Assurance (QA) team in a  health facility where the major role is setting Quality Standards.]]></situation> 
				</query>
				<query>
					<question ctrlno="299" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The QA team was alerted by the Administration, that they have to anticipate for a possible earthquake in the forthcoming days. As part of Safe Practice Environment (SPE) standards, which of the following are to be given PRIORITY attention by the team?<br><br>
					<span style="font-weight:normal">
					I. Electrical wires<br>
					II. Combustible materials<br>
					III. Entry, Exit of the building<br>
					IV. Infected waste material<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III & IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II &II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[C. I & II]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[D. I, II & III]]></answer> 
						<situation><![CDATA[Jen is an active member of the Quality Assurance (QA) team in a  health facility where the major role is setting Quality Standards.]]></situation> 
				</query>
				<query>
					<question ctrlno="300" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The QA team has been bombarded by complaints of patients on their waiting period in the OPD before the health care professionals are examining them. In response to this concern, which type of quality assessment should the team implement?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Outcome evaluation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Process evaluation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ongoing evaluation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Structure evaluation]]></answer> 
						<situation><![CDATA[Jen is an active member of the Quality Assurance (QA) team in a  health facility where the major role is setting Quality Standards.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="2" testsection="NLE Assessment 2" 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[When the nurse researcher collects data at more than one point over extended period, which design is applied?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cross-sectional]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Time-related]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Time sequenced]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Longitudinal]]></answer> 
						<situation><![CDATA[Research is a vital endeavor nurses must engage into in order to contribute to nursing science]]></situation> 
				</query>
				<query>
					<question ctrlno="302" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If a research study involves an intervention and "blinding" which research design is being refers to?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Non-descriptive]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Phenomenological]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Experimental]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Descriptive]]></answer> 
						<situation><![CDATA[Research is a vital endeavor nurses must engage into in order to contribute to nursing science]]></situation> 
				</query>
				<query>
					<question ctrlno="303" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is LEAST descriptive of a qualitative research design?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Researchers become involved.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Gather data from one collection strategy.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It is flexible and elastic.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Strives for an understanding of the whole strategy.]]></answer> 
						<situation><![CDATA[Research is a vital endeavor nurses must engage into in order to contribute to nursing science]]></situation> 
				</query>
				<query>
					<question ctrlno="304" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Qualitative researchers should choose their participants who can best meet the objectives of the study. Who of the following BEST qualifies?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cooperative persons in the community]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Those readily available thus convenient for the researcher]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Able to articulate and reflect on the phenomenon that they experienced.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Persons referred by friends.]]></answer> 
						<situation><![CDATA[Research is a vital endeavor nurses must engage into in order to contribute to nursing science]]></situation> 
				</query>
				<query>
					<question ctrlno="305" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A "full understanding" in research should be understood by the nurse researcher as _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ensuring that participants are not placed at risk]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[explaining the study including risks and ben]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[the right to decide voluntarily]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[not exploiting information shared by participants]]></answer> 
						<situation><![CDATA[Research is a vital endeavor nurses must engage into in order to contribute to nursing science]]></situation> 
				</query>
				<query>
					<question ctrlno="306" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gay is assigned in the Medical Unit. She is guided that in documentation, she should use abbreviation that is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[used automatically to save precious time.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reduced to the minimum in all units.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[approved standard list by the hospital.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[not used at all because it can be misinterpreted.]]></answer> 
						<situation><![CDATA[Management of records is very vital in any health care facility. The nurse must ensure there is due diligence in the task.]]></situation> 
				</query>
				<query>
					<question ctrlno="307" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One error in record-keeping is illegible handwriting. What is the APPROPRIATE action by the nurse in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Request the senior nurse to read the order for you.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Let the resident-on-duty in the nurses station interpret it.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Call the physician who made the order.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Report the lapse to the Quality Assurance Committee.]]></answer> 
						<situation><![CDATA[Management of records is very vital in any health care facility. The nurse must ensure there is due diligence in the task.]]></situation> 
				</query>
				<query>
					<question ctrlno="308" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a nurse commits an error in the progress notes the BEST action she should do is to ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cross the error many times to ensure it could no longer be read and sign.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[delete the erroneous phrase or sentence using correction fluid and sign.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[put a line across the sentence, make the correction over it, and sign.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[erase whatever is in error using a rubber eraser and sign.]]></answer> 
						<situation><![CDATA[Management of records is very vital in any health care facility. The nurse must ensure there is due diligence in the task.]]></situation> 
				</query>
				<query>
					<question ctrlno="309" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is NOT a correct statement regarding record-keeping?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Failure to do it could be evidence of professional misconduct.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[It is an optional task to be done when circumstances allow.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It is a tool in professional practice that helps provide quality care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is part of the professional duty of the nurse.]]></answer> 
						<situation><![CDATA[Management of records is very vital in any health care facility. The nurse must ensure there is due diligence in the task.]]></situation> 
				</query>
				<query>
					<question ctrlno="310" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The QA nurse conducts a regular audit of the medical records. The PRIMARY purpose of conducting audit in a health facility is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[identify errors made by health personnel.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[identify areas for improvement.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[ensure that standards are met.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[promote risk management.]]></answer> 
						<situation><![CDATA[Management of records is very vital in any health care facility. The nurse must ensure there is due diligence in the task.]]></situation> 
				</query>
				<query>
					<question ctrlno="311" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse ensures, which of the following should be present and be cooperative in the educational program?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patient, student nurses and interns]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Patient, family and significant others]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Head nurse and family]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[New staff nurses and nursing rides of the unit]]></answer> 
						<situation><![CDATA[Health Education to Bong and his family is set up prior to surgery. A program of weight gain aims for a high protein and high calorie diet. The nurse prepares the health education plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="312" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse must include in the education plan, which of the following components? (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					I. Objectives<br>
					II. Content and time allotment<br>
					III. Teaching and learning resources<br>
					IV. Evaluation parameters<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<situation><![CDATA[Health Education to Bong and his family is set up prior to surgery. A program of weight gain aims for a high protein and high calorie diet. The nurse prepares the health education plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="313" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To have a simplified and more understandable Implementation of the plan, the nurse presents it with use of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[printed content in cortolina]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[a lecturer]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[a co-worker]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[colored pictures]]></answer> 
						<situation><![CDATA[Health Education to Bong and his family is set up prior to surgery. A program of weight gain aims for a high protein and high calorie diet. The nurse prepares the health education plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="314" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before the education plan of the staff nurse can be finalized and implemented, it is BEST that it is reviewed by the ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nurse supervisor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Medical Director]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Head Nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Chief Nurse]]></answer> 
						<situation><![CDATA[Health Education to Bong and his family is set up prior to surgery. A program of weight gain aims for a high protein and high calorie diet. The nurse prepares the health education plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="315" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the implementation process, the nurse should ensure a _______ for a better assimilation of the teachings.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[serious lecturer]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lecture to start at 11:00 AM]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[conducive time and place]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[neophyte as sharer]]></answer> 
						<situation><![CDATA[Health Education to Bong and his family is set up prior to surgery. A program of weight gain aims for a high protein and high calorie diet. The nurse prepares the health education plan.]]></situation> 
				</query>
				<query>
					<question ctrlno="316" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the BEST way for Myra to collect data from these participants?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Focus group discussion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Survey, questionnaire]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Individual Interview]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Observation]]></answer> 
						<situation><![CDATA[Nursing student Myra decides to do a qualitative phenomenological  study on how the stigma of AIDS affects the patients. She has previously identified 6 participants: 3 teenage boys and 3 teenage girls.]]></situation> 
				</query>
				<query>
					<question ctrlno="317" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What kind of sampling method should she apply?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Network]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Random]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stratified]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Purposive]]></answer> 
						<situation><![CDATA[Nursing student Myra decides to do a qualitative phenomenological  study on how the stigma of AIDS affects the patients. She has previously identified 6 participants: 3 teenage boys and 3 teenage girls.]]></situation> 
				</query>
				<query>
					<question ctrlno="318" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The statements of the findings of the study that will be formulated by Myra should be by ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[summarizing the sharing's of the participants of both sexes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[identifying the answers of the males and the females]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[describing answers of the males and females by percentages]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[extracting meanings and themes from significant statements]]></answer> 
						<situation><![CDATA[Nursing student Myra decides to do a qualitative phenomenological  study on how the stigma of AIDS affects the patients. She has previously identified 6 participants: 3 teenage boys and 3 teenage girls.]]></situation> 
				</query>
				<query>
					<question ctrlno="319" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Informed consent in this study will be obtained by Myra from the ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[six participants only]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[parents only]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[six participants and available relative]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[six participants and their parents]]></answer> 
						<situation><![CDATA[Nursing student Myra decides to do a qualitative phenomenological  study on how the stigma of AIDS affects the patients. She has previously identified 6 participants: 3 teenage boys and 3 teenage girls.]]></situation> 
				</query>
				<query>
					<question ctrlno="320" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is NOT important for Myra to do when listening to tape recordings?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Do the listening as soon as possible after the interview.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Note for the voice tone and voice inflection.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Listen when she feels the motivation for a more productive time.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Take notice of the pauses of the participants.]]></answer> 
						<situation><![CDATA[Nursing student Myra decides to do a qualitative phenomenological  study on how the stigma of AIDS affects the patients. She has previously identified 6 participants: 3 teenage boys and 3 teenage girls.]]></situation> 
				</query>
				<query>
					<question ctrlno="321" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[It is not enough for the nurse to listen, but she also has, to validate what she has heard. The importance of validation are the following, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[perceptions influence the interpretation of a message]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[most patients are cognitively impaired]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Eye contact does not necessarily send the same message]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[assists clarifying thoughts]]></answer> 
						<situation><![CDATA[Communication is very important in a nurse-patient interaction relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="322" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To be more responsible, a nurse needs to understand the elements of the communication process. When she initiates interpersonal communication, the element involved is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[referent]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[sender]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[message]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[channel]]></answer> 
						<situation><![CDATA[Communication is very important in a nurse-patient interaction relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="323" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should the nurse encounter patients who are stressed due to their health condition, the BEST way to communicate is through which one of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sympathizing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Empathizing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sharing]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Listening]]></answer> 
						<situation><![CDATA[Communication is very important in a nurse-patient interaction relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="324" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The reasons for the nurse wishing to enhance his/her communication skills is to be able to establish Rapport, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[brings about change to promote well-being of patients]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[decreased incidents of legal problems]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[gets better evaluation rating of care and delivery]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[generates threat between the nurse and the patient]]></answer> 
						<situation><![CDATA[Communication is very important in a nurse-patient interaction relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="325" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse interacts with patients face-to-face such as in getting information during the assessment phase of the nursing process, the level of communication is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intrapersonal]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Interpersonal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Public communication]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Verbal]]></answer> 
						<situation><![CDATA[Communication is very important in a nurse-patient interaction relationship.]]></situation> 
				</query>
				<query>
					<question ctrlno="326" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Incident Reports (IRs) shall be collected for the day and due investigations scheduled by the Quality Department. Upon completion of the investigation, the Iris _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[must be completed and stored on the open cabinet]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[can be stored on the table top for easy retrieval]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[must be summarized monthly and stored in a secured cabinet]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[classified by date so they can be easily accessibility]]></answer> 
						<situation><![CDATA[It is necessary that records are well-recorded and properly kept if they are to serve the organization and the requesting public well.]]></situation> 
				</query>
				<query>
					<question ctrlno="327" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient record (charts) are collected every three nights from the various departments. The night nurse is EXPECTED to do the following, EXCEPT, ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ensure the correct order of the chart]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[see to the completeness of the chart pages]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[bind the charts as they are]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[tape or repair torn pages]]></answer> 
						<situation><![CDATA[It is necessary that records are well-recorded and properly kept if they are to serve the organization and the requesting public well.]]></situation> 
				</query>
				<query>
					<question ctrlno="328" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When patient record reach the Medical Records, the assigned staff will ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[store the charts in their respective shelves]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[separate the medico-legal charts]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[check the completeness of the charting of the doctors and nurses]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[bind the chart immediately]]></answer> 
						<situation><![CDATA[It is necessary that records are well-recorded and properly kept if they are to serve the organization and the requesting public well.]]></situation> 
				</query>
				<query>
					<question ctrlno="329" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The charts are stored in the Medical Records or storage room for at least _______ years.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3-5 years]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1-5 years]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[5-10 years]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1-3 years]]></answer> 
						<situation><![CDATA[It is necessary that records are well-recorded and properly kept if they are to serve the organization and the requesting public well.]]></situation> 
				</query>
				<query>
					<question ctrlno="330" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[How many years are medico-legal charts stored?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[8 years]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[10 years after the case is closed]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[5 years]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[10 years]]></answer> 
						<situation><![CDATA[It is necessary that records are well-recorded and properly kept if they are to serve the organization and the requesting public well.]]></situation> 
				</query>
				<query>
					<question ctrlno="331" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lerma is aware that there is mother-to-child transmission of HIV-1. She becomes concerned and asks the nurse when it specifically happens. The nurse answers that it can occur in the following circumstances, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[during breastfeeding]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[during casual contact]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[at the time of delivery]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[In utero]]></answer> 
						<situation><![CDATA[Health education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Lerma, a young mother of 34, has been recently diagnosed of the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="332" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lerma would like to know how she could limit further exposure to more HIV virus by using preventive measures. The nurse informs her that the use of a highly effective male condom that can decrease the transmission of HIV is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Non-latex]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Latex]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[polyurethane]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[lambskin]]></answer> 
						<situation><![CDATA[Health education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Lerma, a young mother of 34, has been recently diagnosed of the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="333" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Lerma has a CD4 Lymphocyte count which is below 200 cells/chum. She then asks what it means . The nurse answers that ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[the result still falls within normal limits]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[she is in Stage 3 HIV-AIDS]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[it is slightly below normal but there is nothing to worry]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[it is a worrisome result but immediate attention in not necessary]]></answer> 
						<situation><![CDATA[Health education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Lerma, a young mother of 34, has been recently diagnosed of the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="334" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse counsels Lerma that the prevention of HIV infection that is usually NOT REALISTIC is which one of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[HIV testing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Behavioral interventions to reduce risks]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Total abstinence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Linkage to a treatment center]]></answer> 
						<situation><![CDATA[Health education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Lerma, a young mother of 34, has been recently diagnosed of the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="335" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses are at risk for HIV exposure. Post exposure prophylaxis (PEP) DOES NOT include one of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Take 2-3 anti-retroviral drugs, as prescribed.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Drugs must be taken for 28 days.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Drugs must be taken for at least a week.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Take the medicines within 72 hours of exposure.]]></answer> 
						<situation><![CDATA[Health education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Lerma, a young mother of 34, has been recently diagnosed of the disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="336" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nonah who is an 86-year-old patient is admitted for fever fell from the bed despite the presence of a watcher. The Head Nurse was concerned since a fall protocol has been formulated for some time now. To avoid similar incident, which of the following is MOST effective?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Interview the patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interview the nurse-on-duty]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Investigate everyone]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Do a root cause analysis]]></answer> 
						<situation><![CDATA[The Quality Department has received numerous complaints them on patient, falls.]]></situation> 
				</query>
				<query>
					<question ctrlno="337" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse informed the Head Nurse that the lock in the side rails does not work properly at times and might have gotten loose in the night thus the incident of fall. What is the APPROPRIATE thing for the Head Nurse to do in this regard?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Penalize all the nurses for not having reported such defect.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Make a memo to the Maintenance Department to check involved bed and the rest of the beds.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Punish the nurse-on-duty for not reporting such observation before the incident.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Warn every one this is not going to be tolerated in the future.]]></answer> 
						<situation><![CDATA[The Quality Department has received numerous complaints them on patient, falls.]]></situation> 
				</query>
				<query>
					<question ctrlno="338" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Quality Improvement Officer-in-charge of the unit plans to conduct a meeting with the staff. The MOST important thing to tackle is to]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[inform them of their punishment]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[review the protocol]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[inform them of their lapses]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[scold those involved]]></answer> 
						<situation><![CDATA[The Quality Department has received numerous complaints them on patient, falls.]]></situation> 
				</query>
				<query>
					<question ctrlno="339" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the INITIAL action that the nurse should do immediately alter the fall mitigate the situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Document the incident right away.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Phone the Head Nurse to report the incident.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Wait for the Head Nurse's advice.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Have a doctor assess the patient immediately.]]></answer> 
						<situation><![CDATA[The Quality Department has received numerous complaints them on patient, falls.]]></situation> 
				</query>
				<query>
					<question ctrlno="340" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What lesson will the nurse learn from this incident?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tell the others to cover her up.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Safety first - report even trivial but relevant observations.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Deny any error or omission.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Never get caught in her omissions.]]></answer> 
						<situation><![CDATA[The Quality Department has received numerous complaints them on patient, falls.]]></situation> 
				</query>
				<query>
					<question ctrlno="341" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nilda wonders how she developed the manifestation of ischemic stroke. The nurse explains that there is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[extravasation of blood into the brain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[possible presence of a cerebral aneurysm.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[vascular occlusion to the brain.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[an increase in cerebral blood flow.]]></answer> 
						<situation><![CDATA[Nilda, 58 years of age, was brought to the ER because of numbness on her left face and arm and a confused mental state. The ER doctor made an initial impression of ischemic stroke.]]></situation> 
				</query>
				<query>
					<question ctrlno="342" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse knows that visual-perceptual disturbances can occur in stroke. When patient Nilda manifests hemianopsia, she has ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[inability to perform everyday movements and gestures]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[blindness in half of the visual field]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[difficulty speaking]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[inability to understand spoken language]]></answer> 
						<situation><![CDATA[Nilda, 58 years of age, was brought to the ER because of numbness on her left face and arm and a confused mental state. The ER doctor made an initial impression of ischemic stroke.]]></situation> 
				</query>
				<query>
					<question ctrlno="343" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse knows that initial diagnostic test that is ordered for stroke is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Carotid ultrasound]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[12-lead ECG]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Magnetic Resonance Imaging (MRI)]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[CT scan]]></answer> 
						<situation><![CDATA[Nilda, 58 years of age, was brought to the ER because of numbness on her left face and arm and a confused mental state. The ER doctor made an initial impression of ischemic stroke.]]></situation> 
				</query>
				<query>
					<question ctrlno="344" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The ER nurse anticipates that a thrombolytic agent, would be ordered to treat ischemic attacks. Knowing the action of thrombolytics, the nurse must particularly be alert for which adverse reaction?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Formation of blood clots]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Early onset of infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allergies]]></answer> 
						<situation><![CDATA[Nilda, 58 years of age, was brought to the ER because of numbness on her left face and arm and a confused mental state. The ER doctor made an initial impression of ischemic stroke.]]></situation> 
				</query>
				<query>
					<question ctrlno="345" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Nilda complains of shoulder pain: The nurse is aware that she is prone to have adduction of the shoulder. A nursing intervention for thin is to ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[position distal joint higher than proximal joint]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[place a pillow under the arm to keep the arm close to the chest]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[position the fingers so that they are barely flexed]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[place one pillow in the axilla to keep the arm away from the chest]]></answer> 
						<situation><![CDATA[Nilda, 58 years of age, was brought to the ER because of numbness on her left face and arm and a confused mental state. The ER doctor made an initial impression of ischemic stroke.]]></situation> 
				</query>
				<query>
					<question ctrlno="346" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patients like Emmy who have experienced delayed hypersensivity to latex FREQUENTLY complains of ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[flushing , bronchospasm]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[urticaria, laryngeal edema]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[rhinitis, conjunctivitis, blisters]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[papules, vesicles, pruritus]]></answer> 
						<situation><![CDATA[Emmy, 22 years of age is a midwife in the OB Ward is now complaining of contact dermatitis from gloves.]]></situation> 
				</query>
				<query>
					<question ctrlno="347" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse knows that the diagnosis of contact latex allergy is based on history and _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Latex specific IgE]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[finding IgE in BO.rum]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[skin patch test]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ELISA]]></answer> 
						<situation><![CDATA[Emmy, 22 years of age is a midwife in the OB Ward is now complaining of contact dermatitis from gloves.]]></situation> 
				</query>
				<query>
					<question ctrlno="348" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Latex allergy can be a type I IgE-mediated immediate hypersensivity to plant proteins from the latex of rubber. It can manifest in its MOST severe form as ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pruritus, erythema and swelling]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Asthma]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Anaphylaxis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Blisters and other skin lesions]]></answer> 
						<situation><![CDATA[Emmy, 22 years of age is a midwife in the OB Ward is now complaining of contact dermatitis from gloves.]]></situation> 
				</query>
				<query>
					<question ctrlno="349" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Type I IgE-mediated immediate hypersensitivity reaction is promptly managed with ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[theophylline]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[epinephrine]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[corticosteroid]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[diphenhydramine]]></answer> 
						<situation><![CDATA[Emmy, 22 years of age is a midwife in the OB Ward is now complaining of contact dermatitis from gloves.]]></situation> 
				</query>
				<query>
					<question ctrlno="350" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The best prevention management of contact latex allergy is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[applying lotion before gloving]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[avoidance of latex products]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[avoiding rubberized goods]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[resigning from the job]]></answer> 
						<situation><![CDATA[Emmy, 22 years of age is a midwife in the OB Ward is now complaining of contact dermatitis from gloves.]]></situation> 
				</query>
				<query>
					<question ctrlno="351" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient for breast biopsy is very anxious and seemed not to understand her ordered surgery, radical mastectomy. What is the APPROPRIATE action by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Call the supervisor to explain the procedure.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Have the available resident explain the surgery further.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Request the doctor to give the patient more information.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Supply the information missed to be explained by the doctor.]]></answer> 
						<situation><![CDATA[Sins of omission and commission may be committed by the nurse in the course of her duty. She must therefore be extra careful.]]></situation> 
				</query>
				<query>
					<question ctrlno="352" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient refused his intramuscular injection but the nurse proceeded to administer it anyway. What can the nurse be accused of?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Moral distress]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Trespass to person]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assault]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Battery]]></answer> 
						<situation><![CDATA[Sins of omission and commission may be committed by the nurse in the course of her duty. She must therefore be extra careful.]]></situation> 
				</query>
				<query>
					<question ctrlno="353" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The staff nurse was doing prescribed modified steam inhalation to a pediatric patient which resulted to burns. What is NOT a RELEVANT statement to establish negligence?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[There is a duty to care.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[There is a breach in the standard.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The breach caused the harm.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[It was a verbal order by the physician.]]></answer> 
						<situation><![CDATA[Sins of omission and commission may be committed by the nurse in the course of her duty. She must therefore be extra careful.]]></situation> 
				</query>
				<query>
					<question ctrlno="354" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Staff nurse A told her co-workers that staff B is suffering from gonorrhea. What can staff A be sued for?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Defamation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Slander]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Discrimination]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Libel]]></answer> 
						<situation><![CDATA[Sins of omission and commission may be committed by the nurse in the course of her duty. She must therefore be extra careful.]]></situation> 
				</query>
				<query>
					<question ctrlno="355" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The surgical patient, a Jehovah's witness, reiterated non-acceptance to a blood transfusion. The nurse defied it and the patient was transfused intraoperatively. What case can be filed by the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Moral distress]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Battery]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Trespass to person]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assault]]></answer> 
						<situation><![CDATA[Sins of omission and commission may be committed by the nurse in the course of her duty. She must therefore be extra careful.]]></situation> 
				</query>
				<query>
					<question ctrlno="356" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse ensures that patients have consented to all treatments and procedures, she is TRUE to which ethical principle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Autonomy]]></answer> 
						<situation><![CDATA[Nurses must closely adhere to the ethical principles and rules, and not only to the laws.]]></situation> 
				</query>
				<query>
					<question ctrlno="357" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the nurse will refuse to perform duties for which she is not qualified, she is practicing ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[veracity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[respect]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[non-maleficence]]></answer> 
						<situation><![CDATA[Nurses must closely adhere to the ethical principles and rules, and not only to the laws.]]></situation> 
				</query>
				<query>
					<question ctrlno="358" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Code of Ethics stipulates that human life is inviolable. Which statement CORRECTLY translates the principle to the situation of the Filipino nurse as a professional?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It is okay to participate in euthanasia provided there is a doctor's order.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Participation is permissible when patient, family, and doctor have a written agreement on it.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[After the patient, doctor and hospital administrator have agreed, nurses may choose to participate.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Nurses shall not participate in euthanasia.]]></answer> 
						<situation><![CDATA[Nurses must closely adhere to the ethical principles and rules, and not only to the laws.]]></situation> 
				</query>
				<query>
					<question ctrlno="359" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the physician insists that his cancer patient undergoes radiation, in addition to chemotherapy which is CONTRARY to the patient's and family's wishes, the physician is exercising ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[veracity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[autonomy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[fidelity]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[paternalism.]]></answer> 
						<situation><![CDATA[Nurses must closely adhere to the ethical principles and rules, and not only to the laws.]]></situation> 
				</query>
				<query>
					<question ctrlno="360" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An Iranian was admitted to the hospital for kidney transplantation. He claims his donor is a Filipino relative as required by the Law. However, it was discovered later that his claim was not true. Should the doctor fail to act accordingly to the wrong information, the nurse is obligated to refer the case to, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Medical Director]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administrator]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Chief Executive Officer]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ethics Committee]]></answer> 
						<situation><![CDATA[Nurses must closely adhere to the ethical principles and rules, and not only to the laws.]]></situation> 
				</query>
				<query>
					<question ctrlno="361" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the conduct of the health education class, which communication skill involves active listening that is being used by nurse to gain an understanding of the patient's message?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Clarifying]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Responding]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Attending]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Confronting]]></answer> 
						<situation><![CDATA[The nurse conducts health education on common types of allergy with the parents of allergic children and adults with hyper sensitivity issues.]]></situation> 
				</query>
				<query>
					<question ctrlno="362" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse must be alert about BARRIERS to communication during the health education class so that she can ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[use them when communicating]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[communicate much better]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[use them to enhance interactions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[rationalize wrong styles of communication]]></answer> 
						<situation><![CDATA[The nurse conducts health education on common types of allergy with the parents of allergic children and adults with hyper sensitivity issues.]]></situation> 
				</query>
				<query>
					<question ctrlno="363" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother of the atopic dermatitis patient is very concerned about scarring that will result from the child's frequent scratching. How will the nurse BEST communicate her reassurance?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Asking the mother what she prefers: for the child to have scars or he be unable to sleep?]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Telling the mother matter of fact that scars will lighten the child grows older anyway.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tapping the hand of the mother while explaining that scarring occurs only when lesions get infected.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reminding the mother that beauty is only secondary to comfort derived from scratching.]]></answer> 
						<situation><![CDATA[The nurse conducts health education on common types of allergy with the parents of allergic children and adults with hyper sensitivity issues.]]></situation> 
				</query>
				<query>
					<question ctrlno="364" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Because of the presence of skin lesions, atopic dermatitis affects the patient's self-esteem and his willingness to interact with others. The nurse communicates her nursing intervention by _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[instructing the patient to go back to the primary physician]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[giving instructions and counseling on preventive measures and treatments]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[referring the patient to the dermatologist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[referring the patient to the psychologist]]></answer> 
						<situation><![CDATA[The nurse conducts health education on common types of allergy with the parents of allergic children and adults with hyper sensitivity issues.]]></situation> 
				</query>
				<query>
					<question ctrlno="365" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The adult patient who was receiving diphenhydramine (Benadryl) verbalized he was always sleepy and fears he would sleep on the job ami will get fired. The nurse will BEST calm the patient by assuring him that his physician can readily change his medicine to ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[chlorpheniramine (Actifed)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[brompheniramine (Dimetapp)]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[loratadine (Allerta)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[dimenhydrinate (Dramamine) (how to effect a good communication)]]></answer> 
						<situation><![CDATA[The nurse conducts health education on common types of allergy with the parents of allergic children and adults with hyper sensitivity issues.]]></situation> 
				</query>
				<query>
					<question ctrlno="366" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse understands that the passage of protein in the urine is the result of ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[inherited kidney disorder]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[increased glomerular permeability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[rise in the production of albumin]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[intrinsic kidney disease]]></answer> 
						<situation><![CDATA[Susie, 5 years old, is diagnosed with nephrotic syndrome and is manifesting massive proteinuria resulting to decreased albumin in the blood.]]></situation> 
				</query>
				<query>
					<question ctrlno="367" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon clinical assessment, the nurse observes that the OUTSTANDING manifestation of the patient is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[weight gain]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[obesity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[emaciation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[edema]]></answer> 
						<situation><![CDATA[Susie, 5 years old, is diagnosed with nephrotic syndrome and is manifesting massive proteinuria resulting to decreased albumin in the blood.]]></situation> 
				</query>
				<query>
					<question ctrlno="368" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physical appearance of the urine of the patient with nephrotic syndrome is COMMONLY ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cloudy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[clear]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[whitish]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[frothy]]></answer> 
						<situation><![CDATA[Susie, 5 years old, is diagnosed with nephrotic syndrome and is manifesting massive proteinuria resulting to decreased albumin in the blood.]]></situation> 
				</query>
				<query>
					<question ctrlno="369" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient with nephrotic syndrome is ordered corticosteroids. Who of the following are NOT ALLOWED in the patient's]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Parents with diabetes.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Relatives with upper respiratory tract infection.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Visitors with mild asthma.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Personnel with allergy.]]></answer> 
						<situation><![CDATA[Susie, 5 years old, is diagnosed with nephrotic syndrome and is manifesting massive proteinuria resulting to decreased albumin in the blood.]]></situation> 
				</query>
				<query>
					<question ctrlno="370" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Corticosteroids are one of the main therapies for nephrotic syndrome. Which of the following COMMON side effects should the nurse watch for?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Loss of appetite]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Increase in body hair]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Loss of weight]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lowering of blood pressure]]></answer> 
						<situation><![CDATA[Susie, 5 years old, is diagnosed with nephrotic syndrome and is manifesting massive proteinuria resulting to decreased albumin in the blood.]]></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 ensures that the isolation procedure APPROPRIATE for Reno is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[standard]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[airborne precaution]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[strict]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[protective]]></answer> 
						<situation><![CDATA[Patient Reno, 53 years of age, is pale and complains of easy fatigability. He has undergone Complete Blood Count (CBC ) where abnormal cells were found. He was diagnosed with acute lymphocytic leukemia (ALL).]]></situation> 
				</query>
				<query>
					<question ctrlno="372" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following diagnostic procedures will definitely establish the diagnosis for patient Reno?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[White Blood Cell count]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Complete Blood Count]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Bone marrow biopsy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hemoglobin and hematocrit counts]]></answer> 
						<situation><![CDATA[Patient Reno, 53 years of age, is pale and complains of easy fatigability. He has undergone Complete Blood Count (CBC ) where abnormal cells were found. He was diagnosed with acute lymphocytic leukemia (ALL).]]></situation> 
				</query>
				<query>
					<question ctrlno="373" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the thrombocyte count falls below 20,000/cu mm, the nurse will expect that the physician will order ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[complete bed rest]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[strict aseptic technique]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[platelet transfusion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[limit visitors]]></answer> 
						<situation><![CDATA[Patient Reno, 53 years of age, is pale and complains of easy fatigability. He has undergone Complete Blood Count (CBC ) where abnormal cells were found. He was diagnosed with acute lymphocytic leukemia (ALL).]]></situation> 
				</query>
				<query>
					<question ctrlno="374" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On the basis of his leulcocyte count, the nurse instructs the patient NOT to do, which one of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Limit number of staff entering the room.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Be in a private room with the door closed always.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Receive immunization with a live attenuated virus.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use antimicrobial soap when bathing.]]></answer> 
						<situation><![CDATA[Patient Reno, 53 years of age, is pale and complains of easy fatigability. He has undergone Complete Blood Count (CBC ) where abnormal cells were found. He was diagnosed with acute lymphocytic leukemia (ALL).]]></situation> 
				</query>
				<query>
					<question ctrlno="375" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the period of exacerbation, the patient's hemoglobin is markedly decreased. What instruction ty the nurse is APPROPRIATE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Allow exercise as long as tolerated.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Let patient be dependent on self-care.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Perform only activities of daily living.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Serve pork and liver barbeque.]]></answer> 
						<situation><![CDATA[Patient Reno, 53 years of age, is pale and complains of easy fatigability. He has undergone Complete Blood Count (CBC ) where abnormal cells were found. He was diagnosed with acute lymphocytic leukemia (ALL).]]></situation> 
				</query>
				<query>
					<question ctrlno="376" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a newly licensed nurse employed in a tertiary hospital, you are required to attend Continuing Professional Development (CPD) program. When the training program is for the enhancement of the competencies of nurses employed in the hospital, it is called ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[self-directed]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[In-service training program]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[informal training program]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[formal education program]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="377" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The professional career development of a nurse can be achieved through various ways, such as ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Participating in political rallies]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Attending culinary courses]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Attendance in socio-civic activities]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Engaging in CPD programs]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="378" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When nurses are projected in a television advertisement as sex symbols, what APPROPRIATE action is expected from a concerned nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Go to the street to manifest displeasure of the nurses portrayal.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Report to the concerned agency]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Condemn the issue in the radio program]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Keep your silence, it is the television station's prerogative]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="379" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To enhance the personality of the graduate nurse, she/he may attend which of the following programs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Gymnastics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Marathon training]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Social graces and physical fitness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Scuba diving]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="380" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse's application to Canada has finally been approved and she was advised to depart in three months. She is currently enrolled in the graduate school. Moreover, her mother has just been discharged from the hospital. Which of the following actions is BEST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inform family that the money spent in graduate school can be easily earned in Canada.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inform the agency that she could go anytime as they wish.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Share with friends that this is her escape from her sad life with her family.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Request the recruiter to give her more time to settle her personal concerns.]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="381" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Warding has been urinating on and off in bed which is possibly related to a flaccid bladder and difficulty in communicating. The nurse becomes concerned because he is showing signs and symptoms of pressure sores due to his immobility and the frequently wet beddings. The nurse decides to refer the patient to the ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Resident on duty]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Attending physician]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Infectious doctor specialist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Supervisor-in-charge]]></answer> 
						<situation><![CDATA[Patient Narding is diagnosed with stroke and suffers from a number of deficits as a result of injury to his brain. His rehabilitation may be long, depending on the extent of brain Injury .]]></situation> 
				</query>
				<query>
					<question ctrlno="382" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Narding becomes unduly silent and keeps to himself after his stroke left him with left-sided weakness. The nurse observes that the patient seems really sad and shares the information to the physician, who refers the patient to a ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[psychiatrist]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[neurologist]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[psychologist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[physiotherapist]]></answer> 
						<situation><![CDATA[Patient Narding is diagnosed with stroke and suffers from a number of deficits as a result of injury to his brain. His rehabilitation may be long, depending on the extent of brain Injury .]]></situation> 
				</query>
				<query>
					<question ctrlno="383" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient shared his concern about being able to father a child after the stroke, especially that he has only one child, a girl. He would like to have two boys but he doubts his present sexual capacity. Who can BEST help him along this area?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Primary consultant]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Supervisor in charge]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Urologist]]></answer> 
						<situation><![CDATA[Patient Narding is diagnosed with stroke and suffers from a number of deficits as a result of injury to his brain. His rehabilitation may be long, depending on the extent of brain Injury .]]></situation> 
				</query>
				<query>
					<question ctrlno="384" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient should be assisted back to normal mobility after his stroke partially incapacitated him. The referral that will be done by the attending physician must be to which professional?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Occupational Therapist]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Resident physician]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Physical therapist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Primary consultant]]></answer> 
						<situation><![CDATA[Patient Narding is diagnosed with stroke and suffers from a number of deficits as a result of injury to his brain. His rehabilitation may be long, depending on the extent of brain Injury .]]></situation> 
				</query>
				<query>
					<question ctrlno="385" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Narding seems forgetful, inattentive, und not answering appropriately to some questions posed. The nurse anticipates that the consultant will need to ask the professional help of the ________ for cognitive improvement.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[psychologist]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[psychiatrist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[family doctor]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[neurologist]]></answer> 
						<situation><![CDATA[Patient Narding is diagnosed with stroke and suffers from a number of deficits as a result of injury to his brain. His rehabilitation may be long, depending on the extent of brain Injury .]]></situation> 
				</query>
				<query>
					<question ctrlno="386" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse recalls that this client is her third admission in the last 8 months. The client is familiar with the nurse. Which of the following remarks by the nurse would be MOST beneficial to the client?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You are back again, what is wrong this time?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I don't have to explain things to you. You have been here before anyway."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["It's been 3 months since you were last here. How do you feel about being back in the hospital?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["It's nice to see you again. Do you miss the hospital?"]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="387" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician assesses the client and recommends a partial bowel resection and an ileostomy. The client tells the nurse, "My doctor likes to play smart. I'm sure the more he operates, the better he it." Which of the following responses by the nurse would be MOST appropriate:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Are you not being hard on your doctor? He is trying to help you.&quot;]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["What do you mean by that?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["You sound upset. We can talk about it, if you would like to."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Is your remark in any way have something to do with your operation?"]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="388" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client becomes increasingly irritable thinking about her operation. She is unpleasant to her visitors and refuses her medication and treatments. Which of the following nursing interventions would be therapeutic?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage the client to direct her anger to her family members.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Continue performing assigned tasks and duties as though nothing has happened.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Encourage the client to discuss her feelings and concerns.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Offer the client positive reinforcement every time she cooperates with her medications and treatments.]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="389" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The client refuses to eat her lunch and angrily tells the nurse to get out of her room. What would be the nurses best response?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I'll get you something to relax you."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["You sound angry, what is upsetting you?"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Your anger does not bother me. I'll back later."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I'll leave, but you need to eat."]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="390" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse makes arrangement for a former client who underwent ileostomy to talk with the client. The reason for which is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[encourage the client and provide realistic information on ileostomy.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[let the client know that she is not the only one who experienced the operation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[provide support for the plan of the physician regarding therapy of the client.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[convince the client that she will not be disfigured and can still lead quality life.]]></answer> 
						<situation><![CDATA[The nurse cares for a 40-year-old female admitted with a diagnosis of chronic ulcerative colitis. The nurse tries to communicate therapeutically with the client.]]></situation> 
				</query>
				<query>
					<question ctrlno="391" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which principle is explicable in a situation where a sponge was left inside the abdomen of a patient who had an exploratory laparotomy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Doctrine of Force Majeure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Doctrine of Res Ipsa Loquitor]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Doctrine of Viz major]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doctrine of Respondeat Superior]]></answer> 
						<situation><![CDATA[Ms. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="392" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Under the Doctrine of Respondeat Superior, who among the following is liable if the patient who had exploratory previously was reopened and a piece of gauze was found in the abdominal cavity? The ________: ]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Instrument nurse]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Surgeon]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Operating Room Nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assistant surgeon]]></answer> 
						<situation><![CDATA[Ms. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="393" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Doctrine of Respondeat Superior holds that:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[The employer is responsible for the actions of his/her employee.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The employer is not responsible for the actions of his/her employee.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The employee is not responsible for his/her own actions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Using restraints without the patient's permission constitute false imprisonment.]]></answer> 
						<situation><![CDATA[Ms. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="394" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Performing an act which a reasonable and prudent nurse would not do or the failure to perform an act which a reasonable and prudent nurse would have done under similar situations is construed as ________:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[misdemeanor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[malfeasance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[malpractice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[negligence]]></answer> 
						<situation><![CDATA[Ms. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="395" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Ada learns of a nurse in the orthopedic ward who applied hot water bottle over a paralyzed leg which consequently got burned. This is an example:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[malfeasance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[misdemeanor]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[malpractice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[negligence]]></answer> 
						<situation><![CDATA[Ms. Ada is a nurse working in the surgical unit. She is aware her legal responsibilities as she assists in the care of post-operative patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="396" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a characteristic of quality improvement that the medical director is interested in?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The leader is the empowerer]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Problem-solving is by everyone]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The employees are treated as customers]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reacts to correct or bad situation]]></answer> 
						<situation><![CDATA[Quality improvement must be embraced by every health institution aims for safe and quality care. The Medical Director of Camiguin Medical Center made random rounds for five consecutive days to all areas of the hospital to assess its services.]]></situation> 
				</query>
				<query>
					<question ctrlno="397" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A risk is any event that causes problems or benefits on the healthcare institution. The Medical Director knows that potential risks must be identified across the hospital in order to prevent the following , EXCEPT]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[financial loss]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[incident reports]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[accidents]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[injuries]]></answer> 
						<situation><![CDATA[Quality improvement must be embraced by every health institution aims for safe and quality care. The Medical Director of Camiguin Medical Center made random rounds for five consecutive days to all areas of the hospital to assess its services.]]></situation> 
				</query>
				<query>
					<question ctrlno="398" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on patient survey, a number of complaints have been tracked. Which of the following is NOT a preventive activity in the practice of the Medical Director's risk management?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Fostering good administration-personnel relations.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Providing safe environment every time.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tracking patient complaints at irregular intervals.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Satisfying patient needs and desires.]]></answer> 
						<situation><![CDATA[Quality improvement must be embraced by every health institution aims for safe and quality care. The Medical Director of Camiguin Medical Center made random rounds for five consecutive days to all areas of the hospital to assess its services.]]></situation> 
				</query>
				<query>
					<question ctrlno="399" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Medical Director, with the Chief Nurse and other officers, of the hospital believe that Patient Relations is important in risk management because n dissatisfied customer is likely to sue. Which is NOT the way to handle complaints?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Let the patient express himself.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Be sure to rebut the patient point by point.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Staff should not be defensive.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Listen to the patient's cue carefully.]]></answer> 
						<situation><![CDATA[Quality improvement must be embraced by every health institution aims for safe and quality care. The Medical Director of Camiguin Medical Center made random rounds for five consecutive days to all areas of the hospital to assess its services.]]></situation> 
				</query>
				<query>
					<question ctrlno="400" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses usually complain they have no personal life because of rotating shifts, The following are three major ways to create personal time, EXCEPT ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[delegate work to others]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[fill every moment with tasks or chores]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[eliminate tasks that add no value]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hire someone else to do the work]]></answer> 
						<situation><![CDATA[Quality improvement must be embraced by every health institution aims for safe and quality care. The Medical Director of Camiguin Medical Center made random rounds for five consecutive days to all areas of the hospital to assess its services.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="2" testsection="NLE Assessment 2" 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[When taken antianxiety drugs like Benzodiazepines, which APPROPRIATE health teaching should the nurse emphasize?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Antianxiety drugs can treat the underlying problem.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Patient should not drink alcohol because it potentiates its effect.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient can discontinue the drug abruptly even without orders.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient can still drive his car cause of delayed response time.]]></answer> 
						<situation><![CDATA[Nurses inform patients taking antipsychotic medications about the types of side effects that may occur. She encourages patients to report instead of discontinuing the medications. Following are related to patient teachings.]]></situation> 
				</query>
				<query>
					<question ctrlno="402" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When taking anticonvulsant drugs like Lithium which APPROPRIATE HEALTH TEACHING should the nurse emphasize?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Time of last dose must be accurate so that blood level monitoring be accurate.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient can take drugs even without food intake.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient will not experience polyuria and polydipsia.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient will have constipation, thus he has to increase fluid intake.]]></answer> 
						<situation><![CDATA[Nurses inform patients taking antipsychotic medications about the types of side effects that may occur. She encourages patients to report instead of discontinuing the medications. Following are related to patient teachings.]]></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 does NOT signify extrapyramidal symptoms (EPS) Haldol?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Acute dystonia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Akathisia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pseudo parkinsonism]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Increased libido]]></answer> 
						<situation><![CDATA[Nurses inform patients taking antipsychotic medications about the types of side effects that may occur. She encourages patients to report instead of discontinuing the medications. Following are related to patient teachings.]]></situation> 
				</query>
				<query>
					<question ctrlno="404" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient often appears restless, anxious, agitated with rigid posture and lack of spontaneous gestures. Which of the following describes this patient with intense need to move about?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Withdrawal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dyskinesia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dystonia]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Akathisia]]></answer> 
						<situation><![CDATA[Nurses inform patients taking antipsychotic medications about the types of side effects that may occur. She encourages patients to report instead of discontinuing the medications. Following are related to patient teachings.]]></situation> 
				</query>
				<query>
					<question ctrlno="405" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When taking SSRI (Selective Serotonin Reuptake Inhibitors), which APPROPRIATE health teaching should the nurse emphasize?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Aged cheese maybe allowed.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Patient should take the drug first thing in the morning.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Peanuts are allowed.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tyramine free diet can lower blood pressure.]]></answer> 
						<situation><![CDATA[Nurses inform patients taking antipsychotic medications about the types of side effects that may occur. She encourages patients to report instead of discontinuing the medications. Following are related to patient teachings.]]></situation> 
				</query>
				<query>
					<question ctrlno="406" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On a visit to the clinic, a patient reports the onset of early symptom of rheumatoid arthritis. What will be the nurse focused assessment during patient interview?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Enlarged nodules]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Early morning stiffness of the lower extremities]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Limited motion of joints of upper extremities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Deformed joints of the hands]]></answer> 
						<situation><![CDATA[Remedios, a 65-year-old housewife has been diagnosed with rheumatoid arthritis both hands and knees.]]></situation> 
				</query>
				<query>
					<question ctrlno="407" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Remedios complains she could not do household chores and her knees hurt whenever she walks. Which nursing diagnosis would be MOST APPROPRIATE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Self-care deficit related to increasing joint pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Activity intolerance related to fatigue and joint pain.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Disturbed body image related to fatigue and joint pain.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ineffective coping related to increased joint pain.]]></answer> 
						<situation><![CDATA[Remedios, a 65-year-old housewife has been diagnosed with rheumatoid arthritis both hands and knees.]]></situation> 
				</query>
				<query>
					<question ctrlno="408" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For a patient in the acute phase of rheumatoid arthritis, which of following should the nurse identify as LOWEST priority in the plan of care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Preserving joint function]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Preventing joint deformity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Relieving pain]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Maintaining usual task]]></answer> 
						<situation><![CDATA[Remedios, a 65-year-old housewife has been diagnosed with rheumatoid arthritis both hands and knees.]]></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 with osteoarthritis develops coagulopathy secondary to long-term nonsteroidal anti-inflammatory drug (NSAID) use. The coagulopathy is most likely the result of _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[decreased platelet adhesiveness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[blocked prothrombin conversion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[impaired vitamin K synthesis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[factor VIII destruction]]></answer> 
						<situation><![CDATA[Remedios, a 65-year-old housewife has been diagnosed with rheumatoid arthritis both hands and knees.]]></situation> 
				</query>
				<query>
					<question ctrlno="410" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is teaching a patient with osteoarthritis about lifestyle changes. The nurse knows the patient understands the teaching when she states that she will _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[abstain from alcohol]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[avoid exercise]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[loss weight]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[restrict caffeine]]></answer> 
						<situation><![CDATA[Remedios, a 65-year-old housewife has been diagnosed with rheumatoid arthritis both hands and knees.]]></situation> 
				</query>
				<query>
					<question ctrlno="411" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Working with a depressed Chimoya, the nurse should understand that depression is MOST directly related to a person's ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[remembering her childhood]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[stage in life]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[having experienced a sense of loss]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[experiencing poor interpersonal relationships with others]]></answer> 
						<situation><![CDATA[Eighteen year old Chimeya and her father came to clinic for possible depression. She has a number of fears of getting sick and dying from COVID 19. She eats less and sleeps restlessly. She has not taken a bath for a week, always talks about her missing mother who died due to COVID 19 infection.]]></situation> 
				</query>
				<query>
					<question ctrlno="412" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Early identification and treatment are essential to prevent long term depression. Preventive measures do not include ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[medication as a treatment alone.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[providing a stable home life.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[practicing open and honest communication.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[facilitating a strong sense of self-trust, resilience and self-esteem.]]></answer> 
						<situation><![CDATA[Eighteen year old Chimeya and her father came to clinic for possible depression. She has a number of fears of getting sick and dying from COVID 19. She eats less and sleeps restlessly. She has not taken a bath for a week, always talks about her missing mother who died due to COVID 19 infection.]]></situation> 
				</query>
				<query>
					<question ctrlno="413" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Chimeya was admitted in the hospital for treatment of her depression. Which antidepressant drug is COMMONLY used?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Morframin]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Elavil]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Prozac]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tofranil]]></answer> 
						<situation><![CDATA[Eighteen year old Chimeya and her father came to clinic for possible depression. She has a number of fears of getting sick and dying from COVID 19. She eats less and sleeps restlessly. She has not taken a bath for a week, always talks about her missing mother who died due to COVID 19 infection.]]></situation> 
				</query>
				<query>
					<question ctrlno="414" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To prevent the recurrence of depression, how long should the patient take the anti-depressant drugs?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[six months to two years]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[two months to one year]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[one year to three years]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[one to three months]]></answer> 
						<situation><![CDATA[Eighteen year old Chimeya and her father came to clinic for possible depression. She has a number of fears of getting sick and dying from COVID 19. She eats less and sleeps restlessly. She has not taken a bath for a week, always talks about her missing mother who died due to COVID 19 infection.]]></situation> 
				</query>
				<query>
					<question ctrlno="415" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Three days after the admission of Chimeya, the nurse observes she has taken a bath, worn a clean dress, and combed her hair. What is the APPROPRIATE reaction of the nurse to the behavioral change in Chimeya?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Something is different about you today. What is it?"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Oh. I'm so pleased that you finally put on a clean dress"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I see that you have worn a clean dress and have combed your hair"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["That's good. You have on a clean dress and have combed your hair."]]></answer> 
						<situation><![CDATA[Eighteen year old Chimeya and her father came to clinic for possible depression. She has a number of fears of getting sick and dying from COVID 19. She eats less and sleeps restlessly. She has not taken a bath for a week, always talks about her missing mother who died due to COVID 19 infection.]]></situation> 
				</query>
				<query>
					<question ctrlno="416" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In emergency situation when a patient is unable to give consent for life saving treatment, what type of consent allows to assume APPROPRIATE medical treatment?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Implied consent]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Informed consent]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Express consent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Involuntary consent]]></answer> 
						<situation><![CDATA[Nurses provide their patients information they need to give informed consent, only if it is within their scope of nursing practice and nursing knowledge. Consent is the patients acknowledgement and acceptance of medical treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="417" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are essential components of informed consent?<br><br>
					<span style="font-weight:normal">
					I. explanation of the procedure and alternatives to the procedure<br>
					II. discussion of potential risks and benefits of the procedure<br>
					III. confirmation that the patient understands the risks, benefits and any alterations<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[II, III]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, II, III]]></answer> 
						<situation><![CDATA[Nurses provide their patients information they need to give informed consent, only if it is within their scope of nursing practice and nursing knowledge. Consent is the patients acknowledgement and acceptance of medical treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="418" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Treatment of a patient without consent can constitute ______, which is defined as intentional and unwanting touching.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[battery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[slander]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[negligence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[tort]]></answer> 
						<situation><![CDATA[Nurses provide their patients information they need to give informed consent, only if it is within their scope of nursing practice and nursing knowledge. Consent is the patients acknowledgement and acceptance of medical treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="419" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Whose responsibility is it to obtain informed consent?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nurse Manager]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Anesthesiologist]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Physician]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Midwife]]></answer> 
						<situation><![CDATA[Nurses provide their patients information they need to give informed consent, only if it is within their scope of nursing practice and nursing knowledge. Consent is the patients acknowledgement and acceptance of medical treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="420" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Bioethical issue should be describe as ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[the withholding of food and treatment at the request of the patient in a written advance directive given before a patient acquired permanent brain damage from an accident]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[the physician's making all decisions of client management without getting input from the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[after the patient gives permission, the physician's disclosing all information to the family for this support in the management of the patient]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a research project that included treating all regular employed personnel and not creating all casual employed to compare the outcome of specific drug therapy]]></answer> 
						<situation><![CDATA[Nurses provide their patients information they need to give informed consent, only if it is within their scope of nursing practice and nursing knowledge. Consent is the patients acknowledgement and acceptance of medical treatment.]]></situation> 
				</query>
				<query>
					<question ctrlno="421" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The purpose why the head nurse asked Nurse Rosie to submit an IR is to ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[note patterns of incidences in the same unit]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[place it in Nurse Rosie's 201 file]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[document immediately the incident]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[evaluate Nurse Rosie's performance]]></answer> 
						<situation><![CDATA[Rosie, a new staff nurse, was assigned in the Psychiatric Unit. A depressed patient assigned to her fell from her bed. Her head nurse asked her to submit an Incident Report (IR).]]></situation> 
				</query>
				<query>
					<question ctrlno="422" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In writing the IR, which of the following is NOT included?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Who was / were involved?]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[What daily medications are given to the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[What happened?]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Who witnessed the incident?]]></answer> 
						<situation><![CDATA[Rosie, a new staff nurse, was assigned in the Psychiatric Unit. A depressed patient assigned to her fell from her bed. Her head nurse asked her to submit an Incident Report (IR).]]></situation> 
				</query>
				<query>
					<question ctrlno="423" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What guideline is IMPORTANT in relation to incident report (IR)? It is ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[not made part of the patient's chart]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[placed in the nurse's 201 file]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[filed in the nurses station]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[filed in the Records Section of the hospital]]></answer> 
						<situation><![CDATA[Rosie, a new staff nurse, was assigned in the Psychiatric Unit. A depressed patient assigned to her fell from her bed. Her head nurse asked her to submit an Incident Report (IR).]]></situation> 
				</query>
				<query>
					<question ctrlno="424" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would prove that the nursing action carried out met the standards of care on falls?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Utilizing the nursing process in providing safe, quality nursing care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Documenting the procedures done]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Carrying out the doctor's order]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Performing physical assessment]]></answer> 
						<situation><![CDATA[Rosie, a new staff nurse, was assigned in the Psychiatric Unit. A depressed patient assigned to her fell from her bed. Her head nurse asked her to submit an Incident Report (IR).]]></situation> 
				</query>
				<query>
					<question ctrlno="425" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should the investigation of the fall go further, which of the following is the best source of factual information?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[incident report]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[nurse's notes in the chart]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[anecdotal record]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[process recording]]></answer> 
						<situation><![CDATA[Rosie, a new staff nurse, was assigned in the Psychiatric Unit. A depressed patient assigned to her fell from her bed. Her head nurse asked her to submit an Incident Report (IR).]]></situation> 
				</query>
				<query>
					<question ctrlno="426" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Del must be aware that the MOST common chronic incidence that brings about injury among elderly persons is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[rheumatic fever]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[hip fracture]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[gallbladder]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[urinary tract infection]]></answer> 
						<situation><![CDATA[Mrs. Del, 70-year-old retired teacher is diagnosed of Dementia. She lives with her 24-year-old granddaughter. Nurse Maxie attends to her when she goes for her OPD checkups.]]></situation> 
				</query>
				<query>
					<question ctrlno="427" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Maxie should recognize that the MOST common psychogenic disorder among elderly persons is ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[depression]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[sleep disturbances]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[decreased appetite]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[inability to concentrate]]></answer> 
						<situation><![CDATA[Mrs. Del, 70-year-old retired teacher is diagnosed of Dementia. She lives with her 24-year-old granddaughter. Nurse Maxie attends to her when she goes for her OPD checkups.]]></situation> 
				</query>
				<query>
					<question ctrlno="428" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST common cause of dementia among elderly persons?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Parkinson's disease]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Alzheimer's disease]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Amyotrophic lateral sclerosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Multiple sclerosis]]></answer> 
						<situation><![CDATA[Mrs. Del, 70-year-old retired teacher is diagnosed of Dementia. She lives with her 24-year-old granddaughter. Nurse Maxie attends to her when she goes for her OPD checkups.]]></situation> 
				</query>
				<query>
					<question ctrlno="429" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following symptoms is COMMON to both the presenile and senile dementias associated with Alzheimer's disease?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increased appetite]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Loss of short-term memory]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inaappropriate behavior]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Inability to provide self-care]]></answer> 
						<situation><![CDATA[Mrs. Del, 70-year-old retired teacher is diagnosed of Dementia. She lives with her 24-year-old granddaughter. Nurse Maxie attends to her when she goes for her OPD checkups.]]></situation> 
				</query>
				<query>
					<question ctrlno="430" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient with dementia suffers from "sundown syndrome". Which nursing action should be included in this patient's care plan?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Maintain consistent schedule and sequence of daily activities.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Integrate patient's cultural preferences into the care provided.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Serve warm beverage and snack in the early evening.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Provide opportunities for patient to learn and practice new skills.]]></answer> 
						<situation><![CDATA[Mrs. Del, 70-year-old retired teacher is diagnosed of Dementia. She lives with her 24-year-old granddaughter. Nurse Maxie attends to her when she goes for her OPD checkups.]]></situation> 
				</query>
				<query>
					<question ctrlno="431" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Bulimia is best defined an a/an ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[disorder of the unknown origih associated with starving oneself]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[pathological disorder of binging and vomiting]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[phobic disorder of fear of obesity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[eating disorder associated with vomiting]]></answer> 
						<situation><![CDATA[Nurse Annie is assigned to Sherry, a junior high school student, who is treated for her bulimia.]]></situation> 
				</query>
				<query>
					<question ctrlno="432" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What condition is NOT likely to develop in Sherry?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hyperkalemia]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tooth decay]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gastric ulcer]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Rectal bleeding]]></answer> 
						<situation><![CDATA[Nurse Annie is assigned to Sherry, a junior high school student, who is treated for her bulimia.]]></situation> 
				</query>
				<query>
					<question ctrlno="433" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following conditions may lead to death in a bulimic patient like Sherry?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hypokalemia and cardiac arrhythmias and arrest]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Metabolic acidosis and renal failure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hyponatremia and circulatory collapse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hypernatremia and congestive heart failure]]></answer> 
						<situation><![CDATA[Nurse Annie is assigned to Sherry, a junior high school student, who is treated for her bulimia.]]></situation> 
				</query>
				<query>
					<question ctrlno="434" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Endocrine changes often result in a bulimic patient. Which of the following would be an expected change in Sherry?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Delayed Thyroid Stimulating Hormone response to Hormone Replacement Therapy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased production of Follicle Stimulating Hormone]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hypopituitarism]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Decreased Adrenocorticotropic Hormone in response to cortisone]]></answer> 
						<situation><![CDATA[Nurse Annie is assigned to Sherry, a junior high school student, who is treated for her bulimia.]]></situation> 
				</query>
				<query>
					<question ctrlno="435" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Amitriptyline, an anti-depressant, is the drug of choice in treating Bulimia. What is a COMMON side effect of this drug?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Anticholinergic effects.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cholinergic effects]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Urinary frequency]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Diarrhea]]></answer> 
						<situation><![CDATA[Nurse Annie is assigned to Sherry, a junior high school student, who is treated for her bulimia.]]></situation> 
				</query>
				<query>
					<question ctrlno="436" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To prevent relapses of schizophrenia with Mr. Rollan, which of the following Nurse Anna should NOT encouraged Mr. Rollan and his family?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Keep any troubling side effects of medications with nurses.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Practice stress reduction techniques.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To follow the medication regimen accurately.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Participate regularly in any other forms treatment.]]></answer> 
						<situation><![CDATA[Mr. Rollan is diagnosed to have chronic schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="437" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose one nursing strategy Nurse Anna should NOT use.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Speak in a low, calm tone of voice.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Let him interact with you while he is hallucinating.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Maintain a nonthreatening stance, keep a physical distance.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintaining safety for herself and Mr. Rollan.]]></answer> 
						<situation><![CDATA[Mr. Rollan is diagnosed to have chronic schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="438" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose one LEAST Anna's nursing action while communicating with Mr. Rollan.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Please let me know if I can be helpful."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Check his use of ordered PRN medication.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I'll let you sit here quietly and I will be at the nurse station."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I'm just checking in with you to see if there is anything you need right now."]]></answer> 
						<situation><![CDATA[Mr. Rollan is diagnosed to have chronic schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="439" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following strategies would the nurse instruct the patient to do as a measure to prevent relapse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Report changes in sleeping, eating and mood.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Block hallucinations during daily activities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Take additional medications on days when Mr. Rollan is "feeling bad".]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Take stress management class.]]></answer> 
						<situation><![CDATA[Mr. Rollan is diagnosed to have chronic schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="440" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following identified ability of Mr. Rollan that he can effectively participate in rehabilitation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ability to concentrate.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ability to think.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ability to talk.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ability to do listen.]]></answer> 
						<situation><![CDATA[Mr. Rollan is diagnosed to have chronic schizophrenia.]]></situation> 
				</query>
				<query>
					<question ctrlno="441" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician would like to measure the intraocular pressure with non-contact (air puff) tonometer. While preparing patient for her examination, the nurse informs the patient that ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[after the examination, a slight pain will be experienced]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[before the examination, a medication will be given]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[it is a painless procedure that has no side effects]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[during the ocular fundoscopy, atropine eye drop will be instilled]]></answer> 
						<situation><![CDATA[Mrs. Labrador, 75 years old, is in the clinic for the treatment of acute closed-angle glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="442" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which symptoms are ASSOCIATED with acute-closed angle glaucoma?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Diplopia and photophobia]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Blurred vision and colored rings around lights]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Episodic blindness and no pain]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sensation of curtain drawn across the visual field]]></answer> 
						<situation><![CDATA[Mrs. Labrador, 75 years old, is in the clinic for the treatment of acute closed-angle glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="443" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician has prescribed Pilocarpine one percent eye drops every six hours. The expected OUTCOME for this medication is to ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[dilate the pupil by paralysing the ciliary muscle]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[prevent dryness of the cornea and conjunctiva]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[promote drainage of aqueous humor from anterior chamber]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[reduce inflammation of the iris and choroid]]></answer> 
						<situation><![CDATA[Mrs. Labrador, 75 years old, is in the clinic for the treatment of acute closed-angle glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="444" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician recommends peripheral iridectomy to relieve intraocular pressure. He prescribed Meperidine Hydrochloride (Demerol) 50mg and Atropine Sulfate 0.3mg IM a s the preoperative medications. The nurse should ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[recognize that atropine sulfate is given preoperatively to dilate the pupil]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[recognize this as a usual preoperative medication and administer it]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[realize that the atropine sulfate is being given to dry up secretion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[notify the physician and question the order]]></answer> 
						<situation><![CDATA[Mrs. Labrador, 75 years old, is in the clinic for the treatment of acute closed-angle glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="445" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of these nursing diagnoses should the nurse give PRIORITY for an elderly patient who has impaired vision due to glaucoma?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[High risk for injury]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impaired physical mobility]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Grooming self-care deficit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Feeding self-care deficit]]></answer> 
						<situation><![CDATA[Mrs. Labrador, 75 years old, is in the clinic for the treatment of acute closed-angle glaucoma.]]></situation> 
				</query>
				<query>
					<question ctrlno="446" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The predisposing factor in Rizal's case is his _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Age]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Occupation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Home environment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Community]]></answer> 
						<situation><![CDATA[Rizal, a 50-year-old house painter, came in with the chief complaints of slurred speech, blurring of vision, and hallucinations. Upon evaluation of his case, it revealed volatile substance intoxication.]]></situation> 
				</query>
				<query>
					<question ctrlno="447" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Volatile Substance Abuse is considered the most dangerous among the abused psychoactive substances because of the RISK of ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[violence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[developing schizophrenia]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[irreversible damage to the bone marrow, brain, liver, kidney]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[malnutrition]]></answer> 
						<situation><![CDATA[Rizal, a 50-year-old house painter, came in with the chief complaints of slurred speech, blurring of vision, and hallucinations. Upon evaluation of his case, it revealed volatile substance intoxication.]]></situation> 
				</query>
				<query>
					<question ctrlno="448" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse heard Rizal saying, "My mother visited me last night and reminded me to take care of myself." This is a manifestation of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[auditory hallucination]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[visual hallucination]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[delusion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[reaction formation]]></answer> 
						<situation><![CDATA[Rizal, a 50-year-old house painter, came in with the chief complaints of slurred speech, blurring of vision, and hallucinations. Upon evaluation of his case, it revealed volatile substance intoxication.]]></situation> 
				</query>
				<query>
					<question ctrlno="449" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Substance abuse affects not only the user but also the other members of the family. Which of the following is the MOST APPROPRIATE nursing diagnosis in the care of Rizal?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impaired social interactions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impaired parenting]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Dysfunctional family processes]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ineffective coping]]></answer> 
						<situation><![CDATA[Rizal, a 50-year-old house painter, came in with the chief complaints of slurred speech, blurring of vision, and hallucinations. Upon evaluation of his case, it revealed volatile substance intoxication.]]></situation> 
				</query>
				<query>
					<question ctrlno="450" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Severe intoxication to volatile substances may lead to unconsciousness or even death. The PRIORITY nursing intervention in caring for such patient is monitoring the ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[mental status]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[neurological functions]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[nutritional status]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[vital signs]]></answer> 
						<situation><![CDATA[Rizal, a 50-year-old house painter, came in with the chief complaints of slurred speech, blurring of vision, and hallucinations. Upon evaluation of his case, it revealed volatile substance intoxication.]]></situation> 
				</query>
				<query>
					<question ctrlno="451" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During nursing assessment, Darwin speaks a rambling manner and is unable to repeat words spoken to him. Which are of the brain MOST likely is affected?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wernicke's area]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Broca's area]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Foramen magnum]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Brodmann's area]]></answer> 
						<situation><![CDATA[Darwin, 35-year-old engineer met a vehicular accident while going to work. He suffered head injury, responsive and admitted at the intensive care unit for close monitoring and management.]]></situation> 
				</query>
				<query>
					<question ctrlno="452" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders a computerized transverse axial tomogram (CAT) scan. Nursing preparation of the patient for this procedure includes:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Explaining that the vital signs will be monitored for 2 hours after the examination.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Reassuring that CAT scanning is a nonihvasive procedure.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explaining that a spinal tap will be done so that a radioactive isotope can be injected.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Telling patient that a radiopaque dye is injected into an artery in the arm]]></answer> 
						<situation><![CDATA[Darwin, 35-year-old engineer met a vehicular accident while going to work. He suffered head injury, responsive and admitted at the intensive care unit for close monitoring and management.]]></situation> 
				</query>
				<query>
					<question ctrlno="453" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician order to observe for EARLY signs of increased intracranial pressure which includes _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[restlessness and change in level of consciousness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[elevated temperature and decerebrate posturing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[rising blood pressure and bradycardia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[widening pulse pressure and dilated pupils]]></answer> 
						<situation><![CDATA[Darwin, 35-year-old engineer met a vehicular accident while going to work. He suffered head injury, responsive and admitted at the intensive care unit for close monitoring and management.]]></situation> 
				</query>
				<query>
					<question ctrlno="454" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[All of the following signs indicate increased intracranial pressure EXCEPT?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decreased level of consciousness]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Tachycardia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Papilledema]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vomiting]]></answer> 
						<situation><![CDATA[Darwin, 35-year-old engineer met a vehicular accident while going to work. He suffered head injury, responsive and admitted at the intensive care unit for close monitoring and management.]]></situation> 
				</query>
				<query>
					<question ctrlno="455" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse noticed dressing is wet. Which action by the nurse can be safely used to determine if the drainage contains cerebrospinal fluid (CSF)? What is the attending nurse should do?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Blot the drainage with sterile gauze pad and look for a clear wet ring around the spot of blood.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Swab the orifice of the ear with a sterile applicator and send the specimen to the laboratory.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Obtain a negative reading for sugar after testing the CSF with Tes-Tape.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Gently suction the ear and send the specimen to the laboratory.]]></answer> 
						<situation><![CDATA[Darwin, 35-year-old engineer met a vehicular accident while going to work. He suffered head injury, responsive and admitted at the intensive care unit for close monitoring and management.]]></situation> 
				</query>
				<query>
					<question ctrlno="456" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A professional practice system that manages clinical care of patients across a continuum using managed care concepts and tools is called _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[modular nursing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[differentiated practice]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[case management]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[primary nursing]]></answer> 
						<situation><![CDATA[Nurse Managers participates in quality improvement projects to increase awareness and achieve better performance of nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="457" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the outcome of having a sound clinical care management by professional healthcare team?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[It decreases patients length of stay]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It diminishes collegiality between health care providers]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It increases cost of hospitalization]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It contributes to duplication of services]]></answer> 
						<situation><![CDATA[Nurse Managers participates in quality improvement projects to increase awareness and achieve better performance of nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="458" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During a staff meeting, the nurse manager presents his own analysis of problems and proposals for actions to the staff, inviting critique and comments. Which answer indicates the manager's leadership style?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Laissez-faire]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Autocratic]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Participative leadership]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Democratic]]></answer> 
						<situation><![CDATA[Nurse Managers participates in quality improvement projects to increase awareness and achieve better performance of nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="459" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is often associated with the concept of decentralized decision making in management?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Team nursing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interdisciplinary practice model]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Shared governance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Primary nursing]]></answer> 
						<situation><![CDATA[Nurse Managers participates in quality improvement projects to increase awareness and achieve better performance of nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="460" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Some decisions are best made by a group rather than by the nurse alone. What is an advantage of group decision making?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Promotes collective contribution of ideas]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Different ideas and opinions]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Individual opinions are influenced by others]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dependency is fostered]]></answer> 
						<situation><![CDATA[Nurse Managers participates in quality improvement projects to increase awareness and achieve better performance of nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="461" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following therapeutic communication should Nurse Ann say for Glory?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You are upset, calm yourself first Glory. I can't understand you."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Can you identify your abuser?]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I know something terrible and horrifying happened to you."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Would you like to relate to me what happened?"]]></answer> 
						<situation><![CDATA[Glory, a 23-year-old evening cashier of Seven Eleven 24 hours convenience store, was sexually abused by a jeepney driver while on her way home from work one evening. She was brought to the ER with bruises all over her body. She was crying uncontrollably and appears to be anxious.]]></situation> 
				</query>
				<query>
					<question ctrlno="462" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In providing nursing care for Glory during her acute stress reaction to rape trauma, Nurse Ann may apply, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Physical assessment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Collaborate with community agencies]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Crisis intervention techniques]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Teaching and learning princioles]]></answer> 
						<situation><![CDATA[Glory, a 23-year-old evening cashier of Seven Eleven 24 hours convenience store, was sexually abused by a jeepney driver while on her way home from work one evening. She was brought to the ER with bruises all over her body. She was crying uncontrollably and appears to be anxious.]]></situation> 
				</query>
				<query>
					<question ctrlno="463" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Glory's physical assessment is complete and physical evidence has been collected. After three days, Nurse Ann noted Glory to be withdrawn, confused and at times physically immobile. How should Nurse Ann interpret these behaviors?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Evidence that the client is a high suicide risk]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Signs of depression]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Indicative of the need for longer hospital admission]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Normal reactions to a devastating event]]></answer> 
						<situation><![CDATA[Glory, a 23-year-old evening cashier of Seven Eleven 24 hours convenience store, was sexually abused by a jeepney driver while on her way home from work one evening. She was brought to the ER with bruises all over her body. She was crying uncontrollably and appears to be anxious.]]></situation> 
				</query>
				<query>
					<question ctrlno="464" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Emergency care to be g iven for rape victims are as follows:<br><br>
					<span style="font-weight:normal">
					I. If victim calls the hospital, tell her not to take a bath, wash or change clothes, just go directly to the hospital.<br>
					II. Provide privacy and be judgemental.<br>
					III. Stay with the victim, focus on physical safety and emotional security.<br>
					IV. Assist on pelvic examination to collect evidences as semen stains.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, III, IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, ll, III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[II, III, IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, IV]]></answer> 
						<situation><![CDATA[Glory, a 23-year-old evening cashier of Seven Eleven 24 hours convenience store, was sexually abused by a jeepney driver while on her way home from work one evening. She was brought to the E R with bruises all over her body. She was crying uncontrollably and appears to be anxious.]]></situation> 
				</query>
				<query>
					<question ctrlno="465" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ann wanted to become a patient advocate to rape victims. Which of the following RESPONSIBILITIES should she note?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Isolate the patient first to provide privacy while attending to other patients.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Call the press since this is a legal case.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Perform thorough physical assessment and document objectively ail evidences of rape.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Postpone the physical examination until the patient is calm.]]></answer> 
						<situation><![CDATA[Glory, a 23-year-old evening cashier of Seven Eleven 24 hours convenience store, was sexually abused by a jeepney driver while on her way home from work one evening. She was brought to the E R with bruises all over her body. She was crying uncontrollably and appears to be anxious.]]></situation> 
				</query>
				<query>
					<question ctrlno="466" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse returns from vacation and finds a. new model of I.V. pump attached to her patient's I.V. How should the nurse proceed?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Read the I.V. pump manual before caring for the patient.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Refuse to care for the patient.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Inform the charge nurse and ask her to provide an teaching session about how to use the pump.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use the pump because it is somewhat like the old pumps on the unit.]]></answer> 
						<situation><![CDATA[Head Nurse Alona ensures teamwork and collaboration in her unit to achieve efficient shared decision-making and open communication to provide safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="467" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is caring for a 72-year-old male patient who requires insertion of a central venous catheter. Who is responsible for obtaining informed consent?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Physician who will insert catheter]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Charge nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Attending physician]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The nurse assisting with the procedure]]></answer> 
						<situation><![CDATA[Head Nurse Alona ensures teamwork and collaboration in her unit to achieve efficient shared decision-making and open communication to provide safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="468" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse reports that a patient coughs frequently after taking anything by mouth. The dietitian recommends a swallow evaluation for the patient, in which the physician participating in the team rounds writes the order. This is an example of collaboration of  client-care _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[with the ancillary care providers]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[between the physician and the dietary department]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[with the risk management team because of risk for aspiration]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[among members of the multidisciplinary group]]></answer> 
						<situation><![CDATA[Head Nurse Alona ensures teamwork and collaboration in her unit to achieve efficient shared decision-making and open communication to provide safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="469" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before delegating to a new nurse the task of giving a shower to a paraplegic elderly, the charge nurse shoulcf FIRST ensure that the nurse _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[has demonstrated competency for the task]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[has received the assignment during endorsement time]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[is supervised at all times]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[provides companion to the patient]]></answer> 
						<situation><![CDATA[Head Nurse Alona ensures teamwork and collaboration in her unit to achieve efficient shared decision-making and open communication to provide safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="470" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following tasks would be APPROPRIATE for the nurse to delegate to nursing aide?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assist a new postoperative patient to the bathroom.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Teach a patient how to administer discharge medications.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Change a central line dressing.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Assist the patient during meal time.]]></answer> 
						<situation><![CDATA[Head Nurse Alona ensures teamwork and collaboration in her unit to achieve efficient shared decision-making and open communication to provide safe patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="471" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse obtains history of patient's present illness from his family, what significant information can the nurse gather from the patient's family?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[consistent hypertension and dizziness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[palpitations and hypotension]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[family history about illness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[emotional response to past illness]]></answer> 
						<situation><![CDATA[Mr. Ferrer, 42 years old, is admitted to the hospital in a semi-conscious states diagnosed with cerebrovascular accident.]]></situation> 
				</query>
				<query>
					<question ctrlno="472" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRIORITY nursing care for Mr. Ferrer during the acute phase is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[provide sensory stimulation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[maintain respiratory and cardiac function]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[prevent contracture and deformities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[maintain optimal nutrition]]></answer> 
						<situation><![CDATA[Mr. Ferrer, 42 years old, is admitted to the hospital in a semi-conscious states diagnosed with cerebrovascular accident.]]></situation> 
				</query>
				<query>
					<question ctrlno="473" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Part of nursing care plan is to observe Mr. Ferrer for signs of increased intracranial pressure. Which of the following clinical manifestations would INDICATE this condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tachycardia and drop in blood pressure]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bradycardia and rising blood pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bradycardia and drop in blood pressure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tachycardia and rising blood pressure]]></answer> 
						<situation><![CDATA[Mr. Ferrer, 42 years old, is admitted to the hospital in a semi-conscious states diagnosed with cerebrovascular accident.]]></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 positions will be MOST APPROPRIATE to Mr. Ferrer's care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Head of bed elevated in a lateral position]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Head of bed elevated in a supine position]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Right lateral position]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Left lateral position]]></answer> 
						<situation><![CDATA[Mr. Ferrer, 42 years old, is admitted to the hospital in a semi-conscious states diagnosed with cerebrovascular accident.]]></situation> 
				</query>
				<query>
					<question ctrlno="475" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Ferrer's wife is very upset and asks if there is any hope to recover from his condition. Which of the following is the MOST APPROPRIATE reply by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["You must be patient, let's hope for the best outcome."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You should never lose hope."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["It is too soon to tell what the outcome will be."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Actually, manifestations may even get worse."]]></answer> 
						<situation><![CDATA[Mr. Ferrer, 42 years old, is admitted to the hospital in a semi-conscious states diagnosed with cerebrovascular accident.]]></situation> 
				</query>
				<query>
					<question ctrlno="476" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What behavior will Nurse Raffy observe as characterized by Liela?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inappropriate behavior, poor attention span with impulsivity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Negativistic hostile and defiant behavior]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Failure to develop interpersonal skills]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anxiety induced involuntary stereotype motor movements]]></answer> 
						<situation><![CDATA[Liela, 5 years old, was diagnosed as autistic since she was 1 year old.]]></situation> 
				</query>
				<query>
					<question ctrlno="477" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At her age, Liela is in what stage of social development?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Initiative vs Guilt]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Trust vs Mistrust]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Industry vs Inferiority]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Autonomy vs Shame and Doubt]]></answer> 
						<situation><![CDATA[Liela, 5 years old, was diagnosed as autistic since she was 1 year old.]]></situation> 
				</query>
				<query>
					<question ctrlno="478" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Raffy recognizes which of the following as COMMON behavioral sign of autism?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Clinging behavior towards parent]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Early language development]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Indifference to being hugged or held]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Creative imaginative play with peers]]></answer> 
						<situation><![CDATA[Liela, 5 years old, was diagnosed as autistic since she was 1 year old.]]></situation> 
				</query>
				<query>
					<question ctrlno="479" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST nursing intervention that Nurse Raffy can use to provide trusting relationship with an autistic Liela is to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[convey warmth through touch]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reinforce positive behavior through praise and rewards]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[explain to the child activities and routines]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[provide a structured environment]]></answer> 
						<situation><![CDATA[Liela, 5 years old, was diagnosed as autistic since she was 1 year old.]]></situation> 
				</query>
				<query>
					<question ctrlno="480" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which pharmacologic treatment is APPROPRIATE for Liela's temper, tantrum, aggressiveness, self-injury and stereotyped behavior?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Clonidine(Catapres)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Naltrexone(Re Via)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Clomipramine (Anafranil)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Haloperidol (Haldol)]]></answer> 
						<situation><![CDATA[Liela, 5 years old, was diagnosed as autistic since she was 1 year old.]]></situation> 
				</query>
				<query>
					<question ctrlno="481" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which one of the following is considered the MOST important intervention in infection control.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[personal protective clothing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[prevention of infection associated with catheter]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[safe use and disposal of sharps]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[hand hygiene of healthcare staff]]></answer> 
						<situation><![CDATA[Patient safety remains a global health care challenge. There are basic principles of infection control. These include standard precautions and transmission based precautions. The following are transmission based precaution questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="482" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which mode of infection transmission is due to splashes of blood / body fluids into the mucosa or contamination of non intact skin with infected blood and body fluids?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ingestion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[airborne]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[inoculation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[direct/indirect contact]]></answer> 
						<situation><![CDATA[Patient safety remains a global health care challenge. There are basic principles of infection control. These include standard precautions and transmission based precautions. The following are transmission based precaution questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="483" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which mode of infection transmission is due to microorganisms being transferred to other patients from contaminated equipments and via the hands of nurses?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ingestions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[airborne]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[inoculation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[direct/indirect contact]]></answer> 
						<situation><![CDATA[Patient safety remains a global health care challenge. There are basic principles of infection control. These include standard precautions and transmission based precautions. The following are transmission based precaution questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="484" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What mode of transmission is due to contaminated food and water being consumed?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inoculation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Direct/indirect contact]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ingestion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Airborne]]></answer> 
						<situation><![CDATA[Patient safety remains a global health care challenge. There are basic principles of infection control. These include standard precautions and transmission based precautions. The following are transmission based precaution questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="485" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a standard precautions?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[respiratory hygiene]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[injection safety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[personnel protective equipment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hand hygiene]]></answer> 
						<situation><![CDATA[Patient safety remains a global health care challenge. There are basic principles of infection control. These include standard precautions and transmission based precautions. The following are transmission based precaution questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="486" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse placed the patient in restraints before using other methods of intervention, she/he violated the patient's rights to ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[receive confidential and respectful care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[provide informed consent]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[receive treatment in the least restrictive environment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[refuse treatment]]></answer> 
						<situation><![CDATA[The nurse abides with ethico moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="487" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following actions is a violation of a psychiatric patient's rights?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Paranoid patient with delusions about his family is told that if he makes a will, it might not be valid.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The nurse confiscated the cellphone from patient's room and tell him it is being locked on the vault.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Staff members confiscated written letters done by patients addressed to local newspaper.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patient is paid minimum wage for helping in the hospital kitchen.]]></answer> 
						<situation><![CDATA[The nurse abides with ethico moral principles.]]></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 is NOT covered in Patient's Bill of Rights?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refusal to treatment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Informed consent]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Right to treatment]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Civil commitment]]></answer> 
						<situation><![CDATA[The nurse abides with ethico moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="489" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient has been advised by the psychiatrist that he needs inpatient hospitalization. The patient agrees, signs the admission forms and agrees to receive treatment. What type of admission is this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Formal]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Voluntary]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Informal]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Involuntary]]></answer> 
						<situation><![CDATA[The nurse abides with ethico moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="490" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Disclosure of client information beyond the interdisciplinary team without consent of the client is a breach of _______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[confidentiality]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[beneficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[duty]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[veracity]]></answer> 
						<situation><![CDATA[The nurse abides with ethico moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="491" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse develops the following hypothesis: Elderly wemen receive less aggressive treatment for terminally-ill spine patients than younger women. Which variable would be considered to be the independent variable?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Degree of treatment received]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Age of the patient]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use of inpatient treatment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Type of complications being treated]]></answer> 
						<situation><![CDATA[Nursing research is conducted to answer a question or resolve problems on the relevance of the nursing profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="492" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The following are considered qualitative research process EXCEPT?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Sample]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Literature review]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hypothesis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Data collection]]></answer> 
						<situation><![CDATA[Nursing research is conducted to answer a question or resolve problems on the relevance of the nursing profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="493" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is an example of a PRIMARY source in a research study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A textbook of medical-surgical nursing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[A doctoral dissertation that critiques all research in the area of attention deficit disorder]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A published commentary on the findings of another study]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A journal article about a study that used large, previously unpublished databases generated]]></answer> 
						<situation><![CDATA[Nursing research is conducted to answer a question or resolve problems on the relevance of the nursing profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="494" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the BEST source to use when conducting a level one (1) systematic meta-analysis of the literature?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[An electronic database and doctoral dissertations]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[An electronic database]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Doctoral dissertations]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Tho Cochrane Statistical Methods]]></answer> 
						<situation><![CDATA[Nursing research is conducted to answer a question or resolve problems on the relevance of the nursing profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="495" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which type of research allows researchers to be neutral observers?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Quantitative research]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ethnographic research]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cass studies]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Qualitative research]]></answer> 
						<situation><![CDATA[Nursing research is conducted to answer a question or resolve problems on the relevance of the nursing profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="496" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Gomez tells the nurse that she does not want to know about her surgery. What would be the BEST response of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I must go over certain information with you."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["You are right; do not worry yourself tonight."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["You really sound quite concerned about your surgery."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Well, I could talk to your son about this instead."]]></answer> 
						<situation><![CDATA[Mrs. Gomez, 63-year-old admitted for cataract extraction. Nurse Lucy is assigned to prepare the patient for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="497" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should the nurse do before giving pre-operative teaching to the patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Determine Mrs. Gomez anxieties, level of understanding and expectations.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Research the surgical procedure so as to give step-to-step explanation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Schedule teaching to begin 2-3 hours before surgery.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Give Mrs. Gomez general information because specifics might be threatening.]]></answer> 
						<situation><![CDATA[Mrs. Gomez, 63-year-old admitted for cataract extraction. Nurse Lucy is assigned to prepare the patient for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="498" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While doing health teaching to Mrs. Gomez, the attending nurse can BEST recognize that her patient is learning by ______.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[demonstrating a positive change in her behavior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[constant verbal reaffirmations that she understands]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[her ability to repeat what was discussed]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nonverbal acknowledgement that she understands, such as nodding]]></answer> 
						<situation><![CDATA[Mrs. Gomez, 63-year-old admitted for cataract extraction. Nurse Lucy is assigned to prepare the patient for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="499" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse prepares Mrs. Gomez for discharge. What would be the nurse MOST important post cataract surgery instruction to her patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Avoid the use of laxatives]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Use an eye shield at night]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Avoid to touch the eye dressing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Curtail most heavy activities]]></answer> 
						<situation><![CDATA[Mrs. Gomez, 63-year-old admitted for cataract extraction. Nurse Lucy is assigned to prepare the patient for surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="500" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After discharge, Mrs. Gomez attends the eye clinic for follow-up visit. When she received her cataract glasses, it is important that the nurse advise her that _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[magnification by the lens is only about 10 percent]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[daily eye drops are required with eyeglasses]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[her peripheral vision will be increased]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[objects will appear closer than they really are]]></answer> 
						<situation><![CDATA[Mrs. Gomez, 63-year-old admitted for cataract extraction. Nurse Lucy is assigned to prepare the patient for surgery.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
</catalog>