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Published by Roy Salvador

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Published by: Roy Salvador on Nov 13, 2011
Copyright:Attribution Non-commercial


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SET A Seat No.____ 
---------------------------------------------------------------------------------------------------------------------------------NURSING PRACTICE 1:
Choose the letter of the BEST answer by shading thecorresponding letter of your choice on the answer sheet provided.STRICTLY NO ERASURE! 
Situation 1:
Mr. Martin, 71 years old was suddenly rushed tothe hospital because of severe chest pain. On admission, hewas diagnosed to have acute myocardial infarction and wasplaced in the ICU.1. While in the ICU, he executes the document tat list themedical treatment he chooses to refuse in case his conditionbecomes severe to a point that he will be unable to makedecisions for himself. This document is:
A. living will
C. lastwill and testamentB. informed consent D. powerof attorney2. After one day, the patient’s condition worsened and feelinghopeless. He requested the nurse to remove the oxygen. Thenurse should:A. follow the patient because it is his right to diegracefullyB. follow the patient as it is his right to determine themedical regimen he needs
C. refuse the patient and encourage him toverbalize hid feelings
D. refuse the patient since euthanasia is notaccepted in the Philippines3. Euthanasia is an ethical dilemma which confronts nurses inthe ICU because:A. the choices involved do not appear to be clearlyright or wrong
B. a clients legal right co-exist with the nurse’sprofessional obligation
C. decisions has to be made based on societal norms.D. decisions has to be mad quickly, often understressful conditions4. A nurse who supports a patient and family’s need to makedecisions that is right for them is practicing which of thefollowing ethical principles?
A. Autonomy
B. confidentialityC. privacy d. truthfulness5. Mr. Martin felt better after 5 days but recognizing theseverity of his illness, he executes a document authorizing thewife to transact any form of business in his behalf in additionto all decisions relative to his confinement his document isreferred to as:
A. power f attorney
C.informed consentB. living will D.medical records
Situation 2:
Miss Castro was recently appointed chief nurseof a 50-bed government hospital in Valenzuela. On her firstday 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 heruntil in objective writing, formulating goals and philosophy of nursing service. Which activities are MOST appropriatelydescribed to which elements of administration?
A. planning
B. controllingC. directing d. organizing7. In recognizing the Department of Nursing, she comes upwith the organizational structure defining the role andfunction of the different nursing positions and line-up theposition with qualified people. This is included in whichelement of administration:A. monitoring B. evaluation
C. organizing
d. planning8. After one month, she and her management committeeassess the regulatory measures taken and correct whateverdiscrepancies are found. This is part of which element of administration:
A. monitoring
B. organizingC. evaluationd. planning9. Revaluation and administrative process is BEST describedas:
A. a continuing process of seeing thatperformance meets goals and targets
B. obtaining commitment of members to do betterC. informing personnel how well and how muchimprovement has been madeD. follow-up of activities that have been studied10. In all of the various administrative functions, which of thefollowing management skill is demanded efficiently andeffectively of Ms. Castro?1. Decision making skills 2.Forecasting skills3. Auditing skills 4.Communications skillsA. 2 & 3
B. 1 & 4
C. 1 & 2D. 2 & 4
Situation 3:
Meldy. 40 years old. is waiting for her doctor’sappointment at the clinic where you work.11. You are to interview her as an initial nursing action so thatyou can.A. Document important data in her client records forhealth team to read.
B. Gather data about her lifestyle, healthneeds
lifestyle, health needs and problemsto develop plan of care
C. provide solutions to her immediate health concernD. identify the most appropriate nurse diagnosis forher heath problem12. During the interview, Meldy experiences a sharpabdominal pain on the right side of her abdomen. She furthertells 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 painan hour alter eating fatty foodsB. After eating fatty food the client experiencedsevere abdominal painC. Client claims to have sharp abdominal pains aftereating fatty food unrelieved by pain medication
D. Client reported sharp abdominal pain onthe right upper quadrant of abdomen an hour afteringestion of fatty foods.
13. Meldy tells you that she has been on a high protein / highfat / low carbohydrate diet order to lose weight and that shehas successfully lost 8 lbs during the past two weeks. Inplanning a healthy balanced diet for her, you will:
A. Encourage her to eat well-balanced diet witha variety of food from the major food groups andtake plenty of fluids.
B. Ask her to shift to a macrobiotic diet rich incomplex carbohydrates.C. Encourage her to cleanse her body toxins bychanging a vegetarian diet with regular exercise.
D. Encourage her to eat a high carbohydrate, lowprotein diet and low fat diet.14. You learn that Meldy drinks 5-8 cups o coffee a day pluscola drinks. Because she is in her pre-menopausal years, thenurse instructs her to decrease consumption of coffee andcola preparation because:
A. these products increase calcium loss fromthe bones
B. These products have stimulant effect n the bodyC. these products encourage increase in sugarconsumptionD. these products are addicting15. Health education plan for Meldy stresses prevention of NCD or Non-communicable diseases that are influenced bylifestyle. These include the following EXCEPT:
A. Cancer
B. DMC. Osteoporosis D. Cardiovascular diseases
Changes in technology, the nation’s economyand the increasing number of population have brought aboutchanges in the Health Care System.16. At present, government hospitals are expected to offercomprehensive health services to include illness preventionand health promotion. In which of the following unit of services are these services integrated?
A. Wellness center
 C. Rehabilitation CenterC. Intensive Care unit D.newborn screening unit17. Which of the following is the MOST recent governmentinitiative to help subsidize the cost of health services for boththe employed and the unemployed?
A. National Health Insurance Act
 C. Medicare ActB. Worker’s Compensation ActD. Magna Carta for Public Health Workers18. The top ten morbidity cases in the Phil. Include TB,diarrhea among children to name a few. Many of theseconditions are preventable and have implications arepreventable and have implications in the development of which nursing competencies?A. Execution of nsg. procedure and techniqueB. Therapeutic use of self C. Administration of treatment and medication
D. Health education
19. The cost of hospitalization is getting more expensive andunaffordable to many of our people. These facts will MOSTLIKELY bring about development in which of the following?A. acute services C. home careservices
B. managed care services
D.advance practice nursing20. Which of the following latest trend has expanded healthservices based on prepaid fees with emphasis on healthpromotion and illness prevention?A. Government Insurance Plan
C. Health Maintenance Organization
 B. Preferred Provider OrganizationD.Private Insurance Plan
Situation 5:
It is Safety Awareness Week in the Communityand the nurse checks on the presence of hazards at home. The nurse plan is to have the residents themselves identifythe physical hazards in their own homes.21. Which of the following is NOT a physical hazard in thehome?A. unstable and slippery stairway
B. large windows that allow good ventilation
C. obstacle people cam trip over like door mats, rugs,electric cordsD. inadequate lighting in and out of the house22. Risk factors exist for each of the different developmentallevels. From infancy to preschool age, the most commoncause of death is injury rather than disease. To protectchildren from harm, that parents should be aware that MOSTinjuries for this age group are due to:
A. Accidents at home caused by the swallowedpoisonous materials, small objects, exploringelectrical sockets
B. Accidents from self inflicted woundsC. accidents from sports related activities at schoolor the neighborhoodD. accidents in the Playground Park, school andpresence of strangers who may abduct of molest the child.23. To promote safety at home, the nurse identifies ways andmeans of “child proofing” the house. Which of the following isNOT safe?A. apply child proof caps and medicine bottles andchemicalsB. covering electrical outlets, tying up long and looseelectrical and telephone cords, securing cabinetsor doors within reach o the child
C. giving colorful grocery bags to play with orto store toys and materials
D. removing objects that the child could easilydismantle and swallow like small parts of a mechanicaltoy, buttons, materials inside, stuffed animals,liquid chemicals.24. The nurse knows that a person’s hygienic practices areinfluenced family customs and traditions. Which of thefollowing is NOT part of Basic Hygienic Practices?A. bathing practices, frequency and time, care of eyes, ear and noseB. oral hygiene practices such as brushing andflossing teeth, gum care
C. care of skin with lesions, cuts with infection
D. hair and skin such as washing hair and face, feet,hand and nail care25. Falls are the common home accident among elderly andthese are due to physical limitations imposed by aging andsome hazards in the home setting. The nurse reduces the riskof falling through the following EXCEPT:
A. rearranging furniture frequently
B. having the bed or mattress close to the floorC. providing a nonskid and well fitted shoes orslippersD. having a call bell within the persons reach andanswering call bells immediately
Situation 6:
Eileen, 45 years old is admitted to the hospitalwith a diagnosis of renal calculi. She is experiencing severeflank pain, nauseated and with a temperature of 39
C.26. Given the above assessment data, the most immediategoal of the nurse would be which of the following?A. Prevent urinary complication
B. maintains fluid and electrolytes
C. Alleviate painD. Alleviating nausea27. After IVP a renal stone was confirmed, a left nephrectomywas done. Her post operative order includes “daily urinespecimen to be sent to the laboratory” . Eileen has afoley catheter attached to a urinary drainage system.How will you collect the urine specimen?
A. remove urine from drainage tube withsterile needle and syringe and empty urine from the
syringe into the specimen container
B. empty a sample urine from the collecting bag intothe specimen containerC. disconnect the drainage tube from the indwellingcatheter and allow urine to flow from catheter intothe specimen container.D. disconnect the drainage the from the collectingbag and allow the urine to flow from the catheter intothe specimen container.28. Where would the nurse tape Eileen’s indwelling catheterin order to reduce urethral irritation?
A. to the patient’s inner thigh
C. to thepatient’B. to the patient’s lower thighD. to the patient lower abdomen29. Which of the following menu is appropriate for one withlow sodium diet?A. instant noodles, fresh fruits and ice teaB. ham and cheese sandwich, fresh fruits andvegetables
C. white chicken sandwich, vegetable salad andtea
D. canned soup, potato salad, and diet soda30. Howe will you prevent ascending infection to Eileen whohas an indwelling catheter?A. see to it that the drainage tubing touches the levelof the urineB. change he catheter every eight hours
C. see to it that the drainage tubing does nottouch the level of the urine
D. clean catheter may be used since urethral meatusis not a sterile area
Situation 7:
Miss Tingson is assigned to Mang Carlos, a 60year old newly diagnosed diabetic patient. She is beginning towrite objectives of her teaching plan.31. Which of the following objectives is written in behavioralterms?A. Mang Carlos will know about diabetes related tofoot care and the techniques and equipmentsnecessary to carry it outB. Mang Carlos daughter should learn about DMwithin the weekC. Mang Carlos wife needs to understand the sideeffects of insulin
D. Mang Carlos sister will be able to determinein two days his insulin requirement based onblood glucose levels obtained fromglucometer
32. Which of the following is the BEST rationale for writtenobjectives?A. ensure communication among staff members
B. facilitate evaluation of the nurse’sperformance
C. ensure learning on the part of the nurseD. document the quality of care33. Which of the following behavior BEST contribute to thelearning of Mang Carlos regarding his disease condition?A. frequent use of technical terms for familiarization
B. drawing him into discussion about diabetes
C. detailed lengthy explanation about his conditionD. loosely structured teaching session34. Miss Tingson should encourage exercise in themanagement of diabetes, because it:A. decrease total triglyceride levelsC. lowers blood glucoseB. improves insulin utilization
D. accomplishes all of the above
35. The chief life-threatening hazard for surgical patient withuncontrolled diabetes is:A. dehydration B. hypertension
C. hypoglycemia
D. glucosuria
Situation 8:
Caring for the perioperative patient.36. An appendectomy during a hysterectomy would beclassified as:A. Major, emergency, diagnosis
C. Minor, elective, ablative
 B. major, urgent, palliativeD. minor, urgent, reconstructive37. An informed consent is required for:
A. closed reduction of a fracture
 C. irrigation of the external ear canalB. insertion of intravenous catheterD. urethral catheterization38. The circulating nurse’s responsibilities, in contrast to thescrub nurse’s responsibilities, include:A. assisting the surgeon C.setting up the sterile tables
B. monitoring aseptic practices
D. all of the above functions39. The primary nursing goal in the immediate postoperativeperiod is maintenance of pulmonary function and preventionof:A. Laryngospasm
C.hypoxemia and hypercapnea
 B. hyperventilationD. pulmonary edema ad embolism40. Unless contraindicated, any unconscious patient should bepositioned:A. flat on his of her back, without elevation of thehead, to facilitate frequent turning and minimizepulmonary complicationsB. in semi-fowlers position, to promote respiratoryfunction and reduce the incidence of orthostatichypotension when the patient can eventuallystand.c. in fowler’s position, which most closely stimulates asitting position, thus facilitating reparatory as wellas gastrointestinal functioning.
D. on his or her side without a pillow at thepatient’s back and his or her chin extendedto minimize the danger of aspirationsSituation 9:
To prevent further injury to patients withproblems of immobility / mobility, the nurse should observecertain principles of body mechanics for herself and herpatients.41. Which of the following are appropriate goals for client withpositioning and mobility needs?A. developing of contracturesC. sensory alterations
B. proper body alignment
D. decrease in activity tolerance42. Which for the following would MOST likely cause injury tothe nurse when moving the patient from bed to thewheelchair?A. bending at the knees C. usingbody weight to assist with the movement
B. standing with feet together
D.standing with feet apart43. Which of the following is the CORRECT guideline whenpositioning patients?A. put pillows above a joint to immobilize it

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