<?xml version="1.0"?>
<catalog testname="NURSING LECENSURE EXAM">
	<group type="questions" testno="5" testsection="NLE Assessment" testpart="NURSING PRACTICE I - COMMNUNITY HEALTH NURSING (SET A)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE I - COMMNUNITY HEALTH NURSING (SET A)</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="1" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In assessing the health condition of the pregnant patient, Nurse Vera should focus on the ___________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[last menstrual period.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[number of days of menstruation.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[age of patient during menarche.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[amount of menstrual flow.]]></answer> 
						<situation><![CDATA[Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.]]></situation> 
				</query>
				<query>
					<question ctrlno="2" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient asked Nurse Vera when is the last trip to visit the clinic for her 1st prenatal care. Which should be the APPROPRIATE answer of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Second trimester]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Before delivery]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Third trimester]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[First trimester]]></answer> 
						<situation><![CDATA[Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.]]></situation> 
				</query>
				<query>
					<question ctrlno="3" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Vera to help the pregnant patient make a decision on breastfeeding?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give pamphlets and books to read.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide ample time for the patient to decide.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Refer the patient to the nutritionist.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Assist to identify breastfeeding goal and plan.]]></answer> 
						<situation><![CDATA[Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.]]></situation> 
				</query>
				<query>
					<question ctrlno="4" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patients asks Nurse Vera, when could you hear the fetal heart of my baby. Which of the following should be the BEST answer of Nurse Vera?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ninth month]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fifth month]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Third month]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[First month]]></answer> 
						<situation><![CDATA[Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.]]></situation> 
				</query>
				<query>
					<question ctrlno="5" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Vera informs the patient she should be screened for pre-eclampsia during this term of pregnancy ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[first]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[second]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[third]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[before delivery]]></answer> 
						<situation><![CDATA[Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.]]></situation> 
				</query>
				<query>
					<question ctrlno="6" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse in the practice of her profession is guided by ___________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[code of ethics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[standards of care]]></answer>  
						<answer choiceid="c3" value="0" rationale=""><![CDATA[local government code]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nursing process]]></answer> 
						<situation><![CDATA[In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="7" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the ethical principle of beneficence, which is the BASIS of every nursing action in all work settings?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Treating all patients selectively.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Informing patients of hospital bills.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Respecting refusal of treatment.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Doing good at all times.]]></answer> 
						<situation><![CDATA[In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="8" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In handling all information about the families in the community, which of the following principles should the nurse consider ethical?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Confidentiality]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fair treatment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<situation><![CDATA[In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="9" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mary randomly selected individuals in the community who will be part of a project. Which of the following ethical principle is observed by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Confidentiality]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Fair treatment]]></answer> 
						<situation><![CDATA[In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="10" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her profession.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Faithfully promotes health and prevents disease.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Frequently assists in providing health services.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fairly evaluates health programs and initiatives.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collaborates and works with barangay officials.]]></answer> 
						<situation><![CDATA[In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="11" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning the care of the elderly, which should be the important consideration that Nurse Gina has to consider ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The educational qualification]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Family support]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Activities of daily living]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Residence of the elderly]]></answer> 
						<situation><![CDATA[Nurse Gina is assigned to supervise the home for the aged in the barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="12" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gina also has to consider in terms of financial status most of the elderly are:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sufficient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[disoriented]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Dependent to others financially]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Have pension]]></answer> 
						<situation><![CDATA[Nurse Gina is assigned to supervise the home for the aged in the barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="13" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning their care Nurse Gina should consider ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Socialization is more important]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Holistic care]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Physically dependent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Spiritual healing]]></answer> 
						<situation><![CDATA[Nurse Gina is assigned to supervise the home for the aged in the barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="14" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In her recommendation, Nurse Gina stated, elderly should be given independence. This means ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[They must live on their own.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The environment should be safe for them.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[They are free what to do.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[They have rights.]]></answer> 
						<situation><![CDATA[Nurse Gina is assigned to supervise the home for the aged in the barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="15" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The elderly should be afforded Health protection by:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Avoid end hazards]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Pollution environment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Placing them in the home for the aged]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Regular health check ups]]></answer> 
						<situation><![CDATA[Nurse Gina is assigned to supervise the home for the aged in the barangay.]]></situation> 
				</query>
				<query>
					<question ctrlno="16" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a step of record keeping?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Structuring]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Storing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Securing]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Easy Disposal]]></answer> 
						<situation><![CDATA[Nurse Jenny is incharge of record keeping in 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 the community setting which is the ESSENTIAL record about the patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[TREATMENT RECORD]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[TALLY SHEET]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[CHART]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[KARDEX]]></answer> 
						<situation><![CDATA[Nurse Jenny is in charge of record keeping in 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[Which of the following is the purpose of record keeping?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Quantify medication usage]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Historical background]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Archive]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Quality health care]]></answer> 
						<situation><![CDATA[Nurse Jenny is in charge of record keeping in 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[Records are IMPORTANT in health care for:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Counting hospital bills]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Evidence of health care]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Quantifying services provided]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[For the physician to read]]></answer> 
						<situation><![CDATA[Nurse Jenny is in charge of record keeping in 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[What is the ultimate purpose of record keeping?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Safeguard information]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Archive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[History]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Store information]]></answer> 
						<situation><![CDATA[Nurse Jenny is in charge of record keeping in 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[Which infection control measure should Nurse Emma observe during her visit to the family?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Wear mash]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Use gloves]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use face shield]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Wear gown]]></answer> 
						<situation><![CDATA[Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="22" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the history taking, which of the following is the MOST common symptom of scabies that the family would report to Nurse Emma?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rashes]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Swelling]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Scaling]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Itchiness]]></answer> 
						<situation><![CDATA[Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="23" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In providing health teaching to the family, Nurse Emma would include in her teachings the etiology of Scabies which is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[virus]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[fungi]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[bacteria]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[parasite]]></answer> 
						<situation><![CDATA[Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="24" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The mother of the family asked Nurse Emma how to apply the anti-scabies lotion. The nurse should teach the family to apply the anti-scabies lotion to ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[all skin areas]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[affected skin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[open lesions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[reddened areas]]></answer> 
						<situation><![CDATA[Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="25" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to PREVENT the spread of Scabies infestation to other residents in the community, Nurse Emma should teach the family, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Boil the utensils used by the patients.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Avoid sharing items used by the infected person.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Take a bath three or more times a day.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Wear mask and shield at all times even at home.]]></answer> 
						<situation><![CDATA[Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="26" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which type of plan should the nurse employ to assess the strengths and weaknesses of the organization?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nursing care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Operational]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Strategic]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Program]]></answer> 
						<situation><![CDATA[As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="27" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which BEST describes the planning function of Nurse Ellen in her role as nurse manager?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Get and develop people to do the work.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Distributes and arranges work to ensure smooth operation of the unit.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Determines the actual performance compared with the desired output.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Determine how to achieve the mandate of work]]></answer> 
						<situation><![CDATA[As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="28" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To assist them enhance their performance at work, the nurse manager should review regularly pertaining to the staff's:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Number of submitted incident report]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Academic performance in college]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Job description]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Family dynamics]]></answer> 
						<situation><![CDATA[As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="29" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Doing year end performance evaluation of the staff is an example of:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Controlling]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Organizing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Staffing]]></answer> 
						<situation><![CDATA[As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.]]></situation> 
				</query>
				<query>
					<question ctrlno="30" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the MOST important criterion in budgeting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Flexibility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Standardized]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Consistency]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Cost effectiveness]]></answer> 
						<situation><![CDATA[As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.]]></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 PRIMARY goal of collaboration?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Less number of people is needed]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Camaraderie]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Accomplish goals]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Work is faster]]></answer> 
						<situation><![CDATA[Nurse Mely considers teamwork and collaboration as important components of COMMUNITY HEALTH NURSING.]]></situation> 
				</query>
				<query>
					<question ctrlno="32" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which are KEY ELEMENTS of collaboration:<br><br>
					<span style="font-weight:normal">
					1. Shared vision<br>
					2. Partnership<br>
					3. Working together<br>
					4. Unity<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<situation><![CDATA[Nurse Mely considers teamwork and collaboration as important components of COMMUNITY HEALTH NURSING.]]></situation> 
				</query>
				<query>
					<question ctrlno="33" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MOST important purpose of teamwork?<br><br>
					<span style="font-weight:normal">
					1. Work is faster<br>
					2. Promotes trust<br>
					3. Sense of security<br>
					4. Unity<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[3, 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2, 3]]></answer> 
						<situation><![CDATA[Nurse Mely considers teamwork and collaboration as important components of COMMUNITY HEALTH NURSING.]]></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 BEST describe a strong team?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cohesive]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Shared goal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Driven]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sense of mission]]></answer> 
						<situation><![CDATA[Nurse Mely considers teamwork and collaboration as important components of COMMUNITY HEALTH NURSING.]]></situation> 
				</query>
				<query>
					<question ctrlno="35" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Collaboration and teamwork are essential in public health to improve ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Staff performance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proper use of resources]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Equity in services]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Quality health care]]></answer> 
						<situation><![CDATA[Nurse Mely considers teamwork and collaboration as important components of COMMUNITY HEALTH NURSING.]]></situation> 
				</query>
				<query>
					<question ctrlno="36" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to determine the patient's ability to concentrate and focus, which would be the PRIORITY nursing action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask for the academic performance.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Conduct paper and pencil test.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assess the mental status of the patient.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Refer the patient to the psychiatrist.]]></answer> 
						<situation><![CDATA[An 18-year-old, female college student was accompanied by her mother for consultation at the Municipal Health Center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.]]></situation> 
				</query>
				<query>
					<question ctrlno="37" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While the nurse was taking her blood pressure, the patient suddenly stated. "They are talking about me!". She was referring to other patients who were waiting for their consultation. Which of the following should be the APPROPRIATE nursing action?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Present the reality situation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Distract patient's attention.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Disagree with the patient.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Validate the statement.]]></answer> 
						<situation><![CDATA[An 18-year-old, female college student was accompanied by her mother for consultation at the Municipal Health Center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.]]></situation> 
				</query>
				<query>
					<question ctrlno="38" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In taking the patient's history from the mother, the nurse should ask the mother information related to the daughters ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Schooling ]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Menarche]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Pregnancy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Immunization]]></answer> 
						<situation><![CDATA[An 18-year-old, female college student was accompanied by her mother for consultation at the Municipal Health Center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.]]></situation> 
				</query>
				<query>
					<question ctrlno="39" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse May is alarm by the incidence of number of young adults in the community with metal problems. Which of the following should be her PRIORITY nursing initiative?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Refer all to tertiary hospital.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Request for psychiatric drugs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Set up debriefing center.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Set up mental health program.]]></answer> 
						<situation><![CDATA[An 18-year-old, female college student was accompanied by her mother for consultation at the Municipal Health Center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.]]></situation> 
				</query>
				<query>
					<question ctrlno="40" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In giving health teaching to the mother how to manage the patient at home, which of the following she should emphasize?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give the patient more time for self.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impose strict discipline]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Do traditional parenting style.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Need for emotional support.]]></answer> 
						<situation><![CDATA[An 18-year-old, female college student was accompanied by her mother for consultation at the Municipal Health Center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.]]></situation> 
				</query>
				<query>
					<question ctrlno="41" 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 recourse problem?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increase in number of deaths from Pneumonia.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Feud between the Midwife and Head of the Sanitation Committee.]]></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[High Maternal Mortality Rate.]]></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="42" 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="0" rationale=""><![CDATA[Social Concern]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nature of the Problem]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Magnitude 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="43" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Maris oftentimes encounter barriers. 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[Nature of employment]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Failure of family to perceive existence of problem]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Socio economic status]]></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="44" 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[Allow family to decide to use health resourced.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Help the family recognize the problem.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Leave the family what action take on their problem.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Refer family to barangay officials for guidance.]]></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="45" 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="1" rationale=""><![CDATA[Assessment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Implementation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Planning]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Evaluation]]></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="46" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following BEST describes the PRIMARY goal of CO-PAR?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Enhances the skills of the nurse in research.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Makes the community empowered and self-reliant.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increases funding of the community programs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Helps clean-up and beautify the community]]></answer> 
						<situation><![CDATA[Nurse Jane is the team leader of group of nurses who plans to utilize Community Organizing Participative Action Research (CO-PAR)]]></situation> 
				</query>
				<query>
					<question ctrlno="47" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At the pre-Entry phase, which of the following is the FIRST step in the CO-PAR process?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Survey the community.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Train technical working group.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hold a community assembly.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Create a core group.]]></answer> 
						<situation><![CDATA[Nurse Jane is the team leader of group of nurses who plans to utilize Community Organizing Participative Action Research (CO-PAR)]]></situation> 
				</query>
				<query>
					<question ctrlno="48" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In Participative Action Research (PAR). Which step will empower the community?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The nurse performs most of the task.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Health team directs all the activities of the place.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Participation and engagement of the community.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Barangay head appoints people in charge.]]></answer> 
						<situation><![CDATA[Nurse Jane is the team leader of group of nurses who plans to utilize Community Organizing Participative Action Research (CO-PAR)]]></situation> 
				</query>
				<query>
					<question ctrlno="49" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse, as the community organizer, immerses self by joining local folks in the usual everyday activities in order to _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[gain trust and support of people.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[make self popular among people.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[identify and spot leaders.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[become familiar with the place.]]></answer> 
						<situation><![CDATA[Nurse Jane is the team leader of group of nurses who plans to utilize Community Organizing Participative Action Research (CO-PAR)]]></situation> 
				</query>
				<query>
					<question ctrlno="50" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In CO-PAR, which is the MOST important role of the public health nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Caregiver]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Expert]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Financer]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Adviser]]></answer> 
						<situation><![CDATA[Nurse Jane is the team leader of group of nurses who plans to utilize Community Organizing Participative Action Research (CO-PAR)]]></situation> 
				</query>
				<query>
					<question ctrlno="51" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are some elements of primary health care except?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Use of appropriate technology.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Safe water supply.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Free medicines.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maternal and child care.]]></answer> 
						<situation><![CDATA[Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="52" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility?
				]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[District Hospital ]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Puericulture center]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Rural health unit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Barangay Health Station]]></answer> 
						<situation><![CDATA[Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="53" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following herbal medicines is recommended for cough?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sambong]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Guava]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bawang]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lagundi]]></answer> 
						<situation><![CDATA[Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="54" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Guava leaves are recommended by the department of health to:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dissolve kidney stones]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lower blood pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Remedy for cough]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Wash wound]]></answer> 
						<situation><![CDATA[Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="55" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This global program aims to end poverty and protect the planet?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Center for Disease Control]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Sustainable development goal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Millennium development goals]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[World health organization]]></answer> 
						<situation><![CDATA[Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.]]></situation> 
				</query>
				<query>
					<question ctrlno="56" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors especially obesity?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Wellness and fitness program.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Obesity is natural body response.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tell them to go the gym.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[They have to undergo strict dietary regimen.]]></answer> 
						<situation><![CDATA[In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment.]]></situation> 
				</query>
				<query>
					<question ctrlno="57" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which should be emphasize by the nurse in her health teachings?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Jogging a mile a day.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[No need to diet.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Vigorous exercise.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Weight reduction.]]></answer> 
						<situation><![CDATA[In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment.]]></situation> 
				</query>
				<query>
					<question ctrlno="58" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Noli should advice the patients the following except:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cut down on salt intake.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[More fruits and vegetable.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Eat regular meals]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Eat more saturated fats.]]></answer> 
						<situation><![CDATA[In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment.]]></situation> 
				</query>
				<query>
					<question ctrlno="59" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their blood.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Cholesterol]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nitrogen]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Type]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Oxygenation]]></answer> 
						<situation><![CDATA[In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment.]]></situation> 
				</query>
				<query>
					<question ctrlno="60" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Noli should include in his health teaching the following EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Less saturated fat]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Weight within normal limits]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Exercise regularly]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[More fats in the diet]]></answer> 
						<situation><![CDATA[In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment.]]></situation> 
				</query>
				<query>
					<question ctrlno="61" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To ensure that the staff adheres to their job responsibilities which should be the APPROPRIATE tool should Nurse Mae utilize in evaluating staff performance?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Memorandum]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Performance evaluation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Incident report]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anecdotal report]]></answer> 
						<situation><![CDATA[Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision of services and performance of the staff.]]></situation> 
				</query>
				<query>
					<question ctrlno="62" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse manager, which nursing Adrian should do to let the staff imbibe the culture of quality at the health center?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Become a role model]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reprimand every now and then]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Frequent meetings.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allow them to read books.]]></answer> 
						<situation><![CDATA[Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision of services and performance of the staff.]]></situation> 
				</query>
				<query>
					<question ctrlno="63" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which measure will be used in the unit to ensure patient satisfaction of the delivery of health services?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage to use social media.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Provide means to evaluate services.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Verbal feedback]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask the local officials.]]></answer> 
						<situation><![CDATA[Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision of services and performance of the staff.]]></situation> 
				</query>
				<query>
					<question ctrlno="64" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the simple meaning of standard of nursing care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[What protects the nurse?]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[How the nurse will behave?]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[How much work is done?]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[What to do?]]></answer> 
						<situation><![CDATA[Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision of services and performance of the staff.]]></situation> 
				</query>
				<query>
					<question ctrlno="65" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which the BEST strategy that Nurse should employ to give feedback on patients evaluation of health services?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Put the evaluation at supervisors office.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Send letter to all.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Conduct staff meeting.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Through bulletin board.]]></answer> 
						<situation><![CDATA[Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision of services and performance of the staff.]]></situation> 
				</query>
				<query>
					<question ctrlno="66" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identify the causative agent of dengue fever.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fomite]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Vector]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bacteria]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Virus]]></answer> 
						<situation><![CDATA[With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="67" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following strategies would prove effective in preventing more incidence of dengue infection?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Healthy nutritious food.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Burning of leaves and garbage.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Destruction of breeding place of vectors.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Adequate rest and sleep.]]></answer> 
						<situation><![CDATA[With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="68" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Bleeding is the most serious complications of Dengue infection. When is the patient be watched for symptoms of bleeding?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[4th to 7th days]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[At the onset of symptoms]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[2nd to 3rd day]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1st day]]></answer> 
						<situation><![CDATA[With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="69" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which information about the nature of dengue fever the nurse should relay to the community?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It is always life threatening]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[It could be deadly but preventable.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It responds well to antibiotics.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The incubation period is variable.]]></answer> 
						<situation><![CDATA[With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="70" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rumpell-Leede]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Mantoux]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Elisa]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Widal]]></answer> 
						<situation><![CDATA[With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.]]></situation> 
				</query>
				<query>
					<question ctrlno="71" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When writing a memorandum, which of the following is the MOST important guideline?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Purpose is included]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Content clear]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Friendly tone]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[One topic at one time]]></answer> 
						<situation><![CDATA[Nurse Rica finds effective communicator as the key to successful community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="72" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is an INDICATOR of effective communication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Receiver]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Feedback]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sender]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Non verbal communication]]></answer> 
						<situation><![CDATA[Nurse Rica finds effective communicator as the key to successful community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="73" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rice, would like to start a conversation, which communication technique she should use?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Clarifying]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Restating]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Challenging]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Broad opening]]></answer> 
						<situation><![CDATA[Nurse Rica finds effective communicator as the key to successful community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="74" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient told her something about her treatment to make she understood the patient which communication technique should be used by the nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Clarifying]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Focusing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Validating]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Restating]]></answer> 
						<situation><![CDATA[Nurse Rica finds effective communicator as the key to successful community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="75" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Non verbal communication is as strong in conveying information because the nurse can _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Observe gestures.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Body language could be observed.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sender less effort.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Action speaks louder than words.]]></answer> 
						<situation><![CDATA[Nurse Rica finds effective communicator as the key to successful community health nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="76" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose an indicator that models personal and professional behavior and values.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Utilizes communication and social media responsibly]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Attends conferences]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Enrolls in school]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Joins civic organization]]></answer> 
						<situation><![CDATA[Nurse Lyn plans to enhance her personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="77" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses should have knowledge about professional organization. Which of the following is the accredited professional organization of nurses?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Maternal Child Nursing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Philippine Nurses Association, Inc.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[National League of Government Nurses of the Philippines]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Association Nursing Service Administrators of the Philippines]]></answer> 
						<situation><![CDATA[Nurse Lyn plans to enhance her personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="78" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A profession is characterized by the following except:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Body of knowledge]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Code of ethics]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Member of professional organization]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Engages in research]]></answer> 
						<situation><![CDATA[Nurse Lyn plans to enhance her personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="79" 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 self directed learning activity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Research at work]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Attends webinars]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Attendance to graduate school]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Resource person]]></answer> 
						<situation><![CDATA[Nurse Lyn plans to enhance her personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="80" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Aside from attending seminars, which of the following informal continuing education programs should the nurse engaged herself EXCEPT:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Attending professional conventions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Webinars]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Symposium]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Doing research as academic requirement]]></answer> 
						<situation><![CDATA[Nurse Lyn plans to enhance her personal and professional development.]]></situation> 
				</query>
				<query>
					<question ctrlno="81" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While preparing to depart to their assigned barangay, Nurse betty informs her group that the PRIMARY purpose of her conducting community diagnosis is to ________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[do assessment of the community profile.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[count the number of morbidity in the place.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[assess the number of indigenous people.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[form core group of selected residents.]]></answer> 
						<situation><![CDATA[Nurse Betty is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the municipality.]]></situation> 
				</query>
				<query>
					<question ctrlno="82" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Betty and her group followed the steps of community diagnosis. Which comes after the formulation of objectives?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Determine data to be collected.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Define the study population.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Analyze the collected data.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collect the needed data.]]></answer> 
						<situation><![CDATA[Nurse Betty is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the municipality.]]></situation> 
				</query>
				<query>
					<question ctrlno="83" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the step of community diagnosis where data are collected, which of the following tools is utilized less?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Interview guide]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Observation checklist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Survey questionnaire]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Case Study]]></answer> 
						<situation><![CDATA[Nurse Betty is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the municipality.]]></situation> 
				</query>
				<query>
					<question ctrlno="84" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To prepare the collected data about the health status of the community for analysis, which is the APPROPRIATE step that the group of Nurse Betty should do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Analyze data]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interpret data]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Present data]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Make conclusion]]></answer> 
						<situation><![CDATA[Nurse Betty is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the municipality.]]></situation> 
				</query>
				<query>
					<question ctrlno="85" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Once the group of Nurse Betty is able to identify community health problems. Which would be APPROPRIATE for them to do in order to be able to plan for necessary intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Present the data]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Formulate objectives]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Evaluate the data]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Set priorities]]></answer> 
						<situation><![CDATA[Nurse Betty is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the municipality.]]></situation> 
				</query>
				<query>
					<question ctrlno="86" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse has a complaint from a parent for administering wrong dose of vaccine to the child. This act is a form of ___________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Battery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assault]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Negligence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Malpractice]]></answer> 
						<situation><![CDATA[At present the public knows their rights in health care. The Community Health Nurse should be confident and safe in the practice of her profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="87" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Responsibility]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Accountability]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Commitment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Delegation]]></answer> 
						<situation><![CDATA[At present the public knows their rights in health care. The Community Health Nurse should be confident and safe in the practice of her profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="88" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Who among the following is the BEST to sign an informed consent during a surgical procedure of a child at the health center?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A 26-year-old brother who is a drug addict.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A father who is 40 years old and illiterate.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A sister, 21 years old but undergoing dialysis.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A mother, 35 years old with on and off seizure.]]></answer> 
						<situation><![CDATA[At present the public knows their rights in health care. The Community Health Nurse should be confident and safe in the practice of her profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="89" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse administer an extra dose of vaccine to a child and the patient developed adverse reaction and died. She can sued for __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Negligence]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Malpractice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tort]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Battery]]></answer> 
						<situation><![CDATA[At present the public knows their rights in health care. The Community Health Nurse should be confident and safe in the practice of her profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="90" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient was for transfer to a tertiary hospital because of severe asthma, but the nurse do not prepare the patient right away and the patient dies. Which of the following the nurse is liable?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Malpractice]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assault]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Murder]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Battery]]></answer> 
						<situation><![CDATA[At present the public knows their rights in health care. The Community Health Nurse should be confident and safe in the practice of her profession.]]></situation> 
				</query>
				<query>
					<question ctrlno="91" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is TRUE about health education in public health?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It only done by professionals like nurse.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[It is every health worker responsibility.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It remains constant.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is seldom use in public health setting.]]></answer> 
						<situation><![CDATA[Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="92" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST result of health education process is:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[It influences and changes behavior.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[It provide new inputs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Update others.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Information transfer.]]></answer> 
						<situation><![CDATA[Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="93" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the of the following explains health education is creative progress?<br><br>
					<span style="font-weight:normal">
					1. It could employ a variety of strategies.<br>
					2. It is can be done anywhere.<br>
					3. It could perform by any member of the health team.<br>
					4. It is a valuable health service.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2, 3]]></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[Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="94" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To families and individual in the community, which is the MOST important goal of health education?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To study their life history.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[To identify their weaknesses.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To totally change their lifestyle ]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[To motivate them to develop skills and literacy in health.]]></answer> 
						<situation><![CDATA[Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="95" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a whole health education in public health aims to _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Transfers information]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Make life changes]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Better health opportunities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Change personality]]></answer> 
						<situation><![CDATA[Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="96" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which assessment findings is INDICATIVE of the diagnosis of hypertension?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Family members with high blood pressure.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Elevation of blood cholesterol level.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stressful work environment.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Consistent elevation of bloody pressure.]]></answer> 
						<situation><![CDATA[Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by on increase number of residents who are having Hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="97" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Chest Xray]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Electrocardiogram]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ultrasound]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[BP monitoring]]></answer> 
						<situation><![CDATA[Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by on increase number of residents who are having Hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="98" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which medication will be prescribed to control and maintain the blood pressure of patients at normal level?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lidocaine]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Epinephrine]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Amlodipine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Eurosemide]]></answer> 
						<situation><![CDATA[Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by on increase number of residents who are having Hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="99" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mary had observed that most patients with hypertension stop taking their medications and heard them saying "I feel good already". Which is the APPRORIATE during diagnosis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Impaired gas exchange]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Anxiety]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Knowledge deficit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ineffective coping]]></answer> 
						<situation><![CDATA[Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by on increase number of residents who are having Hypertension.]]></situation> 
				</query>
				<query>
					<question ctrlno="100" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the conduct of his head to coachings to the patients, which should the nurse exclusive to maintain in blood pressure at normal level?<br><br>
					<span style="font-weight:normal">
					1. Smoke in moderation<br>
					2. Exercise regularly<br>
					3. Consume less salt<br>
					4. Maintain normal weight<br>
					5. Less stress<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[2, 3, 4, 5]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2, 3, 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 4, 5]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 3, 4, 5]]></answer> 
						<situation><![CDATA[Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by on increase number of residents who are having Hypertension.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="5" testsection="NLE Assessment" testpart="NURSING PRACTICE II - CARE OF HEALTHY MOTHER/CHILD (SET B)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE II - CARE OF HEALTHY MOTHER/CHILD (SET 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="101" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The team leader decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means, she was further asked the reasons for its use. Nurse Trining's answer should be which of the following?<br><br>
					<span style="font-weight:normal">
					1. To fully understand what the research is all about and what will happen should the participants opt to involve themselves in the research study.<br>
					2. To get assurance that participants have the right to withdraw from participating in the research at any given time.<br>
					3. To get a complete and full information as to the objective of the study, procedures to be implemented, data collection, benefits and harm and options in the method of treatment.<br>
					4. To get assurance how anonymity and confidentiality will be maintained.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 only]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[3 only]]></answer> 
						<situation><![CDATA[Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research.]]></situation> 
				</query>
				<query>
					<question ctrlno="102" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As to the observance of respecting privacy, Nurse Trining explained about _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[breach of contract]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[anonymity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ethical dilemma]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[confidentiality]]></answer> 
						<situation><![CDATA[Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research.]]></situation> 
				</query>
				<query>
					<question ctrlno="103" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In nursing, Nurse Trining explained that the MAIN goal of conducting a research is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[justify the role of nurses as health care provider.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[establish a credible body of evidence to support and improve the delivery of care.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[identify research priorities that will justify the oversupply of nurses.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[develop a body of knowledge to address non-nursing problems.]]></answer> 
						<situation><![CDATA[Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research.]]></situation> 
				</query>
				<query>
					<question ctrlno="104" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In conducting a study on sleep, Nurse Trining was asked which of the types of research will be used should it involve collecting numerical data which is most often under considerable control. Her answer should be ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ethnographic]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Phenomenological]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Qualitative]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Quantitative]]></answer> 
						<situation><![CDATA[Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research.]]></situation> 
				</query>
				<query>
					<question ctrlno="105" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Should a 24-hour period clinical observations and activities, be considered in conducting the research on sleep, the type of study that Trining will be conducting is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Quantitative]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Descriptive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ethnological]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Exploratory]]></answer> 
						<situation><![CDATA[Nurse Trining has been assigned to the Pediatric Ward for two years. She wants to join the team of nurses who will be conducting a study on sleep. The Team Leader wants to be assured that Nurse Trining is equipped with the basic knowledge of nursing research.]]></situation> 
				</query>
				<query>
					<question ctrlno="106" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Presley asks the nurse why such a diagnostic procedure is required. What is the MOST APPROPRIATE answer can the nurse give?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Urinary tract infections are strongly associated with the occurrence of preterm labor]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reduced sensation to urinate usually occurs during preterm labor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Preterm labor treatment usually causes women a bladder infection because of restricted fluid intake]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Catheterized urine is usually ordered for any woman admitted to the labor and delivery unit]]></answer> 
						<situation><![CDATA[Presley enters the labor and delivery unit in probable preterm labor at 36 weeks gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered.]]></situation> 
				</query>
				<query>
					<question ctrlno="107" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse Hope about the purpose of this medication?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Promote fetal lung maturity.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prevent the premature closure of the ductus arteriosus.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Delay delivery for at least 48 hours.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Stop the premature uterine contractions.]]></answer> 
						<situation><![CDATA[Presley enters the labor and delivery unit in probable preterm labor at 36 weeks gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered.]]></situation> 
				</query>
				<query>
					<question ctrlno="108" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Presley who is ordered for diagnostic pelvic ultrasound asks what preparation she'll take. Appropriate preparations for this procedure include _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[explanation of the procedure]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[NPO 6 hours before]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[informed consent]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[voiding]]></answer> 
						<situation><![CDATA[Presley enters the labor and delivery unit in probable preterm labor at 36 weeks gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered.]]></situation> 
				</query>
				<query>
					<question ctrlno="109" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Pelvic ultrasound can detect which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Congenital defects in the structure, fetal gender, H-mole]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Fetal DM, multiple pregnancies, fetal age of gestation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fetal sex, number, and lung maturity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fetal congenital defects, placenta praevia, fetal lung maturity]]></answer> 
						<situation><![CDATA[Presley enters the labor and delivery unit in probable preterm labor at 36 weeks gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered.]]></situation> 
				</query>
				<query>
					<question ctrlno="110" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The labor progress and the physician performed amniotomy. Nurse Hope should FIRST assess for _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[bladder distention]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[maternal blood pressure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[cervical dilatation]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[fetal heart rate (FHR) pattern]]></answer> 
						<situation><![CDATA[Presley enters the labor and delivery unit in probable preterm labor at 36 weeks gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered.]]></situation> 
				</query>
				<query>
					<question ctrlno="111" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which intervention should the nurse use to promote rest?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Develop a routine with the patient to balance her studies and her rest needs.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Include a significant other in helping the patient understand the need for rest.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Instruct the patient that the baby's health is more important than her studies at this time.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask her why she is not complying with the prescription of bed rest.]]></answer><situation><![CDATA[Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and 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="112" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Sienna who seems to be irritated with the nurse said "I don't want to talk with you because you're only a nurse. I will wait for my doctor." Which of the following should the nurse say in response to the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Your doctor prescribed this for us to do nursing care.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I understand. I should call your doctor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I'm angry with the way you dismiss me.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[So then you would prefer to speak with your doctor?]]></answer> 
						<situation><![CDATA[Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and 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="113" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mauve is now on ethical dilemma. This occurs when _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a decision had to be made quickly under stressful situation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[choices are unclear]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[there is a conflict between the nurse's decision and that of his/her superior]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[there is a conflict of two or more ethical principles]]></answer> 
						<situation><![CDATA[Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and 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="114" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Despite the reaction of the patient, which of the ethical principles that the nurse is responsible of providing all patients with caring attention and information?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Beneficence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nonmaleficence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Advocacy]]></answer> 
						<situation><![CDATA[Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and 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="115" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Mauve should plan to initiate which action to provide a safe environment?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Take the patient's vital signs every 4 hours.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage visits from family and friends for psychosocial support.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Maintain fluid and sodium restrictions.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Take off the room lights and draw the window shades.]]></answer> 
						<situation><![CDATA[Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a student from one of the local universities and 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="116" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic process and often provide more information than can be gained by broad testing strategies. History taking includes the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[History of present illness]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Religious Affiliation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Social Family history]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Past medical history]]></answer> 
						<situation><![CDATA[Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia.]]></situation> 
				</query>
				<query>
					<question ctrlno="117" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The objective of taking the history of present illness is to illicit the chronologic description and duration of the chief complaint. Which of the following questions would try to answer what Nurse Nanie wishes to illicit?<br><br>
					<span style="font-weight:normal">
					1. History of immunizations<br>
					2. Aggravating and alleviating factors<br>
					3. Duration of disease onset<br>
					4. Any treatment and response to treatments<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<situation><![CDATA[Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia.]]></situation> 
				</query>
				<query>
					<question ctrlno="118" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Past medical history section of Krini contains the following, but NOT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prenatal history]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Childhood Illness]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Current History]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Birth history]]></answer> 
						<situation><![CDATA[Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia.]]></situation> 
				</query>
				<query>
					<question ctrlno="119" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is TRUE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[History taking must be long regardless if the child appears to be well.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[No proper history can be obtained without observation of the child and the mother.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nurse Nanie should refrain from asking about the illness of other members of the family.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[An example of what can be elicited from a social history is how the disease started.]]></answer> 
						<situation><![CDATA[Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia.]]></situation> 
				</query>
				<query>
					<question ctrlno="120" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order not to frighten small children, it is best to examine things that are uncomfortable or frightening to them last so as not to lose their cooperation. This means the LAST thing to do in a child is, which of the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inspection of the throat with a throat stick.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inspection of the ears with an otoscope]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Auscultation of the heart]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Undressing the child]]></answer> 
						<situation><![CDATA[Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia.]]></situation> 
				</query>
				<query>
					<question ctrlno="121" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Ximena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give the drug as prescribed.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Inform the supervisor.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Give the average dose of the medication.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Discuss the prescription with the physician.]]></answer> 
						<situation><![CDATA[Ximena a Christian 29-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym.]]></situation> 
				</query>
				<query>
					<question ctrlno="122" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Discuss with a family member the need for the patient to take the medication.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Document the patient's refusal to take the medication.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Notify the physician of the patient's refusal to take the medication.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Explain again to the patient the consequences of refusing to take the medication.]]></answer> 
						<situation><![CDATA[Ximena a Christian 29-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym.]]></situation> 
				</query>
				<query>
					<question ctrlno="123" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dependently]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Collegially]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Interdependently]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Independently]]></answer> 
						<situation><![CDATA[Ximena a Christian 29-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym.]]></situation> 
				</query>
				<query>
					<question ctrlno="124" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Ximena sought referral to an abortion clinic from the nurse. She reasons out that her pregnancy a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[It will cause discrimination from friends and relatives.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Inform her that abortion is morally and legally wrong by virtue of the law.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It will cause infection.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[It is against any religion.]]></answer> 
						<situation><![CDATA[Ximena a Christian 29-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym.]]></situation> 
				</query>
				<query>
					<question ctrlno="125" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The incoming nurse on duty reported, the nurse is administering a medication, the patient says, "This pill looks different from the one I had taken before." What is the APPROPRIATE action of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Explain the purpose of the medication.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage the patient to take the medication.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Check the original medication prescription.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask what the other pill looked like.]]></answer> 
						<situation><![CDATA[Ximena a Christian 29-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym.]]></situation> 
				</query>
				<query>
					<question ctrlno="126" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She was asked by the nurse supervisor about her concern and what are the considered ideal fetal positions for a healthy delivery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Right occipitoposterior with no flexion]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Right occipitoposterior with full flexion]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Left transverse anterior in moderate flexion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Left sacroanterior with full flexion]]></answer> 
						<situation><![CDATA[A newly hired nurse is assigned in the OS ward. She was supervised by a senior nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="127" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse's CORRECT response is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[to determine diameters of the fetal skull]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[increase sensitivity for common bile duct of the fetus]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[useful to a visualized cystic duct of the fetus]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[to assess fetus' well-being]]></answer> 
						<situation><![CDATA[A newly hired nurse is assigned in the OS ward. She was supervised by a senior nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="128" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The newly hired nurse asks for advice from the supervisor. The supervisor notices that the newly hired nurse felt uneasy upon learning that the fetus is on breech presentation. Which of the following is the BEST RESPONSE by the supervisor?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I understand how you feel. Tell me more."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["Is this your first time to witness a breech presentation"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Are you afraid to assist the case"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Don't worry. There's always a first time"]]></answer> 
						<situation><![CDATA[A newly hired nurse is assigned in the OS ward. She was supervised by a senior nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="129" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After the successful vaginal delivery, medication was ordered to be given immediately. The supervisor reassured the newly hired nurse that everything will be fine because the medication will _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[promote vasoconstriction of uterine muscles]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[hasten uterine contractility and control bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[facilitate the return of pre pregnancy vital signs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[promote vasodilation of uterine muscles]]></answer> 
						<situation><![CDATA[A newly hired nurse is assigned in the OS ward. She was supervised by a senior nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="130" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Relate to each twin individually to enhance the attachment process.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Avoid assistance from other family members and support groups.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Bottle-feed the twins to prevent maternal exhaustion.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Plan for each parent to spend equal amounts of time with each twin.]]></answer> 
						<situation><![CDATA[A newly hired nurse is assigned in the OS ward. She was supervised by a senior nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="131" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which additional finding confirms the diagnosis that the patient has mastitis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Enlarged glands in the axilla]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Normal temperature]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Engorged both breasts]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Hard mass and reddened area]]></answer> 
						<situation><![CDATA[Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted a localized area of redness on the left breast, and the mother is diagnosed with mastitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="132" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lillian asks the nurse the cause of this ailment, which of the following would the nurse explains as predisposing factors of mastitis? (Select all that apply)<br><br>
					<span style="font-weight:normal">
					I. Milk stasis<br>
					II. Nipple trauma<br>
					III. Using alcohol in cleaning nipples<br>
					IV. Baby's sitting position<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<situation><![CDATA[Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted a localized area of redness on the left breast, and the mother is diagnosed with mastitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="133" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Lillian complains of unbearable pain. Which of the following characteristics are EMPHASIZED in a culturally sensitive nursing care? (Select all that apply)<br><br>
					<span style="font-weight:normal">
					I. The expression of pain is affected by learned behavior<br>
					II. Physiologically, all individuals experience pair, in a similar manner.<br>
					III. Some Asian people has high response to pain medications.<br>
					IV. Patients should be assessed for pain regardless of overt
					symptomatology.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[III and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<situation><![CDATA[Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted a localized area of redness on the left breast, and the mother is diagnosed with mastitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="134" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Addison provides instructions about measures to prevent postpartum mastitis who is breast feeding her newborn. Which of the following would indicate that the mother needs further instruction? "I should _____."]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[wash my hands well before breastfeeding]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[breastfeed, every 2-3 hours]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[change the breast pads frequently]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[change the breast pads frequently]]></answer> 
						<situation><![CDATA[Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted a localized area of redness on the left breast, and the mother is diagnosed with mastitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="135" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Considering her level of knowledge and the anxiety of her condition, Patient Lillian raised questions on possible ways of relieving her breast discomfort. Which of the Statements NEEDS further instructions?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["I have to stop breastfeeding until this condition resolves."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I can take antibiotics, and should begin to feel better in 24 to 48 hours."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I can use analgesics to assist in alleviating some of these discomforts."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I have to wear a supportive bra to relieve the discomfort."]]></answer> 
						<situation><![CDATA[Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted a localized area of redness on the left breast, and the mother is diagnosed with mastitis.]]></situation> 
				</query>
				<query>
					<question ctrlno="136" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Using APGAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn's condition is used at how many minutes after birth?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 to 10]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 to 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 to 7]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1 to 5]]></answer> 
						<situation><![CDATA[Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 weeks gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="137" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Lyca is aware, that testing of vision in infants and children has been treated separately from the testing of adult. Which of the statement is NOT true?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Infants and children often cannot be tested with the same materials and techniques as adults.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Special techniques often must be used, especially to test infants and preschoolers, that cannot be held to the same standards that apply to tests for adults]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Some infants who appear visually impaired early in life will not show normal visual responses several weeks or months later.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Course of visual and cognitive development must be taken into account in evaluating infants' and children's visual abilities]]></answer> 
						<situation><![CDATA[Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 weeks gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="138" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The false statement about physiologic jaundice in the statements below is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Caused by impairment in the removal of bilirubin deficiency in the production of glucoronide transferase.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Begins to decrease by the 6th or 7th day.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Is visible in skin and sclera.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Begins after 48 hours of life.]]></answer> 
						<situation><![CDATA[Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 weeks gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="139" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Neonatal jaundice FIRST becomes visible in which of the following parts? (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					1. Face<br>
					2. Forehead<br>
					3. Trunk<br>
					4. Extremities<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<situation><![CDATA[Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 weeks gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="140" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[informing appropriately the significant others]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[preventing injury]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[maintaining physiological homeostasis with bilirubin levels increasing]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[preventing complications]]></answer> 
						<situation><![CDATA[Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 weeks gestation.]]></situation> 
				</query>
				<query>
					<question ctrlno="141" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the patient was informed about induction, she asks Nurse Aurora what it is all about. Which of the following statement by the nurse is correct? Induction is a _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[local anesthesia used for blocking pain during episiotomy]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[deliberate initiation of uterine contractions that stimulates labor]]></answer>
						<answer choiceid="c3" value="0" rationale=""><![CDATA[medication injected into the subarachnoid space and has a rapid onset of action]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[procedure performed by artificial rupture of the membranes]]></answer> 
						<situation><![CDATA[Lily, 23-year-old pregnant woman, 37th week's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce labor.]]></situation> 
				</query>
				<query>
					<question ctrlno="142" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statement is NOT an indication for any uterine stimulants (Oxytocin)?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Preinducting cervical ripening]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Controlling postpartum bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inducing or augmenting labor]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Manages an incomplete abortion]]></answer> 
						<situation><![CDATA[Lily, 23-year-old pregnant woman, 37th week's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce labor.]]></situation> 
				</query>
				<query>
					<question ctrlno="143" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Oxytocin drip was started to induce labor. Which assessment findings should cause the nurse to IMMEDIATELY discontinue the oxytocin infusion? (Select all that apply)<br><br>
					<span style="font-weight:normal">
					I. Fatigue and drowsiness<br>
					II. Early decelerations, of the fetal heart rate<br>
					III. Uterine hyperstimulation<br>
					IV. Late decelerations of the fetal heart rate<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[III and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II and III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<situation><![CDATA[Lily, 23-year-old pregnant woman, 37th week's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce labor.]]></situation> 
				</query>
				<query>
					<question ctrlno="144" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Simultaneous with the oxytocin drip (left arm) is the prescribed intravenous (IV) lidocaine ( Xylocaire). Nurse Aurora should dilute the concentrated solution of lidocaine (right arm) with which solution?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[5 percent Dextrose in water]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Normal saline 0.99 percent]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Normal saline 0.45 percent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lactated Ringer's]]></answer> 
						<situation><![CDATA[Lily, 23-year-old pregnant woman, 37th week's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce labor.]]></situation> 
				</query>
				<query>
					<question ctrlno="145" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Take home medications given to Patient Lily includes digitalis therapy which was given to patient since she was pregnant, which of the following would the nurse anticipate with patient's drug therapy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Switching to a more potent drug.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Continuation of the same dosage.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Need for change in medication.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Addition of diuretic to the regimen.]]></answer> 
						<situation><![CDATA[Lily, 23-year-old pregnant woman, 37th week's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce labor.]]></situation> 
				</query>
				<query>
					<question ctrlno="146" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When preparing the patient for suctioning, what is the FIRST step?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Perform hand hygiene]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gather equipment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assess lung sounds, heart rate and rhythm]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Check physician's order and patient care plan]]></answer> 
						<situation><![CDATA[The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Robert is taking care of Patient Irma, an eight year old female child, who was admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Robert is quite anxious at taking care of this patient being her first day of duty in the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="147" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Irma will be placed in which of the following position? Select all that apply.<br><br>
					<span style="font-weight:normal">
					1. Fowler<br>
					2. Semi-Fowler<br>
					3. Supine<br>
					4. Sim<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 only]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<situation><![CDATA[The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Robert is taking care of Patient Irma, an eight year old female child, who was admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Robert is quite anxious at taking care of this patient being her first day of duty in the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="148" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Usually the common indication(s) for the tracheostomy in Patient Irma's condition is which of the following? (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					1. Prolonged intubation<br>
					2. Sepsis<br>
					3. Hypoventilation associated with neurologic disorders<br>
					4. Severe Sleep Obstructive Apnea Syndrome (SOAS)<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 only]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<situation><![CDATA[The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Robert is taking care of Patient Irma, an eight year old female child, who was admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Robert is quite anxious at taking care of this patient being her first day of duty in the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="149" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRIORITY nursing objective when caring a patient with a tracheostomy is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[To increase tissue oxygenation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[To provide patent airway]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[To decrease tissue oxygenation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[To improve ventilation]]></answer> 
						<situation><![CDATA[The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Robert is taking care of Patient Irma, an eight year old female child, who was admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Robert is quite anxious at taking care of this patient being her first day of duty in the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="150" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The TOP nursing expected outcome when performing suctioning is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Lessened amount of secretions leading to decreased frequency of suctioning.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Secretions removed without complication.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tube-fed patient does not aspirate feeding.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Prevention of occurrence of hypoxemia and bradycardia.]]></answer> 
						<situation><![CDATA[The indication of tracheostomy in children has changed substantially in the last two decades. Nurse Robert is taking care of Patient Irma, an eight year old female child, who was admitted to the Pediatric Ward due to pneumonia. The child is hooked to a tracheostomy tube. Nurse Robert is quite anxious at taking care of this patient being her first day of duty in the Pediatric Ward.]]></situation> 
				</query>
				<query>
					<question ctrlno="151" 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 _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[assess client's condition]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[gather all the equipment and supplies]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[prepare the client for the oxygen treatment]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[check the chart for ordered flow rate and oxygen delivery method]]></answer> 
						<situation><![CDATA[Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms: cough, production of mucus (sputum), yellowish in color, fatigue, shortness of breath, slight fever and chills and chest discomfort. The physician orders 4L/min oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="152" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning for Sonny's oxygen therapy, the nurse should consider which of the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[need for a humidifier.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[length of tubing.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[determine the age of Excel.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[manner of administering oxygen, continuous or intermittent.]]></answer> 
						<situation><![CDATA[Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms: cough, production of mucus (sputum), yellowish in color, fatigue, shortness of breath, slight fever and chills and chest discomfort. The physician orders 4L/min oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="153" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the PRIORITY action of the nurse for Sonny who is on oxygen therapy?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Check the flow.]]></answer> 
						<answer choiceid="c2" value="0" 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[Attach the humidifier and connecting tubing to the oxygen delivery device.]]></answer> 
						<situation><![CDATA[Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms: cough, production of mucus (sputum), yellowish in color, fatigue, shortness of breath, slight fever and chills and chest discomfort. The physician orders 4L/min oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="154" 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[Humidifier's water should be checked regularly.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[No Smoking sign.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Oxygen tank should have belt.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Limit visitors.]]></answer> 
						<situation><![CDATA[Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms: cough, production of mucus (sputum), yellowish in color, fatigue, shortness of breath, slight fever and chills and chest discomfort. The physician orders 4L/min oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="155" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One evening, Sonny complained of dyspnea despite continuous oxygen therapy. What should be the FIRST action of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reassess the client.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Give PRN medication.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assess the patency of the tubing.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Refer client to the physician.]]></answer> 
						<situation><![CDATA[Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms: cough, production of mucus (sputum), yellowish in color, fatigue, shortness of breath, slight fever and chills and chest discomfort. The physician orders 4L/min oxygenation.]]></situation> 
				</query>
				<query>
					<question ctrlno="156" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should be the INITIAL STEP in the process of change for the senior nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[set goals and priorities regarding the change process.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Plan strategies to implement the change.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Identify potential solutions and strategies for the change.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Identify the inefficiency that needs improvement or correction.]]></answer> 
						<situation><![CDATA[The senior nurse Reese is planning to revisit and implement a change in the management system for the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred one of which is the present documentation system, and the charge nurse determines that a change is required.]]></situation> 
				</query>
				<query>
					<question ctrlno="157" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Reese is preparing the patient assignment for the day and needs to assign patients to a midwife and nursing assistant. Which patient should the nurse assign to the midwife because of patient needs that cannot be met by the nursing assistant? A patient requiring _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[dressing change of post caesarian surgery]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[collecting of urine specimen for urinalysis testing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[performing range-of-motion exercises twice a day]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[taking of vital signs measurement every 4 hours]]></answer> 
						<situation><![CDATA[The senior nurse Reese is planning to revisit and implement a change in the management system for the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred one of which is the present documentation system, and the charge nurse determines that a change is required.]]></situation> 
				</query>
				<query>
					<question ctrlno="158" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Because of the scarcity of nurses in the hospital settings, different service delivery models were proposed. Which situation represents the primary nursing care delivery model?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The nursing aide is assigned to make beds and other errands while the nurse is to give medications.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The nurse develops a plan of care for patients and collaborates with other team members.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[The nurse performs all tasks needed by the individual patient to optimize health.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The nurse provides care to 4 patients while the nursing aide is to care for 2 patients.]]></answer> 
						<situation><![CDATA[The senior nurse Reese is planning to revisit and implement a change in the management system for the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred one of which is the present documentation system, and the charge nurse determines that a change is required.]]></situation> 
				</query>
				<query>
					<question ctrlno="159" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the post-caesarian patients has a private duty nurse and is responsible for providing holistic care to her patient during the shift. What modality of nursing care is implemented?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Primary]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Team]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Total care]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Functional]]></answer> 
						<situation><![CDATA[The senior nurse Reese is planning to revisit and implement a change in the management system for the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred one of which is the present documentation system, and the charge nurse determines that a change is required.]]></situation> 
				</query>
				<query>
					<question ctrlno="160" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[At which stage of Lewin's planned change indicates the nurse identifying, planning, and implementing appropriate strategies ensuring that driving forces exceed restraining forces?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[refreezing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[unfreezing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[movement]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[in activism]]></answer> 
						<situation><![CDATA[The senior nurse Reese is planning to revisit and implement a change in the management system for the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred one of which is the present documentation system, and the charge nurse determines that a change is required.]]></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 nurse's computation utilizing Naegele's rule, the patient's expected date of birth (EDB) will be on _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[17-Sep-21]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[17-Jun-21]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[17-Jul-21]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[17-Aug-21]]></answer> 
						<situation><![CDATA[Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020.]]></situation> 
				</query>
				<query>
					<question ctrlno="162" 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 emotional response among women during the first trimester of pregnancy?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ambivalence]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Depression]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Acceptance]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Jealousy]]></answer> 
						<situation><![CDATA[Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020.]]></situation> 
				</query>
				<query>
					<question ctrlno="163" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Olivia mentioned that she can experience uterine squeezing. Which of the following signs of normal pregnancy should the nurse consider?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Braxton-Hicks contractions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hegar's sign]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ballottement]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Goodell's sign]]></answer> 
						<situation><![CDATA[Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020.]]></situation> 
				</query>
				<query>
					<question ctrlno="164" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Emma advised the patient to quit smoking because nicotine will contribute to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[low birth weight infant]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ectopic tubal, pregnancy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[congenital anomalies]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[large for gestation age infants]]></answer> 
						<situation><![CDATA[Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020.]]></situation> 
				</query>
				<query>
					<question ctrlno="165" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Emotional lability is common to pregnant women. Identify which of the following reactions is accepted as part of a normal pregnancy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Feelings are easily hurt by remarks]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Mood swings]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Amusing or even charming situation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Narcissism]]></answer> 
						<situation><![CDATA[Olivia, a 15-year-old, high school student visited the health center for her prenatal check-up. Per nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now. Her last menstrual period (LMP) was October 10, 2020.]]></situation> 
				</query>
				<query>
					<question ctrlno="166" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would BEST help Nurse Lingling in conducting her evaluation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Written examination]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Change in behavior]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Return demonstration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Obtain feedback from the client]]></answer> 
						<situation><![CDATA[Nurse Lingling is in the process of evaluating the effectiveness of her teaching which is the critical part of the process.]]></situation> 
				</query>
				<query>
					<question ctrlno="167" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following aspects should nurses continually teach patients to do? (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					1. Disease or disorder<br>
					2. Diet medication<br>
					3. Treatments<br>
					4. Self-care<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<situation><![CDATA[Nurse Lingling is in the process of evaluating the effectiveness of her teaching which is the critical part of the process.]]></situation> 
				</query>
				<query>
					<question ctrlno="168" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The first step in teaching is assessing which of the following? (Select all that apply).<br><br>
					<span style="font-weight:normal">
					1. Learning needs<br>
					2. Knowledge deficit<br>
					3. Education background<br>
					4. Social status<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Lingling is in the process of evaluating the effectiveness of her teaching which is the critical part of the process.]]></situation> 
				</query>
				<query>
					<question ctrlno="169" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following environmental factors affect learning? (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					1. Client comfort<br>
					2. Lighting<br>
					3. Noise level<br>
					4. Room temperature<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Nurse Lingling is in the process of evaluating the effectiveness of her teaching which is the critical part of the process.]]></situation> 
				</query>
				<query>
					<question ctrlno="170" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following are good sources for teaching? (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					1. Nursing specialists<br>
					2. Video tapes<br>
					3. Demonstration equipment<br>
					4. Books<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 & 3]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<situation><![CDATA[Nurse Lingling is in the process of evaluating the effectiveness of her teaching which is the critical part of the process.]]></situation> 
				</query>
				<query>
					<question ctrlno="171" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In what way will the nurse handle the situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tell her to trust on God's love and mercy.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tell her that death is a reality.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Encourage her to keep calm because the health care team is doing their best to help Ramon recover.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Encourage the mother to express more about her thoughts and feelings.]]></answer> 
						<situation><![CDATA[Ramon, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying. The father is very much depressed.]]></situation> 
				</query>
				<query>
					<question ctrlno="172" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The APPROPRIATE nursing diagnosis to protect the patient from further injury is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Altered mucous membrane related to chemotherapy.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interrupted family processes related to life threatening illness of a family member.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fatigue related to disease process.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Risk for injury related to thrombocytopenia.]]></answer> 
						<situation><![CDATA[Ramon, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying. The father is very much depressed.]]></situation> 
				</query>
				<query>
					<question ctrlno="173" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mouth sores have developed in the child's mouth. The father asked the nurse the reasons for this. The MOST APPROPRIATE response of the nurse is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["The child's oral hygiene needs to be improved."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["There is no need to worry as all kids receiving chemotherapy tend to have them."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["He is allergic to the drug so I will report this to the doctor and suggest a change of drug."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Mouth sores result because the cells of the mouth are sensitive to chemotherapy."]]></answer> 
						<situation><![CDATA[Ramon, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying. The father is very much depressed.]]></situation> 
				</query>
				<query>
					<question ctrlno="174" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ramon died at 10:00 PM. His father cried much and refused to move Ramon's body. What is the APPROPRIATE approach of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Talk about the reality of death.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Leave the mother and the child for the last time.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Silence to allow the mother to grieve.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Cry with the mother as you remember your own experience of death in family.]]></answer> 
						<situation><![CDATA[Ramon, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying. The father is very much depressed.]]></situation> 
				</query>
				<query>
					<question ctrlno="175" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse's MAIN responsibility in preparing Ramon's discharge is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assist the mother to pay the hospital bill.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prepare Ramon's cadaver.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Prepare the death certificate.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Extend condolences to the bereaved family.]]></answer> 
						<situation><![CDATA[Ramon, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying. The father is very much depressed.]]></situation> 
				</query>
				<query>
					<question ctrlno="176" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To be able to justify the conduct of any in-service training program in a hospital, which of the following should be the bases for the implementation of the program?<br><br>
					<span style="font-weight:normal">
					1. Needs assessment<br>
					2. Needs analysis<br>
					3. Per recommendation by the Chief Nurse<br>
					4. Incident Reports<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 4]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[1, 2 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 only]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Asst. Chief for Education & Traning, Nurse Mendoza, is planning to conduct an in-service training program on intravenous therapy for the staff nurses.]]></situation> 
				</query>
				<query>
					<question ctrlno="177" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST rationale for the conduct of the program is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ensure safe practice in the hospital]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Improve nursing practice in general]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provide knowledge and skills to all nursing staff In IV Therapy]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Deliver safe and quality nursing care to patients on intravenous therapy.]]></answer> 
						<situation><![CDATA[Asst. Chief for Education & Traning, Nurse Mendoza, is planning to conduct an in-service training program on intravenous therapy for the staff nurses.]]></situation> 
				</query>
				<query>
					<question ctrlno="178" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the lecturers discussed the complications that patients may have while on IV therapy. Which of the following is the most common complication that IV patients may contract while on IV therapy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Embolism]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cardiac overload]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Phlebitis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Aneurysm]]></answer> 
						<situation><![CDATA[Asst. Chief for Education & Traning, Nurse Mendoza, is planning to conduct an in-service training program on intravenous therapy for the staff nurses.]]></situation> 
				</query>
				<query>
					<question ctrlno="179" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The participants may avail of Continuing Professional Development (CPD) units if Nurse Mendoza had filed the program to be CPD accredited to which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Professional Regulatory Board of Nursing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Professional Regulation Commission]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Continuing Professional Development Council for Nursing]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Commission on Higher Education]]></answer> 
						<situation><![CDATA[Asst. Chief for Education & Traning, Nurse Mendoza, is planning to conduct an in-service training program on intravenous therapy for the staff nurses.]]></situation> 
				</query>
				<query>
					<question ctrlno="180" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The participants should know the way by which they may obtain CPD units aside from attending in-service training programs, which are, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[professional seminars and conferences]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[graduate studies]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[short course training for specialization]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[joining nursing service committees]]></answer> 
						<situation><![CDATA[Asst. Chief for Education & Traning, Nurse Mendoza, is planning to conduct an in-service training program on intravenous therapy for the staff nurses.]]></situation> 
				</query>
				<query>
					<question ctrlno="181" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Hailey discusses the 2020 National Health Goals. Which of the following statements is an EXCEPTION in planning sexual health programs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Make sexual education, programs voluntary.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Increase the proportion of adolescents who have never engaged in sexual intercourse.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reduce deaths from cancer resulting from uterine myomas.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reduce deaths from cancer of the uterine cervix.]]></answer> 
						<situation><![CDATA[The concept of Reproductive Health is introduced as early as primary and secondary levels with different degrees of concentration. Students interested to continue health courses were asking questions on human sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="182" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Maternal and child Nursing is a concept under the National Goals. Which objective should Nurse Hailey emphasize to support the program?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Avoid having misdirected children and become street children.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Promote the well-being of the mother's family life and family planning.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Consider that every child has love, security, and a better future.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Avoid complications of pregnancy and promote vaginal deliveries.]]></answer> 
						<situation><![CDATA[The concept of Reproductive Health is introduced as early as primary and secondary levels with different degrees of concentration. Students interested to continue health courses were asking questions on human sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="183" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following topics should the patient feel MORE comfortable when reproductive anatomy and physiology is discussed with the nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Sexual health education]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gender reassignment]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Varied sexual positions]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Gender identity]]></answer> 
						<situation><![CDATA[The concept of Reproductive Health is introduced as early as primary and secondary levels with different degrees of concentration. Students interested to continue health courses were asking questions on human sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="184" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When can the patient tell all information to the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[All diagnostic laboratory tests performed had been completed]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Once the feeling of security is established in the nurse - patient relationship]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A change in physical appearance occurs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The nurse knows the genogram of the patient]]></answer> 
						<situation><![CDATA[The concept of Reproductive Health is introduced as early as primary and secondary levels with different degrees of concentration. Students interested to continue health courses were asking questions on human sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="185" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which nursing diagnosis is NOT RELEVANT to sexual health?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Anxiety-related inability to conceive after six months.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Health-seeking behaviors related to reproductive functioning]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sexual dysfunction related to an unknown cause.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Risk for infection related to high-risk, sexual behaviors.]]></answer> 
						<situation><![CDATA[The concept of Reproductive Health is introduced as early as primary and secondary levels with different degrees of concentration. Students interested to continue health courses were asking questions on human sexuality.]]></situation> 
				</query>
				<query>
					<question ctrlno="186" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sophie administers oxygen to patient Ruby and implements additional measures to prevent a sickling crisis from occurring?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Maintain strict asepsis.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Maintains adequate hydration.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Monitors the temperature.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reassures the patient.]]></answer> 
						<situation><![CDATA[Ruby, a pregnant patient 37 weeks gestation is admitted due to fever, painful swelling of hands, feet, joints, and in labor pain who has a diagnosis of sickle cell anemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="187" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sophie hooks a 1000 mL intravenous (IV) solution of D&Water as ordered by the physician at 9 am to infuse 80 ml/hr. via macro drop infusion set (20 gtts = 1 ml). On the assessment of the infusion at what would be the level of the remaining amount in the IV bag at 2 pm?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[500]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[200]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[400]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[300]]></answer> 
						<situation><![CDATA[Ruby, a pregnant patient 37 weeks gestation is admitted due to fever, painful swelling of hands, feet, joints, and in labor pain who has a diagnosis of sickle cell anemia.]]></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 began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. The patient complains of difficulty of breathing, itching and a tight sensation in the chest. Which is the IMMEDIATE action of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Recheck the unit of blood for compatibility.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Call the physician.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Check the patient's temperature.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Stop the infusion.]]></answer> 
						<situation><![CDATA[Ruby, a pregnant patient 37 weeks gestation is admitted due to fever, painful swelling of hands, feet, joints, and in labor pain who has a diagnosis of sickle cell anemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="189" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Sophie checks the gauge of the patient's intravenous catheter. Which is the smallest gauge catheter that the nurse can use to administer blood?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[22-Gauge]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[18-Gauge]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[20-Gauge]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[12-Gauge]]></answer> 
						<situation><![CDATA[Ruby, a pregnant patient 37 weeks gestation is admitted due to fever, painful swelling of hands, feet, joints, and in labor pain who has a diagnosis of sickle cell anemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="190" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse reviews the patient's plan of care. Which of the following nursing diagnoses will be the PRIORITY?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fluid volume, deficit.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Risk for pain, acute]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Coping, ineffective]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Body image, disturbed]]></answer> 
						<situation><![CDATA[Ruby, a pregnant patient 37 weeks gestation is admitted due to fever, painful swelling of hands, feet, joints, and in labor pain who has a diagnosis of sickle cell anemia.]]></situation> 
				</query>
				<query>
					<question ctrlno="191" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST reason why Nurse Nilda opted to review Erikson's psychosocial theory is which of the following statements?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Completion of task results in a sense of competence and a healthy personality.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Failure to master these tasks leads to feelings of inadequacy.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Helps children grow into successful, contributing members of society.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[We are motivated by the need to achieve competence in certain areas of our lives.]]></answer> 
						<situation><![CDATA[Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best to review her notes on human growth and development, specifically Erikson's psychosocial theory.]]></situation> 
				</query>
				<query>
					<question ctrlno="192" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nilda immediately responds to any cry from her pediatric patients because it is which of the following reasons?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[to attend to her patients who cannot communicate verbally]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[to check if the child is hungry or wet]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[to lessen the noise overload in the Unit]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[a powerful influence over that individual's interactions with others for the remainder of his/her life]]></answer> 
						<situation><![CDATA[Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best to review her notes on human growth and development, specifically Erikson's psychosocial theory.]]></situation> 
				</query>
				<query>
					<question ctrlno="193" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Nilda is attending to a two-year-old Neneng who was admitted due to chronic bronchitis. Neneng sports a long hair that extends up to her shoulder. As part of the morning care, Nurse Nilda decided to style Neneng's hair into a pony tail. However, Neneng vehemently resisted her hair being tied by a rubber band. The BEST thing that Nurse Nilda should do is, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Assert her authority.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Deny Neneng's preference.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Explain that a pony tail would make Neneng's more beautiful.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Allow Neneng's preference.]]></answer> 
						<situation><![CDATA[Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best to review her notes on human growth and development, specifically Erikson's psychosocial theory.]]></situation> 
				</query>
				<query>
					<question ctrlno="194" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Joji, 17 years old, is admitted in a private room due to influenza. In one of Nurse Nilda's conversations with Joji, the patient expressed is unhappiness with the program he is taking up in college. This is not his choice but rather the choice of his parents. In which of Erikson's stage of development does this case fall?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Autonomy versus shame/doubt]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Integrity versus despair]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Identity versus role confusion]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Trust versus distrust]]></answer> 
						<situation><![CDATA[Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best to review her notes on human growth and development, specifically Erikson's psychosocial theory.]]></situation> 
				</query>
				<query>
					<question ctrlno="195" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a 3-year-old patient of Nurse Nilda asserts to choose the pants and shirt to wear to include food preference. Based on Erikson's developmental tasks, the child's such behavior is attributed to their, which of the following?<br><br>
					<span style="font-weight:normal">
					1. Struggling to acquire a sense of autonomy<br>
					2. Discovering they have a will of their own<br>
					3. Awareness that they cannot control others<br>
					4. Learning which behavior gains approval<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2, 3 & 4]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 & 4]]></answer> 
						<situation><![CDATA[Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best to review her notes on human growth and development, specifically Erikson's psychosocial theory.]]></situation> 
				</query>
				<query>
					<question ctrlno="196" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is admitted to the OB ward with complains of dizziness and body weakness, this as an example of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[secondary source]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[primary source]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[objective data]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[subjective data]]></answer> 
						<situation><![CDATA[Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During the interview, the applicant was asked 5 questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="197" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the possible cases that need informed consent?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Administering skin testing]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Subjecting the patient to an invasive procedure]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hair shampooing of patient]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Performing a laboratory procedure]]></answer> 
						<situation><![CDATA[Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During the interview, the applicant was asked 5 questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="198" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The applicant was further asked about an incident report. Which of the following is a PRIORITY case for an incident report to be accomplished?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Patient fell from the bed.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Refusal to go to the physical therapy session.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A visitor encourages a patient on bed rest to ambulate.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nurse left before his duty ends.]]></answer> 
						<situation><![CDATA[Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During the interview, the applicant was asked 5 questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="199" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[On which occasion would a nurse, can be charged with negligence?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Giving the patient the wrong medication.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Giving competent care.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Following standards of care.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Communicating with another health team]]></answer> 
						<situation><![CDATA[Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During the interview, the applicant was asked 5 questions.]]></situation> 
				</query>
				<query>
					<question ctrlno="200" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What tasks can be delegated to his nursing assistant during his tour of duty.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Changing wound dressings]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administering analgesic drug.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Performing a physical assessment.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Taking vital signs.]]></answer> 
						<situation><![CDATA[Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During the interview, the applicant was asked 5 questions.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="5" testsection="NLE Assessment" testpart="NURSING PRACTICE III - CARE OF CLIENTS (PART A)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE III - CARE OF CLIENTS (PART A)</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="201" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the clinical setting, when nurses are confronted with ethical dilemmas the BEST practical guide she can use of is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[PRC oath for professionals]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Code of Ethics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Theological doctrine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Florence Nightingale oath]]></answer> 
						<situation><![CDATA[Ethical and moral issues are becoming a common scenario in practice seating so health care providers have to be equipped with this competency.]]></situation> 
				</query>
				<query>
					<question ctrlno="202" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. RAD is admitted to the hospital complaining of chest pain due to clogged in his coronary arteries. He is diabetic hypertensive and considered by the physician to be a high risk for cardiovascular surgery. What PRIORITY action should the members of the health team do in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Consult the family members and let them give their decision.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proceed with the planned surgery, as this will save the patient.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Consult the Ethics committee on what to do with the patient.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Discuss with Mr. RAD his health status & let him decide.]]></answer> 
						<situation><![CDATA[Ethical and moral issues are becoming a common scenario in practice seating so health care providers have to be equipped with this competency.]]></situation> 
				</query>
				<query>
					<question ctrlno="203" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mrs. Agnes, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Gigi describes the patient in her shift report, as "That awful, dirty old woman in Bed 14" is an example of what ethical behavior being employed by the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Stigma]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ageism]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gender bias]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Depersonalization]]></answer> 
						<situation><![CDATA[Ethical and moral issues are becoming a common scenario in practice seating so health care providers have to be equipped with this competency.]]></situation> 
				</query>
				<query>
					<question ctrlno="204" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Rey, who is on an end-stage of life has an order of "Do Not Resuscitate" and passed away in your shift. He was declared dead by his physician at 8:30 AM. What should be your PRIORITY nursing action in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prepare the death certificate for the physician to sign.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Allow the family to have private moments with the deceased.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request your nurse attendant to call the funeral parlor at once.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Clean the body and remove all the IV lines, tubes and other appliances.]]></answer> 
						<situation><![CDATA[Ethical and moral issues are becoming a common scenario in practice seating so health care providers have to be equipped with this competency.]]></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 nurse is in full support of patient's care safety and personal rights throughout her hospital stay, she is implementing what ethical principle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Responsibility]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Empathy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Advocacy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Accountability]]></answer> 
						<situation><![CDATA[Ethical and moral issues are becoming a common scenario in practice seating so health care providers have to be equipped with this competency.]]></situation> 
				</query>
				<query>
					<question ctrlno="206" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While performing your assessment you are guided that the organs found in the epigastrium include which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Portion of duodenum & jejunum, left kidney, appendix & ovary.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Duodenum, pancreas, portion of the liver and pyloric end of the stomach.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Stomach, spleen, tail of pancreas and adrenal gland.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Gallbladder,duodenum, gallbladder and portion of the right kidney.]]></answer> 
						<situation><![CDATA[A manager of an accounting firm is admitted to the hospital due to an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him for exploratory laparotomy. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="207" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When conducting a nursing history on the Health Perception, Health Management pattern of functioning what is the APPROPRIATE question to be asked pre-operatively?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Do you experience your wounds to heal quickly?]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do you have shortness of breath when exercising?]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Are you aware of risk factors for your disease?]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Have you experience weight changes in the past?]]></answer> 
						<situation><![CDATA[A manager of an accounting firm is admitted to the hospital due to an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him for exploratory laparotomy. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="208" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient was visited by the anesthesiologist and explained the anesthesia for his surgery. Which of the following type of anesthesia would you expect to be ordered?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Spinal]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Caudal]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Local]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[General]]></answer> 
						<situation><![CDATA[A manager of an accounting firm is admitted to the hospital due to an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him for exploratory laparotomy. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="209" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[There are pre-operative medications given to the patient. Which of the following drugs are given in order to decrease intra-operative anesthetic requirements and pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Celebrex (Celecoxib)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ibuprofen (Motrin)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Acetaminophen (Tylenol)]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Demerol (Meperidine HCI)]]></answer> 
						<situation><![CDATA[A manager of an accounting firm is admitted to the hospital due to an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him for exploratory laparotomy. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="210" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The goals for patient's safety in the operating room is imperative for all members of the surgical team. Which of the following Universal Safety Protocol are adopted and validated PRIOR to surgery?<br><br>
					<span style="font-weight:normal">
					I. Patient's identity<br>
					II. Surgical procedure<br>
					III. Surgical site<br>
					IV. Surgical equipment<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 & IV]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I, II & III]]></answer> 
						<situation><![CDATA[A manager of an accounting firm is admitted to the hospital due to an acute abdominal pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician ordered him for exploratory laparotomy. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="211" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A community clinic does primary care for patients. Most often the one who manages this is which of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Physician]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Barangay health worker]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Midwife]]></answer> 
						<situation><![CDATA[Crisostomo, a 40 years old employee has been complaining of difficult painful urination for almost a week now. He said he saw some fresh blood in his urine but was afraid to see a physician, instead, he went to his neighbor who is a herbalist. After a week his condition worsen and his wife brought him to a community clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="212" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon assessment, the patient was referred immediately to a 25-bed-capacity hospital, which does not have any capacity to do intensive diagnostic examinations. You are a nurse in this hospital, which you know is a LEVEL _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[3]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[2]]></answer> 
						<situation><![CDATA[Crisostomo, a 40 years old employee has been complaining of difficult painful urination for almost a week now. He said he saw some fresh blood in his urine but was afraid to see a physician, instead, he went to his neighbor who is a herbalist. After a week his condition worsen and his wife brought him to a community clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="213" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In the tertiary hospital where the patient was again referred, he was considered an emergency case. The nurse immediately called for a specialist who is _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Neurologist]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Urologist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Phlebotomist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nephrologist]]></answer> 
						<situation><![CDATA[Crisostomo, a 40 years old employee has been complaining of difficult painful urination for almost a week now. He said he saw some fresh blood in his urine but was afraid to see a physician, instead, he went to his neighbor who is a herbalist. After a week his condition worsen and his wife brought him to a community clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="214" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a through assessment by the physician-specialist, an order for an immediate stonogram was made. The nurse was instructed to call which of the following section of the hospital?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Operation Room]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Laboratory]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Intervention]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[CT scan]]></answer> 
						<situation><![CDATA[Crisostomo, a 40 years old employee has been complaining of difficult painful urination for almost a week now. He said he saw some fresh blood in his urine but was afraid to see a physician, instead, he went to his neighbor who is a herbalist. After a week his condition worsen and his wife brought him to a community clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="215" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After procedure, the patient was ordered for Lithotripsy, under spinal anesthesia. The nurse has to call the department of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Internal medicine]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Anesthesia]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Surgery]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Imagery]]></answer> 
						<situation><![CDATA[Crisostomo, a 40 years old employee has been complaining of difficult painful urination for almost a week now. He said he saw some fresh blood in his urine but was afraid to see a physician, instead, he went to his neighbor who is a herbalist. After a week his condition worsen and his wife brought him to a community clinic.]]></situation> 
				</query>
				<query>
					<question ctrlno="216" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the patient turned 69 years old, Orinasal was discontinued and NPH insulin is prescribed for her. After several months, she is determined to be suffering from the Somogyi effect. Which of the following conditions will most likely result when the patient is receiving too much insulin?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Developing an elevation of the blood glucose level.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Producing even more insulin.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Becoming resistant to insulin.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Conserving excessive amount of fluid.]]></answer> 
						<situation><![CDATA[An alert 67-year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursing agency. You are asked to reinforce the teaching program started in the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase).]]></situation> 
				</query>
				<query>
					<question ctrlno="217" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A few days later, the patient comes into the emergency department via ambulance stretcher and reveals a work-up of a blood sugar level at 800mg/dl, ketones are absent in the urine, she is dehydrated and has an altered mental status. Based on the data, the patient is most likely suffering from what specific medical condition?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Hyperosmolar nonketotic coma (HNKC)]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Diabetic retinopathy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Acute renal failure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Diabetic Ketoacidosis (DKA)]]></answer> 
						<situation><![CDATA[An alert 67-year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursing agency. You are asked to reinforce the teaching program started in the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase).]]></situation> 
				</query>
				<query>
					<question ctrlno="218" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon interview, the patient reported that she often felt nauseated, restless perspired a lot, felt fatigued, and was often hungry when she was younger. What do these signs indicate?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Diabetic nephropathy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hyperglycemia]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Hypoglycemia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Diabetic retinopathy]]></answer> 
						<situation><![CDATA[An alert 67-year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursing agency. You are asked to reinforce the teaching program started in the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase).]]></situation> 
				</query>
				<query>
					<question ctrlno="219" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon further assessment, you noticed that she had many scratches on her right ankle, a resulting infection, and cellulitis. When you ask her about the scratches, the patient states, "Oh, my cat must have been using my leg as a scratching post again and I did not even feel it." Which diabetic complications suspect the patient to have?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Neuropathy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Macroangiopathy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Retinopathy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ephropathy]]></answer> 
						<situation><![CDATA[An alert 67-year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursing agency. You are asked to reinforce the teaching program started in the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase).]]></situation> 
				</query>
				<query>
					<question ctrlno="220" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You should check the patient for suspect disturbed thought processes related to depressed metabolism and altered cardiovascular and respiratory status. What is the rationale for orienting the patient to time, place, date, and events?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Show improved cognitive functioning.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Provides reality orientation to patient.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Permits evaluation of the effectiveness of treatment.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lets the patient identify the time, place, date, and events correctly.]]></answer> 
						<situation><![CDATA[An alert 67-year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursing agency. You are asked to reinforce the teaching program started in the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase).]]></situation> 
				</query>
				<query>
					<question ctrlno="221" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the MAJOR PURPOSE of an organizational structure? It is a _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[blueprint representing committees for delegation of roles and functions]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[flow chart that shows interaction among members of major and minor groups]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[framework of relationship of units, departments and channels of communication]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[design that identifies roles, collaboration, interdependence between functions of people]]></answer> 
						<situation><![CDATA[Nurse Pat is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center.]]></situation> 
				</query>
				<query>
					<question ctrlno="222" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Line and staff functions are identified in the presented Organizational Chart. What does line authority mean?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Staff relationship in the organization is advisory in nature.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Staff mix of personnel reporting to the "Boss".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decisions are made from bottom to top in an organization.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A direct responsibility over a subordinate within an organization.]]></answer> 
						<situation><![CDATA[Nurse Pat is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center.]]></situation> 
				</query>
				<query>
					<question ctrlno="223" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is CORRECT of nursing service system in health care?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Informed leaders are more effective than formal leaders in an organization.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A shared governance tends to be controlling and with less autonomy.]]></answer>
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Institutional policies are more powerful tool in nursing practice than laws and regulations.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A situational leadership style provides effective means in achieving patient outcomes.]]></answer> 
						<situation><![CDATA[Nurse Pat is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center.]]></situation> 
				</query>
				<query>
					<question ctrlno="224" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The role of nursing service delivery system is being revisited in respond to patient's outcome. Which of the following is NOT TRUE of the manager's role in the health care delivery system?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Provides direct nursing care when needed.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Manages resource utilization.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Act as a liaison in litigation cases in court.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collaborates with members of the health.]]></answer> 
						<situation><![CDATA[Nurse Pat is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center.]]></situation> 
				</query>
				<query>
					<question ctrlno="225" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Budgeting is an important aspect of financial management. When a unit manager a locates expenses for unit supplies, stocks and medical-surgical supplies. This is considered __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cash budget]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[operational budget]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[capital budget]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[flexible budget]]></answer> 
						<situation><![CDATA[Nurse Pat is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center.]]></situation> 
				</query>
				<query>
					<question ctrlno="226" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician ordered to start Ms. Mely on Total Parenteral Nutrition (TPN) What Is your INITIAL step to be undertaken PRIOR to this intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Determine if the family can afford the whole treatment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Evaluate the tolerance of the patient to glucose.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Identify allergies of patient to the supplemental nutrition.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assess the basic understanding of the patient regarding TPN.]]></answer> 
						<situation><![CDATA[Mely, 68-year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs. for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="227" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Choose from the following the primary goals of TPN?<br><br>
					<span style="font-weight:normal">
					I. promote weight gain<br>
					II. improve nutritional status<br>
					III. maintain muscle mass<br>
					IV. establish nitrogen balance<br>
					V. enhance healing process<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II & III]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, II, III & IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I & IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, III, IV & V]]></answer> 
						<situation><![CDATA[Mely, 68-year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs. for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="228" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is undergoing TPN, you have to monitor closely for the ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[serum creatinine level]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[potassium level]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[serum glucose level]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[sodium level]]></answer> 
						<situation><![CDATA[Mely, 68-year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs. for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="229" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While Mrs. Mely is on TPN, she suddenly complained of slight chest pain, dyspnea and appears dyspnea and appears cyanosis. You suspect that she is experiencing what possible IMMEDIATE complication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Sepsis due to IV line]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Air embolism]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hyperglycemia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allergic reaction to TPN]]></answer> 
						<situation><![CDATA[Mely, 68-year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs. for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="230" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What PRIORITY nursing action should you do with the presenting clinical manifestations of the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Report to the physician status of the patient at once.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Take blood pressure and respiratory rate.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Stop temporarily the Total Parenteral Nutrition.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administer Oxygen inhalation.]]></answer> 
						<situation><![CDATA[Mely, 68-year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs. for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her.]]></situation> 
				</query>
				<query>
					<question ctrlno="231" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mang Luis, is a newly diagnosed patient with Chronic Obstructive Lung Disease (COPD). Which of the following PRIORITY teaching instructions should he be given in relation to his condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[He should assume supine position when resting.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Know early signs of respiratory infection.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[He has to be taught how to do Bronchial clapping.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Family should be advised that patient should sleep in a warm room.]]></answer> 
						<situation><![CDATA[Ms. Monina is a retired Community Health nurse in barangay San Pablo. Due to her commitment to the nursing profession, she has volunteered in their community to conduct health education classes. One Saturday morning, several patients who are hypertensive and with pulmonary health problems attended her session.]]></situation> 
				</query>
				<query>
					<question ctrlno="232" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following health interventions should be included in your teaching plan for Mang Luis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Be on prolonged corticosteroid therapy.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Lung exercises must be done with longer inhalation than exhalation.]]></answer>
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Reduce risk for infection.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Have a high flow of oxygen administration.]]></answer> 
						<situation><![CDATA[Ms. Monina is a retired Community Health nurse in barangay San Pablo. Due to her commitment to the nursing profession, she has volunteered in their community to conduct health education classes. One Saturday morning, several patients who are hypertensive and with pulmonary health problems attended her session.]]></situation> 
				</query>
				<query>
					<question ctrlno="233" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Pulmonary Rehabilitation for COPD has a duration of at least 4 to 12 weeks. Which of the following should be avoided while patient is having this program?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Pursed lip breathing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Smoking cessation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Aerobic, upper and lower body conditioning]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Peripheral muscle wasting]]></answer> 
						<situation><![CDATA[Ms. Monina is a retired Community Health nurse in barangay San Pablo. Due to her commitment to the nursing profession, she has volunteered in their community to conduct health education classes. One Saturday morning, several patients who are hypertensive and with pulmonary health problems attended her session.]]></situation> 
				</query>
				<query>
					<question ctrlno="234" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Weight loss and Malnutrition are commonly observed among patients with COPD. They should be taught to avoid _______]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[have full stomach even when in dyspneic condition]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[keeping body mass between 21-25 kg/m]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[a high caloric and high protein diet]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[exercise one hour before and after eating]]></answer> 
						<situation><![CDATA[Ms. Monina is a retired Community Health nurse in barangay San Pablo. Due to her commitment to the nursing profession, she has volunteered in their community to conduct health education classes. One Saturday morning, several patients who are hypertensive and with pulmonary health problems attended her session.]]></situation> 
				</query>
				<query>
					<question ctrlno="235" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following energy conserving strategies should NOT be done by COPD patients?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Exhale when pushing or exerting effort when doing daily activities]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assume tripod position with elbows supported on the table when shaving or combing.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inhale when resting, sitting and lying down.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Stand in front of the mirror while shaving or combing hair.]]></answer> 
						<situation><![CDATA[Ms. Monina is a retired Community Health nurse in barangay San Pablo. Due to her commitment to the nursing profession, she has volunteered in their community to conduct health education classes. One Saturday morning, several patients who are hypertensive and with pulmonary health problems attended her session.]]></situation> 
				</query>
				<query>
					<question ctrlno="236" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When performing an interview, which is the BEST initial question should you ask when a patient is on pain?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[How often do you feel the pain?]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[How would you describe your pain?]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Did you take any drug to relieve the pain?]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[When did you first feel the abdominal pain?]]></answer> 
						<situation><![CDATA[A housewife, appearing jaundice, complaining of abdominal pain, nausea and bloated sensation was rushed, to the hospital. The patient was examined by the physician and ordered for admission due to a suspected stone in the gall bladder. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="237" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following imaging test that uses transducer well be likely be ordered by the physician to detect gallstones?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Computed Tomography]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Abdominal X-ray]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Abdominal Ultrasound]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doppler sonography]]></answer> 
						<situation><![CDATA[A housewife, appearing jaundice, complaining of abdominal pain, nausea and bloated sensation was rushed, to the hospital. The patient was examined by the physician and ordered for admission due to a suspected stone in the gall bladder. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="238" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The test revealed presence of gallstones and inflamed gall bladder. The patient was advised to undergo open cholecystectomy. This operation compared to laparoscopic cholecystectomy are?<br><br>
					<span style="font-weight:normal">
					I. invasive<br>
					II. less pain><br>
					III. longer recovery<br>
					IV. shorter hospital stay<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II & IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I & IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II & III]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[I & III]]></answer> 
						<situation><![CDATA[A housewife, appearing jaundice, complaining of abdominal pain, nausea and bloated sensation was rushed, to the hospital. The patient was examined by the physician and ordered for admission due to a suspected stone in the gall bladder. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="239" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After 2 hours post-operatively, the nurse observed reddish drainage from the operative area of the patient. Which of the following nursing actions should you performed FIRST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Check if stitches from the operation have come apart.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Check where is the source of possible bleeding.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Cover the operative area with sterile gauze bandage.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Put hand as a pressure on the operative area.]]></answer> 
						<situation><![CDATA[A housewife, appearing jaundice, complaining of abdominal pain, nausea and bloated sensation was rushed, to the hospital. The patient was examined by the physician and ordered for admission due to a suspected stone in the gall bladder. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="240" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After several days in the hospital, the physician ordered for the patient to be discharged. Which of the following is a PRIORITY restriction that you should emphasize when he goes home?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Stool softener to induce bowel elimination.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Driving if not using narcotic drug.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Take shower even if still with surgical drain.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Lifting of objects not more than 10 lbs.]]></answer> 
						<situation><![CDATA[A housewife, appearing jaundice, complaining of abdominal pain, nausea and bloated sensation was rushed, to the hospital. The patient was examined by the physician and ordered for admission due to a suspected stone in the gall bladder. You are the nurse on duty that day.]]></situation> 
				</query>
				<query>
					<question ctrlno="241" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following characteristics of Cushing disease is TRUE?<br><br>
					<span style="font-weight:normal">
					I. The disease occurs in women between 20 to 40 year of age.<br>
					II. The use of Corticosteroids for multiple immune conditions is a cause of the disease process.<br>
					III. Condition is aggravated by excessive production of ACTH.<br>
					IV. The surgical treatment of choice is Transsphenoidal hypophysectomy<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II & III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II & III]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II, III & IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I & III]]></answer> 
						<situation><![CDATA[Sarah, 38-year-old, a teller from a bank is admitted to a tertiary hospital due to hypertension and frequent hematoma of the lower extremities every time she bumps herself in the workplace. The physician who examined her gave an impression of Cushing disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="242" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When one has a Cushing disease the focal structure affected is the ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hypothalamus]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[pituitary gland]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[adrenal gland]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[parathyroid gland]]></answer> 
						<situation><![CDATA[Sarah, 38-year-old, a teller from a bank is admitted to a tertiary hospital due to hypertension and frequent hematoma of the lower extremities every time she bumps herself in the workplace. The physician who examined her gave an impression of Cushing disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="243" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following clinical manifestations will NOT be a complaint from Sarah's condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Edema of the extremities]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Poor wound healing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decrease libido]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Absence of growth in the pubic area]]></answer> 
						<situation><![CDATA[Sarah, 38-year-old, a teller from a bank is admitted to a tertiary hospital due to hypertension and frequent hematoma of the lower extremities every time she bumps herself in the workplace. The physician who examined her gave an impression of Cushing disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="244" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The attending physician ordered a Magnetic Resonance Imaging (MRI) to patient Sarah in order to validate the medical impression. This imaging technique is done to detect _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[hemorrhagic injury in the brain]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[electrical impulse in the brain]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[level of oxygen in the brain]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[non-hemorrhagic injury in the brain]]></answer> 
						<situation><![CDATA[Sarah, 38-year-old, a teller from a bank is admitted to a tertiary hospital due to hypertension and frequent hematoma of the lower extremities every time she bumps herself in the workplace. The physician who examined her gave an impression of Cushing disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="245" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While patient Sarah is confined in the hospital, the safety measure to be observed by the nurses is prevention from fall. This is brought about by the patient being prone to fracture as a result of _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[aging process]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[change in vision]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[osteoporosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hematologic condition]]></answer> 
						<situation><![CDATA[Sarah, 38-year-old, a teller from a bank is admitted to a tertiary hospital due to hypertension and frequent hematoma of the lower extremities every time she bumps herself in the workplace. The physician who examined her gave an impression of Cushing disease.]]></situation> 
				</query>
				<query>
					<question ctrlno="246" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse you are guided that pain is usually described BEST as a phenomenon which is a ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Neurologic activation of nociceptors]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Subjective unpleasant experience]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Adaptive mechanism to a stimulus]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Creation of one's imagination]]></answer> 
						<situation><![CDATA[Mr. Alda, 50-year-old company driver is admitted in the Emergency room (ER) because of pain of the left chest and difficulty of breathing. History revealed that the patient smokes one half to 1 pack of cigarette per day especially when he goes on overtime. Vital signs: BP is 150/90, PR-110/min. RR 38/beats. Has clammy perspiration and quite restless. The physician ordered chest X -ray and revealed patient has Pneumothorax. You are the nurse in-charge of the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="247" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient has a pneumothorax, the nurse's assessment findings will likely reveal _______.<br><br>
					<span style="font-weight:normal">
					I. absent breadth sounds on the affected side.<br>
					II. decreased chest expansion unilaterally.<br>
					III. sharp chest pain.<br>
					IV. burn in chest pain.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[III & IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<situation><![CDATA[Mr. Alda, 50-year-old company driver is admitted in the Emergency room (ER) because of pain of the left chest and difficulty of breathing. History revealed that the patient smokes one half to 1 pack of cigarette per day especially when he goes on overtime. Vital signs: BP is 150/90, PR-110/min. RR 38/beats. Has clammy perspiration and quite restless. The physician ordered chest X -ray and revealed patient has Pneumothorax. You are the nurse in-charge of the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="248" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements is NOT true of Pneumothorax?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Atmospheric air within the pleural space can result to a rise in intra thoracic pressure and reduce vital capacity in the lungs.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The loss of positive intra-pleural pressure can produce pneumothorax]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The loss of negative intra pleural pressure can result to collapse of the lungs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A spontaneous pneumothorax can occur with the rupture of pulmonary bleb.]]></answer> 
						<situation><![CDATA[Mr. Alda, 50-year-old company driver is admitted in the Emergency room (ER) because of pain of the left chest and difficulty of breathing. History revealed that the patient smokes one half to 1 pack of cigarette per day especially when he goes on overtime. Vital signs: BP is 150/90, PR-110/min. RR 38/beats. Has clammy perspiration and quite restless. The physician ordered chest X-ray and revealed patient has Pneumothorax. You are the nurse in-charge of the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="249" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician inserted a chest tube drainage to Mr. Alda in order to help re-expand the lungs. Which of the following should you prepare FIRST as a nurse in case of emergency when the tube is accidentally disconnected?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[sterile clamps.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Another chest tube.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sterile dressing.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[A bottle of sterile water.]]></answer> 
						<situation><![CDATA[Mr. Alda, 50-year-old company driver is admitted in the Emergency room (ER) because of pain of the left chest and difficulty of breathing. History revealed that the patient smokes one half to 1 pack of cigarette per day especially when he goes on overtime. Vital signs: BP is 150/90, PR-110/min. RR 38/beats. Has clammy perspiration and quite restless. The physician ordered chest X-ray and revealed patient has Pneumothorax. You are the nurse in-charge of the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="250" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order to relieve Mr. Alda of pain, the physician prescribed morphine So4 2mg/IV PRN for intolerable pain. The overall goal of the Health Cart Professional is to provide adequate control so the patient can breathe easily, which of the following would indicate successful attainment of this goal?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Anxiety level of patient will be reduced.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Respiratory rate will be decreased to 20 breadths/min.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Oxygen saturation is at 76 % level.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Pain scale will show 1 to 2, in a rating scale of (10-highest, 0-lowest)]]></answer> 
						<situation><![CDATA[Mr. Alda, 50-year-old company driver is admitted in the Emergency room (ER) because of pain of the left chest and difficulty of breathing. History revealed that the patient smokes one half to 1 pack of cigarette per day especially when he goes on overtime. Vital signs: BP is 150/90, PR-110/min. RR 38/beats. Has clammy perspiration and quite restless. The physician ordered chest X-ray and revealed patient has Pneumothorax. You are the nurse in-charge of the patient.]]></situation> 
				</query>
				<query>
					<question ctrlno="251" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While you are doing your physical assessment to patient Aster, she has been exhibiting a UNIQUE clinical manifestation different from patients Claire and Sonia which is characterized by __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cyanosis, increasing growth of hands and feet]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[anemia, weight loss and presence of acne]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[moon facies, purple striae on trunk and buffalo hump]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[moon facies, easy fatigability and peripheral edema]]></answer> 
						<situation><![CDATA[Nurse Rachel is assigned in the medical unit, of a tertiary hospital where most of the patients admitted are suffering from Endocrine disorders. She is currently assigned to patients: Claire, 54-year-old, married with thyhroidism, Aster, 66-year-old has an impression of Cushing syndrome while Sonia, 48-year-old is suffering from hyperthyroidism.]]></situation> 
				</query>
				<query>
					<question ctrlno="252" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which one of the following diagnostic tests do you expect NOT to be ordered by Dr. Lim to patient Astine who is suspected to have Cushing Syndrome?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[24 hour urine cortisol level]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[D-C reactive Protein level]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ACTH serum concentration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Computerized tomography of the brain, chest and abdomen]]></answer> 
						<situation><![CDATA[Nurse Rachel is assigned in the medical unit, of a tertiary hospital where most of the patients admitted are suffering from Endocrine disorders. She is currently assigned to patients: Claire, 54-year-old, married with thyhroidism, Aster, 66-year-old has an impression of Cushing syndrome while Sonia, 48-year-old is suffering from hyperthyroidism.]]></situation> 
				</query>
				<query>
					<question ctrlno="253" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which clinical manifestation should nurse Rachel watch for patient Claire if she is suffering from hyperthyroidism?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[cold extremities]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Increased weight]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decreased bowel movement]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Fine motor tremor]]></answer> 
						<situation><![CDATA[Nurse Rachel is assigned in the medical unit, of a tertiary hospital where most of the patients admitted are suffering from Endocrine disorders. She is currently assigned to patients: Claire, 54-year-old, married with thyhroidism, Aster, 66-year-old has an impression of Cushing syndrome while Sonia, 48-year-old is suffering from hyperthyroidism.]]></situation> 
				</query>
				<query>
					<question ctrlno="254" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Sonia, who has hypothyroidism is given which ONE of the following drug therapy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Propranolol]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Iodine]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Iron pills]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Levothyroxine]]></answer> 
						<situation><![CDATA[Nurse Rachel is assigned in the medical unit, of a tertiary hospital where most of the patients admitted are suffering from Endocrine disorders. She is currently assigned to patients: Claire, 54-year-old, married with thyhroidism, Aster, 66-year-old has an impression of Cushing syndrome while Sonia, 48-year-old is suffering from hyperthyroidism.]]></situation> 
				</query>
				<query>
					<question ctrlno="255" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following should be AVOIDED by patient Sonia while she is being treated for hypothyroidism?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Use of warm blankets]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Light activities done at home]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Taking foods low in fiber]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Exposure to cold temperature]]></answer> 
						<situation><![CDATA[Nurse Rachel is assigned in the medical unit, of a tertiary hospital where most of the patients admitted are suffering from Endocrine disorders. She is currently assigned to patients: Claire, 54-year-old, married with thyhroidism, Aster, 66-year-old has an impression of Cushing syndrome while Sonia, 48-year-old is suffering from hyperthyroidism.]]></situation> 
				</query>
				<query>
					<question ctrlno="256" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following can Nurse Eileen adopt to visualize her future?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Flow chart]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Decision tree]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gantt chart]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Decision grid]]></answer> 
						<situation><![CDATA[Nurse Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her 2 years as a bedside nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="257" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She started to create her personal and professional portfolio as a preparation for her application to a university medical center in Metro Manila. Which of the following is NOT major purpose of keeping a portfolio?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Keep on ongoing records of skills development.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Create a system for documenting accomplishments.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Set career and educational goals.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Set system for a possible shift to - another job.]]></answer> 
						<situation><![CDATA[Nurse Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her 2 years as a bedside nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="258" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One area of the professional portfolio is to indicate one's philosophy of life. Which of the following work place values should Nurse Eileen consider as NOT favorable to be written in her portfolio?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Customer service based on acceptance, empathy and selfless duty.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Time and compensation limiting her pursuit of excellence in her job.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Commitment to continual life long and self-directed learning.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Challenges which can lead to growth, responsibility and accountability.]]></answer> 
						<situation><![CDATA[Nurse Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her 2 years as a bedside nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="259" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In order for Nurse Eileen to be active as a bedside nurse, she has to comply with the renewal of PRC ID by undertaking continuing professional development (CPD) as mandated by the CPD law. The purposes of which are:<br><br>
					<span style="font-weight:normal">
					I. promote and upgrade the practice of the profession<br>
					II. improve the competence of the professional<br>
					III. international alignment of competence<br>
					IV. develop quality assurance for accreditation<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[II & III]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II & 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 Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her 2 years as a bedside nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="260" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Eileen is aware that in her personal and professional portfolio has to include and keep up to date the following EXCEPT __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[certificate of CPD attended]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[letters of reference]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[photographs]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[confidential information from past employers]]></answer> 
						<situation><![CDATA[Nurse Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her 2 years as a bedside nurse.]]></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 is an EXTRANEOUS variable of the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Age of patients.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Absence of complications.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Length of stay 4-5 days.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Date of admission January-March.]]></answer> 
						<situation><![CDATA[Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction or the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no complications.]]></situation> 
				</query>
				<query>
					<question ctrlno="262" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following variables will he likely EXCLUDE in his study?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Salary of nurses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Caring attitude of nurses]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Responsiveness of staff]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Competence of nurses]]></answer> 
						<situation><![CDATA[Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction or the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no complications.]]></situation> 
				</query>
				<query>
					<question ctrlno="263" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[He plans to use a Likert Scale to determine:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[compliance to expected standards]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[degree of agreement and disagreement]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[level of satisfaction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[degree of acceptance]]></answer> 
						<situation><![CDATA[Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction or the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no complications.]]></situation> 
				</query>
				<query>
					<question ctrlno="264" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which criterion refers to the ability of the instrument to detect fine differences among the subject being studied?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reliability]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Sensitivity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Objectivity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Validity]]></answer> 
						<situation><![CDATA[Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction or the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no complications.]]></situation> 
				</query>
				<query>
					<question ctrlno="265" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[This technique refers to the use of multiple referents to draw conclusions about what constitutes the truth.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Delphi technique]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Meta-analysis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Triangulation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Experiment]]></answer> 
						<situation><![CDATA[Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction or the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no complications.]]></situation> 
				</query>
				<query>
					<question ctrlno="266" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the research statement, what is the independent variable in the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Staff-nurses]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Caring behavior]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[women with ostomy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Satisfaction]]></answer> 
						<situation><![CDATA[Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing concern of patients and family complaints that Nurses are "rude and cranky". In response to this, she organized a core group to conduct a study on the Caring behavior of Staff-Nurses and Satisfaction of Women with Ostomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="267" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the dependent variable in the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Staff-nurses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ostomy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[degree of satisfaction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[caring behavior]]></answer> 
						<situation><![CDATA[Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing concern of patients and family complaints that Nurses are "rude and cranky". In response to this, she organized a core group to conduct a study on the Caring behavior of Staff-Nurses and Satisfaction of Women with Ostomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="268" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the relevant related literatures that Nurse Tarly and her groupmates can utilize in this study?<br><br>
					<span style="font-weight:normal">
					1. Caring behavior.<br>
					2. Ostomy pathogenesis.<br>
					3. Contentment and satisfaction.<br>
					4. Concept of body image.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[III and IV]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, II and III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, III and IV]]></answer> 
						<situation><![CDATA[Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing concern of patients and family complaints that Nurses are "rude and cranky". In response to this, she organized a core group to conduct a study on the Caring behavior of Staff-Nurses and Satisfaction of Women with Ostomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="269" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If Nurse Tarly and her core group decide to formulate a directional hypothesis it will be ___________.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[There is an increase relationship between the caring staff nurses and degree of satisfaction of ostracized patients.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The caring behaviors of the staff nurses is related to increased satisfaction of ostomized patients.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The staff nurses behaviors has an effect on the patients' satisfaction with ostomized patients.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A significant relationship exists between the caring behaviors of the staff-nurses and degree of satisfaction of ostomized patients.]]></answer> 
						<situation><![CDATA[Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing concern of patients and family complaints that Nurses are "rude and cranky". In response to this, she organized a core group to conduct a study on the Caring behavior of Staff-Nurses and Satisfaction of Women with Ostomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="270" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Based on the research problem, what is the Research design of the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Quasi-experimental]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Descriptive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Ex post-facto]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Experimental]]></answer> 
						<situation><![CDATA[Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing concern of patients and family complaints that Nurses are "rude and cranky". In response to this, she organized a core group to conduct a study on the Caring behavior of Staff-Nurses and Satisfaction of Women with Ostomy.]]></situation> 
				</query>
				<query>
					<question ctrlno="271" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Virgo gathers more appropriate data from Patient Benito. Which of the following APPROPRIATE questions should Nurse Virgo asks?<br><br>
					<span style="font-weight:normal">
					1. "Can you describe your pain?"<br>
					2. "Is your urine yellow?"<br>
					3. "Is your stool clay colored?"<br>
					4. "Do you drink alcohol often?"<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[2 and 4]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[1 and 3]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1, 2 and 4]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[1, 2 and 3]]></answer> 
						<situation><![CDATA[Nurse Virgo admits Benito, 67-year-old, due to severe abdominal and back pain and vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was scheduled for diagnostic laparotomy to further confirm the diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="272" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient Benito asks Nurse Virgo, "Why can't the surgeon just make out my pancreas?" The BEST response of Nurse Virgo is ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["your body needs to function well with your pancreas"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["your attack will soon be overcome when you are at rest"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["if your pancreas is removed, you can never eat fat and fried foods again"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["antibiotic will relieve signs of infection"]]></answer> 
						<situation><![CDATA[Nurse Virgo admits Benito, 67-year-old, due to severe abdominal and back pain and vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was scheduled for diagnostic laparotomy to further confirm the diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="273" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Before Surgery, Patient Benito is on nothing per orem status (NPO). She tells Nurse Virgo that he is thirsty and hungry. Which of the following is the BEST response of Nurse Virgo?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["YOU can sip only this mount of water to moisten your mouth"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["An NGT will be inserted to remove gastric secretions and alleviate your thirst"]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["I will give you ice chips to relive your thirst"]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Oral and fluid intake stimulates pancreatic enzymes and pain"]]></answer> 
						<situation><![CDATA[Nurse Virgo admits Benito, 67-year-old, due to severe abdominal and back pain and vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was scheduled for diagnostic laparotomy to further confirm the diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="274" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Virgo asks Patient Benito how can he help to reduce pain while waiting for his operation. Which is the MOST appropriate question of Nurse Virgo?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Are you ready for the operation? The pain will soon be over."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["After operation, everything will be alright."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["Is your present position reducing pain?"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Does exercise reduce your pain?"]]></answer> 
						<situation><![CDATA[Nurse Virgo admits Benito, 67-year-old, due to severe abdominal and back pain and vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was scheduled for diagnostic laparotomy to further confirm the diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="275" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the statements of Patient Benito will convince Nurse Virgo that his instructions for the prevention of pancreatitis were understood by the patient? I will __________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["increase my intake of high protein products."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["try to stop drinking alcohol."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["follow a high fat diet faithfully"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["be careful of exposing myself to infection"]]></answer> 
						<situation><![CDATA[Nurse Virgo admits Benito, 67-year-old, due to severe abdominal and back pain and vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was scheduled for diagnostic laparotomy to further confirm the diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="276" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The professional conduct of doctors, nurses and other health care providers in the health facilities belong to which of the following quality standards?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Improving performance]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Organizational ethics]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Patient care standards]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Leadership and management]]></answer> 
						<situation><![CDATA[The Department of Health (DOE) is an agency that sec standards for safe and quality health care together with Phil health Insurance which takes care of accreditation ana reimbursement of cost of health care services.]]></situation> 
				</query>
				<query>
					<question ctrlno="277" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The positive practice environment (PPE) is part of the quality standards of every health facilities in the country today. Which of the following is NOT a component of the PPE in the work setting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[waste management]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[peer review]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[electrical wires]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[infection control]]></answer> 
						<situation><![CDATA[The Department of Health (DOE) is an agency that sec standards for safe and quality health care together with Phil health Insurance which takes care of accreditation ana reimbursement of cost of health care services.]]></situation> 
				</query>
				<query>
					<question ctrlno="278" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a health facility formulates its Vision-Mission to guide. Management and health personnel in the work place is what port of quality standards?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Human resource management]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient care standards]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Leadership and management]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Organizational ethics]]></answer> 
						<situation><![CDATA[The Department of Health (DOE) is an agency that sec standards for safe and quality health care together with Phil health Insurance which takes care of accreditation ana reimbursement of cost of health care services.]]></situation> 
				</query>
				<query>
					<question ctrlno="279" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When Nurse Sarah distributed a Patient satisfaction survey form to be filled by the consumer upon discharge in a hospital setting is in compliance to what quality standards?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Organizational structure and professional ethics.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Identification of Patient rights and welfare.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Improving performance of health care personnel.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Human resource management and staffing pattern.]]></answer> 
						<situation><![CDATA[The Department of Health (DOE) is an agency that sec standards for safe and quality health care together with Phil health Insurance which takes care of accreditation ana reimbursement of cost of health care services.]]></situation> 
				</query>
				<query>
					<question ctrlno="280" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When an accurate documentation whether done manually or by electronic by the health ears professional in their work setting is a component of what quality standards in a health care delivery system?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patient care standards]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Information management]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Leadership and management]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Human resource management]]></answer> 
						<situation><![CDATA[The Department of Health (DOE) is an agency that sec standards for safe and quality health care together with Phil health Insurance which takes care of accreditation ana reimbursement of cost of health care services.]]></situation> 
				</query>
				<query>
					<question ctrlno="281" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, what is your PRIORITY step to be done in this situation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Palpate the point of maximal impulse.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Inspect the nail bed if cyanotic.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Take the vital signs and report to the physician.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Auscultate the chest for murmurs.]]></answer> 
						<situation><![CDATA[Mr. Lam, a 44-year-old, male obese, married was rushed to the Emergency room because of feeling nauseated, with shortness of breath and severe chest pain radiating to the back.]]></situation> 
				</query>
				<query>
					<question ctrlno="282" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A 12 lead EKG was ordered by the physician. Which finding in the EKG is suggestive evidence that the patient has Myocardial infarction (MI)?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Prominent segment, elevation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ST segment elevation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Peaked P wave]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Minimal QRS wave]]></answer> 
						<situation><![CDATA[Mr. Lam, a 44-year-old, male obese, married was rushed to the Emergency room because of feeling nauseated, with shortness of breath and severe chest pain radiating to the back.]]></situation> 
				</query>
				<query>
					<question ctrlno="283" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician confirmed that the patient is suffering from MI. She was advised to be hospitalized and was given streptokinase, which of the following is the DESIRED effect of the drug?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Dissolve clot formation]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Reduce tissue damage of the heart]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prevent dysrhythmia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reduce edema formation]]></answer> 
						<situation><![CDATA[Mr. Lam, a 44-year-old, male obese, married was rushed to the Emergency room because of feeling nauseated, with shortness of breath and severe chest pain radiating to the back.]]></situation> 
				</query>
				<query>
					<question ctrlno="284" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse you are aware that the heart muscles damage after an attack without treatment becomes permanent within _______ hours?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["7 to 9"]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["10 to 12"]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["4 to 6"]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["1 to 3"]]></answer> 
						<situation><![CDATA[Mr. Lam, a 44-year-old, male obese, married was rushed to the Emergency room because of feeling nauseated, with shortness of breath and severe chest pain radiating to the back.]]></situation> 
				</query>
				<query>
					<question ctrlno="285" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In designing a care plan, which modifiable risk factors have to be emphasized to the patient to prevent for another heart attack to happen?<br><br>
					<span style="font-weight:normal">
					1. Smoking<br>
					2. High blood pressure<br>
					3. High cholesterol<br>
					4. Overweight<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[3 & 4]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[1 & 2]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[1, 2, 3 & 4]]></answer> 
						<situation><![CDATA[Mr. Lam, a 44-year-old, male obese, married was rushed to the Emergency room because of feeling nauseated, with shortness of breath and severe chest pain radiating to the back.]]></situation> 
				</query>
				<query>
					<question ctrlno="286" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The licensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[apply the theory learned from class room to practice settings]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[protect the public from incompetent practitioners]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[apply the scope of nursing practice]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[demonstrate expected competency standards]]></answer> 
						<situation><![CDATA[Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="287" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following EXCEPT _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[enforce and monitor quality standards of nursing practice in the country]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[issue, suspend, revoke or reissue certification of registered nurses]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ensure proper conduct, of nurses licensure in the country]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[issue permit for the opening of nursing programs in the country]]></answer> 
						<situation><![CDATA[Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="288" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother. She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[oath of professional for new nurses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[nursing practice act 7164]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[code of ethics for nurses]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[core competency standards]]></answer> 
						<situation><![CDATA[Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="289" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Rey with the members of the team from a tertiary hospital is going for their annual outreach program "Operation TULI". There were 300 patients who came in the morning with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse Rey, was asked to participate in performing circumcision with the rest of the doctors. Nurse Rey can be liable of committing _______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[assault]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[invasion of privacy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[tort]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[malpractice]]></answer> 
						<situation><![CDATA[Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="290" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following actions is likely to constitute GROSS Negligence?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Compiled with the request of a bedridden patient not to be turned because of pain.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[A nasogastric feeding not given on time because patient is feeling nauseated.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A patient suffering from bleeding due to post-operative wound and the Nurse failed to report to the attending physician.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Urine output that has not been measured because of an emergency admission.]]></answer> 
						<situation><![CDATA[Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing.]]></situation> 
				</query>
				<query>
					<question ctrlno="291" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Rey had his insulin therapy on the day of his admission. On the second day he developed allergic reactions after 2 hours of the insulin administration. What clinical manifestations do you expect the nurse to write in her documentation as a reaction to this drug?<br><br>
					<span style="font-weight:normal">
					1. Redness<br>
					2. Swelling<br>
					3. Tenderness<br>
					4. Induration<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[1, 2 & 3]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[2 & 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[Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="292" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mr. Rey has been anxious regarding his diagnosis as well as the recent reaction to the insulin therapy. As a nurse, the PRIORITY nursing actions to overcome this anxiety behavior is to ________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[conduct a family conference for the concern of the patient]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[refer to the physician for an order of tranquilizer]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[express your empathy and respect for his feelings]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[take time to explain his disease process and effects of insulin]]></answer> 
						<situation><![CDATA[Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="293" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a patient is suffering from Ketoacidosis, you expect chat the entry of Nurse assessment findings in the chart will include the following clinical manifestations EXCEPT _________.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[kussmaul respiration]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Cheyne stokes breathing]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[lethargy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[acetone breadth odor]]></answer> 
						<situation><![CDATA[Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="294" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Gladys who is on morning shift was making her rounds when she observed Mr. Joe, who is suffering from Congestive heart failure is complaining of heaviness of his legs. She observed the patient to have an edema of his lower extremities. If the edema is 3+, what do you expect the nurse to write in her assessment findings?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Deeper pit, rebounds in 30 seconds.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Barely the pit is not perceptible.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Deeper pit, rebounds in only few seconds.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Deep pit, rebounds in 10-20 seconds.]]></answer> 
						<situation><![CDATA[Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="295" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When auscultating the breadth sounds of patients with respiratory disorder they are instructed to breadth thru their mouth. A possible complaint the nurse has to watch and be written in her documentation when performing this procedure is which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Palpitation.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Dizziness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tachycardia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Bradycardia]]></answer> 
						<situation><![CDATA[Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting.]]></situation> 
				</query>
				<query>
					<question ctrlno="296" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Ella admitted the patient and started to do her assessment. What sign is elicited by the nurse when a deep palpation of the left iliac fossa is done and causes pain on the right iliac fossa of the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Obturator sign]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Blumberg sign]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Psoas sign]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Rovsing sign]]></answer> 
						<situation><![CDATA[Mary, a hairstylist, is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="297" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After a thorough physical examination, laboratory and diagnostic tests, the physician ordered an emergency open appendectomy due to a suspected ruptured appendicitis. This is done to prevent which of the following MAJOR complication?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Thrombosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sepsis]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Perforation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Bleeding]]></answer> 
						<situation><![CDATA[Mary, a hairstylist, is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="298" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse prepares the patient for surgery. The overall goals by the surgical team for the patient going for operation include which of the following?<br><br>
					<span style="font-weight:normal">
					I. Relief of pain<br>
					II. Preventing fluid volume deficit<br>
					III. Reducing anxiety reaction<br>
					IV. Eliminating infection<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I, II, II & IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II, III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[III & IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I & II]]></answer> 
						<situation><![CDATA[Mary, a hairstylist, is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="299" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a safety alert, which of the following nursing measures should be AVOIDED by the nurse prior to appendectomy?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Observe nothing by mouth]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Administration of enema]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Removal of nail polish]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Instruct to urinate]]></answer> 
						<situation><![CDATA[Mary, a hairstylist, is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up.]]></situation> 
				</query>
				<query>
					<question ctrlno="300" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In wound care management, the nurse is aware NOT to perform which of the following intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Allow the wound to drain freely.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Maintenance of an acidic or neutral PH .]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Application of cold pack solutions.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintenance for a moist wound environment.]]></answer> 
						<situation><![CDATA[Mary, a hairstylist, is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="5" testsection="NLE Assessment" testpart="NURSING PRACTICE IV - CARE OF CLIENTS (SET A)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE IV - CARE OF CLIENTS (SET A)</h3></center><br><br><left><p>Directions: Choose the correct answer and fill in the corresponding oval on your answer sheet.</p></left><br><br>]]>
			</html>
			<questions>
				<query>
					<question ctrlno="301" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[During the open forum, the Hospital Research Coordinator raised the question as to, whom among the following, provides information in the questionnaires.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[participants]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[key informants]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[respondents]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[subjects]]></answer> 
						<situation><![CDATA[The Hospital Research Coordinator is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program.]]></situation> 
				</query>
				<query>
					<question ctrlno="302" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the members of the Research Committee wishes to conduct a study involving an interdisciplinary team of colleagues. This study is termed as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[clinical]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[exploratory]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[collaborative]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[applied]]></answer> 
						<situation><![CDATA[The Hospital Research Coordinator is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program.]]></situation> 
				</query>
				<query>
					<question ctrlno="303" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In conducting a qualitative research, a nurse should follow the logical reasoning process termed as, which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Deductive]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Intuition]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Causal]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Inductive]]></answer> 
						<situation><![CDATA[The Hospital Research Coordinator is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program.]]></situation> 
				</query>
				<query>
					<question ctrlno="304" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The lecturer reminded the committee members that bias is an influence that distorts study results. In quantitative research, which will eliminate bias?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Trustworthiness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Credibility]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Randomness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Triangulation]]></answer> 
						<situation><![CDATA[The Hospital Research Coordinator is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program.]]></situation> 
				</query>
				<query>
					<question ctrlno="305" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One of the committee members raised the question on how to make an abstract. The question was followed by how many words are required in an abstract should (APA) style be followed? What is the CORRECT answer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[450-550]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[250-350]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[150-250]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[350-450]]></answer> 
						<situation><![CDATA[The Hospital Research Coordinator is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program.]]></situation> 
				</query>
				<query>
					<question ctrlno="306" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The CI is expected to set the atmosphere by welcoming everyone and by _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[showing every one the picture of the breast]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[discussing the objectives of the ward class]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[giving an anecdote about an old man]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[going ahead with the first part of the lecture]]></answer> 
						<situation><![CDATA[The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE).]]></situation> 
				</query>
				<query>
					<question ctrlno="307" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[For the students better understanding about the anatomy of the breast, the Cl shares _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[various pictures of the breast, external and internal views]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[pictures of different types of mastectomies]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[the experiences of breastfeeding mothers]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[artistic drawings of the breasts]]></answer> 
						<situation><![CDATA[The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE).]]></situation> 
				</query>
				<query>
					<question ctrlno="308" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The clinical instructor proceeded with the lecture to the students using the _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Question and Answer method]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[entertainment style of presentation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[students as the resource persons]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[outline of the lecture she just presented]]></answer> 
						<situation><![CDATA[The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE).]]></situation> 
				</query>
				<query>
					<question ctrlno="309" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the lecture presentation was finished, the Cl proceeded with the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[evaluation of the activity]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Q and A portion on anything the students are interested to tackle]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[open forum to solicit questions related to the topic under discussion.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[cracking of humorous anecdotes to keep the class alive]]></answer> 
						<situation><![CDATA[The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE).]]></situation>
				</query>
				<query>
					<question ctrlno="310" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The last and necessary part of the activity is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[informing the students their next day's assignment]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[the joke portion for good vibes]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[evaluation so that future but similar activities can be improved]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[after care of the venue, an earlier reminder by the Head Nurse]]></answer> 
						<situation><![CDATA[The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE).]]></situation> 
				</query>
				<query>
					<question ctrlno="311" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What must the Emergency Room Nurse do FIRST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Start an intravenous line at once.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Position with head lower than extremities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Request for laboratory examinations.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Stop the bleeding immediately.]]></answer> 
						<situation><![CDATA[Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders.]]></situation> 
				</query>
				<query>
					<question ctrlno="312" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Due to continuous bleeding the patient goes into the second stage of shock with BP 80/60. What are the possible effects on the heart in this stage?<br><br>
					<span style="font-weight:normal">
					I. Increased heart rate<br>
					II. Chest pain<br>
					III. Increased cardiac troponin<br>
					IV. Myocardial infarction<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I, II , III, and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I and II]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<situation><![CDATA[Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders.]]></situation> 
				</query>
				<query>
					<question ctrlno="313" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The BEST position for the patient to assume in case of shock is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[modified Trendelenburg]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[high Fowler's]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[recumbent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[low Fowler's]]></answer> 
						<situation><![CDATA[Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders.]]></situation> 
				</query>
				<query>
					<question ctrlno="314" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What isotonic electrolyte solutions are COMMONLY used as fluid replacement in hypovolemic shock?<br><br>
					<span style="font-weight:normal">
					I. Dextrose 5 percent in water<br>
					II. 0.9 percent sodium chloride<br>
					III. Lactated Ringer's solution<br>
					IV. Dextrose 10 percent in water<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[II and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I and IV]]></answer> 
						<situation><![CDATA[Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders.]]></situation> 
				</query>
				<query>
					<question ctrlno="315" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In case the patient would go into cardiovascular overload as a result of the intravenous fluid therapy, the PRIORITY nursing action should focus on _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[respiratory distress]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[increase in total urine output]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[increase in body temperature]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[edema in the lower extremities]]></answer> 
						<situation><![CDATA[Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders.]]></situation> 
				</query>
				<query>
					<question ctrlno="316" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The type of incontinence Patient Tita manifests, where there is involuntary loss of urine as a result of sneezing, coughing or even changing position is called _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[overflow]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reflex]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[stress]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[functional]]></answer> 
						<situation><![CDATA[Patient Tita, a 53-year-old, mother of 6, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary Incontinence. The next 5 questions refer to this case.]]></situation> 
				</query>
				<query>
					<question ctrlno="317" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that urinary incontinence brings about psychosocial costs, including the following, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[increased expenses]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[social isolation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[embarrassment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[loss of self-esteem]]></answer> 
						<situation><![CDATA[Patient Tita, a 53-year-old, mother of 6, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary Incontinence. The next 5 questions refer to this case.]]></situation> 
				</query>
				<query>
					<question ctrlno="318" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse instructs the patient that the BEST time for an incontinent patient to take his diuretics is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Any time of the day]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[After 4:00 PM]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[In the morning]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[At bedtime]]></answer> 
						<situation><![CDATA[Patient Tita, a 53-year-old, mother of 6, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary Incontinence. The next 5 questions refer to this case.]]></situation> 
				</query>
				<query>
					<question ctrlno="319" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When providing health teaching to the patient with urinary incontinence, the nurse must STRESS that it is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Only surgery can alleviate the condition]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Often reversible and treatable]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Treatable with drugs all of the time]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Controlled with the aid of alcohol]]></answer> 
						<situation><![CDATA[Patient Tita, a 53-year-old, mother of 6, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary Incontinence. The next 5 questions refer to this case.]]></situation> 
				</query>
				<query>
					<question ctrlno="320" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The aim of pelvic muscle exercises for the patient with urinary incontinence is to strengthen the muscles that control the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[vagina and rectum]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[perineal area]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[bowel and the bladder]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[vagina and urethra]]></answer> 
						<situation><![CDATA[Patient Tita, a 53-year-old, mother of 6, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary Incontinence. The next 5 questions refer to this case.]]></situation> 
				</query>
				<query>
					<question ctrlno="321" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Code of Ethics for Nurses have articles relating to the relationship of nurses on _____. (Select all that apply.)<br><br>
					<span style="font-weight:normal">
					I. People<br>
					II. Practice and the profession<br>
					III. Co-workers<br>
					IV. Society and environment<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<situation><![CDATA[Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well.]]></situation> 
				</query>
				<query>
					<question ctrlno="322" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The Code of Ethics adopted all the principles under the _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Code of Good Governance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Patient's Bill of Rights]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ICN Code of Ethics]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[American Nurses Association (ANA) Code of Ethics]]></answer> 
						<situation><![CDATA[Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well.]]></situation> 
				</query>
				<query>
					<question ctrlno="323" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[According to the Code of Ethics, WHO determines the coverage and scope of the examination for the practice of nursing in the Philippines?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Professional Regulation Commission]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Association of Deans of Philippine Colleges of Nursing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Professional Regulatory Board of Nursing (PRBON)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Professional Association of Philippine Regulatory Boards (PAPRB)]]></answer> 
						<situation><![CDATA[Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well.]]></situation> 
				</query>
				<query>
					<question ctrlno="324" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What are the three important legal principles in nursing professional ethics?<br><br>
					<span style="font-weight:normal">
					I. Autonomy<br>
					II. Informed consent<br>
					III. Confidentiality<br>
					IV. Truth -telling<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I, II, and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<situation><![CDATA[Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well.]]></situation> 
				</query>
				<query>
					<question ctrlno="325" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The "end justifies the means" ethic is described as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[having no correct or wrong conclusion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[basically without any ethical issue]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[conclusively unethical]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[unavoidable during these modern times]]></answer> 
						<situation><![CDATA[Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well.]]></situation> 
				</query>
				<query>
					<question ctrlno="326" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is a common verbalization of the patient with GBS regarding the EARLY ONSET of symptoms?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Acute hemiplegia]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ascending motor weakness]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Weakness of the four lower extremities]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Acute hemiparesis]]></answer> 
						<situation><![CDATA[Ms. Lanni, aged 40, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barre-Syndrome (GBS).]]></situation> 
				</query>
				<query>
					<question ctrlno="327" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that which occurrence in the patient's health history suggests the diagnosis of GBS?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[viral illness few weeks before]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[encephalitis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[severe bacterial infection]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[meningitis]]></answer> 
						<situation><![CDATA[Ms. Lanni, aged 40, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barre-Syndrome (GBS).]]></situation> 
				</query>
				<query>
					<question ctrlno="328" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A PRIORITY nursing diagnosis in Guillain-Barre Syndrome is]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Ineffective breathing pattern]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Impaired verbal communication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Imbalanced nutrition]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impaired physical mobility]]></answer> 
						<situation><![CDATA[Ms. Lanni, aged 40, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barre-Syndrome (GBS).]]></situation> 
				</query>
				<query>
					<question ctrlno="329" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the patient is unable to talk, how should the nurse BEST communicate to the patient?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Enunciating the words slowly and well.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[By using picture cards]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Just stop as he could no longer understand.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Talking loudly face-to-face with the patient.]]></answer> 
						<situation><![CDATA[Ms. Lanni, aged 40, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barre-Syndrome (GBS).]]></situation> 
				</query>
				<query>
					<question ctrlno="330" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse informs the patient and family that rehabilitation prior to discharge is BEST described as _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[a period of ups and downs, physically and emotionally]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[ long and one requiring involvement of significant others]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[easy and smooth from discharge onwards]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[a rapid process towards recovery]]></answer> 
						<situation><![CDATA[Ms. Lanni, aged 40, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barre-Syndrome (GBS).]]></situation> 
				</query>
				<query>
					<question ctrlno="331" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse anticipates that the signs and symptoms of BPH do NOT include _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[frequency of urination]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[pain on urination]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dribbling of urine]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[hesitancy in starting urination]]></answer> 
						<situation><![CDATA[Elmo, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH).]]></situation> 
				</query>
				<query>
					<question ctrlno="332" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Elmo asks the nurse to explain his condition (BPH). Which statements are CORRECT explanations by the nurse?<br><br>
					<span style="font-weight:normal">
					I. It blocks the urethra.<br>
					II. It obstructs the bladder.<br>
					III. It spreads to other parts of the body.<br>
					IV. It leads to urinary retention.<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I and III]]></answer> 
						<situation><![CDATA[Elmo, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH).]]></situation> 
				</query>
				<query>
					<question ctrlno="333" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What "IMMEDIATE" danger should the nurse anticipate post Transurethral Resection of the Prostate (TURP)?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Infection]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bleeding]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Thrombosis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Shock]]></answer> 
						<situation><![CDATA[Elmo, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH).]]></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 knows that the normal color of the drainage right after TURP is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[reddish pink]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[bright red]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[light pink]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[yellowish]]></answer> 
						<situation><![CDATA[Elmo, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH).]]></situation> 
				</query>
				<query>
					<question ctrlno="335" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Sexual dysfunctions like impotence, erectile dysfunction, and lack of libido are likely possibilities in what prostatic surgery?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Suprapubic prostatectomy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Transurethral resection of the prostate]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Laparoscopic prostatectomy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Perineal prostatectomy]]></answer> 
						<situation><![CDATA[Elmo, 69 years of age, is diagnosed with Benign Prostatic Hyperplasia (BPH).]]></situation> 
				</query>
				<query>
					<question ctrlno="336" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Immunity that the baby gets from the immune mother through breastfeeding is:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Passive natural]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Active artificial]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Active natural]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Passive artificial]]></answer> 
						<situation><![CDATA[General concepts of immunology must be learned by the nurse to appreciate the management of her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="337" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Cell-mediated immunity is NOT usually associated with what condition:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rejection of tissue graft]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Production of antibodies]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Skin hypersensitivity reaction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Surveying for malignant cells]]></answer> 
						<situation><![CDATA[General concepts of immunology must be learned by the nurse to appreciate the management of her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="338" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When a person vaccinated with a Covid-19 vaccine produces antibodies to the disease, the immunity is termed:]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Active artificial]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Passive natural]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Active natural]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Passive artificial]]></answer> 
						<situation><![CDATA[General concepts of immunology must be learned by the nurse to appreciate the management of her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="339" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The blood protein involved in the immune system is:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Thrombin]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Globulin]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Albumin]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Hemoglobin]]></answer> 
						<situation><![CDATA[General concepts of immunology must be learned by the nurse to appreciate the management of her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="340" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The immunity conferred by tetanus toxoid is best described as:]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lifelong passive]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Long-lasting active]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Temporary passive]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Lifelong active]]></answer> 
						<situation><![CDATA[General concepts of immunology must be learned by the nurse to appreciate the management of her patients.]]></situation> 
				</query>
				<query>
					<question ctrlno="341" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The electric fan in the unit sparks occasionally but continues to function relatively well. Nurse Minda though knows that she _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[has to ask one of the staff to preliminary check it]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[will just wait until the fan stops to function]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[should alert the unit staff to closely observe the fan]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[must have it checked by the Maintenance Department immediately]]></answer> 
						<situation><![CDATA[Even if stall a staff nurse, Minda, can well contribute to the  management of the resources and environment of her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="342" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The electric fan now stops every now and then and continues to spark at intervals. The best thing to DO NEXT is to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[turn off the fan immediately]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[call the maintenance immediately]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[let it continue to function]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[request for another fan as soon as possible (ASAP)]]></answer> 
						<situation><![CDATA[Even if stall a staff nurse, Minda, can well contribute to the  management of the resources and environment of her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="343" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The last fire in the hospital was due to malfunctioning equipment. The fire extinguisher was nowhere to be found. What should have been practiced?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[A dedicated fire extinguisher must be in every strategic place.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Place one fire extinguisher between two units.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A fire extinguisher can be replaced with fire sensors.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Borrowing fire extinguishers may be tolerated if on the same floor.]]></answer>
						<situation><![CDATA[Even if stall a staff nurse, Minda, can well contribute to the  management of the resources and environment of her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="344" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The staff assigned to check the fire extinguisher failed to monitor the "whereabouts" of assigned equipment. The following statements are true, EXCEPT _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[all employees are lazy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[monitoring staff is important]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[not all staff are diligent in their tasks]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[two errors added together can be potentially devastating]]></answer> 
						<situation><![CDATA[Even if stall a staff nurse, Minda, can well contribute to the  management of the resources and environment of her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="345" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Because of the failure to replace the defective electric fan immediately, a fire broke out and it became big enough to burn a major portion of the unit because the fire extinguisher was missing. What lesson can be gained from this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Punishment must be imposed on erring employees.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reorientation of the new staff.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Refer the erring employee to HR.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Every protocol must be followed.]]></answer> 
						<situation><![CDATA[Even if stall a staff nurse, Minda, can well contribute to the  management of the resources and environment of her unit.]]></situation> 
				</query>
				<query>
					<question ctrlno="346" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[John, the patient with Urinary Tract Infection (UTI) is on his 3rd day of antibiotic but is still having high fever. There is a need for the nurse to refer her observation to which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Intern]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Resident-on-duty]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Attending Physician]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Head nurse]]></answer> 
						<situation><![CDATA[In order for the medical team to work best, there must be smooth collaboration and teamwork among its members.]]></situation> 
				</query>
				<query>
					<question ctrlno="347" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Urine for culture and sensitivity (C & S) was ordered and the nurse was told by the secretary from the Laboratory that the result will be due in 5-7 days. The nurse knows from her readings that bacterial Culture and Sensitivity may be reported in three days' time. Thus, she plans to follow up the result from which of the health allied professionals?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Head nurse]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Intern]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Medical technologist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Physician]]></answer> 
						<situation><![CDATA[In order for the medical team to work best, there must be smooth collaboration and teamwork among its members.]]></situation> 
				</query>
				<query>
					<question ctrlno="348" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient developed worsening cough and was given an anti-cough elixir. After 30 minutes he developed itchiness with hives. The nurse is hesitant to call anyone since it is already midnight, and there was no one else since it is a holiday. Who will she refer the patient to?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Head Nurse]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nurse Supervisor]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Consultant-in-Charge]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Head intern]]></answer> 
						<situation><![CDATA[In order for the medical team to work best, there must be smooth collaboration and teamwork among its members.]]></situation> 
				</query>
				<query>
					<question ctrlno="349" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient suddenly developed chest pain. The result of the stat Troph I revealed high result. What steps are CORRECT and according to protocol in this situation?<br><br>
					<span style="font-weight:normal">
					I. The medical technologist immediately calls up the physician to update him of the result.<br>
					II. The nurse waits for the doctor to call to confirm the result.<br>
					III. The nurse calls up the physician to inform him of the just-in lab result.<br>
					IV. The doctor waits for the update of the result from the hospital.<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<situation><![CDATA[In order for the medical team to work best, there must be smooth collaboration and teamwork among its members.]]></situation> 
				</query>
				<query>
					<question ctrlno="350" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient was prescribed a number of stat medications to prevent any untoward complications. The nurse closely coordinates with which professional to facilitate the immediate release of the necessary medicines and supplies?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Attending Physician]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nurse Supervisor]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Pharmacist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Head Nurse]]></answer> 
						<situation><![CDATA[In order for the medical team to work best, there must be smooth collaboration and teamwork among its members.]]></situation> 
				</query>
				<query>
					<question ctrlno="351" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is NOT a known predisposing factor to lung cancer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[House is near a banana plantation.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Works as a sprayer of vegetables and fruit trees.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Lives in a suburban area.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Living with mother who is a tobacco smoker.]]></answer> 
						<situation><![CDATA[Romy, 58 years old, has been a cigarette smoker since age 15. He has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="352" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually STARTS off to be _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[blood-tinged]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[productive]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dark yellow sputum]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[dry and persistent]]></answer> 
						<situation><![CDATA[Romy, 58 years old, has been a cigarette smoker since age 15. He has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="353" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Computerized Tomography (CT) scan]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Bronchoscopy]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sputum cytology]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Positron Emission Tomography (PET)]]></answer> 
						<situation><![CDATA[Romy, 58 years old, has been a cigarette smoker since age 15. He has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="354" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To help the patient with his breathing difficulty, the nurse places him in which position?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prone]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Fowler's]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sim's lateral]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Supine]]></answer> 
						<situation><![CDATA[Romy, 58 years old, has been a cigarette smoker since age 15. He has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="355" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Romy is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Providing relief from symptoms.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reducing fatigue]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Providing psychological support.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Advising treatment options]]></answer> 
						<situation><![CDATA[Romy, 58 years old, has been a cigarette smoker since age 15. He has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer.]]></situation> 
				</query>
				<query>
					<question ctrlno="356" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses are taught as students that the ideal and PROPER time for recording vital signs and notes on the patient is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[to wait for lunch break to do the recording]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[after all the tasks are done, in order to conserve time]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[as soon as they obtain the signs or observations on the patient]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[to wait for lunch break to do the recording]]></answer> 
						<situation><![CDATA[Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="357" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 800 cc level and not 400 cc, as endorsed. What is the CORRECT information that she will chart?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Anything goes, nobody reads the charting anyway.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Record the 400 cc.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Chart that she received 800]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Refer to the Head Nurse on what to do.]]></answer> 
						<situation><![CDATA[Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="358" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which is the APPROPRIATE way to correct an error in the Nurses Notes?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Take the whole page out and replace with a fresh one]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Draw a single line across the error and initial it]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Use the sticky side of the plastic tape to erase the error]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Use a rubber eraser to erase an error.]]></answer> 
						<situation><![CDATA[Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="359" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If a medicine is unavailable and therefore not given to the patient, how is it charted?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Leave it blank.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sign and make an explanation in the Nurses Notes.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[With an asterisk or mark, as per hospital protocol.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Write the letter.]]></answer> 
						<situation><![CDATA[Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="360" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If the patient is referred to another consultant and the latter has made an order already, what can the nurse CORRECTLY chart?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The attending physician has not yet read the order.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Only one order has been left to be carried out.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[She has carried out the orders of the consultant.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[That the consultant has seen the patient with new orders.]]></answer> 
						<situation><![CDATA[Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional.]]></situation> 
				</query>
				<query>
					<question ctrlno="361" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon entry of the patient to ER, the nurse must FIRST perform which nursing intervention?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Inject with rabies immune globulin.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Cleanse the bite with soap and running water.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inject the rabies vaccine immediately.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Administer the pain reliever, as ordered.]]></answer> 
						<situation><![CDATA[Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs predisposes to the occurrence of rabies.]]></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 knows that a dog bite has a shorter incubation for rabies if located in the _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[leg]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[hand]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[abdomen]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[face]]></answer> 
						<situation><![CDATA[Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs predisposes to the occurrence of rabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="363" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse anticipates that which one is prescribed to prevent a common bacterial complication from the dog bite?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ibuprofen (Motrin)]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[ciprofloxacin (Cipro)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[tetanus toxoid (Tetavax)]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[meperidine (Demerol)]]></answer> 
						<situation><![CDATA[Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs predisposes to the occurrence of rabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="364" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In administering the rabies immune globulin (RIg), the nurse infiltrates the calculated dose around the wound edges and the rest of the dose injected _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[intradermally]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[intramuscularly]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[subcutaneously]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[intravenously]]></answer> 
						<situation><![CDATA[Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs predisposes to the occurrence of rabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="365" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[According to RA 9482 or the anti- Rabies Act of 2007, which of the following statements regarding rabies post exposure prophylaxis is APPLICABLE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Have the dogs be regularly vaccinated against rabies]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Do not allow the dog to roam the street.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Put the dog in a leash when in a public place.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The owner will assist the bite victim with the medical expenses.]]></answer> 
						<situation><![CDATA[Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs predisposes to the occurrence of rabies.]]></situation> 
				</query>
				<query>
					<question ctrlno="366" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The assessment of the patient with ingested poison must include _____.<br><br>
					<span style="font-weight:normal">
					I. determining the poison ingested and the amount<br>
					II. The time from ingestion and the signs and symptoms<br>
					III. weight of the patient<br>
					IV. patient's immunization history<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II, and IV]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<situation><![CDATA[The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-lime bottle. When the mother saw the child, she immediately brought him to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="367" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In case of poisoning, the nurse is aware that the main goals in poisoning are to _____.<br><br>
					<span style="font-weight:normal">
					I. inactivate the poison<br>
					II. administer the specific antidote<br>
					III. induce the patient to vomit<br>
					IV. support vital organ functions<br></span>]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[I, II, and IV]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<situation><![CDATA[The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-lime bottle. When the mother saw the child, she immediately brought him to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="368" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To remove the ingested poisonous substance, the physician ordered a gastric lavage, What is the role of the nurse immediately prior to the procedure?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Get the right size of the nasogastric tube.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Remind parents to be careful next time]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Obtain an informed consent immediately]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Tell the parent that they are negligent]]></answer> 
						<situation><![CDATA[The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-lime bottle. When the mother saw the child, she immediately brought him to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="369" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is aware that the proper management of poisoning includes the following EXCEPT to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[perform hemoperfusion]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[remove the toxin through dialysis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[dilute the ingested substance]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[induce vomiting after ingestion of the caustic substance or petroleum distillate]]></answer> 
						<situation><![CDATA[The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-lime bottle. When the mother saw the child, she immediately brought him to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="370" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Discharge instruction made by the nurse to the parents should include _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[close monitoring of the toddler]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[disciplining the child every time]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[poison- proofing the home]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[lecturing the child on safety]]></answer> 
						<situation><![CDATA[The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-lime bottle. When the mother saw the child, she immediately brought him to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="371" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As the triage Nurse, which of the following will be Emma's priority?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[A non-responsive patient with sunken skull.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The patient with facial wounds and fracture.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Patient with sucking chest wound.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A man with over 50 percent second and third degree burns.]]></answer> 
						<situation><![CDATA[Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER.]]></situation> 
				</query>
				<query>
					<question ctrlno="372" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patients brought in who are unresponsive with penetrating head wounds are tagged by the triage nurse in which color?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Black]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Red]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Green]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Yellow]]></answer> 
						<situation><![CDATA[Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER.]]></situation> 
				</query>
				<query>
					<question ctrlno="373" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Those who suffered stable abdominal wounds without significant bleeding will be tagged _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[green]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[red]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[black]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[yellow]]></answer> 
						<situation><![CDATA[Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER.]]></situation> 
				</query>
				<query>
					<question ctrlno="374" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[It is very important that nurses must plan for mass casualties, which include _____.<br><br>
					<span style="font-weight:normal">
					I. warfarin<br>
					II. Terrorism<br>
					III. natural disasters<br>
					IV. infectious disease outbreaks<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[II, III, and IV]]></answer> 
						<situation><![CDATA[Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER.]]></situation> 
				</query>
				<query>
					<question ctrlno="375" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Emma must work with the Disaster Committee for an appropriate disaster response strategy, in order to succeed, must have physical assets which includes which of the following?<br><br>
					<span style="font-weight:normal">
					I. Increased security<br>
					II. Stockpiles of equipment<br>
					III. Numerous medications<br>
					IV. Trained staff<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[II, III and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<situation><![CDATA[Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a number of patients have been starting to arrive in the ER.]]></situation> 
				</query>
				<query>
					<question ctrlno="376" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When the nurse treats the patients in the air-conditioned rooms favorably compared to those in the charity wing, she violates which of the following ethical principles?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Distributive justice]]></answer> 
						<situation><![CDATA[The nurse when practicing the profession must adhere to ethical principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="377" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse has an obligation to tell the truth. When she admits mistakes promptly, she manifests _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Respect]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<situation><![CDATA[The nurse when practicing the profession must adhere to ethical principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="378" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The cancer patient has been frequently complaining of pain and demands that the pain reliever be administered even before the due time. The nurse prepares to inject NSS as a placebo. Which principle will she transgress?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Respect]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Veracity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Justice]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Fidelity]]></answer> 
						<situation><![CDATA[The nurse when practicing the profession must adhere to ethical principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="379" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse knows that ethical dilemmas may be referred to the Hospital Ethics Committee that has the PRIMARY role to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Prevent the physician from making the wrong decision]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Decide what must be done under the circumstances]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prevent ethical dilemmas from occurring]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Provide guidance for healthcare teams and family of patients]]></answer> 
						<situation><![CDATA[The nurse when practicing the profession must adhere to ethical principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="380" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurses were overheard talking about the patient and his prognosis. What ethical principle was violated?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Autonomy]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Confidentiality]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Non-maleficence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Beneficence]]></answer> 
						<situation><![CDATA[The nurse when practicing the profession must adhere to ethical principles.]]></situation> 
				</query>
				<query>
					<question ctrlno="381" 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 enrichment of nurses in the hospital, it is called _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[informal training program]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[formal education program]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[self-directed]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[In-service training program]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional]]></situation> 
				</query>
				<query>
					<question ctrlno="382" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The professional 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[Attendance in socio-civic activities]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Attending demonstration of baking]]></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="383" 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[Keep your silence, it is the television station's prerogative.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Go to the street to manifest displeasure of the nurses' portrayal.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Make a position paper to denounce the advertisement]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Condemn the issue in the radio program.]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional]]></situation> 
				</query>
				<query>
					<question ctrlno="384" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Bathing the newborn]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Proper bandaging]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Doing first aid]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Doing makeup]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional]]></situation> 
				</query>
				<query>
					<question ctrlno="385" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Merry's application to Canada has finally been approved and she was advised no depart in three months. But, she is also enrolled in the graduate school and ambivalent to go because of this engagement plus the fact that her mother has just been discharged from the hospital. Which of the following actions is BEST?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Tell 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="1" rationale=""><![CDATA[Tell the recruiter to give her more time to settle her personal affairs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Share to friends this is her escape from her sad life with her family.]]></answer> 
						<situation><![CDATA[Nurses must continually grow as a person and as a professional]]></situation> 
				</query>
				<query>
					<question ctrlno="386" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Myra wants to draw the patient out of her shell so she would be better able to elicit the patient's cooperation. Which of the following actions is MOST helpful?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Just ask Marlene straight the questions that need to be asked.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Smile at the patient and allow her to express her concerns.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Talk to the sister instead to get more information.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Be a professional in every way in dealing with her.]]></answer> 
						<situation><![CDATA[Marlene, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to hospital staff, except with the watcher who is her sister.]]></situation> 
				</query>
				<query>
					<question ctrlno="387" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Friendly but professional overtures have finally made Marlene open up her circumstances to the nurse, including their financial difficulty. What has been established at this time?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Beginning of a friendship]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Trusting relationship with the nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[A lifelong commitment]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[A dire need for financial help]]></answer> 
						<situation><![CDATA[Marlene, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to hospital staff, except with the watcher who is her sister.]]></situation> 
				</query>
				<query>
					<question ctrlno="388" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One morning during rounds, Nurse Myra noticed that Marlene was unduly sad. The nurse's BEST way of communicating her concern is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[whatever it is, you lift it up to God]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[saying you are sad again, that is bad for your health]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[telling Marlene to stop worrying, everything will be okay]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[placing her hand over Marlene's shoulder and asking why the sad face]]></answer> 
						<situation><![CDATA[Marlene, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to hospital staff, except with the watcher who is her sister.]]></situation> 
				</query>
				<query>
					<question ctrlno="389" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The day of discharge came and Marlene's face becomes all the more sad. When asked why, she answered she has no money to pay the bill. The BEST way of communicating her piece of advice is stating which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[You can go to the cashier for to find out what she can advise you.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[The government has agencies for those who need financial assistance. I will give you the list.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[You can always pay in staggered amounts to be given every 15 days.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask help from generous relatives so you can have additional for down payment.]]></answer> 
						<situation><![CDATA[Marlene, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to hospital staff, except with the watcher who is her sister.]]></situation> 
				</query>
				<query>
					<question ctrlno="390" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Leukemia is a chronic illness and it is expected that the patient willbe in and out of the hospital. To maintain communication, the nurse will _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[ask the patient to call the hospital number listed in the yellow pages]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[ask for the phone number where the patient can be easily contacted]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[read the information sheet of the patient in the chart]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[tell patient to write the number in a piece of paper and give it to the ward clerk]]></answer> 
						<situation><![CDATA[Marlene, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to hospital staff, except with the watcher who is her sister.]]></situation> 
				</query>
				<query>
					<question ctrlno="391" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury to a patient. As the QI Officer, what is your INITIAL STEP following a sentinel event?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reporting to the Department of Health]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Immediate investigation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Corrective action on the personnel]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Reporting to the Chief Executive Officer]]></answer> 
						<situation><![CDATA[You are the Quality Improvement Officer of the Hospital X. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement.]]></situation> 
				</query>
				<query>
					<question ctrlno="392" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In one of the Board meetings, the QI Officer will report the results of Quality Improvement efforts in the hospital. The report will be presented much BETTER by using which of the following? (Select all that apply)<br><br>
					<span style="font-weight:normal">
					I. diagrams<br>
					II. charts<br>
					III .graphs<br>
					IV. flow charts<br></span>]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I, II, III, and IV]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I, III, and IV]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[II, III and IV]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I, II, and III]]></answer> 
						<situation><![CDATA[You are the Quality Improvement Officer of the Hospital X. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement.]]></situation> 
				</query>
				<query>
					<question ctrlno="393" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The WHO Surgical Safety Checklist aims to increase the safety of patients undergoing surgery. This is being adopted by the Hospital's Quality Department. Based on the Checklist; you are aware than the surgeon, nurse, and anesthetist should be present during the recapitulation and reassurance of correct patient identity, correct site and correct procedure, which occur right before skin incision. In what phase should the above take place?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Debriefing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Sign Out]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Sign in]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Time Out]]></answer> 
						<situation><![CDATA[You are the Quality Improvement Officer of the Hospital X. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement.]]></situation> 
				</query>
				<query>
					<question ctrlno="394" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As the QI Officer, you have strongly recommended to the Surgery Department the adoption of the WHO Surgical Safety Checklist to prevent a "wrong site" surgery?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Debriefing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Briefing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Time out]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[surgical site marking]]></answer> 
						<situation><![CDATA[You are the Quality Improvement Officer of the Hospital X. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement.]]></situation> 
				</query>
				<query>
					<question ctrlno="395" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The QI Officer conducts her random visit to the Operating Room. She asks one of the OR nurses in what phase in the WHO Surgical Safety Checklist will the nurse account for the sponges and needles used in the surgery?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Sign out]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Time out]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Sign in]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Debriefing]]></answer> 
						<situation><![CDATA[You are the Quality Improvement Officer of the Hospital X. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement.]]></situation> 
				</query>
				<query>
					<question ctrlno="396" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which procedure has to be done to the patient to establish a definitive diagnosis of lung cancer?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Chest x-ray followed by a CT scan]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Cytological study of the sputum]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Bronchoscopy]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Magnetic resonance imaging]]></answer> 
						<situation><![CDATA[Tommy, a 50-year-old, chain-smoker, is suspected to have lung cancer after he was seen and examined by his physician. He and his wife got very worried about his diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="397" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The MOST significant contributory factor to the development of lung cancer is _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[being a cigarette smoker]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[belonging to the male sex]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Being extremely obese]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[age over 40 years]]></answer> 
						<situation><![CDATA[Tommy, a 50-year-old, chain-smoker, is suspected to have lung cancer after he was seen and examined by his physician. He and his wife got very worried about his diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="398" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient while in the hospital is complaining of chest pain, when the nurse is assessing the degree of pain of the patient, the MOST APPROPRIATE basis is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[watcher's description of patient's pain]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[patient's own rating of his pain]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Non-verbal cues observed in the patient]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[nurse's own rating of the patient's pain]]></answer> 
						<situation><![CDATA[Tommy, a 50-year-old, chain-smoker, is suspected to have lung cancer after he was seen and examined by his physician. He and his wife got very worried about his diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="399" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Health teaching on chemotherapy includes informing Tommy on the adverse effect of bleeding related to bone marrow depression. Which verbalization of the patient indicates further teaching?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[I should watch out for discolorations in my skin]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[I am going to take two tablets of Aspirin for my headache]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I may need platelet transfusion in the future]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[I should not blow my nose]]></answer> 
						<situation><![CDATA[Tommy, a 50-year-old, chain-smoker, is suspected to have lung cancer after he was seen and examined by his physician. He and his wife got very worried about his diagnosis.]]></situation> 
				</query>
				<query>
					<question ctrlno="400" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient underwent a left pneumonectomy due to lung cancer. During surgery the phrenic nerve is accidentally cut. This incident will result to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Allow greater expansion of the lungs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Make the diaphragm descend with ease]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[produce a partially functioning diaphragm]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[make the diaphragm go up with ease]]></answer> 
						<situation><![CDATA[Tommy, a 50-year-old, chain-smoker, is suspected to have lung cancer after he was seen and examined by his physician. He and his wife got very worried about his diagnosis.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
	<group type="questions" testno="5" testsection="NLE Assessment" testpart="NURSING PRACTICE V - CARE OF CLIENTS (SET B)"  audio="" showquestion="yes" >
		<content>
			<html><![CDATA[<br><center><h3>NURSING PRACTICE V - CARE OF CLIENTS (SET 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="401" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Attention deficit hyperactivity disorder (ADHD) is characterized by NOT one of the following?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Mental retardation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Overactivity]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inattentiveness]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impulsiveness]]></answer> 
						<situation><![CDATA[Sandro, 8 years old, 1st grader child has always been the subjectof her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now, Sandro still has to be reminded in getting dress completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day.]]></situation> 
				</query>
				<query>
					<question ctrlno="402" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following would the nurse expect to see as symptoms in a child with ADHD?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Moody, sullen and pouting behavior]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Interrupts others and can't take turns]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Excessive running, climbing and fidgeting]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Easily distracted, and forgetful]]></answer> 
						<situation><![CDATA[Sandro, 8 years old, 1st grader child has always been the subjectof her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now, Sandro still has to be reminded in getting dress completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day.]]></situation> 
				</query>
				<query>
					<question ctrlno="403" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Sandro is taking pemoline (Cylert) for ADHD. The nurse must be aware of which of the following side effects?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Decreased thyroid stimulating hormones]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Decreased red blood cell count]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Elevated white blood cell count]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Elevated liver function test results]]></answer> 
						<situation><![CDATA[Sandro, 8 years old, 1st grader child has always been the subjectof her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now, Sandro still has to be reminded in getting dress completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day.]]></situation> 
				</query>
				<query>
					<question ctrlno="404" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An effective nursing intervention far the impulsive and aggressive behaviors that accompany conduct disorder is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[open expression of feelings]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[assertiveness training]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[negotiation of rules]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[consistent limit setting]]></answer> 
						<situation><![CDATA[Sandro, 8 years old, 1st grader child has always been the subjectof her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now, Sandro still has to be reminded in getting dress completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day.]]></situation> 
				</query>
				<query>
					<question ctrlno="405" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nursing diagnosis commonly used when working with Sandro is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ineffective role performance]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[impaired social interaction]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[compromised family coping]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[risk for injury]]></answer> 
						<situation><![CDATA[Sandro, 8 years old, 1st grader child has always been the subjectof her mother's prompting and care. He always tests his mom's rule in preparing for school. Although this has been for five months now, Sandro still has to be reminded in getting dress completely and dilly dally eating his breakfast. He still plays with his toys and interferes with her sister in playing blocks. The mother is so anxious in reminding Sandro that his school bus will be arriving in 10 minutes every day.]]></situation> 
				</query>
				<query>
					<question ctrlno="406" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following statements indicates that the client needs further teaching?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I will have to avoid drinking nonalcoholic beer."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I will be able to eat cottage cheese without worrying."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[I can eat green beans on this diet.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["I'm so glad I can have pizza as long as I don't order pepperoni."]]></answer> 
						<situation><![CDATA[The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.]]></situation> 
				</query>
				<query>
					<question ctrlno="407" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Patient's health teaching for Lamotrigine (Lamictal) should include which of the following?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Take each dose with food to avoid nausea.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I will be able to eat cottage cheese without worrying."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Report any rashes to your doctor immediately.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[This drug may cause psychological dependence.]]></answer> 
						<situation><![CDATA[The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.]]></situation> 
				</query>
				<query>
					<question ctrlno="408" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following health teaching concern for the nurse as discharged plan for suicidal patient who had been taking tricyclic antidepressant drugs for 2 weeks, and now ready to go home?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The nurse will need to Include teaching regarding signs of neuroleptic malignant syndrome.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The patient will need regular laboratory work to monitor therapeutic drug levels.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The patient may need a prescription for Benadryl to use for side effects.]]></answer> 
						<situation><![CDATA[The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.]]></situation> 
				</query>
				<query>
					<question ctrlno="409" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is to take regularly Lithium after discharged. The MOST important information to impart to the patient and his family is that the patient should _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[not eat foods which has high tyramine content like cheese, wine, liver]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[limit his fluid intake]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[have a limited intake of sodium]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[have an adequate intake of sodium]]></answer> 
						<situation><![CDATA[The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.]]></situation> 
				</query>
				<query>
					<question ctrlno="410" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient with diagnosis of Schizophrenia who has been taking Clozapine will inform the patient's family that the positive effect of this drug is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[monthly liver function studies change moderately]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[psychotic symptoms, such as hearing loss are reduced]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[patient develops leukopenia]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Patients energy level and involvement in activities goes up.]]></answer> 
						<situation><![CDATA[The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.]]></situation> 
				</query>
				<query>
					<question ctrlno="411" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A safe patient environment includes following factors EXCEPT _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Socio-economic needs]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[basic needs are met]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[sanitation is maintained]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[physical hazards are reduced]]></answer> 
						<situation><![CDATA[Patrick, Charge nurse, is aware that the uses of resources essential for patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="412" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As an individual, which of the following is an INTERNAL variable affecting health status, belief, or practices?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Genetics]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Socioeconomic status]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Family structure]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Living situation]]></answer> 
						<situation><![CDATA[Patrick, Charge nurse, is aware that the uses of resources essential for patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="413" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Falls are one of the leading environmental hazards reported in health facilities. One of the MOST common occurrences that precipitate a patient fall is _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[experiencing stress, anxiety, and fatigue]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[leaving the side rails down]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[reaching item at the bedside]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[performing activities of daily living]]></answer> 
						<situation><![CDATA[Patrick, Charge nurse, is aware that the uses of resources essential for patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="414" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[If case a patient falls, the nurse's FIRST responsibility is to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[assess the patient's injury]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[write an incident report]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[report the incident to the head nurse]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[notify the physician at once]]></answer> 
						<situation><![CDATA[Patrick, Charge nurse, is aware that the uses of resources essential for patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="415" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In healthcare facility, a planned program of loss prevention and liability control refers to ______?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[quality assurance]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[critical pathways]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[risk management]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[peer review]]></answer> 
						<situation><![CDATA[Patrick, Charge nurse, is aware that the uses of resources essential for patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="416" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is conducting physical assessment, which of the following is INAPPROPRIATE action in this stage?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Insert intravenous cannula]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Assess patient's lifestyle]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Assess patient source of stress and coping habits]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Identify the patient's daily activity]]></answer> 
						<situation><![CDATA[Mark, a 25-year-old student suddenly had convulsive movements with loss of consciousness during their lecture. After the episode he was rushed to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="417" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Mark is scheduled for an EEG after having a seizure for the first time. What is the BEST patient preparation instruction before the procedure?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Avoid thinking and personal matters for 12 hours before the test."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Do not shampoo your hair for 24 hours before the test."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Do not eat anything for 12 hours before the test."]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA["Avoid stimulants and alcohol for 24 to 48 hours before the test."]]></answer> 
						<situation><![CDATA[Mark, a 25-year-old student suddenly had convulsive movements with loss of consciousness during their lecture. After the episode he was rushed to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="418" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following manifestation should the nurse APPROPRIATELY observe during generalized seizures?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Loss of consciousness, dilated pupils, and muscular stiffening]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Jerking movements of all extremities.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Facial grimace with patting and smacking.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vacant stare with a brief loss of consciousness]]></answer> 
						<situation><![CDATA[Mark, a 25-year-old student suddenly had convulsive movements with loss of consciousness during their lecture. After the episode he was rushed to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="419" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the FIRST priority which the nurse must observe in caring for patient with seizure?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Safety]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Airway]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nutrition]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Mobility]]></answer> 
						<situation><![CDATA[Mark, a 25-year-old student suddenly had convulsive movements with loss of consciousness during their lecture. After the episode he was rushed to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="420" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Phenytoin (Dilantin) has been prescribed for a patient. Based on an understanding of the medicine, what is the APPROPRIATE nursing instruction of the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Give Dilantin intramuscularly]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Administer good oral hygiene]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dilute IV Dilantin with 5% dextrose]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Maintain a Dilantin level of 30-50 ug/ml]]></answer> 
						<situation><![CDATA[Mark, a 25-year-old student suddenly had convulsive movements with loss of consciousness during their lecture. After the episode he was rushed to the nearest hospital.]]></situation> 
				</query>
				<query>
					<question ctrlno="421" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After formulating and delimiting the research problem, which of the following will be a PRIORITY action of Gloria?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Develop the theoretical framework of the study]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Formulate the hypothesis]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Plan the research design of the study]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Conduct a literature search on the topic]]></answer> 
						<situation><![CDATA[Gloria is a nurse researcher in the Department of Health. She is assigned to conduct research on patient's safety practices of nurses in the psychiatric unit. She is given 6 months to conduct the study.]]></situation> 
				</query>
				<query>
					<question ctrlno="422" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Gloria decides to include only nurses who have a minimum three years experience as psychiatric nurses. Which of the following terms refer to this?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Concept]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Variable]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Limitation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Delimitation]]></answer> 
						<situation><![CDATA[Gloria is a nurse researcher in the Department of Health. She is assigned to conduct research on patient's safety practices of nurses in the psychiatric unit. She is given 6 months to conduct the study.]]></situation> 
				</query>
				<query>
					<question ctrlno="423" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The statement "The length of service is not associated with the degree of patient safety practices of staff nurses" is an example of a/an _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Variable]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Assumption]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Hypothesis]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Theory]]></answer> 
						<situation><![CDATA[Gloria is a nurse researcher in the Department of Health. She is assigned to conduct research on patient's safety practices of nurses in the psychiatric unit. She is given 6 months to conduct the study.]]></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 research designs is MOST APPROPRIATE for this study if the aim is to find a relationship between two variables in the study?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Phenomenological study]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Experimental]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Exploratory]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Correlational]]></answer> 
						<situation><![CDATA[Gloria is a nurse researcher in the Department of Health. She is assigned to conduct research on patient's safety practices of nurses in the psychiatric unit. She is given 6 months to conduct the study.]]></situation> 
				</query>
				<query>
					<question ctrlno="425" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[She plans to interview the Psyche Nurse Manager about the patient safety practice of the nurses. What type of sampling includes those who happen to be in the conference room where the activity is scheduled?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Random]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Purposive]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Convenience]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Quota]]></answer> 
						<situation><![CDATA[Gloria is a nurse researcher in the Department of Health. She is assigned to conduct research on patient's safety practices of nurses in the psychiatric unit. She is given 6 months to conduct the study.]]></situation> 
				</query>
				<query>
					<question ctrlno="426" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A cognitive assessment of Belle indicated that according to Piaget's theory she was functioning at the concrete operational stage. Which of these behaviors would the nurse observe in Belle?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Thinks logically and sees possibilities.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Understands only her own viewpoint.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Feels her own reasoning should agree with the reasoning of others.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Makes and tests hypothesis.]]></answer> 
						<situation><![CDATA[Belle is a 30-year-old single mother who is dependent on her family for support. Her diagnosis is mild mental retardation with post-traumatic disorder with depressive episodes related to her mother's death. Her current symptoms include depressed mood with irritability, difficulty tolerating frustration, difficulty falling asleep, increased appetite and weight gain, hypervigilance, and worry that something terrible will happen to her child.]]></situation> 
				</query>
				<query>
					<question ctrlno="427" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Belle has difficulty tolerating frustration. The GOAL of the nurse is to assist Belle to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[increase her self-esteem]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[cope with anxiety]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[recognize her needs]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[mobilize her resources]]></answer> 
						<situation><![CDATA[Belle is a 30-year-old single mother who is dependent on her family for support. Her diagnosis is mild mental retardation with post-traumatic disorder with depressive episodes related to her mother's death. Her current symptoms include depressed mood with irritability, difficulty tolerating frustration, difficulty falling asleep, increased appetite and weight gain, hypervigilance, and worry that something terrible will happen to her child.]]></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 historical data MOST probably led to a post-traumatic stress disorder?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Unstable relationship with ex-fiance.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Suicide of her mother.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[No gang-relationship with peers.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Dropping out of school.]]></answer> 
						<situation><![CDATA[Belle is a 30-year-old single mother who is dependent on her family for support. Her diagnosis is mild mental retardation with post-traumatic disorder with depressive episodes related to her mother's death. Her current symptoms include depressed mood with irritability, difficulty tolerating frustration, difficulty falling asleep, increased appetite and weight gain, hypervigilance, and worry that something terrible will happen to her child.]]></situation> 
				</query>
				<query>
					<question ctrlno="429" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Given her problems of hyper vigilance and worry that something terrible will happen to her child, nursing interventions should be aimed at addressing her needs for _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[love and belongingness]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[biological integrity]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[psychological security]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[self-esteem]]></answer> 
						<situation><![CDATA[Belle is a 30-year-old single mother who is dependent on her family for support. Her diagnosis is mild mental retardation with post-traumatic disorder with depressive episodes related to her mother's death. Her current symptoms include depressed mood with irritability, difficulty tolerating frustration, difficulty falling asleep, increased appetite and weight gain, hypervigilance, and worry that something terrible will happen to her child.]]></situation> 
				</query>
				<query>
					<question ctrlno="430" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In terms of social support therapy, which of these is the MOST APPROPRIATE And therapeutic?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[With appropriate support, lives in the community, either independently or in supervised setting.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Individualized relationship with a caregiver.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[High structured environment with constant aid and supervision.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Vocational training with moderate supervision but not beyond second grade academic challenges.]]></answer> 
						<situation><![CDATA[Belle is a 30-year-old single mother who is dependent on her family for support. Her diagnosis is mild mental retardation with post-traumatic disorder with depressive episodes related to her mother's death. Her current symptoms include depressed mood with irritability, difficulty tolerating frustration, difficulty falling asleep, increased appetite and weight gain, hypervigilance, and worry that something terrible will happen to her child.]]></situation> 
				</query>
				<query>
					<question ctrlno="431" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient asks to be discharged from the health care facility against medical advice (AMA). What should the nurse do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Notify the physician.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Prevent the patient from leaving.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Have the patient sign an AMA form.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Call a security guard to help detain the patient.]]></answer> 
						<situation><![CDATA[The following scenarios are potential routines that could check work ethics of a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="432" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nursing assistant is assigned to provide morning care to a patient. How should the nurse document care given by the nursing attendant?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[ "Morning care rendered."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[ "Morning care rendered by Grace Go, NA".]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[ "Morning care provided by G.G., nursing assistant."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[ "Morning care refused to be given by nursing assistant."]]></answer> 
						<situation><![CDATA[The following scenarios are potential routines that could check work ethics of a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="433" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse administers the wrong intravenous fluid to a patient. She should accomplish which of the following documents to be submitted to her immediate supervisor?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Patient Kardex]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Incident report]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Progress report]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Endorsement record]]></answer> 
						<situation><![CDATA[The following scenarios are potential routines that could check work ethics of a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="434" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When developing a care plan for a patient with a do-not-resuscitate order, the nurse should NOT include which intervention on the care plan?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Allow access to individuals who can provide spiritual care.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Administer pain medications as ordered by physician.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Provide usual routine nursing care as ordered by physician.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Administer lethal doses of medication as patient request.]]></answer> 
						<situation><![CDATA[The following scenarios are potential routines that could check work ethics of a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="435" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is to undergo a laminectomy in the morning. The physician asks the nurse to witness the patient's signing of the consent form, what is the BEST action the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Provide emotional support for the patient while the patient signs she consent.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Make sure the physician explains the risks of undergoing the procedure.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Make sure the physician thoroughly describes the procedure.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Make sure the patient is competent, awake and alert before he/she signs the consent form.]]></answer> 
						<situation><![CDATA[The following scenarios are potential routines that could check work ethics of a professional nurse.]]></situation> 
				</query>
				<query>
					<question ctrlno="436" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is having elective surgery under general anesthesia. Who is responsible for obtaining the informed consent?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Surgeon]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Nurse anesthetist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anesthesiologist]]></answer> 
						<situation><![CDATA[Charge Nurse Tessie works at the surgical ward, she ensures good record management is implemented in her unit at all times.]]></situation> 
				</query>
				<query>
					<question ctrlno="437" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which statement by the patient, indicates that the he understands the explanation of the surgeon?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I refuse to sign the consent form; another family member can sign for me."]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["NOW I know what the alternative treatments and procedures are."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["If I refuse to sign the consent form, other treatment will be withdrawn."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I can't refuse the procedure after the consent is signed."]]></answer> 
						<situation><![CDATA[Charge Nurse Tessie works at the surgical ward, she ensures good record management is implemented in her unit at all times.]]></situation> 
				</query>
				<query>
					<question ctrlno="438" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The unit secretary who transcribes the physicians' order asks the nurse to interpret an order because she cannot read the writing. The nurse's BEST action is to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[clarify the order with the pharmacies]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[clarify the order by calling the physician]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[interpret the order according to the patient's previous medication record]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[clarify the order with junior staff]]></answer> 
						<situation><![CDATA[Charge Nurse Tessie works at the surgical ward, she ensures good record management is implemented in her unit at all times.]]></situation> 
				</query>
				<query>
					<question ctrlno="439" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physician orders to transfuse 500ml packed RBC blood postoperatively. The nurse must check the name on the label of the blood with the name on the patient's _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[medication administration record]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[wristband in the presence of another nurse]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[medical chart]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[wristband]]></answer> 
						<situation><![CDATA[Charge Nurse Tessie works at the surgical ward, she ensures good record management is implemented in her unit at all times.]]></situation> 
				</query>
				<query>
					<question ctrlno="440" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient's wife is so anxious about the condition of her husband. The MOST appropriate INITIAL/Intervention for the nurse to make is to ______.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[describe her husband's medical treatment since admission]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[reassure her that the important fact is her presence]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[explain the nature of the injury and reassure her that husband's condition is stable]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[allow her to verbalize her feelings and concerns]]></answer> 
						<situation><![CDATA[Charge Nurse Tessie works at the surgical ward, she ensures good record management is implemented in her unit at all times.]]></situation> 
				</query>
				<query>
					<question ctrlno="441" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Who should be involved in quality improvement measures?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Everyone]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Management staff]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Professional staff]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Consumers]]></answer> 
						<situation><![CDATA[Quality and safety are rooted in the daily work of a healthcare professional. Nurses in the Orthopedic Unit attends monthly quality assurance meeting. The following questions were discussed.]]></situation> 
				</query>
				<query>
					<question ctrlno="442" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To start a nursing improvement project what is the FIRST step that a nurse must keep in mind?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Implement plan to correct the problem]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Determine the nursing standards]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Determine findings if warrant correction]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Collect data, determine if standards are met]]></answer> 
						<situation><![CDATA[Quality and safety are rooted in the daily work of a healthcare professional. Nurses in the Orthopedic Unit attends monthly quality assurance meeting. The following questions were discussed.]]></situation> 
				</query>
				<query>
					<question ctrlno="443" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To achieve organized work flow in the unit, the staff must be aware of the head nurse's role. What is the PRIMARY purpose of supervision and delegation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Enhances the delivery of quality nursing care]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Influences organization's approach in personnel evaluation]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Improves staff attendance in seminars]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Assign any staff to do tasks or project.]]></answer> 
						<situation><![CDATA[Quality and safety are rooted in the daily work of a healthcare professional. Nurses in the Orthopedic Unit attends monthly quality assurance meeting. The following questions were discussed.]]></situation> 
				</query>
				<query>
					<question ctrlno="444" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[To ensure quality nursing care to a patient in skin traction what is the PRIORITY intervention that nurse has to assess frequently?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[sign of infection around the pin site]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Signs of skin breakdown]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Urinary incontinence]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Presence of bowel sounds]]></answer> 
						<situation><![CDATA[Quality and safety are rooted in the daily work of a healthcare professional. Nurses in the Orthopedic Unit attends monthly quality assurance meeting. The following questions were discussed.]]></situation> 
				</query>
				<query>
					<question ctrlno="445" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nursing team plans to do chart audit project on post-op patient who had developed pressure sores at the Orthopedic unit over the past years to present. What type of audit is?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Retrospective]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Process]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Concurrent]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Outcome]]></answer> 
						<situation><![CDATA[Quality and safety are rooted in the daily work of a healthcare professional. Nurses in the Orthopedic Unit attends monthly quality assurance meeting. The following questions were discussed.]]></situation> 
				</query>
				<query>
					<question ctrlno="446" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[You are a Drug Abuse Treatment and Rehabilitation Center Nurse. During the assessment of a newly admitted Person Who Uses Drugs (PWUDs) named Korino, which of the following is the MOST APPROPRIATE question to ask?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask Korino how long he thought that he could take drugs without someone finding it.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Ask Korino why he started taking illegal drugs.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Not ask any questions for fear Korino will deny and may become assaultive.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Ask Korino about the amount of drug used and its effect and how long he had been using.]]></answer> 
						<situation><![CDATA[Incidence of drug abuse has greatly increased overtime. Korino has been using drugs for the past three years.]]></situation> 
				</query>
				<query>
					<question ctrlno="447" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Upon data collection he had been failing, three times in his math class and Korino was known for substance dependent for three years. What is the MOST APPROPRIATE nursing diagnosis for him?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Alteration in perception.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Alteration in social interaction.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Ineffective individual coping.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Impaired judgment.]]></answer> 
						<situation><![CDATA[Incidence of drug abuse has greatly increased overtime. Korino has been using drugs for the past three years.]]></situation> 
				</query>
				<query>
					<question ctrlno="448" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Korino has been using meperidine and codeine for personal consumption. Which of the following does the nurse understand as the physiologic effect of these drugs?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Increases sexual stimulation.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Relieves pain by increasing pain threshold]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Decrease craving for alcoholic intake.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Heightens concentration and alertness]]></answer> 
						<situation><![CDATA[Incidence of drug abuse has greatly increased overtime. Korino has been using drugs for the past three years.]]></situation> 
				</query>
				<query>
					<question ctrlno="449" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which assessment by the nurse would cause a concern for Meperidine overdose?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Respiration rate of 12 bpm.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hypercapnia]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Dryness of the skin.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pinpoint pupils.]]></answer> 
						<situation><![CDATA[Incidence of drug abuse has greatly increased overtime. Korino has been using drugs for the past three years.]]></situation> 
				</query>
				<query>
					<question ctrlno="450" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What drug should the nurse prepare for administration to reverse all signs of toxicity?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Digibind (Digoxin)]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Naloxone (Narcan)]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Atropine sulfate]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Diazepam (Valium)]]></answer> 
						<situation><![CDATA[Incidence of drug abuse has greatly increased overtime. Korino has been using drugs for the past three years.]]></situation> 
				</query>
				<query>
					<question ctrlno="451" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse asks the patient, "What do you fear MOST about your surgery tomorrow? This is an example of which communication technique?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Providing general leads]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Summarizing]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Seeking clarification]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Presenting reality]]></answer> 
						<situation><![CDATA[Effective communication is a core skill for nurses that a professional nurse must apply in their daily routine for patient care, colleagues and family.]]></situation> 
				</query>
				<query>
					<question ctrlno="452" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient made the following statement to the nurse, "My doctor just told me that he cannot save my leg and that I need to have an above-the-knee-amputation". Which response by the nurse is MOST appropriate?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Tell me more."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Dr. Benito is an excellent surgeon."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["If I were you, I will get a second opinion." ]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["Are you in pain?"]]></answer> 
						<situation><![CDATA[Effective communication is a core skill for nurses that a professional nurse must apply in their daily routine for patient care, colleagues and family.]]></situation> 
				</query>
				<query>
					<question ctrlno="453" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A nurse is communicating with attending physician about medical intervention prescribed for a patient post spine surgery. Which statement is INDICATIVE of a collaborative relationship?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["Can we talk about Mrs. Santos?"]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA["I am worried about Mrs. Santos blood pressure. It is not decreasing even with the new antihypertensive medication."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["That new medication you prescribed for Mrs. Santos is ineffective."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["We do not need to talk about Mrs. Santos' blood pressure."]]></answer> 
						<situation><![CDATA[Effective communication is a core skill for nurses that a professional nurse must apply in their daily routine for patient care, colleagues and family.]]></situation> 
				</query>
				<query>
					<question ctrlno="454" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[An 80-years-old male, admitted for emergency suturing of the forehead sustained from accident fall while gardening under local sedation. He was just received in the ward. Which nursing intervention is APPROPRIATE to facilitate effective communication with this patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Talk to patient when fully awake and inform him and family events which may occur post-surgery.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide the patient with instructional materials about discharge.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Tell the patient, "You are fine nothing to worry."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ask the patient, "Do you know where you are?"]]></answer> 
						<situation><![CDATA[Effective communication is a core skill for nurses that a professional nurse must apply in their daily routine for patient care, colleagues and family.]]></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 who uses appropriate therapeutic listening skills will display which BEST behavior?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Presume an understanding of the patient needs.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[React quickly to the message.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Reassure the patient that everything will be fine.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Absorb both the content and the feeling which patient is conveying.]]></answer> 
						<situation><![CDATA[Effective communication is a core skill for nurses that a professional nurse must apply in their daily routine for patient care, colleagues and family.]]></situation> 
				</query>
				<query>
					<question ctrlno="456" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work setting?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Ask staff members of their opinion on the matter.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Modifies his own behavior favoring the needs of individual staff.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Gives equal consideration to each staff members]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Plans and organizes group activities of staff members.]]></answer> 
						<situation><![CDATA[Effective team work and collaboration in nursing is achieved when individuals work together in harmony, processes and goals are aligned towards achieving safe quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="457" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In problem solving, the head nurse must know what is characteristic of negotiation?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Be positive in your approach since optimism gives further favorable results.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Harmony is possible even when strategies are not well planned.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[It is not important to get anything in writing since the truth will prevail.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Resources tend to involve too many individuals in decision-making process.]]></answer> 
						<situation><![CDATA[Effective team work and collaboration in nursing is achieved when individuals work together in harmony, processes and goals are aligned towards achieving safe quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="458" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Applying multidisciplinary approach of patient care, which among the members of the multidisciplinary team that the nurse would MOST likely collaborate with when the patient is at risk of fall due to an impaired gait?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Podiatrist]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Physical therapist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Speech therapist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Nutritionist]]></answer> 
						<situation><![CDATA[Effective team work and collaboration in nursing is achieved when individuals work together in harmony, processes and goals are aligned towards achieving safe quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="459" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing A nurse is resistant to the change and is not taking an active part in facilitating the process of change. Which is the BEST approach in dealing with the nurse?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Exert coercion on the nurse]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Provide a positive reward system for the nurse]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Talk and encourage verbalizing feelings of the change.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Ignore the resistance of the nurse.]]></answer> 
						<situation><![CDATA[Effective team work and collaboration in nursing is achieved when individuals work together in harmony, processes and goals are aligned towards achieving safe quality patient care.]]></situation> 
				</query>
				<query>
					<question ctrlno="460" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which among the members of the multidisciplinary team that the nurse would be BEST to collaborate with when the patient can benefit the use of leg prosthesis?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Occupational therapist]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Physical therapist]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Podiatrist]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Pharmacist]]></answer> 
						<situation><![CDATA[Effective team work and collaboration in nursing is achieved when individuals work together in harmony, processes and goals are aligned towards achieving safe quality patient care.]]></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 statements should Nurse Cora consider as TRUE with anorexia nervosa?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Thinness is equated with vanity among peers.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Eating disorders are not major health problems]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Cultures linking beauty to thinness increase risk of the illness.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Anorexia nervosa is not considered as a mental disorder.]]></answer> 
						<situation><![CDATA[Karen is seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa.]]></situation> 
				</query>
				<query>
					<question ctrlno="462" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Karen is being assessed for eating disorder. Which option is suggestive of anorexia nervosa?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Lack of knowledge about food and nutrition]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Guilt and shame about eating patterns]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Refusal to talk about food-related topics]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Unrealistic perception of body size]]></answer> 
						<situation><![CDATA[Karen is seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa.]]></situation> 
				</query>
				<query>
					<question ctrlno="463" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Nurse Cora is working with Karen. Even though Karen has been eating all her meals and snacks, her weight has remained unchanged for a week. Which nursing intervention is APPROPRIATE for Karen?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Supervise Karen closely for 2 hours after meals and snacks.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Supervise Karen closely 2 hours before and after meals.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Increase the daily caloric intake from 1500 to 2000 calories.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Increase the daily caloric intake from 1800 to 3000 calories.]]></answer> 
						<situation><![CDATA[Karen is seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa.]]></situation> 
				</query>
				<query>
					<question ctrlno="464" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[One morning, as Nurse Cora entered Karen's room, she noticed that the patient was engaging in rigorous push-ups. Which nursing action is MOST APPROPRIATE?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Allow her to complete her exercise program]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tell her that she is not allowed to exercise rigorously.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Interrupt her and offer to take her for a walk.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Interrupt her and explain that exercise is not needed.]]></answer> 
						<situation><![CDATA[Karen is seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa.]]></situation> 
				</query>
				<query>
					<question ctrlno="465" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is the INITIAL goal for treating the severely malnourished patient with anorexia nervosa?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Nutritional rehabilitation]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Correction of body image disturbance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Weight restoration]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Correction of electrolyte imbalances]]></answer> 
						<situation><![CDATA[Karen is seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa.]]></situation> 
				</query>
				<query>
					<question ctrlno="466" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[While taking nursing history on Annie, what will be the response of the patient that indicates her present condition?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[She frequently experience vertigo, nausea and nystagmus when sitting.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[She has ear pain and discharge from the left ear when travelling.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[She has had impaired hearing since birth.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Her hearing loss has become worse with each succeeding pregnancy.]]></answer> 
						<situation><![CDATA[Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="467" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Annie states, "I'm afraid to let my children out of my sight now that I can't hear them." What is the nurse's BEST response?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA["Tell me about your fears of losing contact with your children now that you can't hear them."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["Children need some freedom, and the mother has to learn to trust them."]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA["Do the children usually misbehave when they cannot be seen or heard by you?" ]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["What can the children do to make you feel more comfortable?"]]></answer> 
						<situation><![CDATA[Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="468" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What should be APPROPRIATE In the nursing care plan for Annie having otosclerosis?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Substitute meaningful sensory input by the use of other senses.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Orient Annie to the staff, the unit, and all treatments]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Give nursing care that will meet her psychological needs.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Make frequent calls to prevent isolation and loneliness.]]></answer> 
						<situation><![CDATA[Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="469" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The day after surgery, Annie expresses concern that hearing is not as good as it was before admission. What is the BEST nurse action?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage Annie to divert her attention by reading.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Encourage Annie to blow more her nose to clear the Eustachian tubes.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Reassure Annie that it is temporary loss due to post-op edema and ear packing.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Check the external ear for blood clots and remove them.]]></answer> 
						<situation><![CDATA[Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="470" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What post-operative teaching will the patient STRICTLY follow?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Reinforce that fact that airplane travel is no longer permitted.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Show patient how to gently irrigate the external auditory canal.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Inform physician any dizziness that develops after she is discharged.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Stress that hair washing should be avoided immediately after surgery.]]></answer> 
						<situation><![CDATA[Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery.]]></situation> 
				</query>
				<query>
					<question ctrlno="471" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Sandy should be placed in which of these positions for meals?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Supine]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Trendelenburg's]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Semi-fowlers]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Sim's Lateral]]></answer> 
						<situation><![CDATA[Sandy, a 58-year-old teacher had left tonal hip replacement due to osteoarthritis]]></situation> 
				</query>
				<query>
					<question ctrlno="472" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse did preoperative teaching to Sandy who's admitted for hip replacement surgery. Which statement of Sandy indicates the need for further preoperative teaching?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA["I'll rest in bed for 2 to 3 hours after surgery."]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA["I'll begin gait training within 48 hours."]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA["I should do muscle strengthening exercises in both legs."]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA["I need to turn, cough, and breathe deeply every 2 hours."]]></answer> 
						<situation><![CDATA[Sandy, a 58-year-old teacher had left tonal hip replacement due to osteoarthritis]]></situation> 
				</query>
				<query>
					<question ctrlno="473" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The physical therapist orders exercises of Sandy's left hip, knee and foot to gradually increase range of motion to the left hip. The nurse can BEST assist Sandy by _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[observing Sandy's ability to perform the exercises]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[performing the exercises for Sandy]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[administering an analgesic before the exercises]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[stopping the exercises if Sandy experiences pain]]></answer> 
						<situation><![CDATA[Sandy, a 58-year-old teacher had left tonal hip replacement due to osteoarthritis]]></situation> 
				</query>
				<query>
					<question ctrlno="474" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Sandy should be instructed to avoid _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[assuming prone position]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[abducting her left leg]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[putting any weight on her left leg]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[adducting her left leg]]></answer> 
						<situation><![CDATA[Sandy, a 58-year-old teacher had left tonal hip replacement due to osteoarthritis]]></situation> 
				</query>
				<query>
					<question ctrlno="475" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Sandy asks the nurse if her new joint will function normally. The nurse can BEST answer this by saying that the _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[doctor will be able to assess your limitations in 6 weeks and then explain them to you]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[new joint will function almost as well as a normal joint, if you perform your exercises faithfully]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[new joint will be stronger than the old one if you exercise well]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[new joint won't function as well as the new joint, but will be better than the arthritic joint]]></answer> 
						<situation><![CDATA[Sandy, a 58-year-old teacher had left tonal hip replacement due to osteoarthritis]]></situation> 
				</query>
				<query>
					<question ctrlno="476" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[A patient is brought to the hospital by his officemates because he kept on blaming his immediate superior of getting him fired from his job. Ethical problems may arise when diagnosing psychiatric patients because of _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[inadequate staffing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[lack of Exercise]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[subjectivity]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[inappropriate diagnostic procedures]]></answer> 
						<situation><![CDATA[When nurses are considering issues on control, shame and stigma, surrounding the subject of mental illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental health problem. Ethics pervades good practice. The following situations apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="477" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse is administering psychotropic medication to the patient. The patient refused to take the medication. Which of the following situations would guide the nurse where a patient refuses medications?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Cannot refuse his medication regardless of his medical diagnosis]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Need a court order to allow the patient to refuse his medication]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Can refuse this medication if he has not been deemed incompetent by formal legal procedures]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[May refuse the medications only if his attending physician agrees]]></answer> 
						<situation><![CDATA[When nurses are considering issues on control, shame and stigma, surrounding the subject of mental illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental health problem. Ethics pervades good practice. The following situations apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="478" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following is a basic safeguard to ethical practice by the nurse in providing care to patients with borderline personality disorders who are extremely provocative and manipulative?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Observing human to human relationship]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Seeking clinical expert opinion]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Practicing self-awareness constantly]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Applying person centered approach]]></answer> 
						<situation><![CDATA[When nurses are considering issues on control, shame and stigma, surrounding the subject of mental illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental health problem. Ethics pervades good practice. The following situations apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="479" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The patient verbalizes to the nurse about thought of "threatening to kill his wife". The nurse is in dilemma whether to tell the wife about this conversation. Given this situation which of the following is the appropriate action of the nurse?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Alert immediately the proper authorities regarding the threat to safeguard the safety of the wife.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Tell the wife to be very extra careful as her life is in danger.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Weigh carefully the situation by viewing it as dilemma between disclosing confidential information or warning appropriate authorities.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Keep the information to herself and be vigilant on the action of the patient to protect the wife.]]></answer> 
						<situation><![CDATA[When nurses are considering issues on control, shame and stigma, surrounding the subject of mental illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental health problem. Ethics pervades good practice. The following situations apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="480" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The psychiatric diagnosing of patients is a morally charged issue and the assigning of diagnosis may be an ethical issue. The role of the nurse in diagnosing psychiatric patient is important because nurses are _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[collaborators in the diagnostic process]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[planners of psychiatric nursing care]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[knowledgeable in the field of psychiatry due to extensive clinical experience]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[competent by virtue of their educational preparation]]></answer> 
						<situation><![CDATA[When nurses are considering issues on control, shame and stigma, surrounding the subject of mental illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental health problem. Ethics pervades good practice. The following situations apply.]]></situation> 
				</query>
				<query>
					<question ctrlno="481" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Her diagnosis of obsessive compulsive disorder constantly does repetitive cleaning. The nurse knows that this behavior is probably MOST basically an attempt to _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[decrease the anxiety to a tolerable level]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[focus attention on non-threatening tasks]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[control others]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[decrease time available for interaction with people]]></answer> 
						<situation><![CDATA[Mrs. Juan, a young female patient, believes than doorknobs are contaminated with Covid 19 and refuses to touch them except with the aid of tissue paper.]]></situation> 
				</query>
				<query>
					<question ctrlno="482" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What response should the nurse use in dealing with this behavior?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage her to scrub the doorknobs with strong antiseptics so she does not need to use tissue papers.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Supply her with paper tissue to help her function until her anxiety is reduced.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Force her to touch doorknobs by removing all available tissue paper until she learns to deal with the situation.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Explain to her that ideas about doorknobs with covid 19 are part of her illness and is not necessary.]]></answer> 
						<situation><![CDATA[Mrs. Juan, a young female patient, believes than doorknobs are contaminated with Covid 19 and refuses to touch them except with the aid of tissue paper.]]></situation> 
				</query>
				<query>
					<question ctrlno="483" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Signs such as using tissues to doorknobs develop because the patient i s _____.]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[unconsciously controlling unacceptable impulses or feelings]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[listening to voices that tell her that doorknobs are unclean]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[consciously using this method of punishing herself]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[fulfilling a need to punish others by carrying out annoying procedure]]></answer> 
						<situation><![CDATA[Mrs. Juan, a young female patient, believes than doorknobs are contaminated with Covid 19 and refuses to touch them except with the aid of tissue paper.]]></situation> 
				</query>
				<query>
					<question ctrlno="484" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Therapeutic treatment for Mrs. Juan should be directed towards helping her to _____.]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[learn that her behavior is not serving a realistic purpose]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[forget her fears by administering antianxiety medications]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[redirect her energy into activities to help others]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[understand her behavior is caused by unconscious impulses that she fears]]></answer> 
						<situation><![CDATA[Mrs. Juan, a young female patient, believes than doorknobs are contaminated with Covid 19 and refuses to touch them except with the aid of tissue paper.]]></situation> 
				</query>
				<query>
					<question ctrlno="485" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse plans to educate the entire family about obsessive compulsive disorder. Which of the following plans would be most effective?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The nurse directs Mrs. Juan and her family to the other resources to help them learn about illness and medication to treat it.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[The nurse teaches the family about Mrs. Juan's illness and medication and suggests that they educate Mrs. Juan about her disease and the medications to treat it.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[The nurse educates the entire family at the same time about the disease and medications to treat it.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[The nurse teaches Mrs. Juan about her illness and her medications and suggests that she teaches her family what she has learned.]]></answer> 
						<situation><![CDATA[Mrs. Juan, a young female patient, believes than doorknobs are contaminated with Covid 19 and refuses to touch them except with the aid of tissue paper.]]></situation> 
				</query>
				<query>
					<question ctrlno="486" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[When human needs are taken away or not met for some reason, a person experiences loss. Using Maslow's hierarchy of needs, which one of the following will the nurse consider a loss in case of death?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Loss of security and a sense of belonging]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Loss related to self-actualization]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Physiologic and safety loss]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Loss of self esteem]]></answer> 
						<situation><![CDATA[Latest death toll in the Philippines due to Corona Virus after Easter 2021 was 13, 425. It was so scary that within a year this COVID 19 virus takes its toll. The nurse must understand the importance of self-awareness and competencies in helping patients and families during bereavement.]]></situation> 
				</query>
				<query>
					<question ctrlno="487" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Vangie, 73 years old, comorbid with hypertension and asthma died of COVID. Ariel grieved and mourned to the loss of his mother's untimely death. He is now aware that his mother is one of those 13, 425 deaths. The nurse will consider at what stage of grieving process is Ariel experiencing?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Depression]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Bargaining]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Denial and Anger]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Acceptance]]></answer> 
						<situation><![CDATA[Latest death toll in the Philippines due to Corona Virus after Easter 2021 was 13, 425. It was so scary that within a year this COVID 19 virus takes its toll. The nurse must understand the importance of self-awareness and competencies in helping patients and families during bereavement.]]></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 gives cues to the nurse that the patient maybe grieving for a loss?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Thoughts, feelings, behavior, and physiologic complaints]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Hallucination, panic level of anxiety, sense of impending doom]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Sad affect, anger, anxiety, and sudden change of mood]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Complaints of abdominal pain, diarrhea, loss of appetite]]></answer> 
						<situation><![CDATA[Latest death toll in the Philippines due to Corona Virus after Easter 2021 was 13, 425. It was so scary that within a year this COVID 19 virus takes its toll. The nurse must understand the importance of self-awareness and competencies in helping patients and families during bereavement.]]></situation> 
				</query>
				<query>
					<question ctrlno="489" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following situation will the nurse consider as risks factors for complicated grief?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Childbirth, marriage and divorce]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Death of a spouse, child, death by suicide]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Inadequate perception of the grieving process]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Inadequate support and old age]]></answer> 
						<situation><![CDATA[Latest death toll in the Philippines due to Corona Virus after Easter 2021 was 13, 425. It was so scary that within a year this COVID 19 virus takes its toll. The nurse must understand the importance of self-awareness and competencies in helping patients and families during bereavement.]]></situation> 
				</query>
				<query>
					<question ctrlno="490" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[As a nurse, which of the following are the critical factors for successful integration of loss during the grieving process?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[The patient's predictable and steady movement from one stage of the process to the next]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Accurate assessment and intervention by the nurse or helping person]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[The nurse trustworthiness and healthy attitude about grief]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[The patient's adequate perception, adequate support, and adequate coping]]></answer> 
						<situation><![CDATA[Latest death toll in the Philippines due to Corona Virus after Easter 2021 was 13, 425. It was so scary that within a year this COVID 19 virus takes its toll. The nurse must understand the importance of self-awareness and competencies in helping patients and families during bereavement.]]></situation> 
				</query>
				<query>
					<question ctrlno="491" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Diaz learns that some leaders are transactional leaders. Which of the following does NOT characterize a transactional leader?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Focuses on management tasks]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Inspires others with vision]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Is a caretaker]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Uses bargaining to meet goals]]></answer> 
						<situation><![CDATA[Ms. Diaz, a new Charge Nurse of EENT unit is keen on staff and professional growth of the nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="492" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Diaz finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit MOST likely?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Have condescending trust and confidence in their subordinates]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Gives economic or ego awards]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Communicates downward to the staff.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Allows decision making among subordinates]]></answer> 
						<situation><![CDATA[Ms. Diaz, a new Charge Nurse of EENT unit is keen on staff and professional growth of the nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="493" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Ms. Diaz knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Demands of the labor sector to increase wages]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Exacting regulatory and accreditation standards]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Low morale of staff in his unit]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Memo from the CEO to cut down on electrical consumption]]></answer> 
						<situation><![CDATA[Ms. Diaz, a new Charge Nurse of EENT unit is keen on staff and professional growth of the nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="494" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Majority rule]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Dominance]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Collaboration]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Compromise]]></answer> 
						<situation><![CDATA[Ms. Diaz, a new Charge Nurse of EENT unit is keen on staff and professional growth of the nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="495" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[The nurse asks the aide to weigh a patient. Later, the nurse discovered that a patient has been weighed who is supposed to be on complete bed rest. This situation violates which of the following rights of delegation?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[right person]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Right direction and communication]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Right supervision and evaluation.]]></answer> 
						<answer choiceid="c4" value="1" rationale=""><![CDATA[Right task]]></answer> 
						<situation><![CDATA[Ms. Diaz, a new Charge Nurse of EENT unit is keen on staff and professional growth of the nursing team.]]></situation> 
				</query>
				<query>
					<question ctrlno="496" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[Which of the following clinical manifestations would the nurse expect to find when performing admission assessment?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Rapid progressive muscular atrophy.]]></answer> 
						<answer choiceid="c2" value="1" rationale=""><![CDATA[Ascending paralysis with ataxia.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Hyperactive deep tendon reflexes.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Paresthesia and muscle weakness of upper body.]]></answer> 
						<situation><![CDATA[Peter, a 19-year-old college student, has been in excellent health until developing a flu-like illness couple of weeks ago. He is admitted with diagnosis of Guillain-Barre syndrome.]]></situation> 
				</query>
				<query>
					<question ctrlno="497" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the MOST APPROPRIATE nursing diagnosis for this patient?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Self-care deficit related to neuromuscular impairment.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Alteration, in nutritional status related to possible choking.]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Alteration in nutritional status related to anorexia.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Alteration in urinary elimination related to sensory motor impairment.]]></answer> 
						<situation><![CDATA[Peter, a 19-year-old college student, has been in excellent health until developing a flu-like illness couple of weeks ago. He is admitted with diagnosis of Guillain-Barre syndrome.]]></situation> 
				</query>
				<query>
					<question ctrlno="498" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What is the PRIORITY of care for patient diagnosed with Guillain-Barre syndrome?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Maintenance of respiratory function]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Control of urinary tract infection]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Prevention of decubitus]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Replacement of fluid and electrolytes]]></answer> 
						<situation><![CDATA[Peter, a 19-year-old college student, has been in excellent health until developing a flu-like illness couple of weeks ago. He is admitted with diagnosis of Guillain-Barre syndrome.]]></situation> 
				</query>
				<query>
					<question ctrlno="499" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[In planning the nursing care for this patient, what is the MOST important nursing intervention a nurse must do?]]></question>
						<answer choiceid="c1" value="0" rationale=""><![CDATA[Encourage patient to release anxiety by crying.]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Reassure family that complete recovery is probable.]]></answer> 
						<answer choiceid="c3" value="1" rationale=""><![CDATA[Assess patient for respiratory distress.]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Have patient assist with care.]]></answer> 
						<situation><![CDATA[Peter, a 19-year-old college student, has been in excellent health until developing a flu-like illness couple of weeks ago. He is admitted with diagnosis of Guillain-Barre syndrome.]]></situation> 
				</query>
				<query>
					<question ctrlno="500" picture="" category="" conversation_audio_start="" conversation_audio_end="" rationale_audio_start="" rationale_audio_end="" reading_comprehension="" ><![CDATA[What symptoms is an INDICATOR of cranial nerve involvement?]]></question>
						<answer choiceid="c1" value="1" rationale=""><![CDATA[Difficulty of speaking or chewing]]></answer> 
						<answer choiceid="c2" value="0" rationale=""><![CDATA[Spastic paralysis of the extremities]]></answer> 
						<answer choiceid="c3" value="0" rationale=""><![CDATA[Loss of pain sensation]]></answer> 
						<answer choiceid="c4" value="0" rationale=""><![CDATA[Forgetfulness and syncope]]></answer> 
						<situation><![CDATA[Peter, a 19-year-old college student, has been in excellent health until developing a flu-like illness couple of weeks ago. He is admitted with diagnosis of Guillain-Barre syndrome.]]></situation> 
				</query>
			</questions>
		</content>
	</group>
</catalog>