COMPREHENSIVE PHASE: Recalls 1 Exam (NP3)

Situation

Ms. Kismet is the Research Coordinator of the Medical Center who is concerned about the increased incidence of nosocomial infection in the hospital and has convinced the management to allot a budget for the conduct of research on the clinical problem.

1. What type of research is appropriate for this study?

A. Quasi-experimental

B. Experimental

C. Historical

D. Descriptive-correlational

D. Descriptive-correlational

2. Which of the following is the best tool for data gathering?

A. use of laboratory data

B. questionnaire

C. interview schedule

D. observation

C. interview schedule

3. During the data collection, Ms. Kismet encountered a patient who does not want to talk to her. Which of the following is a limitation of the study?

A. Contacts of patients with history of fever and cough.

B. Patient's refusal to fully divulge information.

C. Patient's with the history of fever and cough

D. Patients admitted or who seek consultation at the ER and doctor's offices.

B. Patient's refusal to fully divulge information.

4. In the statement, "Frequent hand washing of health workers decreases the incidence of nosocomial infections among post-surgery patients", the dependent variable is __________.

A. frequent hand washing

B. incidence of nosocomial infection

C. health workers

D. post-surgery patients

B. incidence of nosocomial infection

5. Her colleague asks about the EXTERNAL validity of the research findings. Which of the following is the APPROPRIATE response of Ms. Kismet?

A. it is reflected as a result of extraneous variables.

B. the findings are free of selection biases.

C. the result is shown only from the effect of the independent variable.

D. it is generalized to other settings or samples.

D. it is generalized to other settings or samples.

Situation

Mr. Gaviola, who has just finished his one (1) year period as a registered nurse in a medical center, is assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the patient's family so he consulted his senior Nurse regarding this matter.

6. The BEST approach to be employed by Mr. Gaviola upon the advice of his senior nurse is __________.

A. send the family members home

B. confront with the family regarding their behavior

C. ignore family's behavior

D. use active-listening technique

D. use active-listening technique

7. The Senior Resident in the medical unit was making his regular rounds with the medical interns and Nurse Gaviola was called to receive his orders for Mr. De Vega who has been confined in the unit for almost a week. Nurse Gaviola could not understand some of the written orders of the physician in the chart. Which of the following is the appropriate action of the nurse?

A. refer to the nurse supervisor to validate the Physician's orders.

B. approach the physician and clarify his orders

C. call his junior resident to rewrite his orders

D. complete the orders by rewriting what is in the chart.

B. approach the physician and clarify his orders

8. One of the patients of Mr. Gaviola told him that according to his attending physician he would be transferred to the surgical unit because of a suspected stone in the gallbladder causing his on and off pain later in the evening. The wife however, told Mr. Berroya ``No, the physician told me, my husband will still be in this unit for 2 more days". The BEST action of the Nurse should ____________.

A. call the physician to clarify management of care for the patient.

B. instruct the couple and family members wait for the decision of the health team.

C. inform the patient that sometimes the physician need to have more data available.

D. inform the couple that the decision of the physician is sometimes not fixed.

A. call the physician to clarify management of care for the patient.

9. The members of the health team in the medical unit have been reacting negatively to a patient who has been branded as "Very demanding" He has a diagnosis of Emphysema and had been confined for almost 2 weeks in the ward. Family members come and go to visit him.

The best approach of the health team should be _______________.

A. request a chaplain to regularly visit the patient.

B. hold a team conference on how to approach the issue

C. request for a psychological counseling

D. talk with the family members and discuss the demanding behavior of the father.

B. hold a team conference on how to approach the issue

10. Nurse Gaviola is taking care of Ms. De Guzman with a multi-organ disorder. The health care team believes that the patient's survival rate is only 50%. Which of the following nursing actions is MOST APPROPRIATE to be done by Nurse Gaviola?

A. Avoid discussion of death when family members are present.

B. Arrange with the family the available funeral parlors incase of death of the patient.

C. Request the husband to prepare a living will.

D. Inform the family members that there is palliative care available.

D. Inform the family members that there is palliative care available.

Situation

Mr. Billy Joe is 55 years

old, married, a car dealer has consulted the ER because of on and off fever,

indigestion, weight loss, right abdominal pain, body malaise, and itchiness of

the skin. Based on the health history the patient has been a chain smoker and

drinks alcoholic beverages almost every day especially when he has clients to

entertain. His physical examination showed he has suspected liver cirrhosis. He

was advised for admission for further work-up and treatment.

11. You were the nurse on duty when Mr. Billy Joe was admitted to the pay floor. In your observational data what additional EARLY SIGN of liver cirrhosis do you expect the patient to manifest?

A. Gonadal atrophy

B. Hypotension

C. Splenomegaly

D. Ankle edema

D. Ankle edema

12. Which of the following statements is TRUE of liver cirrhosis?

1. Nutritional deficiency with decreased protein intake attributes to liver damage.

2. Cirrhosis can happen to people with alcohol intake

3. Women are at greater risk for the development of alcohol-induced liver disease

4. Most patients affected by liver cirrhosis are between 40 to 60 years of age.

A. 1, 2, 3, and 4

B. 1 & 2

C. 1, 2 & 3 ~

D. 2 & 3

A. 1, 2, 3, and 4

13. During Mr. Billy Joe's confinement he developed further itchiness of the skin and jaundice. Which of the following nursing actions is NOT recommended as this will induce skin breakdown?

A. Add baking soda when bathing the patient.

B. Massage the skin with emollients every 2 hours.

C. Use of commercial soaps and alcohol-based lotions.

D. Rub the itchy skin with knuckles instead of using the nails.

C. Use of commercial soaps and alcohol-based lotions.

14. At early stage of Mr. Billy Joe's disease process, the physician ordered this SPECIFIC diet for Mr. Billy Joe, You emphasized to the dietitian that he should be served foods that are _________.

A. High carbohydrate and low sodium

B. High calorie and high carbohydrate

C. Low protein and high fat

D. High protein and high fat

A. High carbohydrate and low sodium

15. Mr. Billy Joe started to develop ascites and complained of heaviness of the lower extremities to the physician. An order of Spironolactone (Aldactone) 25 mg. /day. What adverse effect of the drug should you monitor?

A. Hyperkalemia

Situation

Yen, a 35 year old dressmaker has been

experiencing recurrent episodes of abdominal pain, nausea and vomiting and

feels her stomach is bloated. She has been taking contraceptive pills in the

past. She is married with three children. She consulted the OPD and was advised

by the physician to be admitted for suspected Pancreatitis.

16. Nurse Reyes started her admission care to Ms. Yen. Which of the following laboratory examinations do you expect the physician to order for the patient?

A. Serum lipase and Amylase

B. Creatinine & Phosphatase

C. Serum Transaminase

D. Urea Nitrogen Substance

A. Serum lipase and Amylase

17. As a nurse, which of the following assessment data you will MOST likely NOT find on patient Yen?

A. Abdominal and back pain with tenderness

B. Cramping pains before intake of heavy meals.

C. Pain unrelieved by intake of antacids

D. Mid-epigastric pain acute in onset after heavy meals.

B. Cramping pains before intake of heavy meals.

18. The MOST useful diagnostic test is to validate whether Ms. Yen is suffering from Pancreatitis is for her to undergo ___________.

A. Endoscopic Retrograde Cholangio Pancreatography

B. Endoscopic Ultrasonography

C. Percutaneous Transhepatic Cholangiography

D. Cholesterol Serum level

B. Endoscopic Ultrasonography

19. When managing a patient with acute pancreatitis the first priority is to ____________.

A. insert urinary catheter for adequate elimination.

B. encourage oral fluids to improve elimination.

C. insert nasogastric tube to decompress stomach

D. administer IV fluids to replace electrolytes lost.

D. administer IV fluids to replace electrolytes lost.

20. One of the SAFETY alerts that the Nurse-on-duty (NOD) will have to watch for patients with acute pancreatitis is ___________.

A. Diabetes insipidus

B. Respiratory distress

C. Hypercalcemia

D. Pericarditis

B. Respiratory distress

Situation

Mr. Enrique Guarino is a

surgical nurse in a medical center and he had been practicing for almost five

years in this unit. The staff go on shift rotation. For that shift, he had two

patients for operation. One is for Lobectomy and another is for Nephrectomy.

21. When is the BEST time for the operative consent to be signed by his patients?

A. As soon as the surgical procedure is explained to the patient

B. On admission when the relatives are around

C. A day before the surgery

D. Before any pre-op medications are administered

A. As soon as the surgical procedure is explained to the patient

22. Which of the following nursing goals are achieved when early ambulation is done by post-surgery patients?

1. Improved circulation

2. Improved respiratory functions

3. Prevent venous stasis

4. Prevent emboli formation

A. 3 and 4

B. 1, 2, 3,4

C. 1, 3, 4

D. 1 and 2

B. 1, 2, 3,4

23. Which of the following patients is MOST at risk during the induction of anesthesia?

A. 6-year-old with history of allergy

B. 65 year old diabetic woman

C. 35 year old TB case

D. 25 year old Polio Case

B. 65 year old diabetic woman

24. As a circulating nurse, which of the following is your PRIORITY nursing action to promote safety of your patient?

A. Prevent perioperative position injury

B. Provide adequate lighting during the procedure

C. Optimize surgeon's access to surgical site

D. Maintain surgical aseptic technique during the procedure

D. Maintain surgical aseptic technique during the procedure

25. Being the nurse in the Post-Anesthesia Care Unit, which of the following is your PRIORITY concern after surgery?

A. Monitor vital signs

B. Observe surgical site for bleeding

C. Validate doctor's orders

D. Check level of consciousness

A. Monitor vital signs

26. There are several factors contributory to the development of these conditions. Which of the following are the PRIORITY causative factors that should be emphasized by Nurse Claudia in her health teaching?

A. Cigarette smoking

B. Aging process and alcohol intake

C. Stress and over acidity

D. Sedentary life and obesity

D. Sedentary life and obesity

27. Mr. Gerico is admitted due to congestive heart failure. Nurse Nena would expect that if the failure is on the right side of the heart, the patient will manifest which of the following.

A. Jugular vein distention

B. Crackles on auscultation

C. Dry productive cough

D. Improved bowel elimination

A. Jugular vein distention

28. The patient has been receiving Digoxin 0.25 mg per day to regulate his heart rate. Which of the following outcomes would indicate that his medication is achieving its desired effects?

A. Improved appetite

B. Increased pedal edema

C. Increased urine elimination

D. Improved bowel elimination

C. Increased urine elimination

29. The other patient of Nurse Nena is suffering from Buerger's disease. He has been complaining of intermittent claudication of the lower extremities which has been giving him so much discomfort. What is the Best nursing action she should perform to address the patient's complaint?

A. Allow the patient to lie flat on bed

B. Teach him foot care and leg exercises.

C. Place affected extremities in a dependent position

D. Apply hot water bag to the affected extremities

B. Teach him foot care and leg exercises.

30. Which of the following information is NOT True of Buerger's disease?

A. Small and medium arteries and veins are mostly affected.

B. Smoking is a major cause of Buerger's disease.

C. Incidence of Buerger's disease is high in men than women.

D. A strong relationship exists between diabetes and Buerger's disease.

D. A strong relationship exists between diabetes and Buerger's disease.

Situation

Gia, 58 years old, beautician has undergone

bowel obstruction surgery. During his first day post-op she vomited clear

liquids about three times during your shift. Her vital signs include: temp-37.9

degree C. 138/84 PR-78/min and RR- 26/min. Her surgical incision is intact,

slight bleeding, swelling and tenderness with slight pain.

31. Which of the following manifestations would indicate the development of wound infection?

A. Presence of elevated red blood cells count.

B. Profuse and increasing perspiration.

C. Increased blood pressure, respiratory rate and pulse rate.

D. Increasing pain on the surgical incision.

D. Increasing pain on the surgical incision.

32. If the wound draining is serosanguineous, it means that the secretion is colored ______.

A. Yellow-tinged

B. Pinkish-red

C. Green-tinged

D. Bright-red

B. Pinkish-red

33. Later during the day, Gia became confused, started to pull out her IV fluids as well as her wound dressings. Complained of severe pain over the wound area. The PRIORITY action of the NURSE is to ________.

A. Apply sterile dressings over the surgical wound

B. Call the surgeon at once for the health status of the patient

C. Administer the pain medication at once

D. Restrain the hands of the patient

34. The drug of choice of pain relief to patient Gia, considering a score of 8 which was assessed by the nurse based on the rating scale of 0-10 (0-lowest, 10 is the highest) is ________.

A. Morphines S04

B. Ibuprofen

C. Demerol

D. Paracetamol

B. Ibuprofen

35. When a patient is receiving opioid medication, the nurse should observe complications from the side effects by ______.

A. Checking for the presence of loose bowel movement

B. Observing signs and symptoms of addiction

C. Assessing changes of circulatory status

D. Assessing wakefulness of the patient at least every 2 hours

D. Assessing wakefulness of the patient at least every 2 hours

Situation

Mr Ronny, a post-

operative, was given Amoxicillin at 12 midnight by the nurse on duty (NOD). The

physician asked the patient during his rounds if he had received the drug, the

patient answered "NO". The physician clarified the claim from the chart and

from the chart and from the NOD.

36. When the physician clarifies the process of Drug Administration, this Quality Improvement Process is known as

A. System analysis

B. Root cause Analysis

C. Problem identification

D. Pareto Chart

B. Root cause Analysis

37. Which of the following is the primary reason why the physician wanted to clarify the process?

A. Measures the turnaround time of medication

B. Better communication with patient and result

C. Identify gap in the medication administration

D. Improve care management in drug administration

C. Identify gap in the medication administration

38. While the medical director is conducting his rounds he observed the presence of scattered supplies and equipment along the corridor as well as 02 tank not properly secured. The Quality Circle (QC) team was informed about this observation. Which of the following is the BEST strategies to be adopted by the team with this concern?

A. Adopt the 5 S audit.

B. Identify and prioritize the problem

C. Select Alternative Solution.

D. Enhance Continuous quality improvement.

A. Adopt the 5 S audit.

39. The approach adopted by the quality circle team was presented to top management. Which of the following tools is APPROPRIATE to be utilized as a guide for their time management?

A. Pre chart

B. Radar chart

C. Process of flow chart

D. Gantt chart

D. Gantt chart

40. In order to determine if the implementation of the activity is successful, the First step to be done by the team is ______________.

A. Prioritize the problem

B. Coordinate with the different units

C. Have a random report to the supervisor

D. Develop a monitoring plan

D. Develop a monitoring plan

Situation

Communication is a basic

component of person to person relationship. In a clinical setting nurses are

evaluated by patients to be efficient in carrying out activities of daily living

but sometimes limited in employing routine bedside care.

41. Which of the following major types of learning strategies can you offer for a Geriartric patient who has difficulty in hearing?

A. practice

B. demonstration

C. printed learning materials

D. role playing

B. demonstration

42. Nurse Elena is taking of an older person and has been waiting for almost two hours for her son to arrive. She is ready for discharge. Which of the following statements is an example of therapeutic communication?

A. "I can call your son by cellphone to remind him that you are waiting."

B. "Your son must be in a traffic jam right now."

C. "I'll stay with you until your son arrives."

D. "Would you want to watch television while waiting?"

C. "I'll stay with you until your son arrives."

43. You are teaching a 66 year old male diabetic client about the effects of insulin. He is ready for discharge the next week. Which of the following is a statement of a helping relationship with the patient?

A. "In a few days I'll review what you have learned about actions and effects of your insulin."

B. "You keep on forgetting what I said but will try to repeat some of them."

C. "I already mentioned those actions and effects of insulin, I think you forgot some of them.

D. "Would you like me to discuss the information to your wife? She can assist you?"

A. "In a few days I'll review what you have learned about actions and effects of your insulin."

44. A patient is scheduled for cholecystectomy. She verbalizes to the nurse in an anxious manner "Will my surgery be too long?" The BEST response of the nurse is __________.

A. "I have undergone the same surgery, its a very quick operation."

B. "Your doctor is an expert, don't worry about how long."

C. "Your surgery is at 9AM tomorrow. And you'll stay in the recovery room for an hour. You will be back in the room before 12 noon."

D. "The operation will not last long. By the time you are awake you will be already in your room."

C. "Your surgery is at 9AM tomorrow. And you'll stay in the recovery room for an hour. You will be back in the room before 12 noon."

45. When the nurse explores thoughts and feelings about the patient's surgery, this phase in the helping-relationship is in _______________.

A. introductory phase

B. termination phase

C. resolution phase

D. working phase

D. working phase

Situation

Nurse Christine is assigned

in the Surgical Ward of a Tertiary Medical Center with several patients who are

for diagnostic tests and for surgery.

46. Mr. Garry, 38 years old, is scheduled for Laparoscopic Cholecystectomy in the morning the next day. He verbalizes to you and says, "Dr. Gravido will open me up to remove my gallstones?" Which of the following is your BEST response?

A. "Let us discuss with the surgeon your operation before you go to the OR."

B. "I know the surgeon will remove your stones with a new technique."

C. "Let me call the OR supervisor to discuss the procedure with you."

D. "I will call the anaesthesiologist to explain more the procedure."

A. "Let us discuss with the surgeon your operation before you go to the OR."

47. A critical component before Mr. Garry goes for surgery is the nurse's preoperative teaching. Which of the following is NOT advisable prior to surgery?

A. Teach him deep breathing exercises

B. Fast at midnight, but can drink water if he becomes thirsty.

C. Instruct him to void before going to the operating room.

D. Teach him leg and coughing exercises

B. Fast at midnight, but can drink water if he becomes thirsty.

48. While giving health instructions to Garry, he looked very anxious and said to you, "I might not be able to wake from anesthesia after my operation." Your BEST response is _________.

A. "Do not worry, everything will be alright."

B. "Let me tell to your family your fear."

C. "I will not let you go to the OR until I have talked to your surgeon."

D. "Don't Say that, I will discuss your concerns with your anaesthesiologist."

D. "Don't Say that, I will discuss your concerns with your anaesthesiologist."

49. Mr. Garry returned back to the ward, after recovering from anaesthesia. He complains of pain over the scapular region. Which of the following nursing actions should you do?

A. Apply a heating pad over the painful area.

B. Turn the client from side to side.

C. Give demerol as ordered.

D. Apply a cold pack over the affected area.

A. Apply a heating pad over the painful area

50. After 5 days, Mr. Garry is ready to go home. His discharge instructions include observations of the following complications, EXCEPT:

A. Palpitation

B. Loss of appetite

C. Increased body temperature

D. Bleeding

B. Loss of appetite

Situation

Nurse Vim, a research coordinator

is aware of the concept of research as a competency expected as a graduate

nurse, especially in this era of evidence based nursing practice. The following

questions relate to research in nursing practice.

51. The quality assurance nurse who works closely with nurse Vim requested her to conduct a study by comparing the average length of hospitalization of cardiac patients in a regular ward with that of patients with the same disorders in an intensive care unit.

What statistical test is MOST appropriate to use in this study?

A. Analysis of variance

B. T-test

C. Chi-square

D. Coefficient of correlation

B. T-test

52. The ethical codes in research have greatly influenced the conduct of scientific studies especially among human beings. The declaration of Helsinki includes which of the following ethical standards?

1. Investigator should protect life, privacy and dignity of human subjects

2. Investigator should protect from harm in therapeutic studies

3. Informed consent is not essential when doing research among human subjects

4. Investigator should conduct research when objectives outweigh risks and burdens to the subjects

A. 1, 2, 3 & 4

B. 1 & 2

C. 1, 2, & 4

D. 2 & 3

B. 1 & 2

53. Vim with her team would like to conduct a research on "Perceptions of professional Health practitioners on the competence and level of acceptance on Nurse-Led Clinic".

What type of research design should nurses Vim and her team adopt?

A. Experimental

B. Correlational

C. Descriptive

D. Quasi-experimental

C. Descriptive

54. Nurse Vim, was sent by her chief nurse to attend a Forum conducted by the Philippine Nursing Research Society on the topic "Effectiveness and Efficacy of the wound dressing to patients with bed injury". She would like to adopt intervention in their unit. What is the MOST appropriate action to be done by Nurse Vim when she returns to their hospital?

A. Pilot the study to determine if results will be the same

B. Incorporate the intervention into their hospital manual

C. Convince the chief nurse to change their wound management practices

D. Request investigator if she can adopt the research protocol in their unit

D. Request investigator if she can adopt the research protocol in their unit

55. The research team together with the gastro-intestinal department also conducted a study on the alcohol consumption of patients as heavy drinkers and developed liver cirrhosis over a 20 year period.

A. Follow-up

B. Cross-sectional

C. Trend

D. Panel

A. Follow-up

Situation

Greg is assigned as charge nurse at the

Cardiovascular Ward in a Medical Center. There are 20 patients, classified as

follows: 2 Total Care (TC), Partial Care (PC) and 9 Ambulatory Care (AC). The

ward's morning duty are 3 staff nurses and 2 nursing attendants (NA).

56. How will you distribute the patients to the 3 Registered Nurses and 2 Nursing Assistants?

A. 2 Registered Nurse for Total Care patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patients, 1 Nursing Assistant for Total Care.

B. 1 Registered Nurse and 1 Nursing Assistant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patient, 1 Registered Nurse for Ambulatory Care patients.

C. 2 Registered Nurse for Total Care patients, 2 Nursing Assistant for Primary Care Patients, 1 Registered Nurse for Ambulatory Care Patients.

D. 1 Registered Nurse for Total Care patients, Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse and 1 Nursing Assistant for Ambulatory Care patients

B. 1 Registered Nurse and 1 Nursing Assistant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patient, 1 Registered Nurse for Ambulatory Care patients.

57. Inasmuch as this is a cardiac-ward what basic equipment/materials should be available at all times?

1. o2

2. Ambu Bag

3. Suction Apparatus

4. Endotracheal

A. 1, 2, 4

B. 1, 2, 3, 4

C. 1, 2, 3

D. 2, 3, 4

B. 1, 2, 3, 4

58. When stocking fluids in the emergency cart. What should Nurse Greg instruct the nurses?

1. Put the recently- delivered at the back of the old stock

2. Put the old stock in front of the newly-delivered ones

3. Check the fluids for sediments and discoloration

4. Keep the fluids inside the cooler

A. 1, 2

B. 1, 4

C. 3, 4

D. 2, 3

D. 2, 3

59. Which of the following emergency medicines should be available at the emergency cart at the Cardio Ward?

1. Epinephrine

2. Demerol

3. Valium

4. Coumadin

A. 1, 3

B. 1, 2

C. 2, 4

D. 3, 4

A. 1, 3

60. How will Nurse Greg arrange the patients in the ward? Put the ______________.

A. Primary Care in between the Ambulatory Care patients.

B. Primary Care and Ambulatory Care patients together and Total Care at the corner of the room.

C. Total Care patients near the nurses and the Ambulatory farthest

D. Ambulatory Care patients near the Total Care ones.

C. Total Care patients near the nurses and the Ambulatory farthest

Situation

The following situations

are related to ethical practices in the workplace.

61. Erica, a registered nurse, has signed a contract for two years in a medical center. A recruitment agency has offered her a "fat" salary for foreign employment. If you are in the position of Erica, what should you do?

A. Discuss your plans with your parents

B. Accept the recruitment offer and go Absence without official leave.

C. Write a letter of resignation to your employer 30 days before leaving.

D. Accept recruiter's offer and give an excuse to employer on behalf her "sick" mother.

C. Write a letter of resignation to your employer 30 days before leaving.

62. Jeanette is a BSN graduate but did not take the National Licensure exams. She is in dire need of money so she applied and was accepted in a health facility. As a nurse she submitted a fake PRC license in order to be given a job. Marian is liable to be charged with ___________.

A. False statement

B. Misrepresentation

C. fraud and deceit

D. malpractice

C. fraud and deceit

63. Ms. Kaye an R.N was invited as a resource person in a nursing conference. The curriculum vitae she submitted to the PRC Continuing Professional Development Council reflects the word Masters of Arts in Nursing (MAN) after her name. She only completed academic requirements but not her thesis writing. Which of the following did Ms. Kaye violate?

A. RA 9173 of Nursing Law

B. Code of Professional Ethics for Teachers

C. Magna Carta for Health Workers

D. Code of Ethics for Registered Nurse

A. RA 9173 of Nursing Law

64. A goal for a postoperative patient using an incentive spirometry is:

a. Decrease pulmonary ventilation

b. Expand collapsed alveoli

c. Potentiate effects of general anesthesia

d. Thicken respiratory secretions

b. Expand collapsed alveoli

65. What ethical justification is observed when administering Opioids despite the possibility of hastening death.

A. Rule of double effect

B. Rule of single effect

C. Maleficence

D. Justice

B. Rule of single effect

66. Which component of chest physiotherapy involves rhythmic clapping with cupped hands on the chest wall over the area being drained?

a. Postural drainage

b. Percussion

c. Nebulization

d. Vibration

b. Percussion

67. Which among these would indicate that coughing was ineffective?

a. Decreased normal breath sounds

b. Clearing of adventitious breath sounds

c. Sputum expectoration

d. Patient's report of swallowed sputum

a. Decreased normal breath sounds

68. It is a hospital policy for nurses in a health facility that reporting time is 15 minutes before the official designated time. Nurse Kendall reported 30 minutes late and requested her co-staff to sign in for her. This is an example of __________.

A. Dishonesty

B. Falsification of document

C. Unprofessional conduct

D. All of the options

D. All of the options

69. Postural drainage improves clearance and drainage of secretions by which principle?

a. Entropy

b. Enthalpy

c. Gravity

d. Motion

c. Gravity

70. As safety precautions for clients receiving oxygen, which among these should Nurse Gie not do?

a. Place a "No Smoking" sign on the client's door and at the foot or head of the bead.

b. Replace woolen blankets with cotton blankets.

c. Place and arrange substances like acetone, alcohol, and oils at the bedside.

d. Ensure that all electric devices are in good working order.

c. Place and arrange substances like acetone, alcohol, and oils at the bedside.

Situation

The coordinator of the

In-Service nursing department prepared an enhancement program for newly board

passers on Universal Health Precaution as part of their personal and

professional development.

71. The group came up with an effective Strategy in the teaching of Universal Health precaution to the attendees. Which of the following is the BEST strategy for this program?

A. Film Showing

B. Case Analysis

C. Lecture with interactive discussion

D. demonstration and return demonstration

D. demonstration and return demonstration

72. A Gantt Chart has been devised by the Organizing Committee as the program will be conducted for 4 weeks' time.

A. Determining possible budgetary implications.

B. Schedule for meeting the objectives for the program.

C. Coordination needed between and among the participants.

D. time frame for the completion of the program with set goals.

D. time frame for the completion of the program with set goals.

73. Which of the following examples is a well stated objective for this proposal?

A. Utilize the Universal health precaution in dealing with self and environment.

B. Understand the health precaution in dealing with self and environment.

C. Know the value of Universal health precaution in dealing with self and environment.

D. Acquire knowledge on health precaution in dealing with self and environment.

A. Utilize the Universal health precaution in dealing with self and environment.

74. Before the implementation of the program, it is important to know pertinent information about the participants. Which of the following INITIAL steps should be undertaken by the organizing committee?

A. Prepare a budget plan for the program.

B. Organize the learners into groups per gender.

C. Present the detailed program to management.

D. Come up with the learning needs of the participant.

D. Come up with the learning needs of the participant.

75. Which of the following statements of the participants indicate that the program is effective?

A. It's good we have earned our CPD units required.

B. We gain weight after the completion of the program.

C. There should be more time allotted to the session.

D. I am happy that we have met all the objectives set.

D. I am happy that we have met all the objectives set.

Situation

Nurse Kathryn is assigned

on a 3-11 shift in the female medical ward of a Tertiary Hospital. Patient Elma

has been complaining of excruciating abdominal pain and was asking for pain

medication. She was referred to the physician on duty (POD) for an immediate

relief of pain

76. In addition to the identification bracelet worn by the patient, how can the nurse on duty (NOD) verify the identity of her patient when administering the drugs?

A. Ask the question, "Are you Ms. Elma?"

B. Read the patient's name at the foot of the bed

C. Ask the patient's name from the watcher.

D. Ask the patient's husband's name

D. Ask the patient's husband's name

77. The physician orders a PRN pain medication for patient Elma. When will Nurse Kathryn administer a PRN drug?

A. A standing order is carried out as specified until discontinued for another order.

B. When the physician writes the drug as needed in the order sheet.

C. A single dose of the drug, carried out by the nurse at a time specified by the physician.

D. An order written by the physician that has to be carried out immediately.

B. When the physician writes the drug as needed in the order sheet.

78. Prior to the administration of pain medication, Nurse Kathryn assesses the degree of the pain of the patient before and after the drug administration. Using the numeric scale of 0-10 (0 is the lowest and 10 is the highest) on pain, when the patient has rated her pain as 7 it means it is ____________.

A. severe

B. tolerated

C. Slight

D. moderate

A. severe

79. When a patient is in pain, what PRIORITY consideration should Nurse Kathryn observe?

A. Goal of treatment of the health professionals.

B. Perception of pain of the individual.

C. Harmful effects of the drugs.

D. Cost of the pain medication.

B. Perception of pain of the individual.

80. In educating effectively the patient and family on how to use a pain rating scale, the following are the STEPS to be followed by the nurse __________.

1. discuss pain as a broad concepts

2. set goals for comfort and function

3. explain parts of the rating scale

4. show pain rating scale and purpose

5. verify if the patient understands broad concepts of pain.

6. ask patient to practice the pain rating scale

A. 1, 2, 3, 4, 6 & 5

B. 4, 3, 1, 5, 6 & 2

C. 2, 4, 3, 1, 6 & 5

D. 3, 1, 2, 5, 4 & 6

C. 2, 4, 3, 1, 6 & 5

Situation

Nurse Gregorio is assigned

to the Medical Ward for 7 years. He is well appreciated by his colleagues and

patients because he intercedes with patient's needs, he has good decision

making ability, and respects the patients' rights and cultural practices. He

helps colleagues beyond call of duty.

81. A patient who has a craniotomy was referred by Nurse Gregorio to the Department of Social Welfare (DSWD) because he has a problem paying his unsettled hospital bill amounting to 80 thousand pesos. The relatives are afraid the patient will not be discharged soon. Which of the following functions BEST describe the action of Nurse Gregorio?

A. Advocate

B. Caregiver

C. Educator

D. Clinician

A. Advocate

82. Nurse Gregorio is assigned on night shift and noted a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle attached to a syringe containing a clear liquid into the antecubital area. Gregorio's initial action is to call the ______________.

A. nurse supervisor

B. physician

C. security guard

D. watcher

A. nurse supervisor

83. A patient refuses to undergo surgery after a conference with her doctor. Which of the following ethical principles applies when Nurse Gregorio and a doctor respect the decision of the patient in spite of encouragement and pieces of advice given?

A. Autonomy

B. Beneficence

C. Veracity

D. Self-Determination

A. Autonomy

84. Nurse Gregorio made a conference with a preoperative patient on important data related to her illness. To practice confidentiality of information, Nurse Gregorio MUST consider which of the following?

A. Documents the process of conservation to serve as proof for future reference.

B. Apply technology for easier and faster communication and documentation.

C. Conducts the conference in a private place where conversation is not heard.

D. Invites others to interpret the discussion if the patient is deaf to unfamiliar with the language.

C. Conducts the conference in a private place where conversation is not heard.

85. Nurse Gregorio noticed a colleague taking frequent breaks, working over-time, inaccurate drug accounts and displaying inappropriate behavior during meetings and conferences. Nurse Gregorio suspects his colleague is ___________.

A. a victim of domestic violence

B. with personality disorder

C. on substance abuse

D. not mindful of mindful work output

C. on substance abuse

Situation

Mr. Jeffrey, 62 years old, an Executive of a

shoe company was brought to the hospital after having vomited bright red blood

immediately after supper. He claimed he had a drinking session with his former

classmates in college. He was already advised by their family physician not to

drink alcohol due to a suspected fatty liver. You were the nurse-on-duty when

he was admitted.