Recalls 1 NP1

Nurse Tara is ethically obligated to information about client’s illness and treatment confidential. The person who has the legitimate access to the patient’s record is the        .

A. Husband

B. Primary nurse

C. attending doctor

D. patient

An important added data that Nurse Adam should have if he is thinking of a urinary problem is

A. Presence of blood in the urine

B. Presence of pain on urination

C. When the pain appears whether at the start or end of urination

D. Frequency, amount and burning sensation on urination

An important added data that nurse Adam should ask Esther, should we consider the presence of a gynecological problem is                .

A. Date of menarche

B. Date of last menstrual period

C. Her age and civil status

D. Occupation

Important added data that Nurse Adam should ask Esther, should we consider the existence of a surgical problem is                       .

A. Fever

B. Vomiting

C. constipation

D. character of pain

There are two important laboratory examinations that could validate Nurse Adam’ presumptions on the case which are                                   .

A. CBC and stool examination

B. Urinalysis and CBC

C. Stool and urine examinations

D. Urinalysis and vaginal examinations

By virtue of section 16 of the Philippine Nursing Law, the first step she needs to do after passing the Nursing Licensure Examination is to                         .

A. Take the oath of the profession before the Professional Regulatory Board of Nursing

B. Apply for the Certificate of Registration/Professional License

C. Get an official copy of her board rating from the PRC office

D. Apply for a Professional Identification Card

What Nursing Republic Act should Nurse Leah refer too?

A. RA 9371

B. RA7164

C. RA 7664

D. RA 9173

When Leah eventually gets employed in the hospital, she will initially be required to utilize which of the following in rendering care to her clients?

A. Traditional and innovative approaches

B. Therapeutic use of self

C. Health teachings

D. Nursing process

As his attending nurse, what will be the best question to ask in order to find out Ben’s cause of sleep disturbance?

A. “Could you tell me what you feel about school work?”

B. “Is there something or anyone who is bothering you in school?”

C. “Could you share with me any major problems that you have encountered in school?”

D. “What is bothering you in school?”

I cannot sleep immediately, which of the following can be provided by the nurse?

A. glass of warm milk

B. bedside story

C. a sleeping pill

D. warm bed bath

In terms of nursing care, the BEST help that the nurse can do is to               .

A. Avoid giving round the clock medications

B. Refrain from clutter at the nurse’s station

C. Omit vital sign tasking during the sleeping time of Alex

D. Tone down nurse’s voice

Cool sponge bath is an independent intervention of nurse Celine aimed at                 . 

A. Alleviating discomforts of client Simon

B. Generalizing full sponge bath care to client Jimmy get hospital admission policy

C. Diverting the temperature of client Simon

D. Normalizing the vital signs of client Simon

Client Simon wishes to know his present temperature in Farenheit. Nurse Celine’s answer is which of the following?

A. 102.2F

B. 101.3F

C. 100.4F

D. 99.5F

After client Simon’s body temperature stabilized to normal, he began to complain of feeling hot and finds difficulty of adjusting to the climate two days after. What is the APPROPRIATE answer to Nurse Celine?

A. “Foreigners cannot adjust to hot temperatures”

B. “People from cold regions have less brown adipocytes”

C. “Those who lived in cold places have lower metabolic rate than those who live in tropical region”

D. “People from cold regions have more brown adipocytes”

Nurse Celine develops patient safety goals. What nursing goal is APPROPRIATE for safety environment? Select all that apply.

     I.        Reduce the risk for patient harm resulting from falls

    II.        Create a clean, orderly environment of patient

   III.        Prevent high concentration drug errors

   IV.        Develop clean and simple signage for directions

A. 1, 2 & 3

B. 1, 2 & 4

C. 2, 3 & 4

D. 3 & 4

Nurse Celine should prevent or reduce infectious agents PRIMARILY through the following practices. Select all that apply.

     I.        Clean the room with antiseptic solutions

    II.        Proper garbage disposal

   III.        Mandatory hand washing upon entry to hospital

   IV.        Improve safety administration of medicines

A. 1, 2 & 3

B. 2, 3 & 4

C. 1 & 3

D. 1&4

Nurse Celine must comply with the policies of health care facilities regarding isolation precautions. The BASIC precaution in the hospital is _______________________.

A. posting of signs of silence

B. limited visitors who are within the patient’s age

C. private room placement

D. strict utilization of personal things

Client Arvie, 33 years old, is known for his asthma attacks. His asthma attacks commonly occur at the change of climate in his hometown. He was just wearing a “sando” {sleeveless shirt} and short pants when he was admitted to the hospital.

What will be Nurse Chard’s PRIORITY INTERVENTION?

A. Put him near the electric fan to assist him in breathing

B. Ask him what triggered his attack this time

C. Place him in a comfortable environment

D. Put him near the nurse’s station so that he could be assessed often

Client Arvie knows that he will be given decongestant through inhalation. What will be the instruction of Nurse Chard? That he should breathe and that the nozzle of the NEBULIZER should be MAINLY near his _____________.

A. Nose only

B. Face

C. Mouth only

D. Nose and mouth

Respiratory function is altered in clients with asthmatic attack. Which of the following is the cause of this alteration that Nurse Chard should understand in order for him to make a good nursing care plan?

A. Narrowing of the upper air passages

B. Increased airway resistance

C. Inadequate surfactant reaction

D. Paradoxical movements of the chest wall

An important health teaching that Nurse Chard must give before client Arvie’s discharge is ________.

A. To avoid “sando” and shorts, if the weather is cold

B. to use attire he is presently wearing only during summer time

C. to watch out for climate change and unnecessary exposure to elements of the environment that trigger his asthma attacks

D. to be careful always because constant asthma attacks can trigger complication and death

Aurora needs some physical activity after operation MAINLY to improve healing of which parts of the body? Select all that apply.

                    I.        Skeletal         

                   II.        Integumentary            

                  III.        Respiratory                

                 IV.         Muscular

A. 1 only

B. 4 only

C. 1 and 4

D. 2 and 3

When doing a range of motion exercise, it is important for the nurse to observe Aurora’s ________.

A. Temperature

B. Color of the skin

C. Blood pressure

D. Respiratory rate

Which is the dependent variable?

A. health provider

B. wellness

C. exercise

D. effects

Nurse Victoria finally plans to conduct parent’s classes using the educational approach. This approach is intended to _____. Select all that apply.

                    I.        Provide information

                   II.        Develop the necessary skills

                  III.        Provide change to a particular direction

                  IV.        Help people make an impulsive choice

A. 1 and 2

B. 1, 2, and 3

C. 2, 3, and 4

D. 2 and 3

The educational approach to health education states that learning involves three aspects. Which of the following is NOT included?

A. Cognitive

B. Affective

C. Psychomotor

D. Behavioral

Since your participants are adult parents, which of the following are appropriate strategies? Select all that apply.

     I.        Role playing

    II.        Group sharing

   III.        Demonstration

   IV.        Return demonstration

A. 2 and 3

B. 2 and 4

C. 1, 2, 4

D. 1, 2, 3

The nursing process facilitates an understanding of the scope of challenges inherent in nursing care of clients at risk for ___________ EXCEPT:

A. Infection

B. Suicide

C. Restraint

D. Injury

The clients at risk require re-assessment of their status on ____________

A. shift basis

B. daily basis

C. as necessary basis

D. injury

When a patient is placed in a bed rest, the nurse must watch which part of the body most?

A. Liver

B. Head

C. Legs

D. skin

The Nursing Practice Standards which Nurse Amy must let her staff follow includes, EXCEPT ___________.*

A. use a multidisciplinary approval to enhance client safety as indicated

B. implement emergency measures during fires and disasters

C. risk elements should not be modified

D. use infection control practices that prevent or control transmission of the pathogens

Morning care had to be done by the ________

A. nursing student

B. all the options

C. staff nurse

D. nursing aide

If Mr. BC would be for dialysis and you need to bring him to the dialysis unit, who among the following, could be the best to help you wheel him to the area? A ______________.

A. institutional worker

B. member of the family

C. physician

D. nurse aide

Thea, 15 years old, and a high-school student, visited the clinic because she suspects that she is pregnant. Her pregnancy is confirmed by the school physician. Thea requested nurse Zenaida not to tell her parents about her being pregnant. She also expressed desire to terminate her pregnancy.

Which of the following ethical concepts apply to patient Thea’s case?

A. Bioethics

B. Deontology

C. Teleology

D. Intuitionism

Nurse Zenaida should be guided by the steps in helping Thea make an ethical decision. Sequence the steps below.

             I.        Gather data

           II.        Make decision

          III.        Identify and clarify the ethical problem

           IV.        Act and assess the outcomes of decisions

            V.        Identify options or alternatives

A. 3, 1, 5, 2 & 4

B. 1, 5, 2, 4 & 3

C. 1, 3, 5, 2 & 4

D. 2, 4, 1, 3 & 5

When assessing Emma, Nurse Alma should ask the following, EXCEPT:

A. Dietary and fluid intake

B. Cultural beliefs

C. Lifestyle

D. Bowel pattern

When auscultating the bowel sound of Emma, the nurse should be able to hear ___________.

A. loud and gurgling sound

B. increased bowel sound

C. decreased bowel sound

D. absent sound

Emma, 65 years of age, has just been widowed a year ago. Her two children are now all living in the U.S. She used to love cooking but since she is now living alone, she eats meal irregularly. Most of the time, she just watches television. Her chief complaint is constipation.

The MOST APPROPRIATE nursing diagnosis for Emma’s case is _________________.

A. risk of constipation related to lifestyle

B. perceived constipation related to eating habits

C. dysfunctional gastrointestinal motility related to lifestyle

D. constipation related to inactivity

Health education should include which of the following?

             I.        Responding to the urge to defecate and establishing a daily pattern

           II.        Role of dietary fiber and fluid in maintaining bowel function

          III.        Role of exercise and activity in maintaining bowel function

           IV.        Safe and correct use of pharmaceutical agents

A. 2, 3 and 4

B. 1, 2, 3 and 4

C. 2 and 3

D. 1, 2 and 3

Nurse Claire is assessing patients at the outpatient clinic. Which of the following patients is at risk for health complications related to weight?

A. a thirty three year old who has a body mass index (BMI) of 24 kg/m

B. A fifty six year old who is 6 ft (180 cm) tall and weighs 150 lb (68 kg)

C. A seventy one year old who is 5 ft 4 inches (160 cm), weighs 120 lb (55 kg), and carries most of the weight in the thighs

D. a twenty four year old female with a waist measurement of 30 inches (75 cm) and a hip measurement of 34 inches (85 cm)

When working with an obese patient who is enrolled in a behavior modification program, which nursing action is APPROPRIATE?

A. Having the patient write down the caloric intake of each meal

B. suggesting that the patient has a reward after achieving a weight loss goal

C. encourage the patient to eat small amounts throughout the day

D. asking the patient about situations that tend to increase appetite

When developing a weight-reduction plan for an obese patient who is starting a weight loss program, which question is MOST important for Nurse Claire to ask?

A. “What factors do you think led to your obesity?”

B. “Have you been on any previous diets?”

C. “What kind of physical activities do you enjoy?”

D. “How long have you been overweight?”

In preparing to give medications to a preschool-age child, which of the following statements is an APPROPRIATE interaction by Nurse Beth?

A. “Let me explain about the injection that you will be getting”

B. “Do you want to take your medication now?”

C. “Would you like the medication with water or juice?”

D. “If you don’t take the medication now, you will not get better.”

To determine proper drug dosages for children, calculations are MOST precisely made on the basis of the child’s __________.

A. Weight

B. Height

C. body surface area

D. age

The doctor ordered to give a one year old patient an intramuscular injection. The appropriate and preferred muscle to select for this child is the _______________.

A. Dorsogluteal

B. Deltoid

C. Ventrogluteal

D. Vastus lateralis

Nurse Hazel performs further physical assessment on Patient Charlotte BEFORE drug administration, which includes the following, EXCEPT _______________.

A. Appearance of the pinna and meatus of the ear

B. Presence of the interference during the drug administration

C. Type of any ear discharge

D. Location and extent of inflammation of the ear

In administering otic medication, Nurse Hazel

A. Don the gloves

B. Perform hand hygiene

C. Explain procedure and postpone

D. Check identification band and proceed

Why leadership plays a vital role in the nursing profession?

A. It is not really important for nurses.

B. Nurses have expert knowledge and are interacting with and influencing the clients.

C. Nurses should know how to direct people towards accomplishment of goals.

D. Nurses should always strive for higher positions in the organization.

Nomar understands that a Theory which states that the Leadership style is dependent on the situation. Which of the following styles best fits a situation when the followers are self-directed, highly motivated, experts and matured individuals? 

A. Participative

B. Directive

C. Permissive

D. Bureaucratic

Grace RN is a head nurse assigned at the Intensive Care Unit of a Secondary Level Hospital.  As a manager, Grace is expected to display effective conflict resolution skills. Which of the following is true about conflict?

A. It seldom occurs as part of the change process in health care settings.

B. It highlights differences in values, belief, or actions.

C. t is automatically negative

D. It discourages creativity and innovation.

Conflict that occurs between groups or teams is called:

A. Interpersonal

B. Intrapersonal

C. Organizational

D. Dysfunctional

With this method of conflict resolution, each side gives up something as well as gets something:

A. Negotiating

B. Competing

C. Avoiding

D. Compromising

Which of the following is a characteristic of decision-making?*

A. it only involves logical, rational thought

B. it is often the result of many incremental steps rather than one large step.

C. It must always be done quickly in the health care setting.

D. they generally do not assume another person’s point of view.

Which of the following is true about effective creative thinkers?*

A. They seldom generate new ideas and alternatives.

B. They often say, “We’ve always done it this way, so let us do it this way again.”

C. They tend to analyze the components of a problem.

D. They generally do not assume another person’s point of view.