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Situation 1
- The PRC regulates the practice of 42 professions in the Philippines.1.What is the basic requirement of the state for a nurse to practice her profession?A.Willingness to practice the professionB.A BSN degreeC.A nursing licenseD.An NCLEX and CGFNS passer CORRECT ANSWER: CRATIONALE: Based on the definition of a professional nurse, a professional nurse is a person who has completeda basic nursing education program and is licensed in his/her country or state to practice professional nursing.Source: Professional Nursing in the Philippines 10
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edition, page 3.2.The Code of Good Governance for the professions in the Philippines shall be adapted by:A.all registered professionalsB.all Filipino professionalsC.all professionalsD.all registered nursesCORRECT ANSWER: CRATIONALE: Governance is high on the agenda in all sectors – public, private and voluntary. As voluntary andcommunity organisations working for public benefit, we are increasingly expected to demonstrate how well we aregoverned. Good governance is a vital part of how voluntary and community organisations operate and are heldaccountable.3.The standardized guidelines and procedures for the implementation of Continuing Professional Education (CPE)for all professional. Resolution Number 2004-179 provides that the total CPE credit units for registeredprofessionals with baccalaureate degree should be:A.20 credit units per year B.30 credit units for 3 yearsC.60 credit units for 3 yearsD.10 Credit units requiredCORRECT ANSWER: CRATIONALE: Through PRC Resolution No. 2004-179 Series of 2004, Registered professionals are required atotal of sixty (60) CPE credit units for Three (3) years. Any excess credit units shall not be carried over to the nextthree-year period except credits earned for doctoral and masters degrees.Source: Professional Nursing in the Philippines 10
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edition, page 2064.The Board of Nursing is vested with power to issue, suspend, or revoke for cause, the:A.certificate of Good Moral Character B.certificate of PracticeC.certificate of RegistrationD.certificate of EmploymentCORRECT ANSWER: BRATIONALE: The license to practice nursing is not permanent or vested right since it may be granted uponcondition and it may be held subject to conditions. If these conditions are breached or violated, the authority thatissues such may revoke this license. A license cannot be revoked arbitrarily, it can only be revoked for specialcauses. Source: Professional Nursing in the Philippines 10
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edition, page 195.RA 7193 stipulates the removal examination of the nurse licensure examination shall be taken:A.Within 3 years after the last failed examinationB.Anytime the examinee wants to take the examinationC.Within 2 years after the last failed examinationD.Within the same year after the last failed examinationCORRECT ANSWER: CRATIONALE: Renewal examination shall be taken within 2 years after the last failed examination.Source: Professional Nursing in the Philippines 10
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edition, page 16
Situation 2 
– Mr. Garzon, 35 years old, an accountant of one of the banks in Iloilo went to the clinic complaining of headache and difficulty sleeping at night.6.Nurse Anne is assessing the blood pressure (BP) of Mr. Garzon. She explains to him that the basis for thediagnosis of hypertension should be established by:A.Five readings one month apartB.At least 3 readings with average blood pressure of 140/90C.One reading of blood pressure greater than 140/90D.Three blood pressure readings taken on the same day in different positions
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CORRECT ANSWER: BRATIONALE: The National Institutes of Health (NIH) Committee has defined hypertension as a systolic pressureof 140 or higher and diastolic of 90 or higher when 2 or more blood pressure measurements are averaged on 2 or more subsequent visits. Options 1, 3, and 4 are incorrect.Source: Page 1491 med-surg Black7.Mr. Garzon is beginning medication therapy with furosemide (Lasix) once daily. Nurse Anne should instruct him totake the medication at which of the following optimal times?A.8:00 A.M.B.12 noonC.6:00 P.M.D.At bedtimeCORRECT ANSWER: ARATIONALE:A client taking a diuretic such as furosemide should self administer the medication in the morning to allow for diuresis throughout the day. This will help to prevent nocturia, which could cause disruption to the client's nightlysleep pattern. The timeframe in option 2 is not as early as option 1, while options 3 and 4 clearly increase the riskof nocturia.8.During the discharge teaching, Mr. Garzon mentions that he will stop taking her antihypertensive medications assoon as his blood pressure is under control. Which of the following should be included in your instructions?A."In order to maintain control of your blood pressure, the medication must be continued indefinitely."B."Only the physician can answer this question."C."The medication will probably be stopped after your blood pressure is normalD."The medication will be decreased in time."CORRECT ANSWER: ARATIONALE: Emphasis should be placed on the client's adherence to the plan of treatment to avoid seriousconsequences of noncompliance. The complications of high blood pressure include stroke, cardiac failure, andchronic renal failure.
Situation 3 
- Pain is always associated to surgery:9.As a surgical nurse, which of the following nursing intervention will allay anxiety and pain among surgicalpatients?A.Assess the client for concerns especially those that can potentially cause painB.Verify that the operative permit is signedC.Discourage the client from discussing the details of the surgical procedureD.Ensure safety of client while in surgeryCORRECT ANSWER: ARATIONALE: All patients undergoing surgery will have fear and anxiety, especially post operatively when theyexperience pain. As a priority nursing intervention, a nurse should assess further the patient in relation to pain andverbalization of feelings may allay anxiety. Choices B and D are important but do not answer the question, choiceC always discourage verbalization10.Rhizotomy is a condition surgical procedure to manage those that can potentially cause pain. What is the crucialin determining a good candidate for rhizotomy?A.Pain which is resistant to non-pharmacologic protocol for 6 monthB.Pain which is resistant to pharmacologic protocol for 12 monthsC.Local pain with no radiating pain or signs of nervous compressionD.Deep pain with obvious signs of peripheral nerve damageCORRECT ANSWER: BRATIONALE:1.Non pharmacologic management.2.Pharmacologic management.3.Surgery including rhizotomy to relieve pain
11.
Which of the following would be the nurse's appropriate response to a crying female client scheduled for emergency surgery who is verbalizing fear of pain but afraid to go to sleep?A.Let her cry and tell significant other to stand byB.Squeeze her hand and assure her that there will be no pain at ail because she will be given anesthesiaC.Stand by her side and quietly ask her to describe her feelingsD.Check her name tag and request anesthesiologist to sedate clientCORRECT ANSWER: C
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RATIONALE: Choice B is false reassurance, choice D is not therapeutic, choice C is offering self, andencouraging verbalization of clients12.Which of the following client's statement indicates that he understands the nurse's instruction about postoperativewound pain?A."I shall call the nurse when my wound itches and smells".B."I shall expect slight pain and discomfort from the surgical incision".C."I should call my doctor if my wound has no drainage, and intact".D."I should not touch my surgical wound".CORRECT ANSWER: BRATIONALE: this is an expected finding during the post-op periodOPTION A – The dressing over the surgical incision must be checked frequently. If it is soiled, note the color, typeand amount of drainage. Reinforce the dressing but do not change it or open it without a physician’s order.Although correct, it is not related to post-op wound pain but rather it is related to post-op infection riskSource: page 303 MS Black13.What do you think is an important responsibility related to pain that is subjective in nature?A.Divert attention of client in painB.Leave the patient alone while in painC.Believe what the patient says about the painD.Assume responsibility to eliminate pain as described by the clientCORRECT ANSWER: DRATIONALE: Pain is an expected outcome postoperatively and yet one of the most frequent postoperativeproblems is inadequate analgesic administration. You must carefully and regularly assess the client’s level of pain. Pain may be caused by a factor unrelated to the surgical procedure such as positioning that occurred duringsurgery. Source: page 304 MS Black
Situation 4
– Nurse Bryan is taking care of the client who was diagnosed with osteomyelitis.14.Nurse Bryan is knowledgeable that the primary organism responsible for osteomyelitis is:A.Staphylococcus aureusB.Escherichia coliC.StreptococcusD.PseudomonasCORRECT ANSWER: ARATIONALE: The most common causative agent in clients with osteomyelitis is
Staphylococcus aureus.
Theother organisms could contribute but are not usually the
 primary 
organism; look for key words.Source: page 610 MS Black15.Which of the following nursing interventions is contraindicated in the care of a client with acute osteomyelitis?A.Apply heat compresses to the affected areaB.Immobilize the affected areaC.Administer narcotic analgesics for painD.Administer OTC analgesics for painCORRECT ANSWER: ARATIONALE: Options 2, 3, and 4 are appropriate nursing interventions when caring for a client diagnosed withosteomyelitis. The application of heat can increase edema and pain in the affected area and spread bacteriathrough vasodilatation.Source: page 610 MS Black
Situation 5 
- Nurses' attitudes toward pain influence the way they perceive and interact with clients in pain.16.Nurses should be aware that older adults are at risk of underrated pain. Nursing assessment and management of pain should address the following beliefs EXCEPT:A.Older patients seldom tend to report pain than the younger onesB.Pain is a sign of weaknessC.Older patients do not believe in analgesics; they are tolerantD.Complaining of pain will lead to being labeled a "bad” patientCORRECT ANSWER: ARATIONALE: Elderly: May consider it unacceptable to admit or show pain, May withhold complaining of painbecause of fear of the treatment, of any lifestyle changes that may be involved or of becoming dependentSource: page 1138-1139 Funda Kozier 17.Nurses should understand that when a client responds favorably to a placebo, it is known as the placebo effect.Placebos do not indicate whether or not a client has:
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