TOPE * NLE* NCLEX * CGFNS * HAD * PROMETRICS * DHA * MIDWIFE! RECALLS EXA\ COMMUNITY, NOV 2023 Philippine Nurse. GENERAL INSTRUCTIONS: 1. This test questicnnaie contains 100 test questions 2. Shade only one (1) box for each question on your answer s 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examines ANK WEW ACADEMY "RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY TION 13 ICE I NURSING amination Review ‘more boxes shaded will invalid your answer. ‘Sheet Sot 5. Write the subject ttle "NURSING PRACTICE I" on the box provid ‘Situation: The sudden increase in the inddence of of dengue in 1993, 1908 and 2001 were expected because of the cyclical nature Of the disease, The reason dengue remains a threat to public heakth despite low incidences reported in the recent years. Nurse Karen is providing a health teaching in a small community in Tipas, San Juan Batangas in preventing dengue Hemorrhagic fever (H fever) 1. What is the level of prevention does Nurse Karen is providing? AL Primary 8. Tertiry C. Secondary D. All ofthe Above 2. She is also discussing three stages of Dengue Hemonthagic Fever. Nusse Karen knows dscussed that during this stage there isa lowering of temperature, severe abdominal pain, \vomiting and frequent bleeding from gastrointestinal tract in the form of Hematemesis or melena, unstable BP, narrow pulse pressure, shock and death may occur ‘A. Day 7-14" Day- Afebrile Stage B. First 4 days — AFebrile end less Invasive stage C._7* to 10* Day- Toxic Stage or Hemorthagic Stage DB. 4%to 7" Days- Toxic or Hemorrhagic Stage 3. What is the etiologic Agent of Dengue? ‘A. Aedes Poecilus B. Aedes Egypti Dengue Virus D. Female Anopheles 4. These are the steps in using Tourniquet Test or Rupel Leads Test Brcnt Inflate the blood pressuré Eiffon the upper arm toa point between the systolic and diastole pressure for 15 mnutes B. Release cuff and make an imaginary 2.5 cm square Of) 1 inch square just below: the cuff at the Antecubital Fossa (C.Court the number of petechiae inside the box D. Attest is (+) when 20 or more petechize per 2:5 cm square or 1 inch sqaure are observed 5. As a Public Health Nurse, Nurse karen is aware of diferent supportive and symptomatic treatment thet should be provided if the patent has dengue. Except |A. For fever, give paracetamol, For headache, Ge analgesic and do nat give aspirin 8. Tapered replacement of body fluids isthe most important treatment C. Include intensive monitoring and follow up D. Give Oresol to replace fluids as in moderate dehydration at 75 mi/kg in 46 hours or up to 2-3 iters in adults. Continue ORS intake until patients condition improves. Situation: Rabies ic endemic in the Philippines and remains to be a publ health concern. As a Public Health Nurse, Nurse Sophia educate the community In Barangey lang-llang on Rabies Prevention and Control Program by the DOH '. Which ofthe folowing statement Is correct on rabies prevention and control program? ‘A. Ithas 2 fatality rate of almost 100%, being tie most fatal among infectious disease, rabies too is not preventable B. Atleast onetthid of these deaths occur in Children. aged 15 years off and below C. Republic Act No. 9852 also called the Anti-Rabies Act oF 2007 mandated the Creation of _ National Rabies Prevention and, Control Program or the (NRPCP) D. The average incubation period of human rabies is ‘between 10-30 months and independent upan factors such as the location of virus entry and viral load 7.The components ofthe program mandated by the ‘Anti-Rables Act of 2007 includes the following. Except ‘A. Mass Dog Vaccination is the most effective measure to control canine rabies B, The Department of Agriculture takes the lead in mass «dog vaccination campaigns and provision of animal rabies vaccine Post Bxcosure Prophylaxis D. December isthe celebration of Rabies Awareness month and October 14 has been declares as Word Rabies Day. 8, Mang Kanor a resident of Brgy lafigllang asked Nurse Sepia on the intial symptoms of rabies. She answered him by saying. Malig Kanor the initial symptoms of rabies include ‘cough, body malaise, syncope, hyperemia and hhematemess" . *Mang Kanor thelial symptom of Rabies include fever with pain and unusual or unexplained tingling, [picking or burning sensation tthe wound ste" “Mang Kanor the intial symptom of rabies includes severe fatigue, muscle weakness, hyperthyroidism and painless woud site” D. "Mang Kanor the initial symptoms of rabies includes sgBirning sensation on wound ste, hemorrhage, hhematemesss, hematuria and hematochezia” ‘can be trarsmitied \ When infectous material, usually salva, comes into directeantact wit a victim's fresh skin lesions highly contagious virus that lives inthe nose and throat mucus of an infected person. It can spread to ‘others through coughing and sneezing. - measles by being bitten by an infective female Anopheles ‘mosquito. - malaria D._has lymphatic, microscopic worms circulating in the person's blood enter and infect the mosquito, ~ fleriasis 410. The gol of the Republic Act No. 9482 also called the ‘Anti-Rabies Act of 2007 isto, ‘A. end human deaths from stray dog-mediated rabies by 2037 Rabies is a human infection that occurs after a transdermal bite or scratch by an infected arial, like dogs and cats. 1 | Pogefend human deaths from dog mediated rabies by 2027 Rabies isa human infection that occurs after a transdermal bite or scratch by an infected animal, like dogs ond cats end human deaths from dog mediated rabies by 2025 Rabies is a human infection that occurs after a transdermal bite or scrtch by an infected animrl, ike dogs and cats. 1. end human deaths from dog-mediated rabies by 2030. Rabies isa human infection that occu's after. a transdermal Be or scratch by an infected antral, ke dogs and cats. Situation: Nurse Chice is givitg @ health education on new mothers about the importance of exclsive breastfeeding 1. The benefits of Breastfeeding to infants indudes the fallowing exceat |A. Provides @ nutitionl food fortié young infant 3. Increase 1Q Points C. Reduce excessive blood loss after birth 0. Reduce the infants expasure to infection 12. All but one are the key messages on Infant and Young Child feeding |A. Initiate breastfeeding 4 hours ater bith 8. Exclusive fr the fist 6 months of life. Only breastrilk and nothing else CComplemented at 6 months with appropriate foods excluding milk supplements D. Extend breastfeeding up to 2 years and beyond 13, This is one of the benefits of breastfeeding to mother A. Safely rehydrates and provides esserial nutrients toa sick child, especialy to those sufering from diertheal diseases. Eliminates and prevent the risk of cardiovascular and cerebrovascular disease C. Increase IQ points D. Reduces the rsk of ovarian and breast cancers and ostecporesi. 14, Complementary foods should be ‘A. Timely, Adequate, Safe and Properly fed 3. Economic, Time-bound, adequate and Safe C. Convenient, practical, healthy and adequate D. Accessible, convenient, healthy and available 15, Al but one is true about breast mik and breastfeeding [A Breastfeed as often asthe baby wants, day and night B._After one breast is emptied, offer first the beast that has rot been empted in the nest feeding C. Use both breasts aternately at each feeding. D. Breastfeeding per babys demand ensures that he/she gets limited nutents. Situation: The Expanded Program on Immunization (E°1) vas established in 1976 to ensure. that infants/children »and mothers have actess_to routinely recommended infart/chidhood vaccines. One»of the nursing role and responsiilty is to provde heath teachings regarding schedules immunization activity to enhance the awareness of community and motivate them to adhere with the campaigns, 16. Al but one includes inthe general principles which epply in vaccinating children: AL Itis safe and immunologically effective to administer all EPI vaccines on the same day at different sts of the body. Moderate eves, malnutrition, mild respiratory infection, cough, diarrhea ard voniting are not contraindeations to vaccination, Generally, one should ‘mmunize unless the chid isso Sick that he needs to be hoepitalizee. Measies vaccine should be given 2s soon as the child 8 9 months ol, regardless of whethe other vecrines wil be given on that day D. The vaccination schedule should be restarted from the beginning even if the interval between doses exceeded the recommended interval by months or years 17. The Role of a Nurse in Improving the Delivery of Immunization Serves inthe Community. As a Nurse you need to A. Immunize infants following the recommended immunization schedule, route of administration, correct dosage and following the proper cold chain storage of vaccines B. Observe aseptic technique on immunization and use one syringe and one neede per chid .This reduces blood -borne diseases and promote safety injection practices. C. Actively masten ist of quardiars eligible for ‘vaccination in the community D._ Identify and actively search cases znd deaths of EPI target diseases following standard case defirition Measles ‘The primary role of Community Health Nurses isto contribute to the continued eradication of measles by continuous secicatonal efforts. Maria as a CHN nurse she should be knowileigezble of the following: 18, What is the mode of tranzmission of Measles? ‘A. Contact 8. Albore C._ Indirect Contact (Dill the above 19. During which day does a morbilform rash appears? A. 1 to 2 weeks 3. 7™to 21* day C17 days D. 3°to 4" day 20. As a nurse what these are your nursing responsibilities on patients with Measles except? ‘A. Protect eyes of patients from dlare of strong lightas they are apt to be inflamed B. Keep the patient in an inadequately ventilated room but free from drafts and chilling to avoid complications of pneumonia (Gy Teach, guide and supervise correct technique of Giving spongebath fo: comfort of patients D. Allof the atove Situation:Nurse Jayjay is discussing Community Heath Nursing to the 2~ year Nursing students 21. Nurse Jayjay emphasize that Primary Health care s. A. is an essental health care made universally accessible to individuals and families in the community by means ‘acceptable to them, B, isan essental health care made selectively accessible toindividuals and families in the community by means ‘acceptable to them, C. [san essental health care made selectively accessible to individuals and families in the community by means acceptable to the government: D. is an essential health care made selectively accessible to oppressed:oniy 22. Its thelegal basis sioned by the late President Marcos on. Cctober'19 1979 making the Primary Health Care ‘A. LOL 956 B. Lor49s © Loo D._LObags: 23ewit are the Principles of the Primery Heaitncare? ‘A. The 4P's Pentavid Pamilyang Pilipino Program B._The health for Al Filipinos and Heath in the hands of the people by'the Year 2020 C._Health for Al Filipinos Di) 4A; Accessbily, Avalatilty, Afordabilty and ‘Acceptability of health services 24. Wrat isthe goal ofthe Pritiary Heatth Care? ‘A. The 4P_s Pantawid Pamilyang Pilipino Program 8. _The'Health for All Filipinos and Heatth in the hands of the people by the Vear 2020 C Health for AI Filipinos D. 44s; Accessibility, Availability, Afordabaity and ‘Acceptability of health services . What is the Mission of the Primary Healthcare? ‘A. In partnership with the people, provide equity, access and quality health care especially to the marginalized Recognition of interrelationship between the privileged and the government C._ Dependence of the community with the government and Healthcare provider D. Tranfer the power and authority from the local government units to the natioral government and 2 | Pose{aimed to build their capabilites for sel- government and develop them fully as a self-eliant communities. Situation: Nurse Gwen is provicing a health education in the community of Barangay Spang about the importance of exercising regulary and eating a well-balaced ciet. 26. What level of prevention does Nurse Gwen provides? AL Primary B. Secondary C. Tertiry D._ Allo the Above Situation: As a Community Health Nurse, Nurse’ Melissa knows that in prioritizing problems in the community, the problems are categorized as health status, health resource o: health related 27. Nurse Maria is correct in identifying which ofthe following \¢ a health resource preble? A. High Birth Rate and low birth weight B._ Increase In number of death from COVID-19 C. Absence of dentistin the community to render dental health services DL Decrease in fertility rate among women ages 17-38: years old 28. There are five criteria in priitizing health problems. IF Nurse Melissa is estimating the proportion of the pcpulation affected by the problem, she is using what criterion in prioritization? ‘A. Preventive Potential B._ Nature of the Problem C. Magnitude of the Problem D. Modifabilty ofthe Problem 29, Nurse Melissa encounter barriers in dealing with the community. Select a barrier to goal setting between the nurs and the family A. Sociceconomic Status B. Educational Attainment C. Religous Affairs D._ Inabiity to recognize the existence of the problem 30. Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks ‘A. Allow them to ignore the preblem B. Refer the family to other sector of the government Leave the family itis their problem not yours D. Help the family to recognize the Problem 31, This the step of the nursing process that identifies the family health seeking behavior AL Assessment 8. Implementation C. Planning D. Evaluation 32, Nurse Melba is assigned as the team leader of newly hired ‘community health nurses of San Juan Batangas. She oriented, the new staff about Primary Health Care. All but one are the elements ofthe Primary Health Care: ‘A Maternal and Child Care B. Ensure environmental sustainabilty Promote Gender equality and empower womeh D. Free Medicine for all 33, Which ofthe following hertial medicine is recommended as ant-helminthic? AL Akapulko 8. Ampalaya C._Niyog-niyogan D. Yerba Buena 34, Bawang is recommended by the Department of Health ti ‘AL Dissolve kidnet stones B. Lower Blood Pressure Remedy for cough D. Wash wounds 35, Nurse Melba is going to refer patient to secondary health facility. Which of the following is an example of secondary health Facility A. District Hospital B. Regicnal Hospital C. Philippine Heart Center D. Barangay Health Station 36. Its the Legal Basis of Alternative Health care also known, as the Traditional end Alternative Medicine Act AL RAB243 B. RA 8342 c. RA8423 D. RA 8432 Situation: As a Pubic Health Nurse, you should be Knowledgeable 0 the Field Heclth Services and Information ‘System (FHSIS) or the recording and reporting system in Public Healthcare in the Philippines. 37. All ut one are thejobjectves ofthe FHSIS "A. Ensure data reportedare useful and accurate and disseminated in a timely, easy and use fashion. ‘BipsTo update indicators based on the previous needs of the Heath program managers and al local ‘government units. ‘C. Provide standarci28d facity-level data tase which can be used for more in-depth studies. DippMioimize recording and recording burden allowing more time for paticnt care and promotional activites, 38. Asa Public Health nur, you should know the process oh how these information are processed ard consolidated. The fundamental block of the FHSIS Systems the ‘A Reporting forms B. Targat/Client lst Family treatment record D. Output record 39, The monthly field health service actity report isa form Used in which ofthe components of the FHSIS? ‘A. Output report 8. Taxget/Clent list C. Taly report D. Individual health record 40. Inusing the tally sheet, the recommenced frequency in tallying activities and services is AL weekly 8 daly monthly D._ quartery 41. To montor cients regstered in long-term regimen such as the Mutt Drug Therapy, which component ofthe reporting system will be most useful? ‘A. Taly report B. Individual health record . Output report D. Taxget/Clent list 42..The most commen symptoms ofa patient with tuberculosis: ‘A. weakness, afternoon fever hemoptysis, weight gin B. fever fatigue, acute cough, spitting of blood CC. weight loss, fever, chronic cough, weakness D. chronic cough, bodymalise, afebrile, anorexia 43, What kindof Vitamin will you advise to your patient taking ani TB drugs, especially INH? A. Vitamin B 12 B. Vitamin B 1 © Vitamin B2 D._Vitarnin B 6 _4aamnélSpread of Tuberculosis is ennanced by; A. poverty. B._ increase drug resistant migration, D._allof the above 4S, Which factors predispose the person to develop tuberculosis? ‘A. Poor economic status 'B. working in/asbestos factory C._Low resistance Host D. Allof the above Ao The patient with tuberculosis is being treated. The Tollowing are the side effect of the drugs. Except: ‘A. Peripheral neuropathy is the side effect of Isoniazid B. Optic neuritis is the side effect of Etharrbutol C._ Hearing impairment is the side effect of Streptomycin D._ Red Orange Urine is the side effect of Pyrazinamide Situation: There are several laws affecting the Community health nursing in the Philippines 447. AS an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates repoting of cases of notifiable diseases? ‘A. RA3S73 B. RA25I6 3 | PogeCc. RA1S28 D. RA7O13 48. R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees, what other factor must be considered in determining the occupational health privileges whieh the workers wil be entitiea? |A. Type of occupation: agricultural Commercial, industrial Sex and age composition of employees C. Classfication of the business enterprise based offi prof D. Location of the workplace in relation to health facilites 49. Which disease was declared through Presidential Proclamation No, 4 as @ target for eredication in the Philippines? ‘AL Measles B._ Rabies C. Schistosomiasis D. Dengue 50. Which of the fllowing professionals can sign the bie certificate? ‘A. Municipal health officer 8. Public Health Nurse C._ Registered Midwife D._ All of the Above 51, Gvil Regustries are important sources of Data. PD 651 mmended R.A 3573 requiring the registry of births within how many days? AL Lyear old B. 90 Days C6 months D. 30 days 52 .Which of the following is the most prominent feature of public health nursing? |A. It involves providing home care to sick people who {are rot confined in the hospital. Services are provided free of charge to people within the catchments area. C. The public health nurse functions as part of a team providing a public health nursing services. Public heelth nursing focuses on preventive, not curative, services. 53, When the nurse determines whether resources were ‘maximized in implementing Liatas Tigdas, she is evaluating AL Effectiveness B. efficiency Adequacy D. Appropriateness 54. Nal is a new B.S.N. graduate. She wants to become 2 Public Health Nurse, Where should she apply? A. Department of Health 8. Provincial Heath Office C._ Regicnal Health Office DL» Rural Health Unit 55. Tony is aware the Chairman of the Municipal Health Board, AL Mayor 3. Municipal Health Officer Public Health Nurse Any qualified physician 56. Myra's the public health nurse in a municipality with a total population of about 20,000. There are 3 rural health ‘midwives among the RHU personnel. How many more midwife items will the RHU need? ACL B 2 C3 D._The RHU does not need any more midwife iter Situation: Vaccination protects the vaccinated persons and, those around them whe are vulnerable to the diseases, reducing the risk of diseases spreading among family members, neighbors and other people in the community. 57. The community nurse is aware that the biological used in Expanded Program on immunization (EPI) should NOT be stored in the freezer? AL OPT 8. Oral polio vaccine C. Measles vaccine D. MMR 58, Which biological used in Expanded Program on Immurization (EPI) i stored inthe freezer? ‘A. Hepatitis B Vaccine Bip Measles Vaccine c per D._ Tetanus Toxoid '59, A 2-month old infant WAS brought to the heath center for immunzation. During assessment, the infant's temperature registered at 37.5°C. Which isthe best course of action that ‘you wil take? ‘A. Advise the lifan’s mother to bring him back for immunization when be is wel. 8. Proceed with the infants immunization ‘CippRefer the infant to the physician for further ‘assesament . Give Paracetamol and wait for his fever to subside 60. YOU willnot give DPT? ifthe mother says that the infent had Aapsezure a day after DPT 1 Abscess formation after OPT 3 When the child ries D. There is no contraindcations Situation : As 2 newly registered nursé) Gea, should know thatthe goal of CHN is to protect , promote ard preserve the health ofthe public 61. "Public health services are given free of charge.” Is this statement tue or fate? ‘A. The statement is true; itis the responsibilty of government to provide basic services. 8. The statement may be tr or fase, depending on the specific service required. (Coy The statements alse: people pay indirectly for public health services. D. The statement may be true or fase, depending on Palcies ofthe government concemed. 62. What isthe primary goal of community health nursing? ‘A. To support and supplement the efforts of the medical professon in the promotion of health and prevention of illness B. To contribute to national development through promotion of faily welfare, focusing perticualy on mathers and chiliren. C.Toincrease the productivity ofthe people by providing them with services that wil increase thi level of heath D. Toenhance the capacty of indvidias, families and communities to cope ith their health needs 63, According to C.E,WinSow, which ofthe following & the cal of Publ Hesith? AGS For peep to have access to basic health Services For pecple to attain their hirthrights of health and longevity For promotion of heath and prevertion of disease ._For)people to be organized in their health efforts ‘saepriffary Neath cere isa total approach to.community ‘development. Which ofthe folowing is an indicator of success inthe use ofthe primary health care approach? ‘R. Health services are provided free of charge to individuals end families. 18) Local officials are empowered as the major decision takers in matters of health. Health workers are able to provide care based on identified health needs of the people . Health programs are sustained according to the level ‘of development ofthe community. 165. The community health nurse takes an active role in ‘community participaton. What is the Primary goal of ‘community organizing? ‘A. To educate the people regarding ccmmunity health problems B. Tomobilze the people to resolve community health problems C.Tomaximize the community's resources in dealing with health probems D. Tominimize the community's resources in dealing with health problems 4 | PoseResearch: John is fortunate to be chosen as part ofthe research team in Coralia National Hospital. review of the following IMPORTANT nursing concepts was made except: 66. A professional nurse can do research for varied reasons! exceat: ‘A. Professional advancement througliFesearch participation 3. To validate results af new nursing modalities C. For financial gains D. To improve nursing care 67. The use of another person’s ideas of wordings without diving appropriate credit results from inaccurate or incomplete attribution of materials to its resources, Which of the following 's referred to when another person's idea ss inappropriataly credited as one's own? ‘A. Plagiarism 8. Quotation C. Assumption D. Paraphrase 68. John, knows that Likert Seale determines AL Degree of agreement and disagreement B. Compliance to standards C. Level of satisfaction D. Degree of Acceptance 69, He checks i his instruments meet the criteria for evaluation, Which of the following criteria refers to the consistency or the ability to yield the same response upon its repeated administration? ‘A Validity B. Relabiity C. Sensitivity D. Objectivity 70, Which criteria refer to the ablity of the instrument to detect fine differences among the subjects being studied? ‘A. Sensttivity B. Reliability C. Validity D._ Objectivity Professional Adjustment. Situation: Republc Act No. 9173 provides a more responsive rursing Profession. This Actis also known as the "Philippine Nursing Act of 2002” 71, Nurse Gavin would lke to practice nursing in the Philippines, after she finished his Bachelor of Science in Nursing degree. She can obtain a license to practice by: ‘A. Paying the professional tax after taking the board exams 8. Passing the board exams and taking the oath of professionals Paying the examination fee before taking the board, exams D. Undergoing the interview conducted by the Board of Nursing and taking the board exems 72, When the license of the nurse is revoked, ie eans that the urs Is no longer allowed to practice the profession for the: rest of her life 3. Will rever have her/his icens@ re-issued since it has: been revoked May apply for re-issuance of his/her tense bagéd on certain conditions stipulated in RA 9173 D. Will remain unable to practice professional nursing 73. The Board of Nursing has quasi-judicial power. An example ofthis power The Board can issue rules and regulations that will govern the practice of nursing ‘The Board can investigete Violations of the nursing law and code of ethics C. The Board can visit a school applying for a permit in callaboration with CHED D. The Board prepares the board examinations 74, When a nurse causes an injury to the patient and the injury caused becomes the proof of the negligent act, the presence of the injury is said to exemplify the princple of: ‘A. Force majeure 8. Respondeat superior Res ipsa loquitur D. Holdover doctrine 75, Ensuring that there isan informed consent on the part of the patient before a surgery is done, ilustrates the bioethical principe of ‘A. Beneficence BeAutonomy Muttteting/veracty D. Non-maleficence Situation: Prevention acivitis are typically categorized by the following: Primary Prevention, Secoadary Prevention and Tetiaty Prevention. 76, Tetiary prevention is needed in which stage ofthe natural history of disease? 'R. Pre-pathogenesis 8, Pathogenesis [Ceprocromal D. Terminal 72. Asoation ofa child with meastes belongs to what level of prevertion? A. Privary BiSecandary Intermediate D.Tertary 78. On the other hand, Operation Timbsng is prevention. ‘A Pritary 8. Secondary C.Intermedate D. Tertary 79, Which type of family-nurse contact will provide you with the best opportunity to observe faily dynamics? ‘A. Clinic consutation B._Group conference Home visit Witten communication 80. Which is CONTRARY to the principles in planning a home visit? ‘A. Atiome vist should have a purpose or objective B. The plan should revove around family health needs. . \Abome vist should be conducted in the manner prescribed by the RHU. Planning of continuing care should involve a responsible family member Situation ‘Nurse Louies understanding of ethico-legal responsibilities will uide her nursing practice. 81. The principles that gover right and proper conducts of petson regarding life, biology and the health professions i referced to as: ‘A. Morality B. Religion C._Values D._ Bioethics 2 The pupose of tv nursed cde of ics Delineate the scope/and areas of community heath ‘ony ‘dentiffursing action recommended for specific cents B Tohelp the public understand professional conduct, expected of nurses, 1D. To define the roles and functions of the health care. giver, nurses, clients specfically physicians 83TH most important nursing responsibilty where ethical stations energein patient caren ‘Act only when advised thet the action is ethically sound, B, Not ta sides remain neutral and fair (C1) Acsume that ethical questions are the resporsibilty: ‘ofthe health team D._ Be accountable for his or ner own actions 184. You inform the patient about his rights which include the folowing EXCEPI Right to expect reasonable continuity of care BRUM to corcentto or decine to paricpate A researc studies or experiments C._ Right to obtain information about another patient D. Right to expect that the recores about his care will be treated as confidential 85. The principle states that a person has unconditional worth and has the capacity to determine his own destiny. A. Bioethics 5 | Poge8. Justice C Fidelity D.__ Autonomy Situation : The nurse categorized the chid’s condition a severe pneumonia 86, The category of severe pneumonia is basea on the presence ofthe folowing except ‘A any general danger sons 8. chast in drawing C. stridor D. allot these 87. This condtion requires ‘A. pink code suggesting hospital referral or admissien 8. yelow code indicating initiation of treatment . green code that call for home treatment D. pink or yellow 88, James is conscous and not vomiting: The first dose of antibiotic to be given is 1. cotrimaxazdle 8. amoxiclin C. choramphenicol O. benzypeniciin 09, Breast milk or sugar water is given before referal to ‘A. provide energy tothe child 3. prevent under nutrition C. prevent low blood sugar ._ prevent alteration in level of consciousness 90, IMCI treatment of severe preumenia hiudes: ‘frst dose of appropriate antibitic 2evitamin A 3-breatfeed of sugar water ‘URGENT referal ‘A All ofthese B, Land 2 only Cal except 4 0.23 and 4 Situation : Darrhea of children 2 months to five years 91. Potentially lethal condition(s) ofa child with diarrhea includes) ‘A acute watery darthea inducing cholere B, bloody diarthea -dysentery C. persistent diarthea-more than 14 days D. al of these 92. Ginical assessment of darrhea includes the following EXCEPT nudes duration, presence cf blood and dean) general conditions: lethargic or unconscious: reatless/iritable (children who cannot be conseled & calmed) 8. sunken eyes: all children withisunken eyes are dehydrated C. childs reaction when offered a drink. skin may go back immediately ina dehydrated obess child (or even those with ederna) 93, The folowing is true regarding the skin pinch test EXCEPT |A. pinch the skin onthe chia’s abdomen Falfway between umblicus and the side ofthe abdomeh 8. very slowly means the skin pinch aoes back longer than 2 seconds C. skin may go back slowly when eild has marasmus D. skin may go back sowiy in a dehydrated obese child 94. The danger sigis of dehydration that will requir a pink code are: ‘Lethargie oF unconscious 2-sunkeneyes 3-not able to drink or drinking poorly ‘eka pinch goes back slowly ‘A. any combination of two danger signs Ball danger signs must be present C any danger sign present ©. any three ofthe danger signs 95, The treatment for svere delydraton inches the following EXCEPT |A.-antbotic if cholera is presenting the area 8. sips of ORS on the way to hospital C._ ORS via nasogastric tube If cannot drink D. reassess after 4-6hours ‘After assessing the for general danger signs, the four main symptoms, all children must be assessed for malnutrition and anemi. 296. The main reason for routine assessment of nutritional ‘Statin sick children isto identify children L=With severe malnutrition who are at increased risk of ‘mortality ‘2-=who need urgent efétral to provide active treatment 3 — with sub-optimal growth resulting from on-geing efcts in dietary intake plus repeated episodes cf Infection 4 who may beiifitfrom nutritional counseling and resolution of feeding problems A. all Bopp, 2 and 3 cand 2 Dt 97, Clea assessment of nition will mean looking into the folowing danger signs: T= visble wasting 2 edema of bath feet 3 - weight for age 4. palmar pallor A all B 1,2and3 c Yand 2 D4 98. Clatsification of nutritional status and anemia based on. simple clinical signs are; ‘A. Severe malnutrition or severe anemia B, Anemia or (very) low weight C__Noanemia and not (very) low weight D. Allthese 99. The following are symptoms of chiléren with anemia or low weight 1 visble severe wasting 2=some palmar pallor 3~ low weight for age A all B 182 c 243 D. 183 +100, When children are classified as having anemia: ‘T= assess child's feeding and counsel mother on feeding 2 aive vitamin A 3 treat with oral iron 4 advice mother when to return immediately A. all B. 1,2and3. Land Da 6 | PoseTOPE * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFI RECALLS EXA\ NURSING CARE OF HEALTHY / ATR NOV 2023 Philippine Nurse (GENERAL INSTRUCTIONS. 1. This test questionnaire containg 100 test questions 2. Shade only one (1) box fer each question or you answer shel 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examines | ANK WEW ACADEMY "*RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY TION 13 ICE II Oe AND CHILD ination Review more boxes shaded will invalid your answer. ‘Sheet Set 5. Wite the subject ttle “NURSING PRACTICE Il on the bor provided ‘Situation: Nurse Bernadette admitted a 27 years old female suspected of ectopic pregnancy. Pt compleins sudden, stabbing pain in the lower quadrant that radiates down the leg or up into the chest 1. The doctor suspects that the dient has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ‘ectopic pregnancy? AL Painless vaginal bleeding B. Abdominal cramping Throbbing pain in the upper quadrant ._ Sudden, stabbing pain in the lower quadrant 2. Nurse Haze! is preparing to care for a cient who is newly ‘admitted to the hospital with a possible diagnosis of ectopic pregnancy. Nurse Hazel develops a plan of care for the dient and determines that which of the following nursing actions is the priority? ‘A. Monitoring weight B. Assessing for edema Monitoring apical pulse ._ Monitoring temperature 3. Which of the folowing would be the priority nursing diagnosis for a client with an ectopic pregnancy? ‘AL Risk for infection 3. Pain Knowledge Deficit D. Anticipatory Grieving “laut one be Teg Ea Implantaton of the unfertiized ovum inside of the uterine cavity 8. Most common location is the ampulla of the fallopian tube C_ Obtain assessment data and vital sigrs D. Monitor bieeding and intlate measures to prevent rupture and shock 5. The most common cause of ectopic pregnancy is: ‘A. Congenital anomalies B. Inflammation of the tubes Abstinence D._Abruptio placenta Situation: Alin Puring visited SB National Hospital about her pregnancy 6. “Mtemal physological changes in preghancy..are the ‘adaptations that take place during pregnancy that enable ithe ‘accommedaticn of the developing embryo. All but one is tue! regarding physiological maternal changes i |A. Circulating blood volume increases, plasma increases, and total red blood cell volume increases B. Physiological anemia occurs as the plasma increase exceeds the increase in production of red blood cells. C. Heart size increases, and the heart is elevated slightly upward and to the left D. Retention of sodium and excretion of water may occur 7. Aing Puring a Primigravida mother visted the clinic on ber second trimester and complains of constipation. Asa nurse you you know that this, "A. Results from an tncrease Tn esirogen production, increased intestinal motility, displacement. of the intestines, pressure of the uterus, and taking herbal supplements 8, Results from an increase in progesterone production, decreased intestinal metiity, displacemert of the intestines, presure of the uterus, and teking iron supplements ._Resutts from a decrease in progesterone production, increasedyintestinal maility, displacement of the intestines, pressure of the Uterus, and taking iron ‘supplements D. Results from an decrease in progesterone production, decreased intestinal metility, displacement of the intestines, pressure of the uterus, and taking iron supplements ‘8. What are the nursing Interventions that you should teach Bi: © 208 contin caring ber pregnancy Eating high-fiber foods such as whole graine, fruts, end vegetables Tk Drinking no less than 2000 mL per cay If not ‘contraindicated IL Exercising regularly, such as a dally'20- minute walk 1. __ Eat Plenty of Bananas and dairy products A 10,1 8 8.1m | CLI ULV D.L IV Puring” is pregnantifor'the fourth time. She had 1 ‘abortion inthe first trimester, a daughter who was at 40, weeks of gestation, and a son who was born at 36 gestation. 24,1, LLL, 421, 411 5.11.2, 43,1, is D. 3.41, ‘on her frst trimester calls the nurse at 2 Care dlinic and reports that she has noticed a thin, vaginal drainage.=THe nurse should make which ent to the client? ‘A._“You should come to the dinic immediately.” "The vaginal discharge may be bothersome, but is 2 ‘normal occurrence.” “Report to the emergency department at the ‘maternity center immediately.” D._ “Please be ready, You'll gve birth any moment” Situation: Taylor, 37 years old preanant woman, arrives at the linic for her second prenatal assessment. 11, She tells the nurse that the first day of her last normal menstrual period was October 19, 2020. Using Naegele’s rule, Which expected date of delivery should the nurse document in, the client's chart? ‘A. uy 12, 2021 B. B.July 26, 2021 CC. August 12, 2021 GTPAL= GTPAL. C GIPAL GIPAL: Paring 1 | PogeD. D. August 26, 2021 12, Her 08 discussed’ that these are the redisposing conditicny risk factors to gestational diabetes. SelectAll that Aoply L Older than 35 years 1. Obesity. BM greater than 30 UL. Multiple Gestation IM. Essential or preanancy-relatéd hypertension AL 1) ILI Bt, 1, W Land i D. 1,1, Mand 413, In the Assessment of gestational Diabetes includes the following, Except A. Oligohydramnios 8. Glycosurie and ketonuria ©. Polyhydramnios D. Recurrent UTI 14, All but one are the followin interventions in deating with Tayler ‘A. Encourage moderate physical activity. 8. Monitor for signe of infection C. Obseve for signs of typeralycemia, glycosuria and Ketoruria only D.__ Encourage physical activity 415. Which of the folowing statement is TRUE regarding nursing intervention during the Postpartum Petiod of Taylor? ‘A. Obseve the mother closely for a hypergycemic reaction because a precipitous decline in inulin requirements normally occurs The mother may not require insulin for the fst 24 hours. C. Administer HR with 4-4-4u and 14u of glargine OHS. D. Withold. food and drinks on bedsde to-promate patient compliance 16, The nurze i assessing a multigravide, 36 weeks gestation for symptoms of pregnancyinduced hypertension and preeclampsia. The nurse should give prionty to assessing the dlent for: ‘A. Facil swelling 3. Euthyroid C Ankle edema D,__ Diminished reflexes Situation: Michaela, 38-year-old client with pre edampsia was admitted to Marila Nation Hospital, Her Iitial VS was taken BP: 130/80 RR: 20 PR: 70 02: 98% Temp: 36.8 117, Which assessment finding should the nurse mast ikely expect to note? ‘A. Increased urine output 5. Increased blocd pressure C. Increased feta heart rate D. Decreased brachial reflexes 18, Nurse Trina is administering magnesium sulfate to a patient Michaela for severe preeclampsia. What intervention should the nurse take during the administration of magnesium sulfate for this client? ‘A. Schedule a daly utrasound to assess fetal movement. 8. Schedule a nonstress test every 4 hours to assess fetal well-being. C. Assess the client's temperature every 2 hours because the cients at high risk for infection. D. Assess for sigs and symptoms of labor becausé the lien’ level of consciousness may be altered 19, Nurse Tina, assesses the Michalea, expecting to note which set of findings if pre eclampsia Is present? |A. Hypettension and protenuria 3B. Edema, ketonura, and obesty C. Edema, tachycardia, and ketonuria ._Glycasurie, hypertension, and obesity 20. Nurse Trina should closely monitor Michaela closely for which complication of pre eclampsia? AL Seizures 8. Hallucinations C. Placenta previa D. fever 21. IF the client's condition progresses from preeclampsia to eclampsia, what should the nurse's fist action be? ‘A. Maintain an open airway. B. Administer oxygen by face mack. C. Assess the maternal blood pressure and fetal heart tones. D. Administer an intravenous infusion of magnesium sufate SSittiation: A client visited the clinic for prenatal assessment. 22. AS a nulsejyoU know that the most definitive sign of pregnancy is: ‘A. Elevated human choionic gonadotropin B. The presence of fetal heart tones ICipputerine enlargement. D._Breastenlargement end tendemess 23. "Sometimes, I think Lam pregnant," verbalized by the woman The nufse asks the woman how she has been feeling. hich sions of pregnancy should the nuitse expect the woman, to state? Select all that apply. I. “Thave been so nauseous” I. “Lam having so much trouble with diarrhea.” IL, “Ihave not had a menstrual period in 2 months.” JM. “It seems lke I have to go to the restroom to urinate aillthe time.” V.“Thave been going to the health club two times a day because I have'so much energy." 1,3,4 1,35 2.3 3,5 24. The dient ack about allowed exercises during pregnancy. ‘The most appropriate answer would be: A. “You are net allowed to exercise, strict bed rest is advised” B. "Contact Sports such as basketball and football are allowed. Just make sure you know how to play the game” C. “Relaxation and stretching execrice as tolerated is allowed” D._™ You can only exercise during the first trimester” 25. In above statement. A feeling of ambivalence about pregnancy is: ‘A. Assign of irresponsible parent B. Atypical in early stages CNet common in any stages of pregnancy D._Nermalin early pregnancy 26. In providing health education regarding taking medicines dhrngPragiancy. As 2 nurse you shoul tel ero: “Take herbal medicines, al herbal preparations are safe during pregnancy: B, “All over the counter drugs are'sage during pregnancy, No need.to|Werry, as long as it is not anibiotics:, C__“Dosnot take anything during preorancy without ‘asking your health care provider” D. IF you are constipated, take an over-the-counter meds to ease the discomfort during pregnancy” ‘Situation: Smoking during pregnancy may increase risk of @ wide rangeofiproblems including miscarriage and premature labor poe py 27, The nurse isteaching a oroup of prenatal dents about the effects of cigarette smoke on fetal development. Which characteristic is assodated with babies born to mothers who smoked during pregrancy? ‘A. Low bith weight B. Large for gestational age C Preterm birt, butappropriate siz for gestation 'D._ Growth retardation in weight and length 28, A 28.yesF-ld woman with a family history of heart disease presents tothe health care provides office acking to begin foal contraceptive therapy for birth control. What importart Topic shoUlE the nurse ask the client about rext? ‘A. Smoking B. Regular exercise CC. Alow-cholestera diet D. Alternative birth contol methods 29, A primigravid client atrsk for coronary artery disease about Mestyle changes needed to reduce his risks. The nurse determines that the dent understands these necessary lifestyle changes ifthe client makes which statements? Select all that app. 1. "Tall cut down on my smoking habit” 2 | Pose2. “Iwill be sure te include some exercise such as walking in my daily activities.” 3. “Iwill work at lsing some weight so that my weight is at nermal range for my age.” 4. “LwillImit my sodium intake every day and avoid eating igh-sodium foods such as Nat dogs 5. "Itis acceptable to eat red meat and cheese every day aS I have been doing, as long as I cut down on the butter” 5. “I wil schedule regular health care provider appointments for physical examinations ard monitor my blood pressure.” A Allof the Above 8. 2,3,6 C 13,5 and6 D. 2,3,4and6 30, A Pregnant client verbaized that her Husband ie a heavy chain smoker for 10 years. She askedif this would affect her pregnancy. AS nurse your best response would be. 'A.” This wont affect your pregnancy, second hand smoke, has no effect during pregnancy” 8. You should talk to your husband regarding his smoking habits, studies suggest that regular contact with second hand smoke may slow down the growth of the baby in your womb” C. You should scold your husband, by ths age he should know that smoking has no good effect on health” D.” Just ela, stress may affect her pregnancy” Situation: Its a known dact that breastmilk and breastfeeding is best for babies and mothers. It is widely believed that breastfeeding nourishes babies not orly on Physical but also emotionally as wel, and help both mother and baby recover from cildorth more quickly 31. Jazza worries about her small breasts, thinking that she probably will not be able to breastfeed her baby. Which ofthe following responses of the nurse is correct? ‘A. "The size of your breast will not affect your lactation” 8. “You can switch to bottle feeding” C. “You can try to have exercise to increase the size of your breast” D._ D.*Nanusl expression of mik is possible” 32. She tells the nurse thet she does not take mik regularly. She dlaims that she does not want to gain too much weight during her pregnancy. Which of the following nursing diagnesis isa priorty? A. Potential self-esteem disturbance _ related to physiologic changes in pregnancy Ineffective individual coping related to physiologic changes in pregnancy C. Fear related tothe effects 6f pregnancy DL Knowledge deficit regarding nutritional) requirements of pregnancies related to lack of information scurces, 33, Which of the folowing interventions will likely ensure compliance of Marah? ‘A. Incorporate her food preferences that are adequetaly aultritious in her meal plan Consistently counsel towerd optimum nitfitonal intake C. Respect her right to reject dietary information if she chores DL D. Inform her of the adverse effed Toh inadequate auton to her fetus 34, Which of the following indicates that the new mother Understands how to handle breast mik safely? A. “I can store fresh milk in the refigerator for only 24: hours.” 3, “Lean store frozen breast mik for up to 1 month.” C. “Tecan store my breast milk in deep freezer for 7 days” D. “I should never store my breast mik in & fozen-food locke” 35, It is 2 simple cost-effective newbom care Interventions that can improve neonatal 35 well as maternal care? ‘A. Garantisadong Pambata 3B. Botika ng Batangay C.Unang Yakap D, £0 50~ Milk Code Situation: Nurse Mae received 2 laboring primigravida woman ‘named Joyce at Sabears Hospital in Intramuros, she was brought by her husband in ER at 3:06AM and received in ward at 3:30AM, 36, Nurse Mae observes tat Joyce isin true labor if ‘A. Rupture of Bag of water B. Shortening of the Cord C.Asymetvcal lower abdomen Jntiation of contraction 37. "NufBe, thy contractions begin in fundus then radiated ‘downward to the cefiix and radiares downward to lower extremeties” as verbalize by Joyce. Nurse Nae observe that ths is what type of labor? ‘Atpeive Labor B. Active Phase Latent Phase None ofthe Above 38, Nurse Nae completed a vaginal exattination, she recorded S50, Som and 0. Wich ofthe following is the correct interpretation of the data? ‘A. Latent Phase of the frst stage labor is about to begin B. Fetal presertation is engayed C. Dilation is 50% complete Dip) Effacement is 5 em complete 39. After the delvery, Mrs Joyce tels the NOD that she hasn't ‘urinated within the first four hours after her catheter was removed. What should be the NOD’ intial action? ‘A. Disregard the patient's complaints it is norrral since she just gave bith 8. Explain to Mrs Joyce that she has to ambulate and ea at the comfort room C. Assess the uterine consistency and location and. pabpate if itis distended Begin measuring and recording Mrs, Yett” intake and ‘output 40. Mrs. Joyce complains of pein due to breast engorgement. What wil nurse Maeido\te encourage her to continue breastfeeding? ‘A. Breastfeed on demand ofthe newborn B. Allow her to breastfeed on her convenience Pee Cold compress for 15 minutes then Hot compress for another 15 minutes ifthe pain isnot relieved give her pain reliever that you thinks effective D. Just listen to her concern because she isin Active phase of pregnancy Situation: Nurse Selena is working Pediatic unit. She has an advanced understanding of childhood development that she Use tolinteract with patients and adminstering age-appropriate treatments and medication 41, Nurse Sheena is reviewing general_injury’ prevention information with the staff of the pediatric department in the hospital. Which interventions aimed at promoting safety specifically for infantsv@nd toddlers shoulé the nurse review with the staff? Select all that apply |. Ensure that cr sides are up. 2 Use large, soft toys without small parts: 3. Attach a pacer to a stretchable piece of ribbon and pin to the infont’s dothings 4, Allow a:toddler whois toile training to stay inthe bathroom ‘alone to provide privacy. 5. Ensure that an infant or toddler is never let unattended ‘iil lying oF changing table. KR 1285 8.1385 c 1485 D185 42. The nurse receives 2 telephone call from the emergency department and isitsld that a 7-month-old infant with febrile seizures, willbe admitted to the pediatric unt. What should the rhurse antidpate the need for when planning care for the ‘admission ofthe infant? A. Restraints at the bedside B. Acode cart at the bedside C._ Suction equipment and an airway at the bedside D._ A padded tongue blade taped to the head of the bed 43, The nurse is assigned to care for a hospitalized toddler Which measure should the nurse plan to implement as the highest priority of care? ‘A. Providing a consstent caregiver B. Protecting the toddle: from injury C. Adapting the toddler to the hospital routine D. Allowing the toddler to participate in play and diversional activities 3 | Poge44, The nurse instructs a parent regarding the appropriate actions to take when the toddler has a temper tantrum. Which statement by the parent indicates a successful outcome of the teaching? A. “Twill ignore the tantrums as long_as thre is no physical danger” 8. “I wil give frequent remindérs that only bad children have tantrums.” “L will send my child to a room alone for 10, minut after every tantrum.” D. “Iwill reward my child with candy atthe end of each day without a tantrum.” Situation: Development occurs in an orderly, predictable and. intrinsic manner. Developmental proceeds from head. to toe As 2 nurse, you need to educate parents to understand child's developmental milestones. 45. A mother of 9 3-year-old child asks Nurse Chrisho what personal and social. developmental milestones she can expect to see in her chid. Nurse Maria should tel the mother to ‘ect which ndings? Selec al that apo Begins problem solving ere sa curiosity HI. May begin to masturbate 1. Notices gender differences V. Develops a sense of initiative VL Develops positive self-esteem through scl acquisition AL 1,0, 3. 0,10, 1V C. Allof the above D. Wand I 46. Nurse Chrisha instructs 15-year-old patient with iron. deficency anemia about the administration of oral iron: reparations. She should tell the adolescent that it is best to take the ion with which item? AL Cola B. 8. Soda CC Water D._ D. Tomato Juice 47. Which of the following toys should the nurse recommend for a S-month-old? ‘A. Abigred balloon B.A teddy bear with button eyes CA push-pull wooden truck BL A colorful busy box 48, The mother of @ 2-menth-old is concerned that she ray be spoiling her baby by picking her up when she cries. Which Of the following would be the nurse's best response? [AL ” Let her cry for a while before picking her up, so you don't spol her “Babies need to be held and cuddled; you won't sil her this way” ©. “Crying 2 this age means the baby is hungry: ove her a bottle” D. “IF you leave her alone she will learn how to-cry herself to sleep” 49. If parents keen a toddler dependent in areas whete he is capable of using slils, the toddlerwill develop a sense of which ofthe foliowing? AL Mistrust 8. Shame cc Guitt D._ Inferority 50, When teaching parents about the childs Féliness for tollet training, which of the following signs should the nurse instruct them to watch for in the toddler? |A. Demonstrates dryness for 4 hours 8. Demonstrates ability to sit and walk Has @ new sibing for stimulation D. Verbalizes deste to go to the bathroom 51. 11. Mary Rose tells you she is a bit worried because she develops her breast later than mast of her friends. Breast development is termed AL Adrenarche 8. Thelerche C. Psuedonarche D. Menerche 52. While performing ptysical assessment of a 12 month-old, the nurse notes that the infants anterior fontanelle is til sightly open. Which of the folowing isthe nurses mast appropriate action? ‘Rep Netify the physidan immediately because there isa problem. Perform aflintensive neurologic examination. Perform an intensive deveoprental examination. Do nathing because thc isa normal fincing for the 292. 53, Which of the folowing examps are appropriate for Nurse ‘Angela to Include? Selectall that Apply [op 1 Allow a 4yearold to plan a fun. activity after the fuse competesa dressing change TI, Ack parents to 2vold Bringing blankets and plush toys from home fr a2-year-old HL, Encourage visls and socal meda contad from 2 16-year-old’s peers WM) Have 2 10yearold participate in care by Keeping tract of oral fd intake wath the nurse V. Remind the parent of 2 2-month-old to respond ‘lick to the Infant's cries A. Ll, Wand B Tandy © 1, Mandm D. Ui, Uend Iv 54. The nurse i working with an adolescent who complains of being lonely and having a lack of fulfilment in her life. This fedolescent shies awey from ltimate relationships at times yet at other times she appears promiscuous. The nurse will kely Work with this adolescent in which of the folowing areas? ‘A. Isdlation| B. Lack of fufilmert Loneliness D. Identity Situation: A complete physical exam is an important part of newborn care. Nurse Lina, carefully checks each body system for health and rormal function incuding signs of birth defects and ilpess 55, She admits a newbom to the nursery. On assessment of the newborn, the nurse palpates the anterior fontanel and notes that feels soft. The nurse determines that this Finding indicates which condtion ‘A. Dehydration B. Anoemal finding Increased itracranial pressure D. Decreased intracranial pressure 56, She performng an assessment on a postterm infant. Vihich physical characteriste should the nurse exoect to cbserve in ths infant? A. Pealing ofthe skin B,_ Smooth soles without creases © Lanuge covering the entire body D._Vernix that covers the body ina thick layer. S10 postterm inant, deivered vaginal, 1s exhibiting tachypnea, grunting, retractions, and nasal faring. The nurse interprets that these assessment findings are indcative of whieh condtion? ‘8. Hypoglycemia 8. Respiratory distress syndcome C. Meconium aspiretion syndrome’ D._Transient tachypnea ofthe newborn Situation: Ovespopilation is one problem in the Philippines that causes eeanomic drain, Mest Flipiros are against in legalizing abortion. As a nurse, contraception is reeded te contribute tothe socety and economic growth. 58, Supposed that Karen, 17 years old, tes you she wants to Use Fertity awareness method of contraception, How will she determine her fertle days? ‘A. She will notice that she feels hot, as If she has an elevated temperature. B. She should assess whether her cervical mucus thin, copious, clear and watery C._ She should montor her emotions for sudden anger or ering D. She should assess whether her breasts fee! sensitive te cool air 4 | Pose59, Sheena asks about female condoms. Which of the folowing is true wat repards to feral condoms? The hormone the condom releases might cause mild weight gain She should insert the condom before anyspéfile penetration, C. She should coat the condomwith spermicide before use D._ Female condoms, unlike male condoms, are reusable Situation: Nurse Lana is a Family Ptanning and infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this perticular Population group. 60. Jana, 19 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?, ‘A. Prostaglandins released from the cut fallopian tubes «an kal sperm 8. Sperm cannot enter the uterus because the cervical entrance is blocked, Sperm cannot enter the uterus becalé the cervical entrance is blocked, D. The ovary no longer releases ova as there is nowhere for them to go. 61. Kyle, Mary's husband tell you that he is considering vasectomy after the birth of their new child. Vasectomy Involves the incision of which organ? AL Testes B. Epididymis C. Vas Deferens D. The scrotum Situation: Uneng yakap and breastfeeding are life-saving for babies in the Philippines. Every mother needs to be with her baby so she can immediately breastfeed and provide the ‘optimum nutrition to protect him or her from potential deadly infections. As nurses, we must ensure that the mother receives the right support ‘and guidance on proper infection and prevertion control measures. 62. The essential newborn protocol that is @ simple, condse and: straight forward guideline that is evidenced based is called A. -Unang Yakap B. BEMONC. IMCL D.. Nutritional Newborn Care 63. Newborn care that warms the newoom and stimulates breathing A Immediate and thorough drying of the newborn 3. Early. skn-toskin contact beween mother and newborn C. Propery-tmec cord clamping and cutting D. Non-separation of newbom and. mother for early breastfeeding 4. Toprevent hypothermia, infection end hyposlycemia, ‘A. Immediate and thorough drying of the newborn 3. Early. skn-toskin comact. between mother and newborn C._ Propery-tmed cord clamping and cuting D. Non-separation of newbom and other for early breastfeeding 65. To prevent anemia and protect against brain hemorrhage i premature newborns. ‘A. Immediate and thorough drying of the newborn 3. Early skn-to-skin contact. between mother and nentorn C. Propery-tmed cord clamping and cuting D. Non-separation of newbom and mother for early oreasteeding 66, What are the benefits of immediate skinto-skin contact (sq? “A. Provides warmth 8. Increases overall duration of exclusive breastfeeding C._ Allows colonization of good bacteria D._Allof the above 67. To protect infants from dying from infection thru providing the baby's first immunization ‘A. Immediate and thorough drying of the newborn 8. Early skn-toskin contact between mother and newborn C._Property-timed cord damping and cutting D. Non-separation of newborn and mother for early breastfeeding MATERNAL AND CHILD (68. Nurse. Erlinda is preparing to teach a prenatal class about fetal Gifculaton. Which statements should be included in the teaching plan?'Select all that apply. "The ductus arteriosus_allows blood to bypass the fetal lungs.” TierOne vein carries oxygenated blood fom the placenta tothe fews” I, “The rormallfetal_ heart beat range is 160 to 180 beats per” IV, “Two arteries carry deoxygefated, blood and waste products away from the fetus to the placenta.” \. “Twolvoins carry blood that is high in carbon dioxide ‘and other waste products away from the fetus to the placenta.” A. 1a Boil & c raw D. Lmay 69, The nursing instructor asks @ nursing student to explain the characteristics of the amniotic fluid, The student responds correctly by explaining which as characteristics of amniotic fi? Stet al that apy ‘Allows for fetal movement Ii, ‘Shrouds cuss s protects the tae IIL Maintains the body temperature of the fetus IV. Can be used to measure fetal kidney function 631 V. Prevents large particles such as bacteria from passing to the fetus Vin» Provides anjexchance of nutrients and waste products between the mother and the fetus 1,1,1y1V Allof the above 11 and1v Except VI 70. A pregrant clientin the third trimester completes an intake form for a dinic visit. The nurse understands that which signs and symptoms warrant further investigetion? SelectAll that oe. poe> Copius amont of watery, dear, vaginal discharge UL. Dysuria and right flank pain IL, Ear Fullness and nasal stuffiness IM. Headache and blurred vision V.__ Yellowish Discharge from both nipples 1,1, Wandv 1, Wand Iv 1, i M1, IVand v Hi, and V Fil May arrives atthe health care nica tells the nurse that her last menstrual period was'9 weeks ago. She also tells the nurse thet 2 home: pregnancy test was postive but she began to have mid amps and is now heving moderate’ veginal bieeaingl During the physical examination of the dient, the fnurse notes that May has a dilated cervic. The nurse determines that May is experiencing which type of abortion? ‘A. Inevitable poe 72. K woman has been.cushed to the hospital with ruptured membrane. Whichs0f the folowing should the nurse check first? IAB) Check forthe presence of infection B, Assess for Prolapse ofthe umbilical cord © Check the matemal Peart rate 'D. Assess the color of the armiotic fu 73, Mary typicaly has menstrual cde of 34 days. She told you she hed coitus on days 8, 10, 15 and 20 of her menstrual cyte. Which is the day on which ste is most key to conceive? A "Day B. Day 10 C27 Day D. Day 20 74, While having a discussion with Mary Rose, 2 patient arrived covered with two large towels and he nurse noticed that there are many cameraman and news people outside of the OPD. 5 | PogeUpon assessment the nurse noticed that both of them are still rude and the male dients penis is. stil inside the female dlient’s vagina and the male clent said that “I can’t pull it. Vaginismus was your first impression. You know that The Dsyctologcal cause of Vaiismus i related to: ‘The male client inserted the penis too\6ply that it stimulates vagnal dosure 8. The idea that “my vagina is narrower than normal” The penis was too large that is why the vagina triggered its defense to attempt to close it D. A prior unpleasant sexual experiences oF feers that have been engraved in the subconscious. 7S, The nurse's assessing 2 multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preedampsia, The nurse should give priorty to assessingithe dlient for: ‘A. Facial swelling 8. Euthyroid C. Ankle edema D._ Diminished reflexes 76. 4 pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension (PIH). The clinical findings that would warrant use ofthe antidote, calcium gluconate is ‘A Urinary output $0 ccin 2 hours. 8. Absent patellar reflexes. C. Repid respiratory rate above 40/min. D. Rapid rise in blood pressure 77. The nurse is teaching the pregnant cient ways to prevent heartburn. The nurse should tell the client to: |, Sleep on her rigit side 8. Eat dry crackers at bedtime C. Sleep on a smal pillow D. Avoid caffeinated beverages 78, The nurse's caring for 2 neonate whose mother is dabetic. The nurse will expect the neonate to be: |A. Hypoglycemic, small for gestational age 8. Hypealycemic, large for gestational age C. Hypoglycemic, large for gestational age D. _Hyperalycemic, small for gestational age 79._K dlient with diabetes visits the prenatal dinic at 28 weeks gestation. Which statement is true regarding insulin needs dhringeregnanoy? Insulin requirements moderate as the pregnancy progresses. A decreased need for insulin occurs during the second. trimester. Elevations in human chorionic gonadotrophin decrease the need for insulin. D. Fetal development depends)jon. adequate insulin regulation. Situation: John is married with Mary, they have 2 beautiful children. Currently, they are living with John’s parents, Mang) Luis and Aling Jes together with Mary's cousins Mera and Theresa 80, What type of Family do they have? ‘A. Blended Family 8. Nuclear Family C. Extended Family D. Polygamous Family 81, Duvall and Miller (1990) identified eight tasks, that are essential for 2 family to perform to survive 25 a healthy unit. Which ofthe following isnt included? ‘A. Physical maintenance 8. Maintenance of order C. Maintenance of metivation and morale D._ Being Authoritative and Demanding Situation: Nurse Shelby is taking care postpartum mother in Rooming in ward. She also explains the different processes such as physiologcal changes, psycholagical changes up to recovery. 82. Nurse Shelby assesses the vital signs of a client, 4 hours’ Postpartum that are as follows: BP 90/60; temperature 4100.4°F; pulse 100 weak, thready; R 20 per minute. Which of the following should she do first? 'A. Report the temperature to the ptysican B. Recheck the biood pressure with another cuff C. Assess the uterus for firmness ard position D. Determine the ameunt of lochia 83. She also assesses the postpartum vagnal discharge (ochia) on four clients. Which of the following assessments would warrant notification of the physician? ‘A. Adark red elscharge on @ 2-day postpartum client Bis pink to brownish discharge on a dient who is 5 days Postpartum C Almost colorless, to creamy discharge on a cent 2 ‘weeks after delivery D. A bright red discharge 5 days after delivery BAYOne, cf the postpartum clients has a temperature of 101.4% wil’@ uterus thet is tender when palpated, remains unusually large, and not. descending as normally expected Which of the following should the nurse assess next2 ‘A. Lochia BippBreasts Incision D. Urine 85, Which Of the following)isithe priority focus of nursing practice wit the cent ery postpartum dscherge? Promoting comfort and restoration of health Exploring te emotonel satus of he fry C_Fadlitating safe and effective self-and newborn care D. Teaching about the importance of forily planning Situation: Common discomforts during pregnancy may vary person to person. But each parentto-be may have different symptoms or none at al 86, Which ofthe following urinary symptoms does the pregnant woman most frequently experence during the ist trimester? ‘A. Dysurla B. Frequency C._ Incontinence D. Burning 87, Heartburn and fletulence, common in the second trimester, are most likely the result of which of the following? ‘A. Increased plasma HOG levels, B. Decreased intestinal motilty Decreased gastric aciity D, Elevated estrogen levels 88 On which ofthe following areas would the nurse expect to ‘observe chloasma? ‘A. Breast, areca, and nipples B. Chest, neck, arms, and leas C.Abdomen, breast, and thighs D. Cheeks. forehead, and nose 89. A pregrant dient states that she "waddles” whieh she walks. The nurse's explanation is based on Which ofthe following as the cause? ‘A. The large sae offthe newborn 8. Pressure on the pelvic muscles Co Relaxation of the pelvic fonts D._ Excessive weight gain 90. Before assessing the postpartum client's uterus for figmness and position in relation to the umbicus and midline, which of thefollowing should the nurse do frst? 'AL Assess the vital signs B. Administer enaloesia _Ambulate her inthe hall 1D. Actist her to Urinate ‘Situation: Pediatric population presents unique challenges to fuss: Nutsing care of pediatric petients recognizes that the developmental stages play a pivotal role in the approach of each child S81. The nurse dscovetS that the male newborn has undescended testes. What condito is this? ‘a. Phmosis . Cryptorchicism Inguinal emia 4d. Priapism 92. Which of the following would the nurse do first for a 3.year-old boy who arrives in the emergency room with a temperature of 105 degrees, inspiratory stridor, and restlessness, who is earning forward and drooling? ‘A. Auscultate his lungs and place him in a mist tent. B._Heve him lie down and rest after encouraging fluds. C._ Examine his throat and perform a throat culture D._ Notify the physidan immediately and prepare for intubation. 6 | Pose