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Board Exam 1

Board Exam 1



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Published by Kira
visit this sites for more references http://www.enurse-careplan.com/ thank you very much and your feedback is very much appreciated.
visit this sites for more references http://www.enurse-careplan.com/ thank you very much and your feedback is very much appreciated.

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Published by: Kira on Oct 05, 2008
Copyright:Attribution Non-commercial


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Direction: Choose the letter of the BEST answer by shading the corresponding letter of your choice on the answer sheet provided. STRICTLY NO ERASURE!Situation 1: Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe chest pain. On admission, he was diagnosed to have acute myocardial infarctionand was placed in the ICU.1. While in the ICU, he executes the document that list the medical treatment hechooses to refuse in case his condition becomes severe to a point that he will be unable to make decisions for himself. This document is:A. living will C. last will and testamentB. informed consent D. power of attorney2. After one day, the patient’s condition worsened and feeling hopeless. He requested thenurse to remove the oxygen. The nurse should:A. follow the patient because it is his right to die gracefullyB. follow the patient as it is his right to determine the medical regimen he needsC. refuse the patient and encourage him to verbalize hid feelingsD. refuse the patient since euthanasia is not accepted in the Philippines3. Euthanasia is an ethical dilemma which confronts nurses in the ICU because:A. the choices involved do not appear to be clearly right or wrongB. a clients legal right co-exist with the nurse’s professional obligationC. decisions has to be made based on societal norms.D. decisions has to be mad quickly, often under stressful conditions4. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of the following ethical principles?A. Autonomy B. confidentiality C. privacy d. truthfulness
5. Mr. Martin felt better after 5 days but recognizing the severity of his illness, heexecutes a document authorizing the wife to transact any form of business in his behalf inaddition to all decisions relative to his confinement his document is referred to as:A. power of attorney C. informed consentB. living will D. medical recordsSituation 2: Miss Castro was recently appointed chief nurse of a 50-bed governmenthospital in Valenzuela. On her first day of duty, she tried to remember the elements of administration she learned from her basic nursing education.6. One of the first things Ms. Castro did was to engage her until in objective writing,formulating goals and philosophy of nursing service. Which activities are MOSTappropriately described to which elements of administration?A. planning B. controlling C. directing d. organizing7. In recognizing the Department of Nursing, she comes up with the organizationalstructure defining the role and function of the different nursing positions and line-up the position with qualified people. This is included in which element of administration:A. monitoring B. evaluation C. organizing d. planning8. After one month, she and her management committee assess the regulatory measurestaken and correct whatever discrepancies are found. This is part of which element of administration:A. monitoring B. organizing C. evaluation d. planning9. Revaluation and administrative process is BEST described as:A. a continuing process of seeing that performance meets goals and targetsB. obtaining commitment of members to do better C. informing personnel how well and how much improvement has been madeD. follow-up of activities that have been studied10. In all of the various administrative functions, which of the following managementskill is demanded efficiently and effectively of Ms. Castro?1. Decision making skills 2. Forecasting skills3. Auditing skills 4. Communications skillsA. 2 & 3 B. 1 & 4 C. 1 & 2 D. 2 & 4
Situation 3: Meldy. 40 years old. is waiting for her doctor’s appointment at the clinicwhere you work.11. You are to interview her as an initial nursing action so that you can.A. Document important data in her client records for health team to read.B. Gather data about her lifestyle, health needs, lifestyle, health needs and problems todevelop plan of careC. provide solutions to her immediate health concernD. identify the most appropriate nurse diagnosis for her heath problem12. During the interview, Meldy experiences a sharp abdominal pain on the right side of her abdomen. She further tells you that an hour ago, she ate fatty food and this hadhappened many times before. You will record this as:A. Client complains of intermittent abdominal pain an hour alter eating fatty foodsB. After eating fatty food the client experienced severe abdominal painC. Client claims to have sharp abdominal pains after eating fatty food unrelieved by painmedicationD. Client reported sharp abdominal pain on the right upper quadrant of abdomen an hour after ingestion of fatty foods.13. Meldy tells you that she has been on a high protein / high fat / low carbohydrate dietorder to lose weight and that she has successfully lost 8 lbs during the past two weeks. In planning a healthy balanced diet for her, you will:A. Encourage her to eat well-balanced diet with a variety of food from the major foodgroups and take plenty of fluids.B. Ask her to shift to a macrobiotic diet rich in complex carbohydrates.C. Encourage her to cleanse her body toxins by changing a vegetarian diet with regular exercise.D. Encourage her to eat a high carbohydrate, low protein diet and low fat diet.14. You learn that Meldy drinks 5-8 cups o coffee a day plus cola drinks. Because she isin her pre-menopausal years, the nurse instructs her to decrease consumption of coffeeand cola preparation because:A. these products increase calcium loss from the bonesB. These products have stimulant effect n the bodyC. these products encourage increase in sugar consumptionD. these products are addicting15. Health education plan for Meldy stresses prevention of NCD or Non-communicablediseases that are influenced by lifestyle. These include the following EXCEPT:A. Cancer B. DM C. Osteoporosis D. Cardiovascular diseases

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