‭NP2‬ ‭ .

Abdominal palpation for signs of fetal distress‬

C
‭D. Abdominal palpation for fetal lie and position, fetal‬
‭Situation:‬‭Abby is a manager in a nursing unit.‬ ‭heart tone‬

‭ . Nurse Abby knows that the‬‭performance appraisal‬‭i‬

1 ‭ . In constructing a health teaching care plan, which of‬
7
‭→‬‭STAFF FOCUSED‬‭includes all of the following‬ ‭the following is the‬‭FIRST step‬‭that Nurse Adele must‬
‭activities,‬‭EXCEPT‬‭:‬ ‭consider knowing?‬

‭ . Sets specific standards and activities for individual‬

A ‭ . The client’s personal values and expectations‬
A
‭performance.‬ ‭B. The client’s age and educational status‬
‭B. Agency standards are used as a guide.‬ ‭C. The postpartum client’s needs.‬
‭C. Focus activity on the correction of identified‬ ‭D. Certain factors that may impede the client’s learning.‬
‭behavior/s.‬
‭D. Determine areas of strengths and weaknesses‬ ‭ . What‬‭resources‬‭should the nurse prepare for‬
8
‭teaching her postpartum client? Select all that apply:‬
‭ ituation:‬‭Nurse Adele is having a history taking‬‭during‬
S
‭an admission assessment of Holly who is‬‭pregnant with‬ I‭. Pamphlets‬
‭her fourth child‬‭. Holly has a healthy‬‭6-year-old son‬‭who‬ ‭II. Audiotapes‬
‭was delivered at 38 weeks‬‭and‬‭twins delivered at 28‬ ‭III.‬ ‭Nurse specialist‬
‭weeks‬‭. She had 1 history of‬‭spontaneous abortion at‬‭19‬ ‭IV. Videotapes‬
‭weeks‬‭before the current pregnancy.‬
‭ . 1 and 3‬
A
‭ . For the nursing documentation, which of the following‬
2 ‭B. 2 and 4‬
‭statements below is TRUE and CORRECT given the‬ ‭C. 1, 2, and 4‬
‭obstetrical history of Holly?‬ ‭D. 1, 2, 3, and 4‬

‭ . Since Holly had twins = G4P4‬

A ‭ . Which of the following health teaching‬‭topics‬‭should‬
9
‭B. Since Holly had an abortion last year = G4P3‬ ‭have utmost importance to be included in the teaching of‬
‭C. Holly is Gravida 4, Para 2 = G4P2‬ ‭a postpartum client:‬
‭D. Holly is Gravida 5, Para 4 = G5P4‬
‭ . Personal hygiene‬
A
‭ . Holly is now observed to be at the second stage of‬
3 ‭B. Monitor for vaginal bleeding‬
‭labor; cervix is at 8 cm. Nurse Adele puts her in‬‭lithotomy‬ ‭C. Take medications as necessary‬
‭position‬‭, but one of the dangers of this position‬‭that‬ ‭D. Consult for reproductive health‬
‭should be watched out for in Holly is ___________.‬
‭ 0. Shuli went to the clinic for her first visit when she‬
1
‭ . Hyperventilation‬
A ‭was on her 3rd month of pregnancy. Two months later,‬
‭B. Hypertension‬ ‭Client Shuli came to the clinic for her second visit. She‬
‭C. Hypotension‬ ‭asks Nurse Bea how much weight in pounds would she‬
‭D. Tachypnea‬ ‭gain normally. You respond that the‬‭normal weight‬‭gain‬
‭should be:‬
‭ . If Holly experiences a difficult labor and needs to be‬
4
‭placed in the lithotomy position for an extended period‬
‭during the second stage of labor, Nurse Adele should‬
‭implement the following precautionary‬‭measures for‬
‭safety‬‭EXCEPT‬‭:‬

‭ . Use elastic bandages to be wrapped around the legs.‬

A
‭B. Place a small pad under her sacral area.‬
‭C. Use 2 pillows under her head.‬
‭D. Place a rolled towel under Holly’s right side of the hip.‬
‭ . 5 to 8 lbs‬
A
‭B. 10 to 15 lbs‬
‭ . Nurse Adele coaches the husband to be more‬
5
‭C. 16 to 24 lbs‬
‭supportive of Holly during the‬‭peak and most painful‬
‭D. 24 to 32 lbs‬
‭phase‬‭of uterine contractions, which is called:‬
‭ 1. Bea asks what food item she should include in her‬
1
‭ . Decrescendo‬
A
‭diet if the physician told her eat foods rich in‬‭folic‬‭acid‬‭?‬
‭B. Decrement‬
‭C. Increment‬
‭ . White meat‬
A
‭D. Acme‬
‭B. Oatmeal‬
‭C. Liver →‬‭HAS FOLIC BUT HAS VIT A (TERATOGENIC)‬
‭ . Before the initial vaginal or internal examination,‬
6
‭D. Dairy products‬
‭Nurse Adele must check which of the following FIRST?‬
‭ ituation:‬‭Mara is a newly hired nurse on night duty‬‭at‬
S
‭ . Holly’s blood pressure, checking for abnormalities such‬
A
‭the Neonatal Intensive Care Unit. She received the‬
‭as hypotension or hypertension.‬
‭endorsement from the afternoon duty that Baby Boy B‬
‭B. Holly’s HR, for chest compression‬
‭and Baby Girl G are ready for discharge. At the end of the‬
‭ hift, Mara gave the babies to their mothers. The day‬
s ‭IV.‬ ‭ revent disease from occurring and‬‭treat it‬‭when it‬
P
‭after, Clara who was the mother of Baby Boy B came‬ ‭occurs.‬
‭back to complain that she got the wrong baby since she‬
‭should have had a girl instead of a boy.‬ ‭ . 1 only‬
A
‭B. 3 and 4‬
‭ 2. The parents are thinking about forwarding a formal‬
1 ‭C. 2 and 3‬
‭complaint for gross‬‭negligence‬‭. What are the elements‬ ‭D. 1 and 2‬
‭that will prove that the nurse committed the complaint‬
‭mentioned? Select all that apply.‬ ‭ 7. In community health nursing, we know that‬
1
‭multifactorial‬‭factors‬‭influence the health status‬‭of the‬
I‭.‬ ‭ urse Mara has a duty‬
N ‭people in barangays. One of which is the health care‬
‭II.‬ ‭Nurse Mara failed to perform that duty‬ ‭system influences, which of the following is‬‭NOT‬
‭III.‬ ‭An injury has occurred to her patient due to that‬ ‭included?‬
‭duty‬
‭IV.‬ ‭Causal relationship as regards the nurse to‬ ‭ . Cost of healthcare services‬
A
‭perform her duty and the resulting injury.‬ ‭B. Availability of technology‬
‭C. Availability of community resources and programs‬
‭ . 1 and 2‬
A ‭D.‬‭Perception‬‭of the community on the value of‬
‭B. 1, 2, and 3‬ ‭available healthcare.‬
‭C. 1, 2, and 4‬
‭D. 1, 2, 3, and 4‬ ‭ 8. Which of the following statements pertaining to‬
1
‭health behavior choices are important to‬‭promote health‬
‭ 3. What could Nurse Mara have done to prevent this‬
1 ‭and prevent diseases‬‭?‬
‭occurrence of switching of infants?‬
‭ . Take the right and prescribed medications at the right‬
A
‭ . Checking the genitalia before giving the baby‬
A ‭time and dosage.‬
‭B. Calling out the name of the mother‬ ‭B. Refrain from travelling to countries with a relatively high‬
‭C. Proper identification of the infant using designated‬ ‭prevalence of infectious diseases.‬
‭nametags‬ ‭C. Eat the correct kind of food, adequate sleep,‬
‭D. Identify the infant by checking their footprints.‬ ‭enough physical exercise, and effective stress‬
‭management.‬
‭ 4. Which of the following is considered the most‬
1 ‭D. Smoking cessation and only drinking alcohol regularly.‬
‭important element‬‭that can prove that a nurse was‬
‭incompetent? The nurse was not able to perform her job‬ ‭ 9. As nurses, we are aware that there are behaviors‬
1
‭____‬ ‭that are influenced by cultural expectations. Which‬
‭statement is‬‭NOT‬‭included?‬
‭ . According to the set standard‬
A
‭B. Since she was new to the job‬ ‭ . Drink herbal supplements to increase the immune‬
A
‭C. According to the orientation given‬ ‭system.‬
‭D. Because she lacks supervision‬ ‭B. Have a full therapeutic body massage at least once a‬
‭month.‬
‭ 5. Should the nurse be proven guilty of incompetence‬
1 ‭C. Converse openly about the details of the illness.‬
‭after thorough investigation, what is the primary outcome‬ ‭D.‬‭Rely‬‭on information about community resources‬
‭she would face as a professional nurse?‬ ‭and programs.‬

‭ . Delisted as a member of the APO.‬

A ‭ 0. Which of the following describes the‬‭important‬
2
‭B. Charged in civil court.‬ ‭factors‬‭in the integrative models of human health?‬
‭C. Her license to practice nursing in the country can‬
‭be suspended or revoked for a period of time by the‬ ‭ . Derived solely from a physical phenomenon.‬
A
‭PRC.‬ ‭B. Generally, being attributed to psychological problems in‬
‭D. Termination from work by her employer, especially‬ ‭individuals.‬
‭since the incident happened in the institution.‬ ‭C. Effective only when it is combined and integrated with‬
‭alternative therapies.‬
‭Situation:‬‭Community Health Nursing‬ ‭D. Intertwined and interactive with multiple‬
‭components such as physical, psychological, and‬
‭ 6. You are about to implement a‬‭health promotion‬
1 ‭social.‬
‭intervention for one of your clients. Which among the‬
‭statements is TRUE about the focus of health promotion?‬ ‭ ituation:‬‭Mrs. Santos, 29 years of age, has been‬
S
‭married for 3 years. She and her husband have decided‬
‭I.‬ ‭ nables individuals and community to increase‬
E ‭to postpone their pregnancy to pursue her career as a‬
‭their abilities to have control over and improve‬ ‭lawyer. Today, she went to see an OB-GYNE because of‬
‭their health.‬ ‭vaginal spotting and to explore ways to finally get‬
‭II.‬ ‭Enhances the client’s physical, psychological, and‬ ‭pregnant. After diagnostic examinations, she was‬
‭spiritual well-being.‬ ‭revealed to have endometriosis.‬
‭III.‬ ‭Engage in‬‭correcting‬‭the individual's health‬
‭behavior.‬
‭ 1. As the client asks you about the diagnosis, which of‬
2
‭the following best gives the correct description of‬ ‭ 6. Nurse Kathy’s‬‭data‬‭that led to Mang Ben’s malnutrition‬
2
‭Endometriosis‬‭?‬ ‭are,‬‭EXCEPT‬‭:‬

‭ . “It is caused by an infection of the endometrium.”‬

A ‭ . On therapeutic diet‬
A
‭→‬‭ENDOMETRITIS‬ ‭B. Edentulism →‬‭BEEING TOOTHLESS‬
‭B. “It is a major cause of primary dysmenorrhea.”‬ ‭C. Metabolic rate is faster with age‬
‭C. “It is caused by growth of endometrial tissues‬ ‭D. Living on his SSS pension‬
‭outside the uterus.”‬
‭D. “It is caused by abnormal proliferation of endometrial‬ ‭ 7. If Nurse Kathy is advising Mang Ben on protein‬
2
‭lining.” →‬‭ENDOMETRIAL‬‭HYPERPLASIA‬ ‭alternatives, it's important to suggest options that are‬
‭suitable for Mang Ben's dietary needs and preferences.‬
‭ 2. The nurse performs a physical assessment and‬
2 ‭Here are some‬‭protein-rich alternatives‬‭that Nurse‬‭Kathy‬
‭history taking on Mrs. Santos. Which of the following are‬ ‭might recommend:,‬‭EXCEPT‬‭:‬
‭the‬‭expected findings‬‭that are indicative of endometriosis?‬
‭Select all that apply.‬ ‭ . Pork‬
A
‭B. Peanut butter‬
I‭.‬ ‭ potting after intercourse‬
S ‭C. Eggs‬
‭II. Persistent dysmenorrhea (+)‬ ‭D. Mongo‬
‭III. Dyspareunia (+)‬
‭IV. Menorrhagia (+)‬ ‭ 8. Which of the following interventions are suited for‬
2
‭Mang Ben’s condition?‬
‭ . 1, 2‬
A
‭B. 3, 4‬ ‭ . Provide mouth care when necessary to remove‬
1
‭C. 1, 2, 3, 4‬ ‭unpleasant tastes‬
‭D. 2, 3, 4‬ ‭2. Position Mang Ben comfortably so he can enjoy the‬
‭meal more enjoyable‬
‭ 3. The patient was prescribed with‬‭Danazol‬
2 ‭3. Offer a warm washcloth for hand hygiene before meals‬
‭(Danocrine)‬‭by the physician. The patient asks the‬ ‭4. Refer to dental Clinic for denture fitting‬
‭expected side effects again for clarification before she‬
‭would go home. You know that the patient may‬ ‭ . 1, 2, and 3‬
A
‭experience all these symptoms‬‭EXCEPT:‬ ‭B. 1, 2, 3 and 4‬
‭C. 4 only‬
‭ . Weight gain and edema (+)‬
A ‭D. 1, 2, and 4‬
‭B. Cessation of menses‬
‭C. Anovulation (+)‬ ‭ 9. Which objective data will indicate that Mang Ben is at‬
2
‭D. Diminished menstrual flow‬ ‭high risk‬‭of poor nutrition?‬

‭ 4. Included in the teaching is the client’s desire to get‬

2 ‭ .
A 21 lbs weight loss‬
‭pregnant. You expect the physician to discuss the‬ ‭B. No upper and lower masticating teeth‬
‭possible rationale behind the client’s diagnosis interfering‬ ‭C. Loss of appetite‬
‭with fertility. Which of the following is‬‭correct‬‭about‬ ‭D. Lactose intolerance‬
‭endometriosis and‬‭possibility of infertility‬‭?‬
‭ 0. Which of the following provides the‬‭essential‬‭nutrients‬
3
‭ . This is due to the pressure on the pituitary gland that‬
A ‭to carry out the normal physiological functioning of the‬
‭consequently decreases the FSH levels.‬ ‭body?‬
‭B. This is because of the total blockage of‬
‭endometrial tissues.‬ ‭ . Carbohydrates‬
1
‭C. The uterine cervix becomes inflamed and swollen‬ ‭2. Protein‬
‭causing infertility issues.‬ ‭3. Lipids‬
‭D. Due to the cease in production of adequate estrogen‬ ‭4. Microminerals‬
‭hormones by the ovaries.‬ ‭5. Vitamins‬

‭ 5.‬ ‭At the end of the session‬‭, you as a nurse should‬‭be‬

2 ‭ . 1, 2, 3 and 4‬
A
‭able to accomplish the following‬‭EXCEPT‬‭:‬ ‭B. 1, 2 and 5‬
‭C. 1, 2, 3, and 5‬
‭ . Provide summary of notable points.‬
A ‭D. 1, 2, 3, 4 ad 5‬
‭B. Make recommendations.‬
‭C. Ask if there are any queries‬ ‭ ituation:‬‭Nurse Kathy, a seasoned medical professional‬
S
‭D. Thank the audience‬ ‭with years of experience in the Emergency Room,‬
‭immediately attends to Celia, a 35-year-old patient who‬
‭ ituation:‬‭It appears that Mang Ben, a 70-year-old‬
S ‭has been admitted due to severely elevated blood‬
‭individual, is admitted to the healthcare facility due to‬ ‭pressure of 190/110. Celia is also experiencing dull‬
‭malnutrition, with a weight loss of 21 lbs in recent months.‬ ‭headaches and dizzy spells, indicating potential‬
‭He is unable to tolerate milk and is also hypertensive, with‬ ‭complications from the high blood pressure.‬
‭an admitting blood pressure reading of 150/100. Nurse‬
‭Kathy has been assigned to care for him.‬
‭ 1. Kathy is aware that she must also know the pulse‬
3 ‭ 7. In developing a care plan, who among the following‬
3
‭pressure of Celia because if it is more than 60, the patient‬ ‭should be involved?‬
‭is at risk for cardiovascular disease.‬‭Pulse pressure‬‭is the‬
‭____________.‬ ‭ . Client‬
1
‭2. Family‬
‭ . Valuable index in determining the efficiency of heart‬
A ‭3. Physician‬
‭muscles‬ ‭4. Dietician‬
‭B. Lowest degree of pressure when the heart is in its‬
‭resting period just before contraction of the left ventricle‬ ‭ . 1 and 2‬
A
‭C. Highest degree of pressure exerted by the blood‬ ‭B. 3 and 4‬
‭pressure against the arterial wall as the left ventricle‬ ‭C. 2, 3, and 4‬
‭contracts and forces the blood from it to the aorta.‬ ‭D. 1, 2, 3, and 4‬
‭D. Difference between systolic and diastolic pressure‬
‭ 8. Nurse Myrna should start her client care‬‭plan‬‭in which‬
3
‭ 2. Nurse Kathy needs to take the vital signs to be able to‬
3 ‭of the following phases of the nursing process?‬
‭monitor the vital functions of the body. Should she take‬
‭the‬‭pulse above the lower jaw bone‬‭, the artery involved‬‭is‬ ‭ . After assessment‬
A
‭________.‬ ‭B. After the formulation of the nursing diagnosis‬
‭C. Before planning‬
‭ . Facial‬
A ‭D. Before assessment‬
‭B. Radial‬
‭C. Temporal‬ ‭ 9. The Care Plan should include the following‬
3
‭D. Carotid‬ ‭information,‬‭EXCEPT‬‭____________.‬

‭ 3. Nurse Kathy then takes the respiratory rate of Celia.‬

3 ‭ . Expected outcomes‬
A
‭She noticed that the respiration has a‬‭noisy shrill‬‭and‬ ‭B. Client’s needs‬
‭vibrating respiration‬‭. It is an abnormal respiration‬‭and is‬ ‭C. Nursing intervention‬
‭called ______.‬ ‭D. List of significant others‬

‭ . Cheyne-stokes‬
A ‭ 0. Nurse Myrna needs to ensure that her Client Care‬
4
‭B. Stridor‬ ‭Plans are current and relevant. They should be‬‭updated‬
‭C. Dyspnea‬ ‭at least ___hours? →‬‭THE FREQUENT THE BETTER‬
‭D. Apnea‬
‭ . 24-28‬
A
‭ 4. During inspiration, Nurse Kathy hears a soft, low‬
3 ‭B. 24-120‬
‭pitched, gentle sighing over the base of the lungs. It is a‬ ‭C. 24-72‬
‭normal breath sound‬‭and is referred to as ________.‬ ‭D. 24-36‬

‭ . Wheezing‬
A ‭ ituation‬‭: Mylene, a registered nurse working at the‬
S
‭B. Bronchial‬ ‭Barangay Mabait Health Center, has a vital role in‬
‭C. Vesicular‬ ‭promoting health and preventing illnesses within the‬
‭D. Broncho vesicular‬ ‭community. Developing health classes for primary‬
‭prevention is an excellent approach to educate and‬
‭ 5. After two days of confinement, Nurse Kathy observed‬
3 ‭empower the residents of the barangay to maintain good‬
‭that Celia’s breath sound has changed and is described‬ ‭health and prevent potential health issues.‬
‭as‬‭fine crackling sounds‬‭. She charts this sound as‬
‭_________.‬ ‭ 1. Headnurse decided to retrain the staff nurse. She‬
4
‭developed a training design, which is the‬‭first item‬‭needed‬
‭ . Rhonchi‬
A ‭in writing a training design?‬
‭B. Wheeze‬
‭C. Friction‬ ‭ . Target date‬
A
‭D. Rales‬ ‭B. Training objectives‬
‭C. Financial assessment to support the training‬
‭ ituation:‬‭In the pediatrician ward, nurse Myrna is‬‭the‬
S ‭D. Names of patients‬
‭newest nurse. It was reinforced to her throughout‬
‭orientation that an integral part of the nurse's duties is‬ ‭ 2. Which of the following is the MOST important‬
4
‭documentation. Protecting both the client and the nurse is‬ ‭reminder to the staff in doing their duty in‬‭charting‬‭the vital‬
‭a crucial part of this duty.‬ ‭signs? It should be about __________.‬
‭36. Nurse Myrna learned that the integral part of providing‬
‭nursing care that serves as a‬‭focal point for the‬‭client care‬ ‭ . Learning they had during the orientation‬
A
‭assignments and reporting is __________.‬ ‭B. Policy of the hospital on charting‬
‭C. Learning they had from school‬
‭ . Kardex‬
A ‭D. Policy of DOH on charting‬
‭B. Client care plans‬
‭C. Protocols‬ ‭ 3. The head nurse emphasized the need to‬‭plot the‬‭vital‬
4
‭D. Nurse’s notes‬ ‭signs‬‭according to standards in nursing service, every‬
‭__________.‬
 ‭ . Flexible, accurate, top priority and feasible‬
C
‭ . 3 hours‬
A ‭D. Time bounded, measurable, change-oriented and‬
‭B. 2 hours‬ ‭continuous process‬
‭C. 4 hours‬
‭D. 1 hour‬ ‭ 8. Nurse Corazon presented the plan in a community‬
4
‭assembly for acceptance and approval. Which of the‬
‭ ituation:‬‭Nurse Evelyn is working toward her master's‬
S ‭following is the MOST important criterion for the plan’s‬
‭degree at one of the universities. She wants to carry out a‬ ‭acceptance and approval manifested by the people.‬
‭study project at the hospital to which she is related.‬
‭Performing a study inside the hospital where Nurse‬ ‭ . Tasking the community people‬
A
‭Evelyn works can offer insightful information and help‬ ‭B. Volunteerism and willingness of the community‬
‭advance medical procedures.‬ ‭people‬
‭C. Presence of the municipal health officer in the‬
‭ 4. Nurse Evelyn chooses a client who decided to‬
4 ‭assembly‬
‭voluntarily, freely‬‭and without coercion, to participate‬‭in‬ ‭D. Huge attendance in the community assembly‬
‭the study. Which of the following is Nurse Evelyn‬
‭observing?‬ ‭ 9. To combat the delays in attending to childbirths, Nurse‬
4
‭Corazon adopts the Integrated Management of Childhood‬
‭ . Self determination‬
A ‭Illness in the municipality. This program aims to‬
‭B. Privacy and dignity‬ ‭__________.‬
‭C. Fair treatment‬
‭D. Anonymity and confidentiality‬ ‭ . Improve and ensure the accessibility and‬
A
‭availability of basic and essential health care in both‬
‭ 5. Pediatric patients are prone to falls from hospital beds‬
4 ‭public and private facilities and services‬
‭which may result in additional cost on the part of the‬ ‭B. Ensure the quality and affordability of health goods‬
‭hospital. Which safety measures should be instituted to‬ ‭and services‬
‭prevent such incidents?‬ ‭C. Develop, implement, monitor and evaluate maternal‬
‭and newborn care services, ensuring access‬
‭ . Restraining them‬
1 ‭D. Huge attendance in the community assembly‬
‭2. Having their mothers or any significant adult with them‬
‭3. Advising watchers to put up the bedrails at all times‬ ‭ 0. In Municipality A, like any other municipalities, one‬
5
‭4. Telling them they will be given injection if they will get‬ ‭MAJOR problem that makes any health service program‬
‭out of bed alone‬ ‭inaccessible‬‭is ___________.‬

‭ . 3 and 4‬
A ‭ . Lack of community awareness‬
A
‭B. 2 and 3‬ ‭B. Limited number of health-oriented programs‬
‭C. 1 and 2‬ ‭C. Reliance of government financial support‬
‭D. 1 and 4‬ ‭D. Lack of ambulance‬

‭ ituation:‬‭Due to a series of unexpected incidents‬‭that‬

S ‭ ituation:‬‭Angelica, a 16-year-old primigravid (first-time‬
‭occurred in Municipality "A" over the course of just 10‬
‭days, including the deaths of 2 expectant women giving‬
‭birth at home, 2 children from dehydration, and 2 elderly‬
‭people from pneumonia. A meeting of the staff from the‬
‭municipal health office was called by the town mayor.‬
‭Corazon, a public health nurse, was tasked with creating‬
‭an action plan to stop a repeat of the incident.‬
‭ 6. Which of the following could have been the TOP‬
4
‭contributors to the situation? Select all that apply.‬
‭ . Postponement of people in seeking medical care‬
1 ‭C. Total weight gain‬
‭2. Adherence to cultural practices and beliefs‬
‭3. Lack of ambulance and drivers‬
‭4. Delay in receiving appropriate and adequate care‬
‭A. 2 and 3‬
‭B. 1 and 2‬
‭C. 1 and 4‬
‭D. 1 and 3‬
S
‭pregnant woman) at 32 weeks gestation, presents with a‬
‭total weight gain of 20 pounds, one pound of which was‬
‭gained in the last 2 weeks. The urinalysis shows a‬
‭negative result for glucose and a trace of protein.‬
‭Angelica has come to the clinic for consultation.‬
‭ 1. Which will BEST describe Angelica’s risk for‬
5
‭preeclampsia?‬
‭ . Proteinuria‬
A
‭B. Short stature‬
‭D. Adolescent age group‬
‭ 2. After instructing Angelica how to keep a record of‬
5
‭daily fetal movement counting (DFMC) at home, the nurse‬
‭determines that the teaching has been effective when‬
‭Angelica says she will count the number of times the baby‬
‭moves during which of the spans?‬

‭ 7. Nurse Corazon and her group prepared objectives for‬

4 ‭ . 45-minute period after lunch each day‬
A
‭a plan of action. The following are the characteristics of a‬ ‭B. 12-hour period each day‬
‭good objective. Choose the BEST answer.‬ ‭C. 30-minute period 3 times a day‬
‭D. 1-hour period each day‬
‭ . Futuristic, change-oriented, dynamic and systematic‬
A
‭B. Time-bound, accurate, realistic, measurable and‬ ‭ 3. When teaching Angelica about nutritional needs, the‬
5
‭specific‬ ‭nurse should emphasize ___________.‬
 ‭ . Gets an object placed on his hand by closing his‬
C
‭ . High residue diet‬
A ‭fingers‬
‭B. Low sodium diet‬ ‭D. Seems to spit out anything placed in his mouth‬
‭C. Regular diet‬
‭D. High protein diet‬ ‭ 9. One day, Baby Boy did not want to suck from the‬
5
‭mother’s breast. The doctor ordered intravenous fluids.‬
‭ 4. The nurse mentions some of the conditions‬
5 ‭Which among these‬‭complications‬‭will Nurse Chari‬
‭associated with preeclampsia. Which among the feedback‬ ‭anticipate to occur ALMOST IMMEDIATELY?‬
‭by Angelica to the nurse would warrant further‬
‭explanation?‬ ‭ . Cellulitis‬
A
‭B. Infiltration‬
‭ . Iron deficiency‬
A ‭C. Phlebitis‬
‭B. Physical disability‬ ‭D. Burns‬
‭C. Multifetal pregnancy‬
‭D. Diabetes mellitus‬ ‭ 0. Later, the pediatrician orders Baby Boy to undergo‬
6
‭blood transfusion because of ABO blood incompatibility.‬
‭ 5. Angelica was brought to the labor room for‬
5 ‭What should be the BEST‬‭equipment‬‭to use in as much‬
‭magnesium sulfate medication. The PRIMARY purpose‬ ‭as 50mL of blood is ordered?‬
‭for its administration is to ________.‬
‭ . Syringe pump‬
A
‭ . Increase the central nervous system’s response to‬
A ‭B. Soluset with microdrip‬
‭stimuli‬ ‭C. Pulse oximeter‬
‭B. Increase calcium absorption by the muscles‬ ‭D. Infusion pump‬
‭C. Decrease neuromuscular irritability‬
‭D. Reduce peripheral vascular resistance to lower blood‬ ‭ ituation:‬‭Nurse Marissa is a clinical instructor‬‭(CI) of AL‬
S
‭pressure‬ ‭University in the North. She is assigned at the OR in a‬
‭government provincial hospital. Marissa is aware of the‬
‭ ituation:‬‭Lydia, a G3P4 woman in her 20s, gave birth‬‭to‬
S ‭scope of nursing and her responsibilities to the school and‬
‭a boy an hour ago. The newborn is being cared for by‬ ‭the hospital.‬
‭nurse Chari.‬
‭ 1. What is the FIRST STEP that Marissa should do upon‬
6
‭ 6. Which of the following senses are already developed‬
5 ‭reporting to the OR with her students? She should‬
‭at birth? Select those that apply.‬ ‭__________.‬

‭.
1 Hearing.‬ ‭ . Orient the students to the policies of the OR‬
A
‭2. Vision.‬ ‭B. Introduce herself and coordinate with the head‬
‭3. Taste.‬ ‭nurse‬
‭4. Smell.‬ ‭C Greet the surgeons and anesthesiologists‬
‭D. Orient her students to the set-up of the Operating‬
‭ . 1, 2, 3, 4‬
A ‭Room (OR)‬
‭B. 1, 3, 4‬
‭C. 1, 2‬ ‭ 2. Marissa understands her responsibilities to the school‬
6
‭D. 1, 2, 3‬ ‭she represents and the hospital she and her students are‬
‭affiliated with. Which of the following is an‬‭INCORRECT‬
‭ 7. The body system of the newborn moves through‬
5 ‭statement about student nurses?‬
‭periods of irregular adjustment in the first six (6) hours of‬
‭life. It has two periods namely, the first and the second‬ ‭ . The student nurses are expected to achieve same‬
A
‭periods of reactivity. The FIRST period of‬‭reactivity‬ ‭outcome as license nurses, that is, to do no harm to‬
‭consists of the following characteristics. Select all those‬ ‭clients‬
‭that apply.‬ ‭B. Although student nurses are not yet licensed they are‬
‭expected to adhere to the same standards as the‬
‭.
1 Alertness‬ ‭licensed nurse‬
‭2. Making such sounds‬ ‭C. The student nurses are the sole responsibility of‬
‭3.‬ ‭Slow‬‭heartbeat‬ ‭the CI and school.‬
‭4.‬ ‭Slow‬‭respiratory rate (RR)‬ ‭D. Hospitals or health care agencies may impose‬
‭limitations on student nurses’ practice and coordination‬
‭ . 1, 2‬
A ‭and collaboration by the CI and the student nurses must‬
‭B. 3, 4‬ ‭always be practiced.‬
‭C. 1 only‬
‭D. 3 only‬ ‭ 3. When giving case assignments to student nurses at‬
6
‭the OR, the CI should inform which of the following OR‬
‭ 8. Which among the following describes the‬‭Palmar‬
5 ‭personnel? Choose all that apply.‬
‭Grasp Reflex‬‭of the baby? When he ____________.‬
‭.
1 OR supervisor‬
‭ . Is startled as his crib is shaken‬
A ‭2.‬ ‭ hief nurse‬
C
‭B. Grasps an object and placed on his toes →‬‭PLANTAR‬ ‭3. Scrub nurse‬
‭4. Circulator‬
‭ . 1, 2, 4‬
A
‭B. 3 and 4‬
‭C. 1, 3, 4‬
‭D. 1 and 2‬

‭ 4. If a student nurse commits a break in asepsis while an‬

6
‭operation is on-going, who among the following persons‬
‭can call the attention of the student nurse and the entire‬
‭team?‬

‭ . The CI only, in as much as she is the one directly‬

A
‭responsible over the students.‬
‭B. The surgeon being the captain of the ship.‬
‭C. Any member of the surgical team who saw the‬
‭infraction.‬
‭D. The scrub nurse or the circulating nurse on-going‬
‭surgery even if she did not see the infraction.‬

‭ ituation:‬‭Every Wednesday is pre-natal day at the‬

S
‭Hospital M Maternity Clinic, where Nurse Mitos is‬
‭assigned. She runs a program for pregnant women's‬
‭health education from 8:00 to 9:00 in the morning. The‬
‭topic of discussion that day was warning signs and‬
‭symptoms of pregnancy.‬

‭ 5.‬‭True labor‬‭is differentiated from failure labor‬‭because‬

6
‭in true labor, contractions will ____________.‬

‭ . Be relieved in the side lying position‬

A
‭ . Emergence of harmony in marital and in-law relations.‬
A
‭B. Bring about progressive cervical dilatation‬
‭B. Child rearing‬
‭C. Not stop when the client is encouraged to walk‬
‭C. The couple shifts to adult social interests.‬
‭D. Occur immediately after rupture of bag of water‬
‭D. Balancing time and energy to meet the demands of‬
‭work and family.‬
‭ ituation‬‭: The Community Health Nursing (CHN) service‬
S
‭unit is the family. Olive, a public health nurse, looks after‬
‭ 8. Which of the following is the BEST action that she‬
6
‭the Puson household. The municipal building's janitor is‬
‭must take?‬
‭Emanuel. A tiny convenience shop run by his wife Lyn is‬
‭located in front of their home. Their kids are Manilyn (3‬
‭ . Quit her job and look for another employment.‬
A
‭years old), Lynnel (6 years old), Emalyn (5 years old), and‬
‭B. Disregard what she feels and continue to work‬
‭Lynette.‬
‭independently.‬
‭C. Identify the source of conflict and understand the‬
‭ 6. Based on the characteristics of the Puson family,‬
6
‭source of friction.‬
‭Nurse olive can easily categorize which of the family’s‬
‭D. Seek help from the Director of Nursing.‬
‭developmental stage?‬

‭Situation:‬‭Freda is a manager in a nursing unit.‬

‭ . Families with pre-school children‬
A
‭B. Family with school age children‬
‭ 9. As a young manager, Freda knows that conflict occurs‬
6
‭C. Beginning family‬
‭in any organization. Which of the following statements‬
‭D. Early child-bearing‬
‭regarding conflict is NOT true?‬
‭ 7. In this particular stage, which of the following is a‬
6
‭ . It may result to poor performance of the staff.‬
A
‭most basic concern?‬
‭B. It can be destructive, hence, it should not reach the‬
‭highest level.‬
‭C. It is not beneficial, hence, it should be prevented‬
‭at all times.‬
‭D. It may create a new leader from among the staff.‬

‭ 0. Freda tells one of the staff: “I don’t have time to‬

7
‭discuss the matter with you now”, when the latter asks if‬
‭they can talk about an issue. Which of the conflict‬
‭resolution strategies did she use?‬

‭ . Avoidance.‬
A
‭B. Smoothing.‬
‭C. Compromise.‬
‭D. Restriction.‬ ‭ 6. A patient is gently led to her room by you. This type of‬
7
‭thing called:‬
‭ 1. Freda knows that one of her staff is experiencing‬
7
‭burnout. Which of the following is the BEST thing to do?‬ ‭ . Social-polite touch‬
A
‭B. Love-intimacy touch‬
‭ . Remind her to show loyalty to the institutions.‬
A ‭C. Friendship-warmth touch‬
‭B. Ignore her observations; it will be resolved even‬ ‭D. Sexual-arousal touch‬
‭without intervention.‬
‭C. Let her staff ventilate her feelings and ask how she‬ ‭ 7. You wrap your arms around an old patient's shoulders.‬
7
‭can be of help.‬ ‭What kind of contact is this?‬
‭D. Advise her staff to go on vacation.‬
‭ . Love- intimacy touch‬
A
‭ ituation:‬‭Staff nurse Kyla works on the medical ward.‬
S ‭B. Functional- professional‬
‭The majority of her patients have digestive and rectal‬ ‭C. Social -polite touch‬
‭conditions.‬ ‭D. Friendship- warmth touch‬

‭ 2. Which of the following, when assessed, separates‬

7 ‭ 8. What kind of contact is made when there are‬
7
‭Crohn's disease from ulcerative colitis?‬ ‭passionate embraces and kisses between family‬
‭members?‬
‭ . In Crohn's disease, bleeding is significant, whereas in‬
A
‭Ulcerative Colitis, bleeding is less.‬ ‭ . Love-intimacy touch‬
A
‭B. Diarrhea: In Crohn's disease, it is severe; in ulcerative‬ ‭B. Friendship -warmth touch‬
‭colitis, it is mild‬ ‭C. Social -polite touch‬
‭C. Affected area: Ulcerative colitis affects the ascending‬ ‭D. Functional -professional‬
‭colon, while Crohn's disease affects the descending‬
‭colon.‬ ‭ 9. Which of the following does the nurse‬‭not utilize‬‭when‬
7
‭D. Course of the disease: Crohn’s disease is‬ ‭caring for psychiatric patients when using therapeutic‬
‭prolonged and variable, Ulcerative colitis has a‬ ‭touch?‬
‭remission and exacerbation‬
‭ . Social-polite touch‬
A
‭ 3. Narding exhibits signs of forgetfulness, inattention,‬
7 ‭B. Friendship -warmth‬
‭and inappropriate responses to some questions. The‬ ‭C. Sexual -arousal touch‬
‭nurse predicts that in order to increase‬‭cognitive‬‭function‬‭,‬ ‭D. Love -intimacy touch‬
‭the consultant will need to enlist the help of__________ .‬
‭ ituation:‬‭Tommy, a 7-year-old first-grader, has been‬
S
‭ . Psychologist‬
A ‭identified as having Attention Deficit/Hyperactive‬
‭B. Psychiatrist‬ ‭Disorder (AD/HD).‬
‭C. family Doctor‬
‭D. neurologist‬ ‭ 0. What circumstance or event typically leads to the‬
8
‭identification of ADHD symptoms? During a child's‬
‭ ituation:‬‭The nurse must uphold the established ethical‬
S
‭and moral standards while practicing‬ ‭ .by parents at home‬
A
‭her job.‬ ‭B. With peers, during play‬
‭C. Enrolled in the education system‬
‭ 4. What appropriate action is the nurse expected to take‬
7 ‭D. identified at a well-baby clinic‬
‭if she gives the patient the‬‭incorrect medication‬‭?‬
‭ 1. Tommy frequently demonstrates the following‬
8
‭ . For the time being, keep quiet about it and pay great‬
A ‭behavioral symptoms of ADHD, with the‬‭exception‬‭of:‬
‭attention to the patient.‬
‭B. Send a report to the supervisor through the head‬ ‭ . Can't take turns and interrupt others‬
A
‭nurse.‬ ‭B. Moody and irrational behaviour‬
‭C. Inform the patient that a mistake has been made.‬ ‭C. prone to distraction and forgetfulness‬
‭D. Ask the doctor what to do‬ ‭D. erroneous and sloppy work‬

‭ ituation:‬‭The Psychiatric Unit employs you as a nurse.‬

S ‭ 2. Which of the following nursing diagnoses would the‬
8
‭A helpful intervention in your patient care is the‬ ‭nurse choose for Tommy if he told her, "I don't have‬
‭application of therapeutic touch.‬ ‭friends because I'm stupid,"‬

‭ 5. When evaluating the patient's skin turgor during a‬

7 ‭ . Ineffective coping‬
A
‭physical examination, what therapeutic touch technique is‬ ‭B. Anxiety‬
‭used?‬ ‭C. withdrawal syndrome‬
‭D. low self esteem‬
‭ . Friendship-warmth touch‬
A
‭B. Love -intimacy touch‬ ‭ 3. Nurses may have access to extremely private patient‬
8
‭C. Social-polite touch‬ ‭information, so they must take all reasonable precautions‬
‭D. Functional -professional‬ ‭to keep it private or risk being charged of___________.‬
‭ . negligence‬
A ‭ . Change in bowel habits‬
A
‭B. malpractice‬ ‭B. Bouts of hematemesis‬
‭C. invasion of privacy‬ ‭C. Projectile vomiting‬
‭D. defamation‬ ‭D. Passing out white watery stools →‬‭CHOLERA‬

‭ ituation‬‭: If a health institution wants to have a‬‭safe and‬

S ‭ 0.‬‭Colonoscopy‬‭has been ordered. Which of the‬
9
‭high-quality foundation, it must embrace quality‬ ‭following actions would‬‭not be recommended‬‭for the‬
‭improvement. In order to evaluate the hospital's services,‬ ‭client?‬
‭the medical director of Camiguin Medical Center visited‬
‭every part of the facility five days in a‬ ‭ . Allow him to take PRN medications while taking‬
A
‭row at random.‬ ‭electrolyte solution.‬
‭B. Allow him to drink the electrolyte laxatives the day‬
‭ 4. Which of the following does the medical director‬‭not‬
8 ‭before the procedure.‬
‭consider‬‭to be a‬‭quality improvement trait‬‭?‬ ‭C. Allow him to drink chilled electrolyte solution.‬
‭D. Allow him to have liquid diet before the procedure.‬
‭ . The empowered one is the leader.‬
A
‭B. Problem-solving is by everyone‬ ‭ 1. Upon assessment, the patient’s‬‭stoma appeared‬
9
‭C. The employee is treated as customer‬ ‭dusky-purple‬‭after he underwent colostomy. What does‬
‭D. Response to a good or negative scenario‬ ‭this indicate?‬

‭ 5. Any circumstance that could harm the hospital's‬

8 ‭ . ischemia‬
A
‭reputation or its ability to provide care is a risk. The‬ ‭B. viable stoma‬
‭Medical Director is aware that identifying potential risks‬ ‭C. anemia‬
‭across the institution is necessary to avoid the following,‬ ‭D. necrosis‬
‭except‬‭:‬
‭ 2. Why is there a‬‭need to empty‬‭the ostomy pouch‬
9
‭ . accidents‬
A ‭before it becomes 1/3 full?‬
‭B. injuries‬
‭C. financial loss‬ ‭ . to prevent skin irritation and dislodging of the‬
A
‭D. Incident reports‬ ‭ostomy drainage‬
‭B. to help speed up peristalsis and feces removal‬
‭ 6. A number of concerns have been monitored using‬
8 ‭C. to prevent client from straining after surgery‬
‭patient surveys. Which of the following does‬‭not‬‭constitute‬ ‭D. to facilitate gas expulsion‬
‭a preventive action under the Medical Director's risk‬
‭management procedures?‬ ‭ 3.‬‭After a colostomy‬‭, which of the following should‬‭the‬
9
‭nurse IMMEDIATELY report to the doctor?‬
‭ . Staff should not be defensive‬
A
‭B. fostering good administration-personnel relations‬ ‭ . Foul odor on the ostomy bag‬
A
‭C. Providing safe environment every time‬ ‭B. Presence of pink rose to brick red stoma‬
‭D. Listen to the patient’s cue carefully.‬ ‭C. Skin slightly detached‬
‭D. No flatus in 24 to 36 hours‬
‭ 7.Which of the following drugs can be used‬
8
‭therapeutically for‬‭inflammatory bowel diseases‬‭?‬ ‭ ituation:‬‭The total quality management nurse informed‬
S
‭the hospital's director that during the last three months,‬
‭ . Corticosteroids‬
A ‭both nurses and doctors had made several medication‬
‭B. Atropine sulfate →‬‭RELIEVES‬‭CRAMPS‬ ‭errors. They decided to review all the cases containing‬
‭C. Dulcolax →‬‭CONSTIPATION‬ ‭these errors. Returning to the fundamentals was strongly‬
‭D. Maalox →‬‭HEARTBURN‬ ‭advised as a means of clinically improving the drug‬
‭administration. The following questions are relevant‬
‭ 8. Because of their totating shifts, nurses frequently‬
8
‭lament their lack of a personal life. There are three main‬ ‭ 4. Which of the following injection techniques should the‬
9
‭ways to find personal time‬‭, with the‬‭exception of‬‭:‬ ‭nurse employ to reduce discomfort when giving an iron‬
‭drug?‬
‭ . delegate work to others‬
A
‭B. fill every moment with tasks or chores‬ ‭ . Inject medication quickly‬
1
‭C. eliminate tasks that add no value‬ ‭2. Withdraw needle quickly‬
‭D. hire someone else to do the work‬ ‭3. Z-track technique‬
‭4. “Darting” needle quickly‬
‭ ituation:‬‭Derek, a 72-year-old smoker and social‬‭drinker‬
S
‭consulted the OPD due to rectal bleeding. He was‬ ‭ . 2 and 3‬
A
‭tentatively diagnosed with colorectal cancer and was‬ ‭B. 1, 2 and 4‬
‭advised by the physician for admission.‬ ‭C. 3 and 4‬
‭D. 1, 2, 3 and 4‬
‭ 9. Which of the following complaints from the client‬
8
‭would you most likely anticipate during your‬‭initial‬‭health‬ ‭ 5. Which of the following safety measures should you‬
9
‭history interview‬‭?‬ ‭take to prevent insulin injection errors?‬
‭ . Keep the medication in the client's refrigerator and‬
A
‭request it as needed.‬
‭B. Ask the dietary department to hold the medication until‬
‭it is required.‬
‭C. Calculate the medication, then go to the patient and‬
‭administer it.‬
‭D. Verify your calculations with your head nurse and‬
‭take high "alert" medicines into consideration.‬

‭ 6. Which of the following‬‭needle sizes‬‭should you‬‭use‬

9
‭while administering injections to an‬‭obese‬‭client?‬

‭ . 1-1.5 inch needle‬

A
‭B. 2-3 inch needle‬
‭C. 4 inch needle‬
‭D. 4 ½ inch needle‬

‭ 7. Some thought distortions have the potential to hinder‬

9
‭Nurse Alex's personal and professional growth. Which of‬
‭the following statements best exemplifies the false belief‬
‭that Nurse Alex is focusing on the‬‭negatives‬‭?‬
‭09177222740 PETSCAPES‬

‭ . “My nurse director is very intelligent.”‬

A
‭B. “I’m glad I took the job.”‬
‭C. “I always make mistakes, I’m not good enough as‬
‭nurse.”‬
‭D. “I should marry Jo. She is very pretty.”‬

‭ 8. Nurse Alex is aware of his responsibilities and tasks‬

9
‭as a registered nurse, particularly with regard to attending‬
‭continuing education programs. In one of the seminars he‬
‭attended, it was said that the common function for which‬
‭nurses are charged of malpractice is on ________.‬

‭ . committing a medication error‬

A
‭B. failure to write an incident report‬
‭C. discharging a client who is not able to completely pay‬
‭the bills‬
‭D. non-compliance to doctor’s order‬

‭ 9. Alex has joined the PNA as a registered nurse in the‬

9
‭Philippines for ___________.‬

‭ . socialization‬
A
‭B. welfare and benefits‬
‭C. linkages and networking‬
‭D. personal and professional growth‬

‭ 00. Which of the following techniques is an effective way‬

1
‭to prevent and control transmission of infectious agents?‬

‭ . Hand washing‬
A
‭B. Alcohol-based hand rub‬
‭C. Use of mask‬
‭D. Proper gloving‬