Nursing Reviewer

Calories

The amount of energy that the body gets from food is measured in.

Vitamin K

One of the fat-soluble vitamins involved in coagulation is:

Nursing Diagnosis

It consists of identification of nutritional problem which nutrition-related activities provides the primary intervention.

Consume protein more liberally

A person with chronic kidney disease who has been following a renal diet for several years begins hemodialysis treatment. An appropriate dietary adjustment would be to:

Increased BMI

A major risk factor for the development of noncommunicable diseases such as cancer and cardiovascular disease is:

Energy imbalance between calories consumed and calories expended

One of the major causes of obesity is:

Client's height and weight

To calculate for the Desirable Body Weight (DBW), the nurse must first determine?

50 - 70%

In meal planning the nurse must consider the TEA for carbohydrates per day which is?

Decrease the effectiveness of Theophylline

A patient is prescribed with Cimetedine for the treatment of Peptic Ulcer Disease. Upon review of the current medication use, the nurse noted that the patient is taking Theophylline. The nurse warned the patient that Cimetedine:

Strict measuring of the patient's daily intake and output

You're developing a plan of care for patient Kim who is diagnosed with fluid volume overload related to heart failure exacerbation. The physician has prescribed Furosemide (Lasix) 40mg IV q8h. What nursing interventions will you include in the patient's plan of care?

Insulin Lipodystrophy

As a nurse in charge to a patient diagnosed with Diabetes Mellitus Type 2. You are aware that rotating injection sites when administering insulin prevents which of the following complications?

Tachycardia

Patient Park is taking Prophylthiouracil (PTU) for his hyperthyroidism. What do you need to monitor to this patient? EXCEPT:

IM Epinephrine

Your patient is having a sudden and severe anaphylactic reaction to a medication. You immediately stop the medication and call a rapid response. The patient's blood pressure is 80/50mmHg, heart rate 120, and oxygen saturation 87%. Audible wheezing is noted along with facial redness and swelling. As the nurse you know that the first initial treatment for this patient's condition is?

Avoid driving a motor vehicle until stabilized on the drug.

A client tells the nurse that he started to take the over the drug counter antihistamine. In teaching him about the side effects. What is most important for the nurse to tell the client?

1 mL

Nurse Anna is carrying out the physician's order for a post-op patient. Give Ketorolac 30mg IV for severe pain. Nurse Sai checks the available stock of Ketorolac which is 60mg/2ml. Calculate for the dosage.

Headache

The nurse teaches the client with angina about the common expected side effects of nitroglycerine, including:

Cetirizine

A 39 year old bank manager is complaining of seasonal allergic rhinitis. As a result, to the medication, she is prescribed to take. Which one of the following agents could significantly impair her ability to drive an automobile?

Progressive

The postpartum mother is anxious and worried about having another baby. Which of the following changes do you consider her concern?

At the level of the umbilicus

In assessment of a postpartum woman within 24 hours after birth, you expect the fundus on palpation in which of the following?

Inspect the placenta for completeness

Which of the following is the recommended EINC protocol after the delivery of the placenta?

Request the nurse to demonstrate cord care and diaper changing

Which of the following behaviors would indicate that the client is in Taking Hold Phase?

"I recognized the consequences"

You give health instructions to postpartum obese client about risk condition of delayed ambulation. Which of the following statement of the client may indicate learning?

In active labor at 4 cm or more & uterus contracts 3- 4 contractions in 10 min.

When using the partograph to monitor the progress of labor, the ideal starting point of plotting should be?

Arrange for transfer for further management

In partograph sheet, once plotting crosses the pink line, it indicates;

Two weeks before the onset of labor

In primigravida client, lightening occurs in which of the following?

Developing pregnancy induce hypertension

During labor, the blood pressure of a woman is 140/90, with a baseline BP on admission of 120/70. This indicates that a client maybe having which of the following?

Fundus of the uterus by contraction

Primary powers of labor is accomplish by;

Myometrium

Which portion of the uterus that is sensitive to triggers that initiate labor;

Cord prolapse

Risk condition associated with premature rupture of membrane?

Nausea and vomiting

Which of the following is not a danger signs of persistent and prolong uterine contractions during labor?

Early ambulation

Which of the following is an appropriate nursing intervention for a postpartum mother with alteration in urinary elimination?

Prevention of pain with the use of the mind

Ferdinand Lamaze introduced the use of psychoprophylaxis to lessen the pain and discomfort during labor, which refers to

Lamaze method

It is based on the theory that through stimulus-response conditioning , a labor woman can learn to use conscious breathing;

Placenta

One of the conceptus that develops early in pregnancy as a result of the fusion of the chorionic villi and decidua basalis;

That indicates significant growth of musculo-skeletal system

The pregnant woman verbalizes that she experienced movements on her womb few days ago. Which of the following would be your best response?

Reduce surface tension of the alveoli during expiration

On the 24 to 28 week of gestation, production of lung surfactant begins which is important to;

2:1

In order for the respiratory system of the fetus to function effectively after the delivery, which of the following component ratio of Lecithin/sphingomyelin may be functional?

The sex chromosome carried by the man during fertilization determine the gender of your developing fetus.

The pregnant woman verbalizes that she wishes for a girl in her present pregnancy. As a nurse, What would be the best response?

Frequency of urination

Which of the following signs that may indicate enlargement of the uterus in pregnancy?

Estrogen

Which of the following hormone is increased during pregnancy?

Due to the increase of melanocyte stimulating hormone

A pregnant woman verbalizes a darkening skin pigmentation on her face. Your response would be;

Multipara

Which of the following term use to describe a woman who has completed 2 or more viable pregnancies:

Zygote

Which of the following structure may result after the sperm penetrates the ovum?

Perform cutaneous distraction techniques

One of the priority nursing diagnosis of puerperal client is pain and discomfort R/T uterine cramping and perineal sutures. Which of the following is your independent nursing intervention?

Pain and discomfort

Which of the following is the priority nursing diagnosis for a postpartum client with open and painful episiotomy suture lines:

Keep the newborn dry

Which of the following is done first in performing immediate newborn care?

From inner to outer canthus

In what direction should the eye ointment is applied on the newborn's eyes?

Hope

Nightingale through the centuries is popular as "The lady with the Lamp", the Lamp is associated as a symbol of

Environmental Theory

Having been geared with theory and application to practice, Nurse Cal understands that bedside care and care for patients' surrounding is vital and is basic amongst all nurses

Benners' Stages of Nursing expertise.

This nursing theory proposes that expert nurses develop skills and understanding of patient care over time through a proper educational background as well as a multitude of experiences.

Primary Health Care

According to the WHO it is "essential health care that is acceptable, made accessible to individuals and families at a cost that the communities and country can afford". This statement describes:

Appropriate Technology

This PHC principle refers to the utilization of tools and methodologies that are suitable for the families and communities that are intended to use it.

1

The DOH has recommended ratios for health workers to catchment population. Based on these recommendations, how many Rural Health Midwives must be employed in a municipality with a total population of 24,900?

The national government gives LGUs certain powers to be able to carry out specific responsibilities.

The Local Government Code or R.A. 7160 mandates devolution of basic services from the national government to local government units (LGUs). Which of the following best describes devolution?

Village or Grassroot Health Worker

During the first visit of the students to the community, they were accompanied by the Barangay Health Worker. She assisted the students during the assigning of families to student nurses. It was evident that the BHW knew almost everyone in the community. She was familiar with the health concerns of each family.

First contact of the community and initial links of health care.

Barangay health workers are types of workers that:

First Line Hospital health personnel

A group of health workers that establish close contact with the village and intermediate health workers in facilitating patients that requires hospitalization or diagnostic facilities not available in health centers

Primary

Which level of health facility is the usual point of entry of a client into the health care delivery system?

"Public health services seem like they are given free, but they are actually paid in the form of taxes."

A patient claimed that public health services are provided for free in government health facilities. The public health nurse is correct when she explained that :

Secondary Prevention

Identify the levels of prevention the following activities belong to: Conduct of Annual Chest X-ray in among private establishments

Secondary Prevention

Identify the levels of prevention the following activities belong to: Mandatory conduct of sputum microscopy among TB suspects in a prison facility

Primary Prevention

Identify the levels of prevention the following activities belong to: Regular Zumba session at NGC

Socialization of family members

Children learn certain behaviors that are considered as acceptable by other members of the community from their parents. Which function of the family does this illustrate this action?

Family safety

Priority setting in the planning stage is done to determine which among the identified family problems should be given attention first. Among the following criteria, which should be given the greatest priority?

Ecomap

The community health nurse utilizes different tools in family health assessment. Which of the following tools would best illustrate the family's relationship with other sectors or institutions in the community?

Aligning the body in a normal, anatomical position.

Nurse Lance after learning about postmortem care and how to do about it, understands that among the following nursing interventions, the most appropriate immediate action after the death of a client will be?

Dysthanasia

Considered as Bad Death. Considered a common fault of modern medicine

Safety

According to Abraham Maslow's Hierarchy of Needs, nurses should assess a client's basic need for:

"Wash your hands before and after patient care or procedures."

As new nurses, conscious and aware of the Covid 19 pandemic, Jessica and Ericka on their hospital orientation was approached by inspectors from the Department of Health and is posed with the question "What is the best means to prevent the spread of infection?" The best answer for the nurses to provide is:

Ask the client to show the nurse what he has learned

Nurse Joshua completes his health teaching to his client in the community, which of the following would be the best method for evaluating the effectiveness of the teaching?

Personal space

Touch may be used as an effective means of non-verbal communication. Ethical implications should be observed though. Nurse Alex is aware, however, that when using touch with a client. It is most important to consider which of the following factors:

Deal with beliefs that conflict with empirical knowledge.

Situations nurses face almost every day, is when patients and their families may refuse standard treatment that has been proven effective. How should a prudent and ethical La Sallian nurse deal with this situation.

Objective Data

This type of data is obtained by general observation and by using the four physical examination techniques: inspection, palpation, percussion, and auscultation.

Cranial nerve XI

You have noticed that your classmate beside you has difficulty rotating his neck. What Cranial nerve has a correlation to the before mentioned condition?

Presbyopia

Your 64 year old father is playing Candy Crush on his phone but you have noticed that he was holding it at around 2 feet. What is his condition?

5th intercostal space left midclavicular line

In listening to the most audible sound of the heart, the nurse must be able to locate the heart's apex. Where is the apex of the heart located?

Closure of heart valves

What causes the heart sound heard during auscultation of the chest?

Levine's sign

Patient experiencing chest pain manifested a clench fist on top of his chest. This universal sign is otherwise known as:

Intermittent claudication

During history taking, a patient reports cramping in his calf when walking a few blocks. He states that it goes away when he sits down for a few minutes. How would the nurse document this symptom?

Sternum

What is the structural landmark found medial the thoracic cage?

Affective

Clinical Instruction as a component of teaching involves communication of information about a specific skills targeting which one of the following domains

Psychomotor

When the clinical instructor allows his students to learn how to take the blood pressure of clients, which domain is achieved in clinical instruction?

Cognitive

When students memorize and recall the procedure in taking the blood pressure of clients, which domain is achieved in clinical instruction?

An independent nursing function

It has been clearly understood among Public Health Nurses that patient teaching has been recognized as:

Patients Care Competencies

One of the key areas of responsibility when a nurse provides a safe & quality nursing care

Empowering Competencies

A nurses awareness of his/her legal and ethico-moral responsibilities as he/she cares daily for patients/clients

Enabling Competencies

The nurse develops her skills in research to improve the delivery of nursing care and to ensure excellence in such performance.

Patient's Care Competencies

Refers to collaboration and teamwork amongst the members of the healthcare team

Enhancing Competencies

Proper, accurate documentation and correct record keeping are manifestation of a nurses proficiency to which group of companies

Empowering Competencies

A nurses' personal and professional development delivered to nurses through seminars and conferences:

atelectasis

Lung collapse, or ______, can occur if the intrapleural pressure equals atmospheric pressure when air enters the pleural space.

Patients Care Competencies

Every nurses responsibility towards patient, family and community is health education and health awareness

Enabling Competencies

A Lasallian nurse updates and upgrades his/herself as to clinical practice and adhere to quality improvement towards self and workplace

ossification

The process of bone formation is known as ______________.

hair shaft

When a person shaves his face, which portion of the hair is removed?

foramen magnum

The large hole located in the base of the occipital bone that allows the spinal cord and brain to connect is the?

cardiac

Striated involuntary muscle tissue is classified as ________ muscle.

myocardium

What is the muscular layer of the heart wall?

nephron

What is the functional unit of the kidney that filters blood and forms urine?

gallbladder

Bile is formed by the liver and stored in the?